رابطه راهبردهای مقابله‌ای و سازگاری با ناباروری در زنان تحت درمان کمک باروری

کاظمی, اشرف; ترابی, مرجان; عبدی شهشهانی, مهشید

doi:10.48305/jims.2022.16305

رابطه راهبردهای مقابله‌ای و سازگاری با ناباروری در زنان تحت درمان کمک باروری

نویسندگان

¹ دانشیار، گروه مامایی و بهداشت باروری، دانشکده‌ی پرستاری و مامایی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

² کارشناس ارشد مامایی، مرکز باروری و ناباروری اصفهان، اصفهان، ایران

³ مربی، گروه مامایی و بهداشت باروری، دانشکده‌ی پرستاری و مامایی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

10.48305/jims.2022.16305

چکیده

مقدمه: چگونگی سازگاری با ناباروری، سلامت روان زوجین نابارور را تحت تأثیر قرار می‌دهد. ارتباط هر یک از راهبردهای مقابله‌ای با سازگاری در زنان تحت درمان کمک باروری، با نتایج متناقض همراه بوده است. هدف از مطالعه‌ی حاضر، تعیین ارتباط راهبردهای مقابله‌ای با سازگاری با ناباروری در زنان نابارور تحت درمان کمک باروری بود.
روش‌ها: این مطالعه، به صورت مقطعی بر روی 212 زن تحت درمان‌های کمک باروری با روش نمونه‌گیری در دسترس انجام شد. سازگاری با ناباروری و راهبردهای مقابله‌ای با استفاده از پرسش‌نامه‌ی معتبر به صورت خود‌گزارشی ارزیابی شد. آنالیز داده‌ها با استفاده از آزمون‌های آماری رگرسیون خطی چند متغیره انجام گردید. همچنین تحلیل معادلات ساختاری مدل مفروض با استفاده از نرم‌افزار آموس نسخه‌ی 24 انجام شد.
یافته‌ها: نتایج آزمون رگرسیون نشان داد که مستقل از سن، درآمد ماهیانه و مدت ناباروری راهبردهای مقابله‌ای سرزنش خود، نشخوار ذهنی، ابراز احساسات و درک احساسات، رابطه‌ی منفی و معنی‌دار با سازگاری داشت. همچنین رابطه‌ی بین رهایی ذهن با سازگاری، مثبت و معنی‌دار بود. نتایج نشان داد، مدل مفهومی رابطه‌ی بین راهبردهای مقابله‌ای با سازگاری، از برازش قابل قبولی برخوردار بود (91/0 = P، 46/0 = CMIN/DF).
نتیجه‌گیری: نتایج این مطالعه نشان داد، در زنان تحت درمان کمک باروری، تنها استفاده از راهبرد مقابله‌ای رهایی ذهن با سازگاری، ارتباط مثبت داشت و سایر راهبردهای مقابله‌ای، رابطه‌ی معکوس با سازگاری داشتند.

کلیدواژه‌ها

عنوان مقاله [English]

The Relationship between Coping Strategy and Adaptation to Infertility among Women Who Underwent Assisted Reproduction Treatment

نویسندگان [English]

Ashraf Kazemi ¹
Marjan Torabi ²
Mahshid Abdishashahani ³

¹ Associate Professor, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran

² MSc, Isfahan Fertility and Infertility Center, Isfahan, Iran

³ Instructor, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran

چکیده [English]

Background: The way of coping with infertility affects the mental health of infertile couples. The association of coping strategies and adaptability in women who underwent assisted reproductive treatment are controversial. The aim of the present study was to determine the relationship between coping strategies and adaptability in infertile women who underwent assisted reproductive therapy.
Methods: This cross-sectional study was conducted on 212 women who underwent assisted reproduction treatment using convenience sampling. Adaptability to infertility and coping strategies were evaluated using validated self-report questionnaires. Statistical analysis was performed using the multivariable linear regression test. The structural equation modeling was done using AMOS software version 24.
Findings: The results showed that independent of the age, monthly income and duration of infertility, there was a negative significant relationship between adaptability to infertility and self-blame, ruminative self-focus, emotional expression, and emotional understanding. Although, a positive significant relationship between adaptability and liberation of the mind strategy exists. The overall structural equation model analysis represented good fit for the model indicating the relationship between coping strategies and infertility adaptability (CMIN/DF = 0.46, P = 0.91).
Conclusion: The results showed that in women who underwent assisted reproductive therapy, only the use of mind liberation strategies had a positive effect on adaptability and other coping strategies had an inverse effect with adaptability.

کلیدواژه‌ها [English]

Infertility
Assisted reproductive techniques
Coping behaviors
Emotional adjustment

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