fa رابطه بین عوامل بالینی- جمعیت‌شناختی با جنبه‌های سازشی مؤثر در ناباروری زنان در ایران عمومى General پژوهشي Research <div style="text-align: justify;"><span style="font-family:b zar;"><span style="font-size:12.0pt;">ناباروری</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">پدیده</span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">‌</span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">ای</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">است</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">که</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">با</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">تجربه</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">تنیدگی</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">طولانی</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">و</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">شدید</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">همراه</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">است. علی</span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">‌</span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">رغم</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">شیوع</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">بالای</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">ناباروری</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">و</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">بار</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">هیجانی</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">آن</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">برای</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">زوج</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">و</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">به</span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">‌</span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">خصوص</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">زنان،</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">دانش</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">ما</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">درباره</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">عوامل</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">تأثیرگذار بر</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">سازگاری</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">با</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">آن</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">محدود</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">است. هدف</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">این</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">پژوهش</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">بررسی</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">رابطه</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">بین</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">ویژگی</span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">‌</span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">های</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">جمعیت‌شناختی و</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">بالینی با جنبه‌های </span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">سازشی مؤثر در</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">ناباروری</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">زنان در ایران</span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;"> بود.</span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;"> تعداد ۲۷۵</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">زن</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">نابارور مراجعه‌کننده به درمانگاه ناباروری مرکز تحقیقات بهداشت باروری ولیعصر (بیمارستان امام خمینی تهران) در این پژوهش شرکت کردند. داده‌ها با استفاده از پرسشنامه اطلاعات جمعیت‌شناختی، مقیاس سازگاری با بیماری </span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">(</span></span><span dir="LTR">AIS</span><span style="font-family:b zar;"><span style="font-size:12.0pt;">) </span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">و مقیاس افسردگی، اضطراب، تنیدگی </span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">(</span></span><span dir="LTR">DASS</span><span style="font-family:b zar;"><span style="font-size:12.0pt;">)</span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;"> به‌دست آمد.</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">نتایج نشان داد بین مدت زمان ناباروری و علایم افسردگی </span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">(0/05></span></span><span dir="LTR">p</span><span style="font-family:b zar;"><span style="font-size:12.0pt;"> )و تعداد درمان‌های دریافت شده و افسردگی</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">(0/05> </span></span><span dir="LTR">p</span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">&nbsp;)و سازگاری </span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">(0/01></span></span><span dir="LTR">p</span><span style="font-family:b zar;"><span style="font-size:12.0pt;"> )رابطه معنادار وجود دارد. هم چنین</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">میزان افسردگی، اضطراب، تنیدگی و سازگاری </span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">در بین زنان دارای سطوح تحصیلی مختلف</span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">، زنان ساکن تهران و شهرستان</span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;"> و زنان شاغل و خانه‌دار تفاوت معنادار داشت.</span></span> <strong><span style="font-family:b zar;">نتیجه‌گیری</span></strong><span style="font-family:b zar;">:</span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">نتایج</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">این</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">پژوهش</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">می</span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">‌</span></span><span style="font-family:b zar;"><span style="font-size:12.0pt;">تواند</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">در</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">شناسایی</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">افراد</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">در</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">معرض</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">خطر</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">و</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">طراحی</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">مداخلات</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">روانشناختی</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">مفید</span></span> <span style="font-family:b zar;"><span style="font-size:12.0pt;">باشد.</span></span><strong><span style="font-family:b zar;"><span style="font-size:12.0pt;"></span></span></strong></div> <div style="text-align: justify;">Infertility is an intense and prolonged stressful experience. Despite the high prevalence of infertility and its emotional burden for couples and especially for women, our knowledge regarding factors influencing adjustment to it is limited. The aim of the present study was to investigate the relationship between demographic and clinical factors and adjustment to infertility in women in Iran. A total number of 275 women referring to infertility clinic of Valie-Asr Reproductive Health Research Center (Tehran Imam Khomeini hospital) participated in the study. Data was collected via demographic information questionnaire, Adjustment to Illness Scale (AIS), and Depression Anxiety Stress Scale (DASS). Results showed there were significant relationships between infertility duration and depressionn (p<0/05) and number of treatments had significant relationship with depression (p<0/05) and adjustment (p<0/01). There were also significant differences in scores of depression, anxiety, stress and adjustment in women with different educational levels, women living in Tehran and other cities and women who were employed or housewives. These results can be helpful in identifying high risk patients and planning psychological interventions.</div> ناباروری, سازش, عوامل جمعیت‌شناختی, عوامل بالینی infertility, adjustment, demographic factors, clinical factors 22 39 http://psychologicalscience.ir/browse.php?a_code=A-10-1-116&slc_lang=fa&sid=1 Negar Teimourpour نگار تیمورپور 1003194753284600889 1003194753284600889 Yes Tehran University دانشگاه تهران MohammadAli Besharat محمدعلی بشارت besharat@ut.ac.ir 1003194753284600890 1003194753284600890 No Tehran University دانشگاه تهران Abbass Rahiminezhad عباس رحیمی‌نژاد 1003194753284600891 1003194753284600891 No Tehran University دانشگاه تهران Batol Hossein Rashidi بتول حسین رشیدی 1003194753284600892 1003194753284600892 No Imam Khomeini Hospital بیمارستان امام خمینی Masoud Gholamali Lavasani مسعود غلامعلی لواسانی 1003194753284600893 1003194753284600893 No Tehran University دانشگاه تهران