International Journal of Reproductive BioMedicine
International Journal of Reproductive BioMedicine
IJRM
Medical Sciences
http://ijrm.ir
1
admin
2476-4108
2476-3772
10.29252/ijrm
en
jalali
1405
5
1
gregorian
2026
8
1
24
8
online
1
fulltext
en
ارزیابی کیفیت زندگی مرتبط با باروری و پریشانی روانشناختی در زنان نابارور: یک مطالعه مقطعی
Assessing fertility-related quality of life and psychological distress among infertile women: A cross-sectional study
Reproductive Psycology
Original Article
Original Article
<div style="text-align: justify;"><span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">مقدمه: </span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">ناباروری با کاهش کیفیت زندگی و افزایش پریشانی روانشناختی همراه است؛ با این حال، رابطه بین این دو در زنان ناباروری که هنوز درمان ناباروری را آغاز نکردهاند، بهطور کافی بررسی نشده است.</span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">هدف: </span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">این مطالعه با هدف بررسی ارتباط بین کیفیت زندگی مرتبط با باروری (</span></span><span dir="LTR" style="font-size:10.0pt">FertiQoL</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">) و پریشانی روانشناختی در زنان نابارور، انجام شد.</span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">مواد و روش ­ها: </span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">در این مطالعه مقطعی، 350 زن نابارور که بین اکتبر 2023 تا ژوئن 2024 به مرکز ناباروری فاطمه زهرا (س) بابل، ایران، مراجعه کرده بودند، وارد مطالعه شدند. پیش از آغاز درمان ناباروری، شرکتکنندگان پرسشنامه </span></span><span dir="LTR" style="font-size:10.0pt">FertiQoL</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> و پرسشنامه سلامت عمومی 28 سؤالی (</span></span><span dir="LTR" style="font-size:10.0pt">GHQ-28</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">) را تکمیل کردند. پیامد اصلی مطالعه، کیفیت زندگی مرتبط با باروری بود که با استفاده از نمره کل </span></span><span dir="LTR" style="font-size:10.0pt">FertiQoL</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> اندازهگیری شد. همچنین، ارتباط بین </span></span><span dir="LTR" style="font-size:10.0pt">FertiQoL</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> و ویژگیهای روانشناختی، جمعیتشناختی و مرتبط با ناباروری بررسی شد.</span></span><span dir="LTR" style="font-size:11.0pt"><span style="font-family:"Arial",sans-serif"></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">نتایج: </span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">میانگین سن شرکتکنندگان 2/7 </span></span><span lang="FA" style="font-size:10.0pt">±</span> <span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">7/35 سال بود. میانگین نمره کل </span></span><span dir="LTR" style="font-size:10.0pt">FertiQoL</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> برابر با 9/3 </span></span><span lang="FA" style="font-size:10.0pt">±</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> 4/53 بود؛ بهطوریکه بالاترین میانگین مربوط به حیطه هیجانی (4/11 </span></span><span lang="FA" style="font-size:10.0pt">±</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> 8/63) و پایینترین میانگین مربوط به حیطه روابط (4/12 </span></span><span lang="FA" style="font-size:10.0pt">±</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> 6/41) بود. میانگین نمره کل </span></span><span dir="LTR" style="font-size:10.0pt">GHQ-28</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> برابر با 2/9 </span></span><span lang="FA" style="font-size:10.0pt">±</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> 4/53 بود و 0/22% از زنان از آستانه بالینی پریشانی روانشناختی فراتر بودند. نمره کل </span></span><span dir="LTR" style="font-size:10.0pt">GHQ-28</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> با نمره کل </span></span><span dir="LTR" style="font-size:10.0pt">FertiQoL</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> همبستگی مثبت و معناداری داشت (001/0 </span></span><span lang="FA" style="font-size:10.0pt">> </span><span dir="LTR" style="font-size:10.0pt">p</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">، 290/0</span></span><span dir="LTR" style="font-size:10.0pt">= </span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> </span></span> <span dir="LTR" style="font-size:10.0pt">r</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">). در تحلیل چندمتغیره، نمره </span></span><span dir="LTR" style="font-size:10.0pt">GHQ-28</span> <span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">تنها پیشبینیکننده معنادار </span></span><span dir="LTR" style="font-size:10.0pt">FertiQoL</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> بود (001/0 </span></span><span lang="FA" style="font-size:10.0pt">> </span><span dir="LTR" style="font-size:10.0pt">p</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">، 287/0 </span></span><span lang="FA" style="font-size:10.0pt">= </span><span dir="LTR" style="font-size:10.0pt">β</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">) و 1/10% از واریانس نمرات </span></span><span dir="LTR" style="font-size:10.0pt">FertiQoL</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> را تبیین کرد.</span></span></span></span></span></span></span><br>
