A Meta-analysis of Quality of Life Level and the Corresponding Influencing Factors in Infertile Patients
10.11783/j.issn.1002-3674.2025.05.013
- VernacularTitle:不孕患者生命质量现状及影响因素的meta分析
- Author:
Yaqiong LIU
1
;
DUOJIEPENGMAO
1
;
Jieke LI
1
Author Information
1. 苏州大学苏州医学院护理学院(215006)
- Publication Type:Journal Article
- Keywords:
Infertility;
Quality of life;
Health ecology model;
Influencing factors;
Meta-analysis
- From:
Chinese Journal of Health Statistics
2025;42(5):713-720,726
- CountryChina
- Language:Chinese
-
Abstract:
Objective To systematically evaluate the current status of quality of life in infertile patients and its influencing factors.Methods Computer search of PubMed,Cochrane Library,Web of Science,Embase,CBM,Knowledge Network,Wanfang,and Wipu,with a search timeframe from the establishment of the library to December 2023,and meta-analysis using CMA 3.3 software.Results A total of 33 literatures were included in the current status of quality of life,which showed that the level of quality of life was 60.841[95％CI(58.029,63.654),P＜0.001]for the FertiQoL scale and 67.630[95％CI(59.541,75.718),P＜0.001]for the SF-36 scale.A total of 45 papers were included in the literature on factors influencing quality of life,and the results showed that personal trait factors of young age(r=0.181,P=0.006)and history of pregnancy(r=0.258,P＜0.001)were lowly positively correlated with quality of life,and that long years of infertility(r=-0.267,P＜0.001),a history of treatment failure(r=-0.292,P＜0.001),and long duration of treatment(r=-0.213,P＜0.001)had a low negative association with quality of life.Behavioural factors such as anxiety(r=-0.547,P＜0.001),depression(r=-0.556,P＜0.001),and stigma(r=-0.530,P＜0.001)were highly negatively correlated with the quality of life;high fertility stress(r=-0.333,P=0.010)was moderately negatively correlated with the quality of life;and good psychological resilience(r=0.383,P＜0.001)and high self-esteem(r=0.343,P=0.001)were moderately positively associated with quality of life.Interpersonal network factors of good relationship with husband(r=0.337,P＜0.001)were moderately positively correlated with quality of life,and having a reproductive history(r=0.124,P＜0.001)was lowly positively correlated with quality of life.Good occupation(r=0.149,P=0.002)was low positively associated with quality of life among the factors of work and living conditions;high annual household income(r=0.307,P＜0.001)was moderately positively associated with quality of life.Having health insurance in the policy environment(r=0.131,P＜0.001)was low positively associated with quality of life.Conclusion The level of quality of life of infertile patients is impaired to some extent and there are many influencing factors,so healthcare professionals should comprehensively assess the quality of life of patients and adopt targeted and personalised interventions to improve the quality of life of patients.
