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专家账号密码找回目的 探讨二元应对在行体外受精⁃胚胎移植不孕症女性患者配偶知觉压力与负性情绪之间的中介效应。方法 选取接受体外受精⁃胚胎移植的208名不孕症女性患者的配偶作为研究对象，采用知觉压力量表（PSS）、二元应对量表（DCI）及医院焦虑抑郁量表（HADS）对其进行调查。分析3个量表总得分的相关性。使用SPSS 软件PROCESS宏程序中的Model 4 进行中介效应分析，采用Bootstrap法检验中介效应。结果 208名不孕症女性患者配偶的PSS、DCI和HADS总得分别为（14.26±4.89）分、（123.95±16.34）分和（11.43±5.01）分，其中焦虑、抑郁发生率分别为36.06%（75/208）、24.52%（51/208）。相关性分析结果显示，不孕症女性患者配偶的PSS总得分与HADS总得分呈正相关、与DCI总得分呈负相关，DCI总得分与HADS总得分呈负相关（P<0.05）。中介效应分析及检验结果提示，二元应对在知觉压力与负性情绪之间具有部分中介效应，中介效应值为0.058 （0.013，0.112），占总效应的9.7%。结论 不孕症女性患者配偶的知觉压力呈中等水平，知觉压力可以直接正向作用于负性情绪，也可以通过二元应对间接影响负性情绪。因此，医护人员可提高不孕症女性患者配偶的二元应对能力，以降低其负性情绪的发生。
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论著·临床研究
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更新时间：2024-04-25
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二元应对在行体外受精⁃胚胎移植不孕症女性患者配偶知觉压力与负性情绪之间的中介效应
Mediating effect of dyadic coping between perceived stress and negative emotions in spouses of female patients with infertility undergoing in vitro fertilization⁃embryo transfer
广西医学 页码：71-77
作者机构：刘雪洁，在读硕士研究生，研究方向为母婴护理和心理护理。
基金信息：安徽省自然科学基金（2108085MG242）；安徽医科大学护理学院研究生青苗培育项目（hlqm12023030）
- 中文简介
- 英文简介
- 参考文献
Objective To explore the mediating effect of dyadic coping between perceived stress and negative emotions in spouses of female patients with infertility undergoing in vitro fertilization⁃embryo transfer. Methods A total of 208 spouses of female patients with infertility who received in vitro fertilization⁃embryo transfer were selected as the research subjects. Investigations were performed on them by using the Perceived Stress Scale (PSS), Dyadic Coping Inventory (DCI), and Hospital Anxiety and Depression Scale (HADS). The correlation between total scores of the 3 scales was analyzed. The Model 4 of PROCESS macro for SPSS software was employed to analyze the mediating effect, and the mediating effect was validated by using the Bootstrap method. Results The total scores of PSS, DCI, and HADS among 208 spouses of female patients with infertility were 14.26±4.89, 123.95±16.34, and 11.43±5.01, respectively, therein the incidence rates of anxiety and depression were 36.06% (75/208) and 24.52% (51/208), respectively. The results of correlation analysis revealed that PSS total score positively correlated with HADS total score in spouses of female patients with infertility, whereas negatively correlated with DCI total score; in addition, DCI total score negatively correlated with HADS total score (P<0.05). The results of mediating effect analysis and validation indicated that dyadic coping exerted a partial mediating effect between perceived stress and negative emotions, and the mediating effect value was 0.058 (0.013, 0.112), accounting for 9.7% of the total effect. Conclusion Perceived stress of spouses of female patients with infertility is at the medium level. Perceived stress can directly and positively affect negative emotions, or it can indirectly affect negative emotions through dyadic coping. Therefore, medical staff can improve dyadic coping ability of spouses of female patients with infertility to reduce the occurrence of their negative emotions.
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