首页 期刊 论文 学科刊群 资讯 加盟 关于
EN
image
Article(id=1322168040544907939, tenantId=1146029695717560320, journalId=1220038315760373764, issueId=1322167989802217791, articleNumber=null, orderNo=null, doi=10.12102/j.issn.1009-6493.2026.04.018, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1753804800000, receivedDateStr=2025-07-30, revisedDate=1769875200000, revisedDateStr=2026-02-01, acceptedDate=null, acceptedDateStr=null, onlineDate=1793159025559, onlineDateStr=2026-10-28, pubDate=1771948800000, pubDateStr=2026-02-25, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1793159025559, onlineIssueDateStr=2026-10-28, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1793159025559, creator=13701087609, updateTime=1793159025559, updator=13701087609, issue=Issue{id=1322167989802217791, tenantId=1146029695717560320, journalId=1220038315760373764, year='2026', volume='40', issue='4', pageStart='529', pageEnd='704', issueExtLink='null', onlineDate='null', pubDate='1771948800000', pubDateStr='2026-02-25', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1793159013461, creator='13701087609', updateTime=1793159013461, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext=null, issueFiles=null, downloadFileDto=null}, startPage=651, endPage=657, ext={EN=ArticleExt(id=1322168042398790308, articleId=1322168040544907939, tenantId=1146029695717560320, journalId=1220038315760373764, language=EN, title=Status quo and influencing factors of delayed medical decision-making in patients with diminished ovarian reserve during reproductive age, columnId=1220689488284668633, journalTitle=Chinese Nursing Research, columnName=Comprehensive Study, runingTitle=null, highlight=null, articleAbstract=
Objective

To know the status quo and influencing factors of delayed medical decision-making in patients with diminished ovarian reserve during reproductive age,and to provide references for formulating and implementing targeted intervention measures.

Methods

A general information questionnaire,Chinese-Perceived Barriers to Health-care Seeking Decision(PBHSD-C),Mishel Uncertainty in Illness Scale for Adults(MUIS-A),Perceived Social Support Scale(PSSS),and Medical Coping Modes Questionnaire(MCMQ) were used to conduct a survey on 283 patients with diminished ovarian reserve.

Results

The score of PBHSD-C was 34.50±11.67.The educational level,place of residence,uncertainty in illness,perceived social support,and medical coping modes of patients were the influencing factors of their delayed medical decision-making(P<0.05).

Conclusions

The delayed medical decision-making of patients with diminished ovarian reserve during reproductive age was at a moderate level.Relevant health care departments should pay more attention to female reproductive health,early identify the groups prone to delayed medical treatment, and carry out appropriate interventions.

, authors=Jiaxin CHENG, Chuang LI, Hongxia WANG, authorsList=Jiaxin CHENG, Chuang LI, Hongxia WANG, authorCompany=null, correspAuthors=Hongxia WANG, authorNote=null, correspAuthorsNote=
WANG Hongxia，E-mail：
, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1322168042721751717, articleId=1322168040544907939, tenantId=1146029695717560320, journalId=1220038315760373764, language=CN, title=育龄期卵巢储备功能减退病人就医决策延迟现状及影响因素, columnId=1220689488938980091, journalTitle=护理研究, columnName=综合研究, runingTitle=null, highlight=null, articleAbstract=
目的

了解育龄期卵巢储备功能减退病人就医决策延迟现状及其影响因素，为制定和实施针对性干预措施提供参考。

方法

采用一般资料调查表、中文版就医决策感知障碍评估量表、疾病不确定感量表、领悟社会支持量表、医学应对方式量表对283例卵巢储备功能减退病人进行调查。

结果

育龄期卵巢储备功能减退病人的就医决策感知障碍得分为（34.50±11.67）分。卵巢储备功能减退病人文化程度、居住地、疾病不确定感、领悟社会支持和医学应对方式是其就医决策延迟的影响因素（P<0.05）。

结论

卵巢储备功能减退病人就医决策延迟处于中等水平。相关卫生保健部门应加强对女性生殖健康的关注，早期识别易延迟就医群体并进行适当干预。

, authors=程佳欣, 李闯, 王红霞*, *, authorsList=程佳欣, 李闯, 王红霞, authorCompany=null, correspAuthors=王红霞, authorNote=

程佳欣，硕士研究生

, correspAuthorsNote=
王红霞，E-mail：
WANG Hongxia，E-mail：
, copyrightStatement=除非特别声明，本刊刊出的所有文章不代表本刊编委会的观点。, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=S58K+O0uqe12HWF1JbdvSQ==, magXml=ToWN3hZjJKBv9mgHFwIDTw==, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=xKea2XZX28yfFjt0BzTC8A==, mapNumber=null, fund=null)}, authors=[Author(id=1322530089267483609, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, orderNo=0, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=null, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={EN=AuthorExt(id=1322530089338786779, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, authorId=1322530089267483609, language=EN, stringName=Jiaxin CHENG, firstName=Jiaxin, middleName=null, lastName=CHENG, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=null, address=1School of Nursing, Jinzhou Medical University, Liaoning 121001 China, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null), CN=AuthorExt(id=1322530089401701340, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, authorId=1322530089267483609, language=CN, stringName=程佳欣, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=null, address=1锦州医科大学护理学院，辽宁 121001, bio={"content":"

