Fertility Intention And Influencing Factors Of Nulliparous Female Patients With Lymphoma At Childbearing Age

ObjectivesThe purposes of this paper is to investigate the fertility intention status of nulliparous female patients with lymphoma at childbearing age and to explore the influencing factors of patients’reproductive decision-making,which provides the basis for patients’reproductive knowledge needs,reproductive consultation and health education.In addition,medical staff can give reproductive care intervention according to above influencing factors.MethodsThis study uses cross-sectional method with convenient sampling.From October in2021 to December in 2022,180 nulliparous female patients with lymphoma at childbearing age were selected to participate in the study from the hematology ward in a A-level hospital of Da Lian.They were questioned by self-designed General Information Questionnaire,Fertility Intention Questionnaire of female patients with Hematologic Malignancies at childbearing age,Mishel Uncertainty in Illness Scale for Adults(MUIS-A),Perceived Social Support Scale and Connor-Davidson Resilience Scale.Above data were entered into Excel by two people and analyzed by SPSS 25.0.Statistical methods included descriptive analysis,t tests,univariate analysis of variance,Pearson correlation analysis and multiple linear regression analysis.The test level wasα=0.05.Results1 The total score of reproductive intention of nulliparous female patients with lymphoma at childbearing age was(39.46±9.46),which was at a medium high level.The fertility dimension score was the highest(19.99±5.07),followed by the emotional response dimension(9.86±2.13),and the information support dimension score was the lowest(9.60±2.78).2 Univariate analysis showed that fertility intention of nulliparous female patients with lymphoma at childbearing age was significantly associated with patients’age,marital status,education,family per capita monthly income and occupation(P<0.05).3 Pearson correlation analysis showed that the total score of reproductive intention was significantly negatively correlated with the total score of disease uncertainty(r=-0.445,P<0.01),and the score of untertainty,complexity were negatively correlated(r=-0.438,P<0.01;r=-0.450,P<0.01);the total score of reproductive intention was significantly positively correlated with the total score of perceived social support(r=0.373,P<0.01,)and the score of family support,friend support and other support dimensions were positively correlated(r=0.340,P<0.01;r=0.251,P<0.01;r=0.309,P<0.01);the total score of reproductive intention was significantly positively correlated with the total score of psychological resilience(r=0.375,P<0.01),and was positively correlated with the dimensions of tenacity,self-improvement and optimism(r=0.401,P<0.01;r=0.390,P<0.01;r=0.343,P<0.01).4 The results of multiple linear regression analysis showed that age,marital status,education,family per capita monthly income,disease uncertainty,perceived social support,psychological resilience entered the regression equation(R~2=0.511,R2=0.504after adjustment,F=31.221,P<0.05),accounting for 50.4%of the total variation of fertility intention status of nulliparous female patients with lymphoma at childbearing age.Conclusion1 The fertility intention of nulliparous female patients with lymphoma at childbearing age is at medium high level.it is urgent to pay attention to the fertility needs of these patients.2 Fertility intention of nulliparous female patients with lymphoma at childbearing age was significantly negatively correlated with disease uncertainty,and significantly positively correlated with psychological resilience and perceived social support.The lower the disease uncertainty of patients,the higher the social support and psychological resilience they have,the stronger the fertility intention they will preserve.3 The main factors influencing nulliparous female patients’fertility intention with lymphoma at childbearing age included age,marital status,education level,family per capita monthly income,disease uncertainty,psychological resilience,perceptive social support.This suggests that medical staff should pay attention to the reproductive intention of those women,formulating personalized reproductive care intervention strategies,solving patients fertility problems and alleviating fertility pressure.