Analysis of influencing factors on the trajectories of psychological symptom clusters in pregnant women with assisted reproductive technology and nursing revelation
10.3761/j.issn.0254-1769.2025.10.009
- VernacularTitle:辅助生殖技术受孕孕妇心理症状群变化轨迹的影响因素分析及护理启示
- Author:
Danni SONG
1
;
Shuang HU
1
;
Congshan PU
1
;
Yiting WANG
1
;
Jin HE
1
;
Yajie DING
1
;
Chunjian SHAN
1
Author Information
1. 210004 南京市 南京医科大学附属妇产医院/南京市妇幼保健院产科
- Publication Type:Journal Article
- Keywords:
Assisted Reproductive Technology;
Psychological Symptom;
Symptom Clusters;
Latent Growth Mixture Model;
Root Cause Analysis;
Psychological Nursing
- From:
Chinese Journal of Nursing
2025;60(10):1209-1216
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the trajectory of psychological symptom clusters in pregnant women with assisted reproductive technology(ART),and analyze the influencing factors of each trajectory subgroups,in order to provide a theoretical basis for the management of psychological health during pregnancy in pregnant women with ART.Methods A total of 205 pregnant women who had conceived using ART were sampled from the obstetrics clinic of a tertiary hospital in Nanjing from August 2023 to April 2024 using a convenient sampling method.The baseline data were assessed by general information questionnaire,Symptom Checklist-90,Distress Disclosure Index and Positive Psychological Capital Questionnaire at 10-14 weeks gestation,and the follow-up information was assessed by Symptom Checklist-90 at 22-26 weeks of gestation and 34-38 weeks of gestation.Exploratory factor analysis was used to extract symptom clusters;the latent class growth mixture model was used to identify the track categories;the multiple logistic regression analysis was used to analyze the influencing factors of the track.Results 180 cases were finally included.By exploratory factor analysis,5,4 and 5 factors were extracted at 3 time points respectively.Trajectories of psychological symptom clusters in pregnant women with ART is divided into 3 potential classes:low level-slow relieving group(28.89％),high level-significant increasing group(6.11％),medium level-slow increasing group(65.00％).Logistic regression analyses showed that duration of infertility,number of ART,literacy,pain self-expression and positive psychological capital were influential factors in the potential categories of psychological symptom clusters in pregnant women conceived with ART(all P＜0.05).Conclusion The trajectory of psychological symptom clusters in pregnant women with ART was divided into 3 potential classes.Medical workers could develop corresponding interventions based on the influencing factors and implement comprehensive and efficient symptom management.
