Predictors of fertility quality of life (FertiQoL) in infertile women: analysis of confounding factors
Predictors of fertility quality of life (FertiQoL) in infertile women: analysis of confounding factors
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DOI：
10.1016/j.ejogrb.2013.06.029
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发表时间：
2013-09-01
影响因子：
2.6
通讯作者：
Oguz, Nevin
中科院分区：
文献类型：
--
作者：
Karabulut, Aysun;Ozkan, Sevgi;Oguz, Nevin
目的：不孕症可能对生活质量(QOL)产生不利影响。这项研究的目的是比较原发和继发性不孕症妇女的生活质量，并找出与生活质量差和好相关的因素。研究设计：使用FertiQOL工具对273名到不孕症诊所就诊的患者进行生活质量测量，并记录患者的人口学和临床特征。结果：继发性不孕症患者在情感、心身、社会领域、治疗耐受性领域和总体生活质量方面得分较高(p<；0.05)。渴望心理支持的女性在除环境外的所有领域得分都较低。不孕症持续时间越长，不孕症患者的心身、社交、耐受、生活质量总分越低(p<；0.05)。多元回归分析显示，文化程度和继发不孕症对生活质量总分有正向影响，而不育年限和心理支持意愿对生活质量总分有负向影响。结论：文化程度高的继发不孕症患者生活质量得分较高，而不育年限和心理支持意愿对生活质量总分有负向影响。(C)2013爱思唯尔爱尔兰有限公司。保留所有权利。
Objective: Infertility may adversely influence quality of life (QoL). The aim of this study was to compare QoL in women with primary and secondary infertility, and identify factors associated with poor and good QoL.Study design: Quality of life was measured using the FertiQoL tool in 273 patients attending an infertility clinic, and demographic and clinical characteristics of the patients were recorded. Patients with primary and secondary infertility were compared for QoL subscales, and other confounding factors were investigated using multiple regression analysis.Results: Women with secondary infertility obtained higher scores in emotional, mind/body, and social domains of the core subscale, tolerability domain of the treatment subscale, and total QoL (p < 0.05). Women desiring psychological support showed lower scores in all domains except environment. Prolonged duration of infertility was associated with lower scores of mind/body, social, tolerability domains and total QoL score (p < 0.05). Multiple regression analysis showed that the status of education and secondary infertility had a positive impact, whereas prolonged duration of infertility and desire for psychological support had a negative impact on total QoL scores.Conclusion: QoL scores were better in patients with secondary infertility and higher educational status, whereas scores were negatively affected by prolonged duration of infertility and desire for psychological support. (C) 2013 Elsevier Ireland Ltd. All rights reserved.