程佳欣，硕士研究生

"}, bioImg=null, bioContent=

程佳欣，硕士研究生

, aboutCorrespAuthor=null)}, companyList=[AuthorCompany(id=1322530089191986133, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, xref=1, ext=[AuthorCompanyExt(id=1322530089200374742, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, companyId=1322530089191986133, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1School of Nursing, Jinzhou Medical University, Liaoning 121001 China), AuthorCompanyExt(id=1322530089212957655, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, companyId=1322530089191986133, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1锦州医科大学护理学院，辽宁 121001)])]), Author(id=1322530089460421598, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, orderNo=1, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=null, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={EN=AuthorExt(id=1322530089540113376, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, authorId=1322530089460421598, language=EN, stringName=Chuang LI, firstName=Chuang, middleName=null, lastName=LI, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=null, address=1School of Nursing, Jinzhou Medical University, Liaoning 121001 China, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null), CN=AuthorExt(id=1322530089607222241, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, authorId=1322530089460421598, language=CN, stringName=李闯, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=null, address=1锦州医科大学护理学院，辽宁 121001, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null)}, companyList=[AuthorCompany(id=1322530089191986133, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, xref=1, ext=[AuthorCompanyExt(id=1322530089200374742, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, companyId=1322530089191986133, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1School of Nursing, Jinzhou Medical University, Liaoning 121001 China), AuthorCompanyExt(id=1322530089212957655, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, companyId=1322530089191986133, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1锦州医科大学护理学院，辽宁 121001)])]), Author(id=1322530089678525411, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, orderNo=2, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=hxwang@jzmu.edu.cn, emailSecond=null, emailThird=null, correspondingAuthor=1, authorType=1, ext={EN=AuthorExt(id=1322530089749828581, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, authorId=1322530089678525411, language=EN, stringName=Hongxia WANG, firstName=Hongxia, middleName=null, lastName=WANG, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=null, address=1School of Nursing, Jinzhou Medical University, Liaoning 121001 China, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null), CN=AuthorExt(id=1322530089816937446, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, authorId=1322530089678525411, language=CN, stringName=王红霞, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=*, *, address=1锦州医科大学护理学院，辽宁 121001, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null)}, companyList=[AuthorCompany(id=1322530089191986133, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, xref=1, ext=[AuthorCompanyExt(id=1322530089200374742, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, companyId=1322530089191986133, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1School of Nursing, Jinzhou Medical University, Liaoning 121001 China), AuthorCompanyExt(id=1322530089212957655, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, companyId=1322530089191986133, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1锦州医科大学护理学院，辽宁 121001)])])], keywords=[Keyword(id=1322530089963738087, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, language=EN, orderNo=1, keyword=reproductive age), Keyword(id=1322530090030846952, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, language=EN, orderNo=2, keyword=diminished ovarian reserve), Keyword(id=1322530090127315945, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, language=EN, orderNo=3, keyword=delayed medical decision-making), Keyword(id=1322530090207007722, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, language=EN, orderNo=4, keyword=uncertainty in illness), Keyword(id=1322530090295088107, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, language=EN, orderNo=5, keyword=perceived social support), Keyword(id=1322530090370585580, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, language=EN, orderNo=6, keyword=medical coping modes), Keyword(id=1322530090433500141, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, language=EN, orderNo=7, keyword=influencing factors), Keyword(id=1322530090508997614, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, language=CN, orderNo=1, keyword=育龄期), Keyword(id=1322530090584495087, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, language=CN, orderNo=2, keyword=卵巢储备功能减退), Keyword(id=1322530090697741296, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, language=CN, orderNo=3, keyword=就医决策延迟), Keyword(id=1322530090764850161, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, language=CN, orderNo=4, keyword=疾病不确定感), Keyword(id=1322530092421600242, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, language=CN, orderNo=5, keyword=领悟社会支持), Keyword(id=1322530092501292019, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, language=CN, orderNo=6, keyword=医学应对方式), Keyword(id=1322530092580983796, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, language=CN, orderNo=7, keyword=影响因素)], refs=[Reference(id=1322530093856052221, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, doi=null, pmid=null, pmcid=null, year=2021, volume=12, issue=null, pageStart=635370, pageEnd=null, url=null, language=null, rfNumber=1, rfOrder=0, authorNames=CHRISTODOULAKI A, BOEL A, TANG M X, journalName=Frontiers in Endocrinology, refType=null, unstructuredReference=CHRISTODOULAKI A,BOEL A,TANG M X,et al.Prospects of germline nuclear transfer in women with diminished ovarian reserve[J].Frontiers in Endocrinology,2021,12:635370., articleTitle=Prospects of germline nuclear transfer in women with diminished ovarian reserve, refAbstract=null), Reference(id=1322530093914772478, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, doi=null, pmid=null, pmcid=null, year=2015, volume=104, issue=3, pageStart=612, pageEnd=619, url=null, language=null, rfNumber=2, rfOrder=1, authorNames=DEVINE K, MUMFORD S L, WU M E, journalName=Fertility and Sterility, refType=null, unstructuredReference=DEVINE K,MUMFORD S L,WU M E,et al.Diminished ovarian reserve in the United States assisted reproductive technology population:diagnostic trends among 181 536 cycles from the Society for Assisted Reproductive Technology Clinic Outcomes Reporting System[J].Fertility and Sterility,2015,104(3):612-619., articleTitle=Diminished ovarian reserve in the United States assisted reproductive technology population:diagnostic trends among 181 536 cycles from the Society for Assisted Reproductive Technology Clinic Outcomes Reporting System, refAbstract=null), Reference(id=1322530093986075647, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, doi=null, pmid=null, pmcid=null, year=1993, volume=82, issue=4, pageStart=539, pageEnd=544, url=null, language=null, rfNumber=3, rfOrder=2, authorNames=SCOTT R T, LEONARDI M R, HOFMANN G E, journalName=Obstetrics and Gynecology, refType=null, unstructuredReference=SCOTT R T,LEONARDI M R,HOFMANN G E,et al.A prospective evaluation of clomiphene citrate challenge test screening of the general infertility population[J].Obstetrics and Gynecology,1993,82(4Pt 1):539-544., articleTitle=A prospective evaluation of clomiphene citrate challenge test screening of the general infertility population, refAbstract=null), Reference(id=1322530094065767424, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, doi=null, pmid=null, pmcid=null, year=2025, volume=18, issue=1, pageStart=90, pageEnd=null, url=null, language=null, rfNumber=4, rfOrder=3, authorNames=ZHANG X Y, ZHANG N, DONG Z B, journalName=Journal of Ovarian Research, refType=null, unstructuredReference=ZHANG X Y,ZHANG N,DONG Z B,et al.The role of Chinese herbal medicine in diminished ovarian reserve management[J].Journal of Ovarian Research,2025,18(1):90., articleTitle=The role of Chinese herbal medicine in diminished ovarian reserve management, refAbstract=null), Reference(id=1322530094124486656, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, doi=null, pmid=null, pmcid=null, year=1963, volume=32, issue=null, pageStart=132, pageEnd=133, url=null, language=null, rfNumber=5, rfOrder=4, authorNames=TORTI R A, WINSHIP T, journalName=The Medical Annals of the District of Columbia, refType=null, unstructuredReference=TORTI R A,WINSHIP T.Culpability for delay in the treatment of breast cancer[J].The Medical Annals of the District of Columbia,1963,32:132-133., articleTitle=Culpability for delay in the treatment of breast cancer, refAbstract=null), Reference(id=1322530094187401217, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, doi=null, pmid=null, pmcid=null, year=2020, volume=131, issue=null, pageStart=78, pageEnd=86, url=null, language=null, rfNumber=6, rfOrder=5, authorNames=JAILLARD S, SREENIVASAN R, BEAUMONT M, journalName=Maturitas, refType=null, unstructuredReference=JAILLARD S,SREENIVASAN R,BEAUMONT M,et al.Analysis of NR5A1 in 142 patients with premature ovarian insufficiency,diminished ovarian reserve,or unexplained infertility[J].Maturitas,2020,131:78-86., articleTitle=Analysis of NR5A1 in 142 patients with premature ovarian insufficiency,diminished ovarian reserve,or unexplained infertility, refAbstract=null), Reference(id=1322530094258704386, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, doi=null, pmid=null, pmcid=null, year=2023, volume=108, issue=null, pageStart=107614, pageEnd=null, url=null, language=null, rfNumber=7, rfOrder=6, authorNames=ZHANG B Y, SUN Q X, LV Y M, journalName=Patient Education and Counseling, refType=null, unstructuredReference=ZHANG B Y,SUN Q X,LV Y M,et al.Influencing factors for decision-making delay in seeking medical care among acute ischemic stroke patients in rural areas[J].Patient Education and Counseling,2023,108:107614., articleTitle=Influencing factors for decision-making delay in seeking medical care among acute ischemic stroke patients in rural areas, refAbstract=null), Reference(id=1322530094330007555, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, doi=null, pmid=null, pmcid=null, year=2019, volume=55, issue=null, pageStart=2, pageEnd=13, url=null, language=null, rfNumber=8, rfOrder=7, authorNames=LEW R, journalName=Best Practice & Research Clinical Obstetrics & Gynaecology, refType=null, unstructuredReference=LEW R.Natural history of ovarian function including assessment of ovarian reserve and premature ovarian failure[J].Best Practice & Research Clinical Obstetrics & Gynaecology,2019,55:2-13., articleTitle=Natural history of ovarian function including assessment of ovarian reserve and premature ovarian failure, refAbstract=null), Reference(id=1322530094397116420, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, doi=null, pmid=null, pmcid=null, year=2022, volume=31, issue=4, pageStart=425, pageEnd=434, url=null, language=null, rfNumber=9, rfOrder=8, authorNames=卵巢储备功能减退临床诊治专家共识专家组, 中华预防医学会生育力保护分会生殖内分泌生育保护学组, journalName=生殖医学杂志, refType=null, unstructuredReference=卵巢储备功能减退临床诊治专家共识专家组,中华预防医学会生育力保护分会生殖内分泌生育保护学组.卵巢储备功能减退临床诊治专家共识[J].