Evaluations of Emotional Reactions and Coping Behaviors as Well as Correlated Factors for Infertile Couples Receiving Assisted Reproductive Technologies

接受生殖科技治療不孕夫妻情緒反應與因應行為及其相關探討

徐怡伶(Yi-Ling Hsu)；郭碧照(Bih-Jaw Kuo)

不孕症 ； 生殖科技治療 ； 情緒反應 ； 因應行為 ； Infertility ； assisted reproductive technol ogy ； emo tional re ac tion ； co ping be havior

The Journal of Nursing Research

10卷4期（2002 / 12 / 01）

291 - 302

英文

本研究目的旨在探討接受生殖科技治療的不孕夫妻二者之間的情緒反應及因應行為是否有差異。本研究以接受人工受精或試管嬰兒／胚胎植入的120對不孕症夫妻為對象。採結構式問卷調查法，研究工具內容包括基本資料、情緒量表、因應行為量表。研究結果顯示：不孕夫妻二者不間的情緒反應，包括「緊張／焦慮」、「憂鬱／沮喪」、「生氣／敵意」及「疲倦／懶惰」四個次量表與情緒量表得分顯示，妻子比先生有較多的情緒困擾。而因應行為中，妻子的「自我控制」、「尋求社會支援」及「逃避／躲避」等次量表與總量表得分高於先生，達統計顯著差異。不孕夫妻的情緒反應會因治療時間、治療次數與現有孩子數的不同而有差異。不孕的先生因應行為包括「對抗」、「承擔責任」與「逃避／躲避」與情緒反應呈中度正相關；不孕妻子因尖行為包括「對抗」、「自我控制」、「承擔責任」與「逃避／躲避」與情緒反應呈中度正相關，與「正面再評估」成低度負相關。本研究結果可提供臨床醫護人員對不孕夫與妻的情緒反應與因應行為差異，及其相關影響因素之正確認知，以適時提供適當協助。

The purpose of this research was to exp lore the following objectives for infertile couples receiving infertility treatment: Differences between wives and husbands in their emotional reactions and coping behaviors. This research, using structured question naires, was based on 120 infer tile couples attending the Intrauterine Insemination (IUI) or the In Vitro Fertilization-Embryo Transfer (IVF-ET) program. The research instruments consisted of Demo graphic Data Form, Pro file of Mood States (POMS), and Ways of Coping Questionnaire. The research results showed that infer tile wives experienced more emotional disturbance than husbands did, as shown in the four subscales of Tension-Anxiety, Depression-Dejection, Anger-Hostility, and Fatigue-Inertia, as well as the total scale of POMS. It was also shown that wives adopted more coping behaviors to deal with infertility and treatment than husbands did, as revealed in the subscales of Self-Controlling, Seeking Social Support and Escape-Avoidance and the total scale of the Ways of Coping Questionnaire. All of the above reached significant statistical differences. The emotional reactions of infer tile couples varied with the differences in education 1evels, duration of treatment, number of treatments received, and numbers of existing children. The emotional reactions of infertile husbands had a significantly positive correlation with the factors Con fronting, Accepting Responsibility, and Escape-Avoidance. The emotional reactions of wives had a significantly negative correlation with Positive Reappraisal. The research results can pro vide clinical staff with a correct understanding of the differences between husbands and wives in emotional reactions and coping behavior, as well as related factors, to help them to provide better medical treatment.

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