Abstract
Purpose: This study is a descriptive survey that aims to understand the effects of marital adjustment, marital communication, and mental health of couples undergoing in vitro fertilization (representative assisted reproductive technology, ART) on pregnancy outcomes to provide basic information for developing nursing interventions to improve ART pregnancy outcomes. Methods: The research protocol included obtaining informed consent from participants, and data collection took place from March 2 to April 30, 2020. A structured questionnaire was used to measure the study variables. SPSS 26.0 software was utilized to analyze the data, including descriptive statistics, t-test, ANOVA, Scheffe’s test, Pearson’s correlation coefficient, and hierarchical logistic regression. Results: For women, age, income level, and paranoia had significant effects on ART pregnancy outcomes; for men, age and somatization showed influence. Conclusion: This study suggests that couples undergoing ART should be provided appropriate nursing care, and that age, income level, and marriage duration of a couple, as well as the mental health of both partners, should be considered in efforts to improve the ART pregnancy rate. Furthermore, development and application of nursing intervention programs for promoting mental health among ART patients are needed, including those for paranoia in women and somatization in men.
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