ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2026-05-007 预防医学研究 2026, 2(05): 25-28

不孕症患者的心理状况及其影响因素的调查与研究

蚌埠市第三人民医院

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摘要

目的 调查不孕症患者的心理状态并分析其影响因素。方法 纳入2024年8月至2025年9月期间于本院就诊的82例不孕症患者作为观察组,并纳入同期参与孕前健康检查的82名育龄期健康女性作为对照组。通过相关调查对所有参与者进行评估,分析其心理状态及主要影响因素。结果 观察组汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分显著高于对照组(P<0.05);不孕病程长、治疗周期长、有治疗失败史、较低的家庭月收入以及社会支持薄弱与患者更高的负面心理评分显著相关(P<0.05);不孕病程(OR=1.330)、存在治疗失败史(OR=3.410)及社会支持水平低(OR=4.778)均是不孕症患者发生焦虑/抑郁情绪的独立危险因素。结论 不孕症患者普遍存在焦虑与抑郁问题,其心理状况主要受治疗历程复杂性及社会支持系统的显著影响。临床诊疗中,应尽早对具备上述风险因素的患者进行心理筛查与疏导。

Abstract

Objective To investigate the psychological status of infertility patients and analyze its influencing factors. Methods A total of 82 infertility patients treated in our hospital from August 2024 to September 2025 were enrolled as the observation group, and 82 healthy women of childbearing age who underwent pre-pregnancy health examinations during the same period were included as the control group. All participants were assessed using relevant questionnaires to evaluate their psychological status and identify major influencing factors. Results The observation group showed significantly Higher Hamilton Anxiety Scale(HAMA) and Hamilton Depression Scale(HAMD) scores compared with the control group(P<0.05). Longer duration of infertility, extended treatment cycles, history of failed treatment, lower monthly household income, and poor social support were significantly associated with higher negative psychological scores(P<0.05). Duration of infertility(OR=1.330), history of failed treatment(OR=3.410), and low level of social support(OR=4.778) were identified as independent risk factors for anxiety/depression in infertility patients. Conclusion Infertility patients commonly experience prominent anxiety and depression, and their psychological status is primarily influenced by the complexity of treatment history and the level of social support. In clinical practice, early psychological screening and counseling should be provided for patients with the above risk factors.

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[1]王婉露,陈乾.不孕症患者的心理状况及其影响因素的调查与研究[J].疾病预防与控制,2026,2(05):25-28.