生殖医学杂志,2022,31(4):425-434., articleTitle=卵巢储备功能减退临床诊治专家共识, refAbstract=null), Reference(id=1322530094464225285, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, doi=null, pmid=null, pmcid=null, year=2024, volume=43, issue=3, pageStart=190, pageEnd=194, url=null, language=null, rfNumber=10, rfOrder=9, authorNames=AIYU Z, CUIYU L, DONGMEI W, journalName=Journal of International Reproductive Health/Family Planning, refType=null, unstructuredReference=AIYU Z,CUIYU L,DONGMEI W,et al.Analysis on the status quo and influencing factors of medical treatment delay in infertility patients undergoing IVF-ET[J].Journal of International Reproductive Health/Family Planning,2024,43(3):190-194., articleTitle=Analysis on the status quo and influencing factors of medical treatment delay in infertility patients undergoing IVF-ET, refAbstract=null), Reference(id=1322530094539722758, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, doi=null, pmid=null, pmcid=null, year=2005, volume=11, issue=1, pageStart=13, pageEnd=20, url=null, language=null, rfNumber=11, rfOrder=10, authorNames=AL-HASSAN M A, OMRAN S M, journalName=International Journal of Nursing Practice, refType=null, unstructuredReference=AL-HASSAN M A,OMRAN S M.The effects of health beliefs on health care-seeking decisions of Jordanian patients with myocardial infarction symptoms[J].International Journal of Nursing Practice,2005,11(1):13-20., articleTitle=The effects of health beliefs on health care-seeking decisions of Jordanian patients with myocardial infarction symptoms, refAbstract=null), Reference(id=1322530094657163271, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, doi=null, pmid=null, pmcid=null, year=2014, volume=43, issue=2, pageStart=140, pageEnd=145, url=null, language=null, rfNumber=12, rfOrder=11, authorNames=LI P W C, LEE D T F, YU D S F, journalName=Heart & Lung, refType=null, unstructuredReference=LI P W C,LEE D T F,YU D S F.Psychometric evaluation of the Perceived Barriers to Health Care-seeking Decision in Chinese patients with acute coronary syndromes[J].Heart & Lung,2014,43(2):140-145., articleTitle=Psychometric evaluation of the Perceived Barriers to Health Care-seeking Decision in Chinese patients with acute coronary syndromes, refAbstract=null), Reference(id=1322530094925598728, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, doi=null, pmid=null, pmcid=null, year=1988, volume=20, issue=4, pageStart=225, pageEnd=232, url=null, language=null, rfNumber=13, rfOrder=12, authorNames=MISHEL M H, journalName=Image:the Journal of Nursing Scholarship, refType=null, unstructuredReference=MISHEL M H.Uncertainty in illness[J].Image:the Journal of Nursing Scholarship,1988,20(4):225-232., articleTitle=Uncertainty in illness, refAbstract=null), Reference(id=1322530095026262025, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, doi=null, pmid=null, pmcid=null, year=1996, volume=4, issue=1, pageStart=59, pageEnd=68, url=null, language=null, rfNumber=14, rfOrder=13, authorNames=许淑莲, 黄秀梨, journalName=护理研究, refType=null, unstructuredReference=许淑莲,黄秀梨.Mishel疾病不确定感量表之中文版测试[J].护理研究,1996,4(1):59-68., articleTitle=Mishel疾病不确定感量表之中文版测试, refAbstract=null), Reference(id=1322530095093370890, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, doi=null, pmid=null, pmcid=null, year=1988, volume=52, issue=1, pageStart=30, pageEnd=41, url=null, language=null, rfNumber=15, rfOrder=14, authorNames=ZIMET G D, DAHLEM N W, ZIMET S G, journalName=Journal of Personality Assessment, refType=null, unstructuredReference=ZIMET G D,DAHLEM N W,ZIMET S G,et al.The Multidimensional Scale of Perceived Social Support[J].Journal of Personality Assessment,1988,52(1):30-41., articleTitle=The Multidimensional Scale of Perceived Social Support, refAbstract=null), Reference(id=1322530095366000651, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, doi=null, pmid=null, pmcid=null, year=2001, volume=null, issue=null, pageStart=42, pageEnd=null, url=null, language=null, rfNumber=16, rfOrder=15, authorNames=姜乾金, journalName=中国行为医学科学, refType=null, unstructuredReference=姜乾金.领悟社会支持量表[J].中国行为医学科学,2001,10(特刊):41-42., articleTitle=领悟社会支持量表, refAbstract=null), Reference(id=1322530097060499468, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, doi=null, pmid=null, pmcid=null, year=1987, volume=49, issue=6, pageStart=616, pageEnd=625, url=null, language=null, rfNumber=17, rfOrder=16, authorNames=FEIFEL H, STRACK S, NAGY V T, journalName=Psychosomatic Medicine, refType=null, unstructuredReference=FEIFEL H,STRACK S,NAGY V T.Coping strategies and associated features of medically ill patients[J].Psychosomatic Medicine,1987,49(6):616-625., articleTitle=Coping strategies and associated features of medically ill patients, refAbstract=null), Reference(id=1322530097479929869, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, doi=null, pmid=null, pmcid=null, year=2000, volume=null, issue=1, pageStart=18, pageEnd=20, url=null, language=null, rfNumber=18, rfOrder=17, authorNames=沈晓红, 姜乾金, journalName=中国行为医学科学, refType=null, unstructuredReference=沈晓红,姜乾金.医学应对方式问卷中文版701例测试报告[J].中国行为医学科学,2000(1):18-20., articleTitle=医学应对方式问卷中文版701例测试报告, refAbstract=null), Reference(id=1322530097874194446, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, doi=null, pmid=null, pmcid=null, year=2020, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=19, rfOrder=18, authorNames=林静静, journalName=null, refType=null, unstructuredReference=林静静.基于计划行为理论和知信行模式的急性心肌梗死患者就医决策延迟影响因素研究[D].南昌:南昌大学,2020., articleTitle=基于计划行为理论和知信行模式的急性心肌梗死患者就医决策延迟影响因素研究, refAbstract=null), Reference(id=1322530097941303311, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, doi=null, pmid=null, pmcid=null, year=2020, volume=160, issue=4, pageStart=R55, pageEnd=R64, url=null, language=null, rfNumber=20, rfOrder=19, authorNames=DI-BATTISTA A, MOYSÉS-OLIVEIRA M, MELARAGNO M I, journalName=Reproduction, refType=null, unstructuredReference=DI-BATTISTA A,MOYSÉS-OLIVEIRA M,MELARAGNO M I.Genetics of premature ovarian insufficiency and the association with X-autosome translocations[J].Reproduction,2020,160(4):R55-R64., articleTitle=Genetics of premature ovarian insufficiency and the association with X-autosome translocations, refAbstract=null), Reference(id=1322530098004217873, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, doi=null, pmid=null, pmcid=null, year=2021, volume=26, issue=4, pageStart=312, pageEnd=322, url=null, language=null, rfNumber=21, rfOrder=20, authorNames=DELBAERE I, PITSILLOS T, TYDÉN T, journalName=The European Journal of Contraception & Reproductive Health Care, refType=null, unstructuredReference=DELBAERE I,PITSILLOS T,TYDÉN T,et al.Fertility awareness and parenthood intentions among medical students in three European countries[J].The European Journal of Contraception & Reproductive Health Care,2021,26(4):312-322., articleTitle=Fertility awareness and parenthood intentions among medical students in three European countries, refAbstract=null), Reference(id=1322530098067132434, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, doi=null, pmid=null, pmcid=null, year=2020, volume=22, issue=Suppl 2, pageStart=ii181, pageEnd=null, url=null, language=null, rfNumber=22, rfOrder=21, authorNames=KALLIO M, journalName=Neuro-Oncology, refType=null, unstructuredReference=KALLIO M.Information on headache for brain tumor patients on internet-guiding or misleading?[J].Neuro-Oncology,2020,22(Suppl 2):ii181., articleTitle=Information on headache for brain tumor patients on internet-guiding or misleading?, refAbstract=null), Reference(id=1322530098335567891, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, doi=null, pmid=null, pmcid=null, year=2020, volume=14, issue=null, pageStart=653, pageEnd=662, url=null, language=null, rfNumber=23, rfOrder=22, authorNames=ZENG Y B, XU W Q, CHEN L L, journalName=Patient Preference and Adherence, refType=null, unstructuredReference=ZENG Y B,XU W Q,CHEN L L,et al.The influencing factors of health-seeking preference and community health service utilization among patients in primary care reform in Xiamen,China[J].Patient Preference and Adherence,2020,14:653-662., articleTitle=The influencing factors of health-seeking preference and community health service utilization among patients in primary care reform in Xiamen,China, refAbstract=null), Reference(id=1322530098398482452, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, doi=null, pmid=null, pmcid=null, year=2021, volume=277, issue=null, pageStart=113782, pageEnd=null, url=null, language=null, rfNumber=24, rfOrder=23, authorNames=PASSET-WITTIG J, GREIL A L, journalName=Social Science & Medicine, refType=null, unstructuredReference=PASSET-WITTIG J,GREIL A L.Factors associated with medical help-seeking for infertility in developed countries:a narrative review of recent literature[J].Social Science & Medicine,2021,277:113782., articleTitle=Factors associated with medical help-seeking for infertility in developed countries:a narrative review of recent literature, refAbstract=null), Reference(id=1322530098457202709, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, doi=null, pmid=null, pmcid=null, year=2020, volume=16, issue=1, pageStart=104, pageEnd=null, url=null, language=null, rfNumber=25, rfOrder=24, authorNames=MORSHED-BEHBAHANI B, LAMYIAN M, JOULAEI H, journalName=Globalization and Health, refType=null, unstructuredReference=MORSHED-BEHBAHANI B,LAMYIAN M,JOULAEI H,et al.Infertility policy analysis:a comparative study of selected lower middle- middle- and high-income countries[J].Globalization and Health,2020,16(1):104., articleTitle=Infertility policy analysis:a comparative study of selected lower middle- middle- and high-income countries, refAbstract=null), Reference(id=1322530098528505878, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, doi=null, pmid=null, pmcid=null, year=2020, volume=25, issue=8, pageStart=1030, pageEnd=1042, url=null, language=null, rfNumber=26, rfOrder=25, authorNames=OROM H, BIDDLE C, WATERS E A, journalName=Journal of Health Psychology, refType=null, unstructuredReference=OROM H,BIDDLE C,WATERS E A,et al.Causes and consequences of uncertainty about illness risk perceptions[J].Journal of Health Psychology,2020,25(8):1030-1042., articleTitle=Causes and consequences of uncertainty about illness risk perceptions, refAbstract=null), Reference(id=1322530098599809047, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, doi=null, pmid=null, pmcid=null, year=2018, volume=8, issue=7, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=27, rfOrder=26, authorNames=REISINGER M W, MOSS M, CLARK B J, journalName=BMJ Open, refType=null, unstructuredReference=REISINGER M W,MOSS M,CLARK B J.Is lack of social support associated with a delay in seeking medical care?A cross-sectional study of Minnesota and Tennessee residents using data from the behavioral risk factor surveillance system[J].BMJ Open,2018,8(7):e018139., articleTitle=Is lack of social support associated with a delay in seeking medical care?A cross-sectional study of Minnesota and Tennessee residents using data from the behavioral risk factor surveillance system, refAbstract=null), Reference(id=1322530098683695128, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, doi=null, pmid=null, pmcid=null, year=2023, volume=43, issue=3, pageStart=197, pageEnd=201, url=null, language=null, rfNumber=28, rfOrder=27, authorNames=蔡方方, 黄志红, 张娟, journalName=中国急救医学, refType=null, unstructuredReference=蔡方方,黄志红,张娟,等.D型人格和应对方式对急性心肌梗死患者就医决策延迟的影响[J].中国急救医学,2023,43(3):197-201., articleTitle=D型人格和应对方式对急性心肌梗死患者就医决策延迟的影响, refAbstract=null)], funds=null, companyList=[AuthorCompany(id=1322530089191986133, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, xref=1, ext=[AuthorCompanyExt(id=1322530089200374742, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, companyId=1322530089191986133, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1School of Nursing, Jinzhou Medical University, Liaoning 121001 China), AuthorCompanyExt(id=1322530089212957655, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, companyId=1322530089191986133, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1锦州医科大学护理学院，辽宁 121001)])], figs=[ArticleFig(id=1322530092832642037, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, language=EN, label=Table 1, caption=

