目的:探討輸卵管性不孕婦女生存質(zhì)量及其影響因素,并為輸卵管性不孕癥治療決策的選擇提供相應(yīng)的依據(jù)。方法:采用生存質(zhì)量測(cè)評(píng)量表SF-36對(duì)80名輸卵管性不孕婦女及80名已生育或妊娠的健康婦女進(jìn)行了同期的橫斷面調(diào)查與比較。結(jié)果:輸卵管性不孕婦女的生存質(zhì)量較正常健康婦女人群低,除了生理功能及軀體疼痛外,輸卵管性不孕婦女有關(guān)社會(huì)功能、生理問(wèn)題對(duì)功能的限制、心理問(wèn)題對(duì)功能的限制、心理健康、活力、健康的總體評(píng)價(jià)、健康變化程度等七個(gè)方面的主觀滿意度均較對(duì)照組低,差異有顯著意義(P lt;0.05)?;颊叩哪挲g、文化程度及居住環(huán)境對(duì)其生存質(zhì)量有影響。結(jié)論:在治療不孕癥時(shí),不應(yīng)僅針對(duì)其病因治療,而且要重視心理和社會(huì)因素的作用,加強(qiáng)心理治療,重視健康教育,針對(duì)性地改善患者在精神、社會(huì)、心理等方面的主觀體驗(yàn),以促進(jìn)不孕癥婦女生存質(zhì)量的提高。
引用本文: 周飛,楊年,王滟,梁占光. 輸卵管性不孕婦女生存質(zhì)量的調(diào)查分析. 華西醫(yī)學(xué), 2009, 24(2): 328-330. doi: 復(fù)制
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- 1. 羅麗蘭.不孕與不育[M].第1版,北京:人民衛(wèi)生出版社,1998:121-122..
- 2. 萬(wàn)軒金,羅麗蘭,朱桂金,等.女性不孕的病因探討(附1383例分析)[J].同濟(jì)醫(yī)科大學(xué)學(xué)報(bào),1994,23:488-490..
- 3. 譚世橋,段秀蓉,唐曉紅,等.不孕癥檢查對(duì)輸卵管性不孕婦女的心理影響[J].華西醫(yī)大學(xué)報(bào),2001,32:254-256..
- 4. Wasser SK,Sewall G,Soules MR.Psychosocial stress as a cause of infertility[J].FertilSteril,1993,59:685-689..
- 5. Abbey A,Halman LJ,Andrews FM.Psychosocial,treatment,and demographic predictors of the stress associated with infertility[J].Fertil Steril,1992,57:122-128..
- 6. Andrews FM,Abbey A,Halman LJ.Is fertilityproblem stress different? The dynamics of stress in fertile and infertile couples[J].Fertil Steril,1992,57:1247-1253.
- 7. Schenker JG,Meirow D,Schenker E.Stress and human reproduction[J].Eur J Obster Gynecol and Reprod Biol,1992,45:1..
- 8. 陸亞文,楊玲玲,盧光琇,等.不育婦女精神狀態(tài)的多因素分析[J].臨床精神醫(yī)學(xué)雜志,1996,6:84-86..
- 9. Spitzer WO.State of science 1986:Quality of life and functional status as target variables for research[J].J Chron Dis,1987,40:465-471.
- 10. 許軍,胡敏燕,楊云濱,等.健康測(cè)量量表SF36[J].中國(guó)行為醫(yī)學(xué)科學(xué),1999,8:150-152..
- 11. 魏朝暉,莫一心,陳和平.生命質(zhì)量測(cè)定量表SF36的應(yīng)用[J].國(guó)外醫(yī)學(xué)社會(huì)醫(yī)學(xué)分冊(cè),1997,14:145-147..
- 12. Ware JE,Sherbourne CD.The MOS 36Item shortform health survey(SF36)Ⅰ:conceptural framework and item selection[J].Med Care,1992,30:473-483..
- 13. Ware JE.Standard for validating health measure:definition and content[J].J Chron Dis,1987,40:473-480..