初次與重覆接受試管嬰兒治療不孕症夫妻之心理社會反應

Psychosocial Responses Among Couples undergoing First Time and Repeat Cycles of IVF-ET Treatment

10.7081/NR.200004.0190

張秀玉(Siu-Yuh Chang)；郭碧照(Bih-Jaw Kuo)

不孕症 ； 試管嬰兒 ； 心理社會反應 ； infertility ； in vitro fertilization ； psychosocial responses

護理研究

8卷2期（2000 / 04 / 01）

190 - 202

繁體中文

本研究目的的探討初次與重覆接受試管嬰兒治療不孕症夫妻之心理社會反應是否有差異，及不孕之夫與妻兩者之心理社會反應是否因性別差異而有所不同。本研究以113對初次接受與103對重覆接受試管嬰兒治療不孕夫妻爲研究樣本，施以結構式問卷調查，問卷內容包括不孕症夫妻基本資料、焦慮尤欎量表、情緒控制量表、親官感量表、不孕症量表。研究結果如下：(1)不孕夫妻兩者問會有不同的心理社會反應：不孕歸女比先生有較高之焦慮、優欎反應，先生則比妻子有較高壓抑焦慮或壓抑憂鬱反應之傾向；不孕歸女從先生處得到較多的控制和支配，而先生則從妻子處得到較多的關懷與信任；不孕對重覆接受治療歸女比其先生有較多負面的影響。(2)初次與重覆接受試管嬰兒沼療的不孕夫妻，其心理社會反應有差異：就不孕歸女而言，生覆接受治療者明顯比初次接受治療者有較高之優欎反應，及較低的自尊／自我心像、罪惡感增加及人際關係不良之情形。就不孕男性而言，初次接受治療者比生覆接受治療者有較高之焦慮反應。根據以上結果，本研究並提出護理上的應用及未來研究的建議。

The purpose of this study was to investigate the psychosocial responses among first couples undergoing and repeat cycles of IVF-ET treatment, and to assess whether there were gender differences in psychosocial responses between men and women participants. Structured questionnaires were distributed to 113 first time and 103 repeat cycle couples. Our data showed there were different psychosocial responses between men and women participants: women reported higher levels of anxiety and depression than their partners, men reported more suppression of their anxiety or depression than women; women reported feeling they were under more control and domination by their husbands. Conversely, men reported receiving greater care from their wives. Repeat cycle women reporting infertility experienced greater negative impact than their spouses. There were different psychosocial responses among first and repeat cycle couples: Among women, repeat cycle women had significantly higher levels of depression and felt that the infertility problems had a much greater negative impact on “self-esteem/self-image”, “guilt/blame” and “interpersonal relationships” than their inductee counterparts. Among men, inductee men had more anxiety than repeat cycle men. Implications for nursing practice and future study are also suggested.

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