Univariate analysis of factors influencing the delayed medical decision-making in patients with diminished ovarian reserve（x±s）

, figureFileSmall=null, figureFileBig=null, tableContent=
项目分类例数PBHSD-C得分统计值P
年龄19~25岁3334.70±12.06F=1.3980.244
26~30岁6232.02±11.21
31~35岁13934.93±11.57
36~40岁4936.31±12.11
文化程度初中及以下7338.73±11.76F=6.725<0.001
高中‎或中专4437.36±12.07
专科5034.54±9.38
本科9931.10±11.81
硕士研究生及以上1728.65±7.14
婚姻状况未婚3433.68±11.21F=0.7080.587
已婚19634.66±11.48
离异1138.27±10.56
再婚4033.00±13.41
丧偶242.00
独生子女状况否13234.48±12.01t=-0.0330.974
是15134.52±11.41
职业事业单位人员1634.94±9.34F=1.0750.379
工人6633.68±12.18
农民3733.08±13.61
职工9033.58±11.78
个体3737.43±10.94
待业/失业2535.48±9.31
学生742.71±6.68
其他533.00
居住方式与配偶同住23034.52±11.55F=1.1270.325
与子女同住1937.63±12.90
独居3432.62±11.74
居住地农村12944.01±7.57t=18.847<0.001
城市15426.53±7.93
医疗付费方式城镇职工医保7136.76±13.52F=6.437<0.001
城镇居民医保7233.43±7.62
新农合6029.55±11.10
自费8037.18±12.18
首发症状无症状2749.30±7.01F=29.551<0.001
性生活异常3337.03±13.37
畏寒/盗汗1241.41±8.24
不孕6927.35±9.89
月经失调8629.35±8.27
情绪低落、易疲劳、乏力3540.29±8.89
睡眠不佳2142.52±4.98
慢性病史无19434.58±11.44F=1.5360.192
糖尿病2131.71±11.76
高血压3438.21±10.16
心脏病2132.28±12.73
其他1331.77±15.55
), ArticleFig(id=1322530092908139510, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, language=CN, label=表1, caption=

卵巢储备功能减退病人就医决策延迟影响因素的单因素分析（x±s）

, figureFileSmall=null, figureFileBig=null, tableContent=
项目分类例数PBHSD-C得分统计值P
年龄19~25岁3334.70±12.06F=1.3980.244
26~30岁6232.02±11.21
31~35岁13934.93±11.57
36~40岁4936.31±12.11
文化程度初中及以下7338.73±11.76F=6.725<0.001
高中‎或中专4437.36±12.07
专科5034.54±9.38
本科9931.10±11.81
硕士研究生及以上1728.65±7.14
婚姻状况未婚3433.68±11.21F=0.7080.587
已婚19634.66±11.48
离异1138.27±10.56
再婚4033.00±13.41
丧偶242.00
独生子女状况否13234.48±12.01t=-0.0330.974
是15134.52±11.41
职业事业单位人员1634.94±9.34F=1.0750.379
工人6633.68±12.18
农民3733.08±13.61
职工9033.58±11.78
个体3737.43±10.94
待业/失业2535.48±9.31
学生742.71±6.68
其他533.00
居住方式与配偶同住23034.52±11.55F=1.1270.325
与子女同住1937.63±12.90
独居3432.62±11.74
居住地农村12944.01±7.57t=18.847<0.001
城市15426.53±7.93
医疗付费方式城镇职工医保7136.76±13.52F=6.437<0.001
城镇居民医保7233.43±7.62
新农合6029.55±11.10
自费8037.18±12.18
首发症状无症状2749.30±7.01F=29.551<0.001
性生活异常3337.03±13.37
畏寒/盗汗1241.41±8.24
不孕6927.35±9.89
月经失调8629.35±8.27
情绪低落、易疲劳、乏力3540.29±8.89
睡眠不佳2142.52±4.98
慢性病史无19434.58±11.44F=1.5360.192
糖尿病2131.71±11.76
高血压3438.21±10.16
心脏病2132.28±12.73
其他1331.77±15.55
), ArticleFig(id=1322530092979442679, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, language=EN, label=Table 2, caption=

