【摘要】 目的 探讨不孕女性的不孕应对方式、家庭亲密度和适应性、正念水平与生育压力水平、学历和家庭成员等一般特征之间的相关性，为了解并改善不孕患者的心理状态提供参考。方法 选取2023年9月至2024年4月在武汉大学中南医院生殖医学中心就诊的不孕患者为研究对象，采用不孕应对方式量表、家庭亲密度和适应性量表中文版、五因素正念问卷、生育压力量表对患者进行评估，并对量表评分进行相关性分析。结果 共纳入129例女性患者，常采用的不孕应对方式为主动面对（91.47%）和意义应对（8.53%）。学历与主动面对及意义应对维度得分、家庭亲密度和家庭适应性得分、正念总分均呈显著正相关（P<0.01），与生育压力呈显著负相关（P<0.01）。与长辈同住和主动回避维度得分呈显著正相关（P<0.05），同居家庭成员数与意义应对得分、家庭亲密度和家庭适应性得分均呈显著负相关（P<0.05）。主动回避、被动回避均与生育压力呈显著正相关（P<0.001），主动面对、意义应对均与家庭亲密度和家庭适应性呈显著正相关。意义应对与正念水平呈显著正相关（P<0.01）。家庭亲密度和家庭适应性均与正念水平呈显著正相关（P<0.001），与生育压力呈显著负相关（P<0.001）。正念水平与生育压力呈显著负相关（P<0.001）。结论 不孕患者的学历、家庭结构与其不孕应对方式、家庭亲密度和家庭适应性、正念水平及生育压力之间相互关联。积极的应对方式及更高的家庭亲密度和适应性有助于提升正念水平，进而缓解生育压力。更多还原

【Abstract】 Objective To explore the correlation between coping strategies, family intimacy and adaptability, mindfulness level, fertility stress level, educational background, and general characteristics such as family members among infertile women, to provide reference for understanding and improving the psychological state of infertility patients. Methods Infertile patients attending the Reproductive Medicine Centre of Zhongnan Hospital of Wuhan University from September 2023 to April 2024 were selected for the study, and were assessed using the COMPI-Coping Strategy Scale, Family Adaptability and Cohesion Evaluation Scale II-Chinese Version, Five Facet Mindfulness Questionnaire, and Fertility Problem Inventory(FPI). The scale score correlation analyses were performed. Results A total of 129 female patients were included and the commonly used infertility coping styles were active coping(91.47%) and meaning-focused coping(8.53%). Education background correlated positively with active coping, meaning-focused coping, family intimacy and adaptability and mindfulness(P<0.01), while inversely relating to fertility stress(P<0.01). Extended family cohabitation showed positive associations with avoidance behaviors(P<0.05). The number of cohabiting family members was significantly negatively correlated with scores of meaning-focused coping, family intimacy, and family adaptability(P<0.05). Both active and passive avoidance strategies significantly predicted elevated fertility stress(P<0.001). Family cohesion demonstrated strong positive associations with mindfulness(P<0.001) and negative correlations with fertility stress(P<0.001). Mindfulness levels were inversely related to fertility stress(P<0.001). Conclusion Demographic characteristics and family structure significantly influence psychological adaptation in infertility treatment. Enhanced family functioning and mindfulness cultivation may mitigate fertility-related stress through improved active coping strategies.更多还原