不孕症患者社会疏离现状及影响因素分析

目的：了解不孕症患者社会疏离现状并分析其影响因素,为今后该人群的护理干预提供参考。方法：采用便利抽样的方法选取2021年7—12月兰州大学第一医院生殖中心就诊的208例接受体外受精-胚胎移植（in vitro fertilization and embryo transfer,IVF-ET）的不孕症患者为研究对象,采用一般资料调查表、一般疏离感量表、不孕症病耻感量表、领悟社会支持量表对其进行横断面调查,用SPSS 26.0软件进行数据分析。结果：接受IVF-ET治疗的不孕症患者社会疏离感得分为（38.21±4.30）分。社会疏离感得分与病耻感得分呈正相关（r=0.520,P<0.01）,与领悟社会支持得分呈负相关（r=-0.271,P<0.01）。多元线性回归分析结果显示,影响接受IVF-ET治疗的不孕症患者社会疏离感的主要因素包括患者文化程度、结婚时间、病耻感和领悟社会支持。结论：接受IVF-ET治疗的不孕症患者存在一定程度的社会疏离,医护人员应多关注文化程度低、结婚时间长的患者,降低患者的病耻感,提高其领悟社会支持水平,以降低该人群的社会疏离感。

Status and Influencing Factors of Social Alienation in Infertility Patients

Objective: To understand the status of social alienation in infertility patients, and to analyze its influencing factors, so as to provide a reference for nursing intervention in the future. Methods: The convenience sampling method was used to select 208 infertile patients who received in vitro fertilization and embryo transfer (IVF-ET) from The Reproductive Center of The First Hospital of Lanzhou University from July to December 2021. The general data questionnaire, General Alie-nation Scale, Infertility Stigma Scale and Perceived Social Support Scale were used to conduct a cross-sectional survey. SPSS 26.0 software was used for data analysis. Results: The score of social alienation in IVF-ET patients was (38.21±4.30). The score of social alienation was positively correlated with the score of stigma (r=0.520, P<0.01), and negatively correlated with the score of perceived social support (r=-0.271, P<0.01) in IVF-ET patients. The results of multiple linear regression analysis showed that the main factors influencing the social alienation of IVF-ET infertility patients included the patient′s educational level, length of marriage, stigma and perceived social support. Conclusions: There is a certain degree of social alienation in the infertility patients receiving IVF-ET treatment. Medical staff should pay more attention to the patients with low education level and long married life, to reduce the stigma of this group and improve the level of understanding social support of patients, and to reduce the social isolation of patients.