Correlation between the scores of PBHSD-C, MUIS-A, PSSS, and coping style in patients with diminished ovarian reserve（r value）

, figureFileSmall=null, figureFileBig=null, tableContent=
项目PBHSD-C得分MUIS-A得分PSSS得分面对得分回避得分屈服得分
PBHSD-C得分1.000
MUIS-A得分0.5971.000
PSSS得分-0.521-0.5281.000
面对得分-0.508-0.2490.3081.000
回避得分0.5670.386-0.290-0.3051.000
屈服得分0.5700.390-0.320-0.3530.3911.000
), ArticleFig(id=1322530093050745848, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, language=CN, label=表2, caption=

卵巢储备功能减退病人PBHSD-C、MUIS-A、PSSS及应对方式得分的相关性（r值）

, figureFileSmall=null, figureFileBig=null, tableContent=
项目PBHSD-C得分MUIS-A得分PSSS得分面对得分回避得分屈服得分
PBHSD-C得分1.000
MUIS-A得分0.5971.000
PSSS得分-0.521-0.5281.000
面对得分-0.508-0.2490.3081.000
回避得分0.5670.386-0.290-0.3051.000
屈服得分0.5700.390-0.320-0.3530.3911.000
), ArticleFig(id=1322530093117854713, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, language=EN, label=Table 3, caption=

Assignment of variables

, figureFileSmall=null, figureFileBig=null, tableContent=
项目赋值方式
文化程度硕士研究生及以上=1，本科=2，专科=3，高中或中专=4，初中及以下=5
居住地农村=1，城市=2
医疗付费方式城镇职工医保=1，城镇居民医保=2，新农合=3，自费=4
首发症状无症状=0，性生活异常=1，畏寒/盗汗=2，不孕=3，月经失调=4，情绪低落、易疲劳、乏力=5，睡眠不佳=6
MUIS-A得分原值输入
PSSS得分原值输入
面对得分原值输入
回避得分原值输入
屈服得分原值输入
), ArticleFig(id=1322530093352735738, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, language=CN, label=表3, caption=

变量赋值情况

, figureFileSmall=null, figureFileBig=null, tableContent=
项目赋值方式
文化程度硕士研究生及以上=1，本科=2，专科=3，高中或中专=4，初中及以下=5
居住地农村=1，城市=2
医疗付费方式城镇职工医保=1，城镇居民医保=2，新农合=3，自费=4
首发症状无症状=0，性生活异常=1，畏寒/盗汗=2，不孕=3，月经失调=4，情绪低落、易疲劳、乏力=5，睡眠不佳=6
MUIS-A得分原值输入
PSSS得分原值输入
面对得分原值输入
回避得分原值输入
屈服得分原值输入
), ArticleFig(id=1322530093424038907, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, language=EN, label=Table 4, caption=

Multivariate linear regression analysis of factors influencing the delayed medical decision-making in patients with diminished ovarian reserve

, figureFileSmall=null, figureFileBig=null, tableContent=
变量回归系数标准误标准化回归系数t值P
常数项31.3874.0677.718<0.001
文化程度1.7550.3430.1985.117<0.001
居住地-9.1631.139-0.392-8.047<0.001
MUIS-A得分0.0930.0180.2145.161<0.001
PSSS得分-0.0950.028-0.134-3.3780.001
面对得分-0.2580.054-0.177-4.802<0.001
回避得分0.3390.0680.1974.978<0.001
屈服得分0.3910.1010.1623.859<0.001
), ArticleFig(id=1322530093705057276, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, language=CN, label=表4, caption=

