体外受精-胚胎移植孕妇分娩方式意向及影响因素研究

doi:10.3761/j.issn.1672-9234.2021.02.014

Abstract

Abstract:

Objective To understand the intention of delivery mode of pregnant women with in vitro fertilization- embryo transfer（IVF-EF） and analyze its influencing factors. Methods From April 2019 to June 2020,general information questionnaire,Self-Regulatory Fatigue Scale,and Trait Coping Style Questionnaire were used to investigate the delivery mode intentions of 215 pregnant women in a reproductive hospital in Changsha. Results Among the 215 pregnant women with IVF-EF,101（47.0%） were intended to give birth naturally,and 114（53.0%） tended to be delivered by cesarean section. Logistic regression analysis showed that age,parity,self-regulated fatigue,and negative coping had an impact on the delivery method intention of IVF-EF pregnant women. Conclusion The intention of delivery methods of pregnant women is affected by many factors. Nursing staff should adopt enhanced cognitive and psychological intervention to avoid self-regulation fatigue,change negative coping styles,and encourage patients to correctly recognize and choose natural delivery. It has a certain positive significance in reducing the rate of cesarean section.

Key words: Parturition, Fertilization in Vitro, Self-regulated fatigue, Coping styles

WANG Min,CHEN Dan,HU Su-wen,CHENG Hua-yan,BAO Yi-min,TANG Shi. The influencing factors of pregnant women’s delivery intention in vitro fertilization-embryo transfer[J].Chinese Journal of Nursing Education, 2021, 18(2): 163-167.

