新型冠状病毒肺炎疫情对助孕治疗女性心理健康的影响

Objective: To investigate the psychological health and influencing factors of women on assisted reproduction treatment during the outbreak of the coronavirus disease 2019 (COVID-19). Methods: A questionnaire survey was conducted on 599 women undergoing fertility treatment at the Assisted Reproductive Center of Northwest Women's and Children's Hospital. The basic demographic characteristics and fertility treatment progress of the patients were collected. The psychosocial questionnaire of emergency public health events was used to evaluate the psychological health status of women receiving assisted reproduction treatment during the epidemic. Nonparametric test was used to compare the psychological health status in different groups during the epidemic. Univariate and multivariate analyses of fear dimension and total scores were performed using the generalized linear model. Results: The women were mainly aged between 30 and 35 years old, and the type of assisted reproduction was mainly IVF. During the epidemic, the score of the fear dimension was the highest in the psychological health evaluation of fertility treatment women, with a median value of 0.83. The score of the fear dimension was different among women with different education level, occupation, residence and family monthly income (P<0.001, P=0.049, P=0.001, P<0.001). Women who had higher education level (professionals) and higher family income, and lived in cities had higher scores of the fear dimension. The total scores were different between women of different occupations and places of residence (P=0.047, P=0.010). The total scores of professionals and urban residents were higher. College education or above (β=0.23, 95% CI: 0.07-0.39), urban residence (β=0.12, 95% CI: 0.01-0.24), and higher family income (5 000-9 999 yuan, β=0.19, 95% CI: 0.05-0.34; ≥10 000 yuan, β=0.20, 95% CI: 0.03-0.37) increased the scores of the fear dimension of women receiving fertility treatment. Conclusion: The psychological status of women on fertility treatment during the epidemic of the COVID-19 is mainly manifested as fear. The fear of these urban women with high education level and good family economy is the most serious. Promotion of psychological health during the epidemic should be strengthened to reduce the psychological harm of the epidemic.