卵巢储备功能减退病人就医决策延迟影响因素的多元线性回归分析

, figureFileSmall=null, figureFileBig=null, tableContent=
变量回归系数标准误标准化回归系数t值P
常数项31.3874.0677.718<0.001
文化程度1.7550.3430.1985.117<0.001
居住地-9.1631.139-0.392-8.047<0.001
MUIS-A得分0.0930.0180.2145.161<0.001
PSSS得分-0.0950.028-0.134-3.3780.001
面对得分-0.2580.054-0.177-4.802<0.001
回避得分0.3390.0680.1974.978<0.001
屈服得分0.3910.1010.1623.859<0.001
)], attaches=null, journal=Journal(id=1220037649855897604, delFlag=0, nameCn=护理研究, nameEn=Chinese Nursing Research, nameHistory1=null, nameHistory2=null, issn=1009-6493, eissn=null, cn=14-1272/R, coden=null, periodic=3, language=CN, oaType=null, ccby=null, superviseOffice=null, ownerOffice=null, pubOffice=null, editorOffice=null, officeType=null, aims=null, clcCode=null, officeProv=null, officeCity=null, officeAddr=null, officeZip=null, officeEmail=null, officePhone=null, editDirector=null, officeDirector=null, officeDirectorPhone=null, officeStaffNum=null, officeEmpNum=null, coverPicUrl=5ND/w5RQYz//x8ucn+e6Vw==, journalPrice=null, startedYear=null, abbrevIsoEn=Chinese Nursing Research, journalRemark=null, publicationField=null, createdTime=1768809242933, updatedTime=1789628561524, createdBy=18614031015, updatedBy=13041195026, firstLetterCn=H, firstLetterEn=H, subjectCode=Medical and Pharmaceutical Sciences, subjectName=null, subjectCodeEn=Medical and Pharmaceutical Sciences, subjectNameEn=null, picCn=5ND/w5RQYz//x8ucn+e6Vw==, picEn=vXneBBf6WfTz/ls4yy3nnA==, jcr=null, cjcr=null, exts=[JournalExt(id=1307360202571928186, language=CN, name=护理研究, nameHistory1=null, nameHistory2=null, managedBy=, sponsoredBy=, publishedBy=, editorOffice=, officeProv=null, officeCity=null, officeAddr=, officeZip=, editDirector=, officeDirector=null, officePhone=null, coverPicUrl=null, journalRemark=, submitArticleUrl=null, websiteUrl=, createdTime=1789628561871, updatedTime=1789628561871, createdBy=13041195026, updatedBy=13041195026, submissionGuidelinesUrl=, submissionAuthorUrl=https://journal.ids.fzyun.cn/auth/realms/journal/protocol/openid-connect/auth?client_id=journal-sxyxqks-author&redirect_uri=https%3A%2F%2Fgj.sxyxqks.com%2Foauth%2Fcallback&response_type=code&scope=phone+openid+email+profile&state=1de4c13f-4807-4ea4-8d8a-5, submissionEditorUrl=https://journal.ids.fzyun.cn/auth/realms/journal/protocol/openid-connect/auth?client_id=journal-sxyxqks-author&redirect_uri=https%3A%2F%2Fgj.sxyxqks.com%2Foauth%2Fcallback&response_type=code&scope=phone+openid+email+profile&state=321a724c-d51d-4f08-a85e-2, submissionReviewUrl=https://journal.ids.fzyun.cn/auth/realms/journal/protocol/openid-connect/auth?client_id=journal-sxyxqks-author&redirect_uri=https%3A%2F%2Fgj.sxyxqks.com%2Foauth%2Fcallback&response_type=code&scope=phone+openid+email+profile&state=dadec7f2-d93c-4f73-8f97-e, submissionCeEditorUrl=, submissionAeEditorUrl=, option={"copyright":""}), JournalExt(id=1307360202618065531, language=EN, name=Chinese Nursing Research, nameHistory1=null, nameHistory2=null, managedBy=, sponsoredBy=, publishedBy=, editorOffice=, officeProv=null, officeCity=null, officeAddr=, officeZip=, editDirector=, officeDirector=null, officePhone=null, coverPicUrl=null, journalRemark=, submitArticleUrl=null, websiteUrl=, createdTime=1789628561882, updatedTime=1789628561882, createdBy=13041195026, updatedBy=13041195026, submissionGuidelinesUrl=, submissionAuthorUrl=https://journal.ids.fzyun.cn/auth/realms/journal/protocol/openid-connect/auth?client_id=journal-sxyxqks-author&redirect_uri=https%3A%2F%2Fgj.sxyxqks.com%2Foauth%2Fcallback&response_type=code&scope=phone+openid+email+profile&state=1de4c13f-4807-4ea4-8d8a-5, submissionEditorUrl=https://journal.ids.fzyun.cn/auth/realms/journal/protocol/openid-connect/auth?client_id=journal-sxyxqks-author&redirect_uri=https%3A%2F%2Fgj.sxyxqks.com%2Foauth%2Fcallback&response_type=code&scope=phone+openid+email+profile&state=321a724c-d51d-4f08-a85e-2, submissionReviewUrl=https://journal.ids.fzyun.cn/auth/realms/journal/protocol/openid-connect/auth?client_id=journal-sxyxqks-author&redirect_uri=https%3A%2F%2Fgj.sxyxqks.com%2Foauth%2Fcallback&response_type=code&scope=phone+openid+email+profile&state=dadec7f2-d93c-4f73-8f97-e, submissionCeEditorUrl=, submissionAeEditorUrl=, option={"copyright":""})], databaseList=null, tenantJournalId=1220038315760373764, websiteList=[Website(id=1220043903038837076, webName=null, webTitle=null, webDomain=null, webCopyrigh=null, webIpcNo=null, seoTitle=null, seoKeywords=null, seoDescription=null, tenantJournalId=null, journalId=1220038315760373764, journalNameCn=null, journalNameEn=null, grayFlag=null, tenantId=1146029695717560320, platformId=null, journalGroupId=null, journalGroupNameCn=null, journalGroupNameEn=null, type=1, domain=https://castjournals.cast.org.cn/joweb/hlyj/CN, language=CN, createTime=1768810733804, createBy=18614031015, updateTime=1768811130580, updateBy=18614031015, name=护理研究-中文, tplId=1146099689490845704, title=护理研究, delFlag=0, indexPage=/home, props=[WebsiteProps(id=1228001613021904925, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903038837076, code=articleTextType, value=kx, createTime=1770707999711, updateTime=1770707999711, creator=18614031015, updator=18614031015), WebsiteProps(id=1228001613005127706, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903038837076, code=banner, value=null, createTime=1770707999707, updateTime=1770707999707, creator=18614031015, updator=18614031015), WebsiteProps(id=1228001613038682144, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903038837076, code=grayFlag, value=0, createTime=1770707999715, updateTime=1770707999715, creator=18614031015, updator=18614031015), WebsiteProps(id=1228001613000933401, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903038837076, code=logo, value=https://castjournals.cast.org.cn/joweb/hlyj/CN/file/pic?fileId=pB29yYO+7WdTp0HLQ4KSzg==, createTime=1770707999706, updateTime=1770707999706, creator=18614031015, updator=18614031015), WebsiteProps(id=1228001613047070754, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903038837076, code=minRunFlag, value=0, createTime=1770707999717, updateTime=1770707999717, creator=18614031015, updator=18614031015), WebsiteProps(id=1228001613017710620, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903038837076, code=picServerUrl, value=https://castjournals.cast.org.cn/joweb/hlyj/CN/file/pic, createTime=1770707999710, updateTime=1770707999710, creator=18614031015, updator=18614031015), WebsiteProps(id=1228001613042876449, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903038837076, code=silenceFlag, value=0, createTime=1770707999716, updateTime=1770707999716, creator=18614031015, updator=18614031015), WebsiteProps(id=1228001613013516315, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903038837076, code=staticResourcePath, value=https://castjournals.cast.org.cn/joweb/cast_kjdb_cn_619/, createTime=1770707999709, updateTime=1770707999709, creator=18614031015, updator=18614031015), WebsiteProps(id=1228001613026099230, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903038837076, code=themeColor, value=null, createTime=1770707999712, updateTime=1770707999712, creator=18614031015, updator=18614031015), WebsiteProps(id=1228001613034487839, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903038837076, code=themeStyle, value=null, createTime=1770707999714, updateTime=1770707999714, creator=18614031015, updator=18614031015)]), Website(id=1220043903097557352, webName=null, webTitle=null, webDomain=null, webCopyrigh=null, webIpcNo=null, seoTitle=null, seoKeywords=null, seoDescription=null, tenantJournalId=null, journalId=1220038315760373764, journalNameCn=null, journalNameEn=null, grayFlag=null, tenantId=1146029695717560320, platformId=null, journalGroupId=null, journalGroupNameCn=null, journalGroupNameEn=null, type=1, domain=https://castjournals.cast.org.cn/joweb/hlyj/EN, language=EN, createTime=1768810733819, createBy=18614031015, updateTime=1768811154181, updateBy=18614031015, name=护理研究-英文, tplId=1146101810881728533, title=Chinese Nursing Research, delFlag=0, indexPage=/home, props=[WebsiteProps(id=1220045841042166147, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903097557352, code=articleTextType, value=kx, createTime=1768811195860, updateTime=1768811195860, creator=18614031015, updator=18614031015), WebsiteProps(id=1220045841017000320, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903097557352, code=banner, value=null, createTime=1768811195854, updateTime=1768811195854, creator=18614031015, updator=18614031015), WebsiteProps(id=1220045841063137670, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903097557352, code=grayFlag, value=0, createTime=1768811195865, updateTime=1768811195865, creator=18614031015, updator=18614031015), WebsiteProps(id=1220045841008611711, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903097557352, code=logo, value=https://castjournals.cast.org.cn/joweb/hlyj/EN/file/pic?fileId=pB29yYO+7WdTp0HLQ4KSzg==, createTime=1768811195852, updateTime=1768811195852, creator=18614031015, updator=18614031015), WebsiteProps(id=1220045841075720584, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903097557352, code=minRunFlag, value=0, createTime=1768811195868, updateTime=1768811195868, creator=18614031015, updator=18614031015), WebsiteProps(id=1220045841033777538, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903097557352, code=picServerUrl, value=https://castjournals.cast.org.cn/joweb/hlyj/EN/file/pic, createTime=1768811195858, updateTime=1768811195858, creator=18614031015, updator=18614031015), WebsiteProps(id=1220045841071526279, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903097557352, code=silenceFlag, value=0, createTime=1768811195867, updateTime=1768811195867, creator=18614031015, updator=18614031015), WebsiteProps(id=1220045841025388929, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903097557352, code=staticResourcePath, value=https://castjournals.cast.org.cn/joweb/cast_kjdb_en_623/, createTime=1768811195857, updateTime=1768811195857, creator=18614031015, updator=18614031015), WebsiteProps(id=1220045841046360452, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903097557352, code=themeColor, value=null, createTime=1768811195861, updateTime=1768811195861, creator=18614031015, updator=18614031015), WebsiteProps(id=1220045841054749061, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903097557352, code=themeStyle, value=null, createTime=1768811195863, updateTime=1768811195863, creator=18614031015, updator=18614031015)])], journalTitle=护理研究, weixinUrl=null, journalUrl=https://www.hlyjzz.com/, iacademicId=null, status=1, seqNo=null, journalTitleEn=Chinese Nursing Research, journalPhotoCn=5ND/w5RQYz//x8ucn+e6Vw==, journalPhotoEn=vXneBBf6WfTz/ls4yy3nnA==, journalFirstLetter=H, journalRecommend=null, journalNew=null, journalCollection=null, jcrJf=null, cjcrJf=null, jcrJfStr=null, cjcrJfStr=null, submissionFirstDecision=null, sciSubjectClassification=null, casSubjectClassification=null, citeScore=null, totalCitationFrequency=null, icpCode=null, psCode=null, advertisingLicenseCode=null, copyrightInformation=null, country=null, option=, provinceCode=null, provinceName=null, collectFlag=false, interPubPlatform=, interPubPlatformUrl=null), detailUrlCn=https://castjournals.cast.org.cn/joweb/hlyj/CN/10.12102/j.issn.1009-6493.2026.04.018, detailUrlEn=https://castjournals.cast.org.cn/joweb/hlyj/EN/10.12102/j.issn.1009-6493.2026.04.018, pdfUrlCn=https://castjournals.cast.org.cn/joweb/hlyj/CN/PDF/10.12102/j.issn.1009-6493.2026.04.018, pdfUrlEn=https://castjournals.cast.org.cn/joweb/hlyj/EN/PDF/10.12102/j.issn.1009-6493.2026.04.018, aliStartDate=0, aliEndDate=0, collectionFlag=false, citedCount=null, citedUrl=null, previewStatus=0, delFlag=0, hasFullText=1, orderTime=1771948800000, fullTextJson=null, articleText=null, reference=null)
收藏切换
育龄期卵巢储备功能减退病人就医决策延迟现状及影响因素
收藏切换
程佳欣 , 李闯 , 王红霞 *, *
护理研究 | 综合研究 2026,40(4): 651-657
收起
收藏切换
护理研究 |综合研究 2026 , 40 (4) : 651 -657
育龄期卵巢储备功能减退病人就医决策延迟现状及影响因素
全屏
[Author(id=1322530089267483609, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, orderNo=0, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=null, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={EN=AuthorExt(id=1322530089338786779, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, authorId=1322530089267483609, language=EN, stringName=Jiaxin CHENG, firstName=Jiaxin, middleName=null, lastName=CHENG, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=null, address=1School of Nursing, Jinzhou Medical University, Liaoning 121001 China, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null), CN=AuthorExt(id=1322530089401701340, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, authorId=1322530089267483609, language=CN, stringName=程佳欣, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=null, address=1锦州医科大学护理学院，辽宁 121001, bio={"content":"