Figures/Tables 3

References 22

[1]	俞晓敏. 剖宫产率及剖宫产指征临床分析[D]. 上海:海军军医大学, 2018.
	Yu XM. Clinical analysis of cesarean section rate and indication[D]. Shanghai:Naval Military Medical University, 2018.
[2]	闫少甫. 瘢痕子宫妊娠重复剖宫产并发症的对比分析[J]. 中国计划生育和妇产科, 2013,5(3):70-71,80.
	Yan SF. Comparative analysis about complications of repeated cesarean sections with scarred uterus in term pregnancy[J]. Chin J Fam Plan Gynecotokology, 2013,5(3):70-71,80.
[3]	Kuhle S, Tong OS, Woolcott CG. Association between Caesarean section and childhood obesity:a systematic review and meta-analysis[J]. Obes Rev, 2015,16(4):295-303. doi: 10.1111/obr.12267 pmid: 25752886
[4]	Ghahiri A, Khosravi M. Maternal and neonatal morbidity and mortality rate in Caesarean section and vaginal delivery[J]. Adv Biomed Res, 2015,4(1):193.
[5]	侯磊, 李光辉, 邹丽颖, 等. 全国剖宫产率及剖宫产指征构成比调查的多中心研究[J]. 中华妇产科杂志, 2014,49(10):728-735.
	Hou L, Li GH, Zou LY, et al. Cesarean delivery rate and indications in mainland China:a cross sectional study in 2011[J]. Chin J Obstet Gynecol, 2014,49(10):728-735.
[6]	肖喜荣, 李碧, 顾蔚蓉, 等. 二孩政策背景下剖宫产率及剖宫产指征的变化[J]. 中华围产医学杂志, 2018,21(1):39-45.
	Xiao XR, Li B, Gu WR, et al. Changes in cesarean delivery rate and indications against the background of two-child policy[J]. Chin J Perinat Med, 2018,21(1):39-45.
[7]	吴筱婷, 范喜瑛, 王海霞. 社会因素剖宫产影响因素及干预措施的研究进展[J]. 全科护理, 2019,17(25):3110-3112.
	Wu XT, Fan XY, Wang HX. Research progress of social factors influencing cesarean section and intervention measures[J]. Chinese General Practice Nursing, 2019,17(25):3110-3112.
[8]	刘尧芳, 王芳, 黄桂英, 等. 体外受精-胚胎移植女性孕期焦虑抑郁情绪与妊娠结局的关系[J]. 实用妇产科杂志, 2016,32(6):456-459.
	Liu YF, Wang F, Huang GY, et al. Relationship of anxiety and depression during pregnancy with pregnancy outcomes in women treated with IVF-ET[J]. J Pract Obstet Gynecol, 2016,32(6):456-459.
[9]	韩莹. 自我调节疲劳与中青年乳腺癌患者术后残障接受度的相关性研究[J]. 海军医学杂志, 2019,40(1):89-92.
	Han Y. Correlation between self-regulation fatigue and disability acceptance of young and middle-aged breast cancer patients[J]. J Navy Med, 2019,40(1):89-92.
[10]	Nes LS, Carlson CR, Crofford LJ, et al. Self-regulatory deficits in fibromyalgia and temporomandibular disorders[J]. Pain, 2010,151(1):37-44. pmid: 20561749
[11]	刘小燕, 卢德梅, 刘惠桃. 心理一致感、应对方式对妊娠晚期孕妇分娩恐惧的影响[J]. 中国当代医药, 2019,26(35):201-205.
	Liu XY, Lu DM, Liu HT. Influence of psychological coherence and coping style on delivery fear of pregnant women in late pregnancy[J]. China Mod Med, 2019,26(35):201-205.
[12]	邓雪英, 周丹丹. 社会支持及应对方式对产妇分娩方式的影响[J]. 护理研究, 2014,28(4):1164-1166.
	Deng XY, Zhou DD. Influence of social support and coping style on delivery ways of puerpera[J]. Chin Nurs Res, 2014,28(4):1164-1166.
[13]	金丕焕. 医用统计学方法[M]. 2版. 上海: 复旦大学出版社, 2003.
	Jin PH. Medical statistics[M]. 2nd ed. Shanghai: Fudan University Press, 2003.
[14]	王利刚, 张静怡, 王佳, 等. 自我调节疲劳量表中文版测评青年人的效度与信度[J]. 中国心理卫生杂志, 2015,29(4):290-294.
	Wang LG, Zhang JY, Wang J, et al. Validity and reliability of the Chinese version of the Self-Regulatory Fatigue Scale in young adults[J]. Chin Ment Heal J, 2015,29(4):290-294.
[15]	汪向东, 王希林, 马弘. 心理卫生评定表手册(增订版)[M]. 北京: 中国心理卫生杂志社, 1999: 120-121.
	Wang XD, Wang XL, Ma H. Handbook of mental health assessment form(Revised Edition)[M]. Beijing:Chin Ment Heal J, 1999: 120-121.
[16]	王红. 青少年应对方式与健康危害行为及身心亚健康的关联研究[D]. 合肥:安徽医科大学, 2011.
	Wang H. Study on the relationship between coping style,health hazard behavior and physical and mental sub-health of adolescents[D]. Hefei:Anhui Medical University, 2011.
[17]	何逸雯, 蔺莉. 高龄孕妇分娩方式评估[J]. 实用妇产科杂志, 2017,33(1):8-10.
	He YW, Lin L. Evaluation of delivery mode of elderly pregnant women[J]. J Pract Obstet Gynecol, 2017,33(1):8-10.
[18]	廖红伍, 阳学风, 陈秋杏, 等. 孕妇分娩方式意愿及影响因素的研究[J]. 中国卫生统计, 2017,34(4):646-648.
	Liao HW, Yang XF, Chen QX, et al. Study on pregnant women’s willingness of delivery mode and its influencing factors[J]. Chin J Heal Stat, 2017,34(4):646-648.
[19]	陈丽萍, 林巧樱. 体外受精-胚胎移植失败患者焦虑的影响因素分析及护理对策[J]. 护理实践与研究, 2019,16(10):101-103.
	Chen LP, Lin QY. Analysis of influencing factors of anxiety in patients with IVF-ET failure and nursing countermeasures[J]. Nurs Pract Res, 2019,16(10):101-103.
[20]	高倩, 李晓敏, 孙王乐贤, 等. 自我调节疲劳对冠心病患者自我管理行为的影响[J]. 中国慢性病预防与控制, 2019,27(1):38-42.
	Gao Q, Li XM, Sun WLX, et al. Effect of self regulated fatigue on self-management behavior of patients with coronary heart disease[J]. Chin J Pre Contr Chron Dis, 2019,27(1):38-42.
[21]	Magnezi R, Glasser S, Shalev H, et al. Patient activation,depression and quality of life[J]. Patient Educ Couns, 2014,94(3):432-437. doi: 10.1016/j.pec.2013.10.015
[22]	周越, 单岩, 李艳艳, 等. 自我调节疲劳对腹膜透析患者疾病管理积极度的影响[J]. 护理学杂志, 2020,35(15):34-36.
	Zhou Y, Shan Y, Li YY, et al. Effect of self regulated fatigue on disease management initiative of peritoneal dialysis patients[J]. J Nurs Sci, 2020,35(15):34-36.

The influencing factors of pregnant women’s delivery intention in vitro fertilization-embryo transfer

HTML

PDF(PC)

Like

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 3

References 22

Related Articles 2

Metrics

Comments

Recommended 10

[1]	LOU Yi,GUO Shengbin,GU Lixiang,ZHANG Qianmin,YAN Liting,QIU Pingping. Translation and psychometric properties evaluation of the Birth Beliefs Scale [J]. Chinese Journal of Nursing Education, 2022, 19(9): 843-846.
[2]	ZHAO Ya-nan,LI Yan,ZHANG Jing,HOU Jia-wen,MA Xi-mei,ZHUANG Si-min,XIAO Guang-hong,WANG Yan-hong. The instruments of measuring fear of childbirth in pregnancy based on COSMIN：a systematic review of psychometric properties [J]. Chinese Journal of Nursing Education, 2022, 19(4): 378-384.