【摘要】 目的 探讨体外受精-胚胎移植(IVF-ET)夫妇生育压力现状，为制定针对性干预策略提供参考。方法 选取2025年6—8月在某医院生殖医学中心就诊的IVF-ET夫妇70对，发放自制基本信息调查表、简易版哥本哈根多中心社会心理不孕症生育压力量表(COMPI-FPSS),对比夫妻生育压力得分进行统计分析。结果 丈夫与妻子总得分无明显差异且两者正相关。不同不孕时间丈夫COMPI-FPSS婚育维度得分差异具有统计学意义。收入在5 000～<7 000元的丈夫与妻子婚育维度、社会维度、总分对比差异均具有统计学意义。COMPI-FPSS个人维度得分与总分的正相关性最大。根据量表提炼出3个主题：微观系统-量表个人维度、中观系统-量表婚育维度、宏观系统-量表社会维度。结论 IVF-ET夫妇生育压力处于中等水平。基于社会生态系统理论，生育压力受微观系统-个人维度影响最大，医护人员应考虑其所处的社会环境，给予IVF-ET夫妇针对性心理应对指导，提供个性化干预服务，提高IVF-ET成功率。更多还原

【Abstract】 Objective To explore the fertility stress among couples with in vitro fertilization-embryo transfer(IVF-ET), and to provide reference for formulating targeted intervention strategies. Methods 70 couples with IVF-ET were selected in this study from June 2025 to August 2025. A self-designed basic information questionnaires and the Simplified Version of the Copenhagen Multi-centre Psychosocial Infertility Fertility Problem Stress Scale(COMPI-FPSS) were distributed. The fertility stress scores of husbands and wives were compared, and statistical analysis was conducted. Results T There was no significant difference in total scores between husbands and wives, and their scores were positively correlated. For husbands, the score of the “marriage and childbearing dimension” in COMPI-FPSS showed a statistically significant difference among groups with different durations of infertility. Among couples where the income ranged from 5 000 to <7 000 yuan, the differences in the “marriage and childbearing dimension”, “social dimension”, and total score of COMPI-FPSS between husbands and wives were all statistically significant. The score of the “personal dimension” in COMPI-FPSS had the strongest positive correlation with the total score. Three themes were extracted from the scale: microsystem(corresponding to the “personal dimension” of the scale), mesosystem(corresponding to the “marriage and childbearing dimension” of the scale), and macrosystem(corresponding to the “social dimension” of the scale). Conclusion IVF-ET couples experience a moderate level of fertility stress. Based on the social-ecological systems theory, fertility stress is most strongly influenced by the micro-system(i.e., the personal dimension). Medical staff should consider the social context in which these couples are situated, provide them with guidance on personal psychological coping, and offer professional, personalized intervention services to improve the success rate of IVF-ET.更多还原