程佳欣，硕士研究生

"}, bioImg=null, bioContent=

程佳欣，硕士研究生

, aboutCorrespAuthor=null)}, companyList=[AuthorCompany(id=1322530089191986133, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, xref=1, ext=[AuthorCompanyExt(id=1322530089200374742, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, companyId=1322530089191986133, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1School of Nursing, Jinzhou Medical University, Liaoning 121001 China), AuthorCompanyExt(id=1322530089212957655, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, companyId=1322530089191986133, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1锦州医科大学护理学院，辽宁 121001)])]), Author(id=1322530089460421598, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, orderNo=1, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=null, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={EN=AuthorExt(id=1322530089540113376, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, authorId=1322530089460421598, language=EN, stringName=Chuang LI, firstName=Chuang, middleName=null, lastName=LI, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=null, address=1School of Nursing, Jinzhou Medical University, Liaoning 121001 China, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null), CN=AuthorExt(id=1322530089607222241, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, authorId=1322530089460421598, language=CN, stringName=李闯, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=null, address=1锦州医科大学护理学院，辽宁 121001, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null)}, companyList=[AuthorCompany(id=1322530089191986133, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, xref=1, ext=[AuthorCompanyExt(id=1322530089200374742, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, companyId=1322530089191986133, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1School of Nursing, Jinzhou Medical University, Liaoning 121001 China), AuthorCompanyExt(id=1322530089212957655, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, companyId=1322530089191986133, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1锦州医科大学护理学院，辽宁 121001)])]), Author(id=1322530089678525411, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, orderNo=2, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=hxwang@jzmu.edu.cn, emailSecond=null, emailThird=null, correspondingAuthor=1, authorType=1, ext={EN=AuthorExt(id=1322530089749828581, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, authorId=1322530089678525411, language=EN, stringName=Hongxia WANG, firstName=Hongxia, middleName=null, lastName=WANG, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=null, address=1School of Nursing, Jinzhou Medical University, Liaoning 121001 China, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null), CN=AuthorExt(id=1322530089816937446, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, authorId=1322530089678525411, language=CN, stringName=王红霞, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=*, *, address=1锦州医科大学护理学院，辽宁 121001, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null)}, companyList=[AuthorCompany(id=1322530089191986133, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, xref=1, ext=[AuthorCompanyExt(id=1322530089200374742, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, companyId=1322530089191986133, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1School of Nursing, Jinzhou Medical University, Liaoning 121001 China), AuthorCompanyExt(id=1322530089212957655, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168040544907939, companyId=1322530089191986133, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1锦州医科大学护理学院，辽宁 121001)])])]
程佳欣, 李闯, 王红霞*, *
作者信息
  • 1锦州医科大学护理学院，辽宁 121001
通讯作者:
王红霞，E-mail：
WANG Hongxia，E-mail：
作者简介:

程佳欣，硕士研究生

Status quo and influencing factors of delayed medical decision-making in patients with diminished ovarian reserve during reproductive age
Jiaxin CHENG, Chuang LI, Hongxia WANG
Affiliations
  • 1School of Nursing, Jinzhou Medical University, Liaoning 121001 China
    • Corresponding Author:
    WANG Hongxia，E-mail：
出版时间: 2026-02-25 doi: 10.12102/j.issn.1009-6493.2026.04.018
文章导航
收藏切换
摘要
收起
目的

了解育龄期卵巢储备功能减退病人就医决策延迟现状及其影响因素，为制定和实施针对性干预措施提供参考。

方法

采用一般资料调查表、中文版就医决策感知障碍评估量表、疾病不确定感量表、领悟社会支持量表、医学应对方式量表对283例卵巢储备功能减退病人进行调查。

结果

育龄期卵巢储备功能减退病人的就医决策感知障碍得分为（34.50±11.67）分。卵巢储备功能减退病人文化程度、居住地、疾病不确定感、领悟社会支持和医学应对方式是其就医决策延迟的影响因素（P<0.05）。

结论

卵巢储备功能减退病人就医决策延迟处于中等水平。相关卫生保健部门应加强对女性生殖健康的关注，早期识别易延迟就医群体并进行适当干预。

育龄期  /  卵巢储备功能减退  /  就医决策延迟  /  疾病不确定感  /  领悟社会支持  /  医学应对方式  /  影响因素
Objective

To know the status quo and influencing factors of delayed medical decision-making in patients with diminished ovarian reserve during reproductive age,and to provide references for formulating and implementing targeted intervention measures.

Methods

A general information questionnaire,Chinese-Perceived Barriers to Health-care Seeking Decision(PBHSD-C),Mishel Uncertainty in Illness Scale for Adults(MUIS-A),Perceived Social Support Scale(PSSS),and Medical Coping Modes Questionnaire(MCMQ) were used to conduct a survey on 283 patients with diminished ovarian reserve.

Results

The score of PBHSD-C was 34.50±11.67.The educational level,place of residence,uncertainty in illness,perceived social support,and medical coping modes of patients were the influencing factors of their delayed medical decision-making(P<0.05).

