| Objectives:(1) To investigate the resilience, self-efficacy, coping style and infertility-related stress in infertile women.(2) To explore the relation among resilience, self-efficacy, coping style and infertility-related stress in infertile women, thus giving evidence for reducing infertility-related stress and implementation of intervention strategies in infertile women.Methods:A total number of476infertile women were recruited from the Xiangya Hospital, the Second Xiangya Hospital and the Third Xiangya Hospital of Central South University during June2013and December2013. Data collection instruments contained demographic information sheet, Connor-Davidson Resilience Scale(CD-RISC), General Self-Efficacy Scale(GSES), Simplified Coping Style Questionnaire(SCSQ) and The Fertility Problem Inventory(FPI). Software Epidata3.0was used for data input. SPSS18.0and Amos18.0was used for data analysis. Descriptive analysis, one-way ANOVA, multiple linear regression analysis and path analysis were performed to analyze data.Results1The scores of FPI in infertile women were as follows:the total FPI score was (159.02±27.28), social concern score was (30.72±7.46), relationship concern score was (30.21±6.65), need for parenthood score was (43.09±8.67), rejection of childfree lifestyle score was(33.51±8.25), sexual concern score was (21.49±7.93).2One-way ANOVA showed that there were significant differences in FPI total score among patients with different education levels, places of residence, career, gross joint income monthly, type of medical payment, type of family, whether only daughter, relationship with her husband, major sources of infertile pressure. Results of multiple linear regression analysis showed that FPI was predicated by education levels, places of residence, gross joint income monthly and relationship with her husband. 3Pearson correlation analysis showed:Tenacity dimension of CD-RISC score had negative correlation with3dimensions (social concern dimension, rejection of childfree lifestyle dimension, sexual concern dimension) of FPI (r=-0.257; r=-0.168; r=-0.163, P<0.01); Strength dimension of CD-RISC score had negative correlation with4dimensions (social concern dimension, relationship concern dimension, rejection of childfree lifestyle dimension, sexual concern dimension) of FPI (r=-0.331; r=-0.178; r=-0.155; r=-0.280, P<0.01); Optimism dimension of CD-RISC score had negative correlation with4Dimensions (social concern dimension, relationship concern, rejection of childfree lifestyle dimension, sexual concern dimension) of FPI (r=-0.307; r=-0.163; r=-0.187; r=-0.206, P<0.01). Average score of GSES had negative correlation with3dimensions (social concern dimension, relationship concern dimension, rejection of childfree lifestyle dimension) of FPI (r=-0.264; r=-0.104; r=-0.184, P<0.01). Positive coping style had negative correlation with3dimensions (social concern dimension, rejection of childfree lifestyle dimension, sexual concern dimension) of FPI (r=-0.255; r=-0.177; r=-0.170, P<0.01); Negative coping style score had positive correlation with4dimensions (social concern dimension, relationship concern dimension, need for parenthood dimension, sexual concern dimension) of FPI (r=0.120; r=0.135; r=0.149; r-0.209, P<0.01).Tenacity dimension score had positive correlation with average score of GSES and positive coping style (r=0.534; r=0.459, P<0.01), and had negative correlation with negative coping style (r=-0.152, P<0.01); Strength dimension had positive correlation with average score of GSES and positive coping style (r=0.501; r=0.445, P<0.01), and had negative correlation with negative coping style (r=-0.180, P<0.01); Optimism dimension had positive correlation with average score of GSES and positive coping style (r=0.401; r=0.392, P<0.01), and had negative correlation with negative coping style (r=-0.151, P<0.01).4The effect optimism to infertility-related stress was the biggest one with total effect size-0.210(direct effect is-0.175and indirect effect is-0.035); Effects of strength and tenacity on infertility-related stress were completely indirect with effect size-0.057and-0.046respectively; Effects of self-efficacy on infertility-related stress was indirect with effect value-0.046. Positive coping had direct effect on infertility-related stress with effect size-0.175. Negative coping style had direct effect style on infertility-related stress with effect size0.198.Conclusion1Education levels, places of residence, career, gross joint income monthly, type of medical payment, type of family, whether only daughter, relationship with her husband, major sources of infertile pressure are influencing factors for infertility-related stress in infertile women.2Tenacity, strength and optimism had negative correlation with infertility-related stress. Self-efficacy had negative correlation with infertility-related stress. Positive coping style had negative correlation with infertility-related stress. Negative coping style had positive correlation with infertility-related stress.3Tenacity, strength and optimism had direct and indirect negative effects on infertility-related stress. Self-efficacy had indirect negative effect on infertility-related stress. Coping style had direct effects on infertility-related stress. Self-efficacy and positive coping style and negative coping style, as mediated variables, can mediate the relationship between resilience and infertility-related stress. |
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