女性不孕症患者焦虑、抑郁状况和生活质量调查被引量：31

A cross-sectional study on anxiety,depression status and quality of life in infertile women

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摘要目的调查女性不孕症患者焦虑、抑郁状况和生活质量,以探讨影响不孕症患者生活质量的因素。方法对182例女性不孕症患者进行焦虑、抑郁和生活质量测评,分析患者不同精神状况的特征,确定对其生活质量的影响因素。结果 182例不孕症患者中,有焦虑者46例(25.3%),有抑郁者20例(11.0%)。焦虑患者伴肥胖症、中等及以下教育程度、单纯女方不孕分别为15例(32.6%)、32例(69.6%)和26例(56.5%),高于无焦虑者的13例(9.6%)、70例(51.5%)和50例(36.8%),两组各因素比较,差异有统计学意义(P均<0.05)。抑郁患者伴肥胖症、单纯女方不孕分别为11例(55.0%)和13例(65.0%),高于无抑郁患者的17例(10.5%)和63例(38.9%),两组各因素比较,差异有统计学意义(P均<0.05)。焦虑或抑郁患者的躯体健康评分分别为(88±15)分和(89±12)分,精神状况正常者为(90±15)分和(89±15)分,差异无统计学意义(P>0.05);而评价生活质量的其他评分比较,差异有统计学意义(P<0.05)。多元回归分析显示,焦虑是影响生活质量危险因素(t=-5.665,P<0.001)。结论女性不孕症患者的精神障碍发病率高,精神障碍影响患者生活质量。 Objective To evaluate the psychological status and quality of life of infertile women.Methods In a cross-sectional study,182 infertile women were assessed for anxiety,depression disorders and quality of life according to Hospital Anxiety and Depression Scale（HADS）and SF-36 health survey.Results The prevalence of anxiety and depression in these 182 infertile women were 25.3% and 11.0%.Obesity,lower education and female infertility in women with anxiety were significantly higher than women with depression（P0.05）.Quality of life was significantly impaired in infertile women with anxiety and depression.Regression analysis indicated that quality of life was associated with anxiety（P0.001）.Conclusions Psychological disorders were common in infertile women which impaired their life quality apparently.The effective intervention should be performed in order to alleviate psychological disorders and increase life quality of infertile women.

作者许洪梅鹿群沈浣

机构地区北京大学人民医院生殖医学中心北京市丰台医院妇产科

出处《中国妇产科临床杂志》 2010年第5期327-330,共4页 Chinese Journal of Clinical Obstetrics and Gynecology

关键词不孕症焦虑抑郁生活质量 infertility anxiety depression quality of life

分类号 R711.6 [医药卫生—妇产科学]

作者简介通信作者：鹿群Email：luqun1023@sina．com.

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