<b><span dir="RTL" lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">نتیجه­ گیری: </span></span></b><span dir="RTL" lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">پریشانی روانشناختی با </span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">FertiQoL</span></span><span dir="RTL" lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> در زنان نابارور ارتباط معناداری داشت. برخلاف انتظار، نمرات بالاتر </span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">GHQ-28</span></span><span dir="RTL" lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> با نمرات بالاتر </span></span><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">FertiQoL</span></span><span dir="RTL" lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> همراه بود. با توجه به ماهیت مقطعی مطالعه، دلایل این یافته هنوز روشن نیست و بررسی آن در مطالعات طولی و در جمعیتهای با زمینههای فرهنگی متفاوت ضروری است.</span></span></div>
<div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Aptos,sans-serif"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Background: </span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Infertility negatively impacts quality of life and psychological well-being, yet their inter-relationship in untreated women remains unclear.</span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Aptos,sans-serif"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Objective:</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> To explore the association between </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">fertility quality of life (FertiQoL)</span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> and psychological distress in untreated infertile women.</span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Aptos,sans-serif"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Materials and Methods: </span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">This cross-sectional study enrolled 350 infertile women at Fateme Zahra Center, Babol, Iran (October 2023-June 2024). Participants completed FertiQoL and general health questionnaire-28 (GHQ-28) before treatment initiation. The primary outcome was FertiQoL, measured using the total FertiQoL score. Associations between FertiQoL and psychological, demographic, and infertility-related characteristics were evaluated.</span></span><span style="font-size:12.0pt"><span style="background:white"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Aptos,sans-serif"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Results: </span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">The mean age of participants was 35.7 ± 7.2 yr. The mean total FertiQoL score was 53.4 ± 3.9, with the highest score in the emotional domain (63.8 ± 11.4) and the lowest in the relational domain (41.6 ± 12.4). The mean total GHQ-28 score was 53.4 ± 9.2, and 22.0% of women exceeded the clinical threshold for psychological distress. Total GHQ-28 score was positively correlated with total FertiQoL score (r = 0.290, p < 0.001). In multivariable analysis, GHQ-28 score was the only significant predictor of FertiQoL (β = 0.287, p < 0.001), explaining 10.1% of the variance in FertiQoL scores.</span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Aptos,sans-serif"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Conclusion:</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> Psychological distress was significantly associated with FertiQoL among infertile women. Unexpectedly, higher GHQ-28 scores were associated with higher FertiQoL scores. Given the cross-sectional design, the underlying reasons for this finding remain unclear and warrant further investigation in longitudinal and culturally diverse populations.</span></span></span></span></span></div>
ناباروری, کیفیت زندگی, سازگاری, پریشانی روانشناختی, تابآوری, سلامت روان.
Infertility, Quality of life, Adaptation, Psychological distress, Resilience, Mental health.
675
686
http://ijrm.ir/browse.php?a_code=A-10-3293-1&slc_lang=en&sid=1
Sedigheh
Esmaeilzadeh
sesmael2010@gmail.com