Analysis of the levels of hope and influencing factors in infertile women with first-time and repeated IVF-ET cycles

Ying Ni,Qiong Fang,Limin Huang,Wen Qian,Chenye Tong

doi:10.1186/s12978-021-01248-y

Ying Ni, Qiong Fang + Show 3 more

Open Access

https://doi.org/10.1186/s12978-021-01248-y

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Abstract

PurposeTo explore the hope levels and influencing factors in infertile women undergoing first-time and repeated in vitro fertilization-embryo transfer (IVF-ET) cycles.MethodsThis study was a cross-sectional and convenient sampling study conducted among patients undergoing IVF-ET from January to June 2019. Patients were divided into first-time and repeated groups by the number of IVF-ET cycles, and then a questionnaire survey was administered. The questionnaire included demographic information, Herth hope index (HHI) scale, Locke-Wallace short marital-adjustment test scale and social support rating scale. Multiple linear regression was used to analyse the influencing factors associated with hope levels.ResultsA total of 298 IVF-ET patients were recruited for the study, including 150 (50.3%) in the first-time cycle group and 148 (49.7%) in the repeated cycle group. The HHI score of the repeated cycle group was significantly lower than that of the first-time cycle group (34.4 ± 3.5 vs. 37.5 ± 3.7, P < 0.001). Multiple linear regression analysis indicated that repeated IVF-ET and age were independently negatively correlated with HHI, with standardized coefficient β values of − 0.895 and − 0.223, respectively (both P < 0.001). High education level (P = 0.002), high monthly income (P = 0.020), high degree of short marital-adjustment test (P < 0.001) and social support rating (P < 0.001) were independently positively correlated with HHI.ConclusionInfertile women undergoing repeated IVF-ET have low hope levels. Maintaining a good marriage adjustment and establishing a good social support and relationship network could effectively improve their hope levels.

Highlights

With changes in the living environment, the accelerating pace of life and delays in marriage and childbearing, the incidence of infertility is rising year by year
Improving the hope level of infertile women with in vitro fertilization-embryo transfer (IVF-ET) could contribute to relieving the psychological pressure of patients and improving the success rate of pregnancy
This study aimed to evaluate the hope level of infertile women with different IVF-ET cycles and analyse its influencing factors to provide guidance for clinical nurses to clarify the intervention objects, select reasonable intervention measures and improve the hope levels of patients

Summary

Introduction

With changes in the living environment, the accelerating pace of life and delays in marriage and childbearing, the incidence of infertility is rising year by year. Infertility has a strong and negative impact in several areas of the individual’s life. Impairments in marital relationships [2, 3], sexual satisfaction [4, 5], psychosocial well-being [6,7,8] and psychological correlates [9, 10] are significantly associated with infertility. Due to the long treatment cycle, frequent visits, high costs, various traumatic operations and uncertain results, IVF-ET is a process with hope and disappointment, exerting brings both physical and psychological pressure on infertile women [11]

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