Long-term life and partnership satisfaction in infertile patients: a 5-year longitudinal study

Long-term life and partnership satisfaction in infertile patients: a 5-year longitudinal study
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DOI:
10.1016/j.fertnstert.2011.05.064
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发表时间:
2011-08-01
影响因子:
6.7
通讯作者:
Fierlbeck, Gerhard
Fierlbeck, Gerhard
中科院分区:
医学2区
文献类型:
--
作者:
Schanz, Stefan;Reimer, Thorisa;Fierlbeck, Gerhard

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目的:描述不孕症对生活和伴侣关系满意度的长期影响。设计:纵向队列研究。地点:大学男科和妇科不孕症门诊。患者:2000 年 8 月至 2001 年 12 月期间接受不孕症治疗的 275 名男性和 272 名女性。干预措施:无。主要结果指标:生活满意度调查问卷(FLZ), 结果:与代表性样本相比,我们的男性和女性参与者在 T1 的 FLZ 上的财务和合作得分较高,健康得分较低。除冲突行为外,他们的 PFB 得分也明显较高。 5 年后 (T2),101 名男性和 113 名女性对伙伴关系和性 FLZ 分量表以及所有 PFB 分量表的评分在统计上显着低于基线。只有女性的自尊 FLZ 分量表评分低于基线 (T1)。成为父母的参与者的休闲和伙伴关系 FLZ 子量表得分较低,而父亲的财务 FLZ 子量表得分较低。结论:男性和女性的满意度在 5 年内都有所下降,但仅限于与伙伴关系相关的领域。女性比男性受到的影响更大。不孕不育治疗的成功对夫妇未来的满意度影响很小。 (Fertil Steril (R) 2011;96:416-21。(C) 2011,美国生殖医学会。)
Objective: To describe the long-term effects of infertility on life and partnership satisfaction.Design: Longitudinal cohort study.Setting: A university outpatient andrology and gynecology infertility clinic.Patient(s): 275 men and 272 women treated for infertility between August 2000 and December 2001.Intervention(s): None.Main Outcome Measure(s): The Life Satisfaction Questionnaire (FLZ), the Partnership Questionnaire (PFB), and sociodemographic items at baseline (T1) and 5 years later (T2).Result(s): Compared with a representative sample, our male and female participants had higher Finance and Partnership scores and lower Health scores on the FLZ at T1. They also had markedly higher PFB scores, with the exception of Conflict Behavior. After 5 years (T2), 101 men and 113 women rated the Partnership and Sexuality FLZ subscales as well as all the PFB subscales statistically significantly lower than at baseline. Only the women rated the Self-esteem FLZ subscale lower than at baseline (T1). Participants who became parents had lower Leisure and Partnership FLZ subscale scores, and fathers had lower Finance FLZ subscale scores.Conclusion(s): Satisfaction declined over 5 years for both men and women, but only in the partnership-related domains. Women were more affected than men. The success of infertility treatment had only a minor influence on a couple's future satisfaction. (Fertil Steril (R) 2011;96:416-21. (C) 2011 by American Society for Reproductive Medicine.)