Conclusions

The delayed medical decision-making of patients with diminished ovarian reserve during reproductive age was at a moderate level.Relevant health care departments should pay more attention to female reproductive health,early identify the groups prone to delayed medical treatment, and carry out appropriate interventions.

reproductive age  /  diminished ovarian reserve  /  delayed medical decision-making  /  uncertainty in illness  /  perceived social support  /  medical coping modes  /  influencing factors
程佳欣, 李闯, 王红霞. 育龄期卵巢储备功能减退病人就医决策延迟现状及影响因素. 护理研究, 2026 , 40 (4) : 651 -657 . DOI: 10.12102/j.issn.1009-6493.2026.04.018
Jiaxin CHENG, Chuang LI, Hongxia WANG. Status quo and influencing factors of delayed medical decision-making in patients with diminished ovarian reserve during reproductive age[J]. Chinese Nursing Research, 2026 , 40 (4) : 651 -657 . DOI: 10.12102/j.issn.1009-6493.2026.04.018
正文
收起
卵巢储备反映了卵巢不同发育阶段卵泡总和以及这些卵泡生长、发育和受精的能力。卵巢储备功能减退（diminished ovarian reserve，DOR）是指卵巢内卵母细胞数量减少或其质量下降[1]。调查显示，卵巢储备功能减退的发病率在逐年升高，年轻化趋势加剧[2-3]。该病对女性生育潜力和激素分泌产生影响，使其出现月经不调、更年期等症状[4]。由于发病特征的不典型性和个体疾病认知不足等原因，卵巢储备功能减退病人易出现就医决策延迟倾向。就医决策延迟是指从症状发生至到达首诊医院的过程中决定寻求医疗帮助的延迟[5]。卵巢储备功能减退病人就医决策的延迟会使疾病发展至早发性卵巢功能不全、卵巢功能早衰，甚至导致生殖功能完全丧失，造成卵巢功能不可逆性损伤[6]。因此，尽早识别卵巢储备功能减退病人的就医决策延迟情况及其影响因素，对其维持生育能力、提高治疗效果和生活水平至关重要。目前国内外对就医决策延迟的研究大多聚焦于癌症和脑血管疾病病人，针对卵巢储备功能减退病人就医决策延迟的研究有待进一步探索[7]。计划行为理论（theory of plan behavior，TPB）包括行为态度、主观规范、知觉行为控制、行为意向和行为5个部分。本研究基于该理论系统地探究卵巢储备功能减退病人就医决策延迟的影响因素，通过该行为意向推测就医行为状况。
1　对象与方法
收起
1.1　对象
采用便利抽样和滚雪球抽样法，选取2024年6月—2025年3月辽宁省3所医院的卵巢储备功能减退病人和线上招募的卵巢储备功能减退病人作为研究对象。纳入标准：年龄19~40岁[8]；符合卵巢储备功能减退的诊断标准[9]；能理解并回答调查员所提问内容。排除标准：已确诊其他原因导致的不孕症；患有恶性原发病、先天性生殖系统发育不全、后天其他疾病引起的储备功能减退。样本量以总变量数的5~10倍为标准，本研究总变量为21个，即所需样本量为105~210例，考虑20%的问卷丢失和无效率，计算得出所需样本量至少126例。本研究已获得锦州医科大学伦理审查委员会批准（编号：JZMULL2025030）。
1.2　研究工具
1.2.1　一般资料调查表
一般资料调查表由研究者参考相关文献提取与本研究有关的变量[10]制定，包括年龄、文化程度、婚姻状况、独生子女状况、职业、居住方式、居住地、首发症状、医疗付费方式、慢性病史。
1.2.2　中文版就医决策感知障碍评估量表（Chinese-Perceived Barriers to Health-care Seeking Decision，PBHSD-C）
PBHSD由Al-Hassan等[11]编制，Li等[12]汉化修订为单维度10个条目的PBHSD-C，包括就医耗时多、就医不便、担心诊疗检查过程尴尬、就诊不适、担心痛苦的治疗、就医增加家庭压力、就医会影响社交活动、就医与工作时间冲突、就医影响日常习惯、就医前咨询家人意见。各条目从“完全不同意”到“完全同意”分别计1~6分，总分10~60分，得分越高说明自身感知采取就医行为的决策障碍越大。本研究该量表Cronbach's α系数为0.839。
1.2.3　疾病不确定感量表（Mishel Uncertainty in Illness Scale for Adults，MUIS-A）
MUIS-A由Mishel[13]编制，许淑莲等[14]汉化修订形成中文版MUIS-A。包括不明确性、复杂性、信息缺乏性、不可预测性4个维度，共33个条目。从“非常不同意”到“非常同意”分别赋值1~5分，条目15得分不计入总分。总分为32~160分，总分越高，表明病人表现出的不确定感越强烈，得分32.0~74.7分代表低水平，74.8~117.4分代表中水平，117.5~160.0分代表高水平。本研究该量表Cronbach's α系数为0.906。
1.2.4　领悟社会支持量表（Perceived Social Support Scale，PSSS）
PSSS由Zimet等[15]编制，姜乾金[16]汉化修订形成中文版。包括家庭支持、朋友支持和其他支持3个维度，共12个条目。采用Likert 7级评分法，总分为12~84分，总分越高表示个体感受到的社会支持越多。总分12~36分属于低支持状态，37~60分属于中等支持状态，61~84分属于高支持状态。本研究该量表Cronbach's α系数为0.898。
1.2.5　医学应对方式量表（Medical Coping Modes Questionnaire，MCMQ）
MCMQ由Feifel等[17]编制，沈晓红等[18]汉化修订形成中文版。该团队汉化过程中将19个条目修订为20个条目，包括面对、回避和屈服3个维度，采用Likert 4级计分法。各维度得分越高，表示个体越倾向于该应对方式。本研究中量表3个维度的Cronbach's α系数分别为0.908，0.914，0.864。
1.3　资料收集方法
开展正式调查前对调查员进行统一培训，使用一致的调查用语和调查方式。组织门诊就诊后的病人进行问卷填写时，在被调查者送检样品期间进行问卷填写。在线上咨询和电话咨询时，通过沟通选择合适的时间，在不打扰对方生活和工作的前提下完整填写问卷。共发放问卷300份，回收问卷295份，剔除填写不合格问卷12份，有效问卷283份，有效回收率为94.33%。
1.4　统计学方法
所有数据双人核对并录入Excel软件，采用SPSS 27.0软件进行统计分析。符合正态分布的定量资料以均数±标准差（x±s）表示，采用t检验或方差分析；定性资料用例数、百分比（%）表示，采用χ2检验。采用Pearson相关性分析探讨各变量间的相关性，影响因素分析采用多元线性回归分析。以P<0.05为差异有统计学意义。
2　结果
收起
2.1　卵巢储备功能减退病人就医决策延迟影响因素的单因素分析
283例卵巢储备功能减退病人年龄（31.75±4.31）岁。PBHSD-C得分为（34.50±11.67）分，MUIS-A得分为（90.54±26.90）分，PSSS得分为（45.70±16.45）分，面对维度得分为（18.18±8.00）分，回避维度得分为（20.57±6.76）分，屈服维度得分为（12.68±4.84）分。卵巢储备功能减退病人就医决策延迟影响因素的单因素分析见表1。
2.2　卵巢储备功能减退病人PBHSD-C、MUIS-A、PSSS及应对方式得分的相关性（见表2）
2.3　卵巢储备功能减退病人就医决策延迟影响因素的多因素分析
为进一步探讨卵巢储备功能减退病人就医决策延迟的影响因素，将单因素分析及相关性分析中有统计学意义的变量作为自变量，以PBHSD-C总分作为因变量，进行多元线性回归分析，变量进入标准为α=0.05，剔除标准为α=0.10。变量赋值情况见表3。自变量的共线性检验显示方差膨胀因子均小于5，自变量间不存在多重共线性（VIF），多因素分析结果见表4。
3　讨论
收起
3.1　卵巢储备功能减退病人就医决策延迟现状
本研究结果显示，育龄期卵巢储备功能减退病人PBHSD-C总分为（34.50±11.67）分，高于林静静[19]对心肌梗死病人的调查结果。在病因方面，卵巢储备功能减退病人卵巢功能的变化并不一定总是与生理年龄保持一致，个体差异、环境、饮食等多因素作用都会对其产生影响，导致育龄女性易忽视疾病提前出现的可能性[20]。在临床表现方面，卵巢储备功能减退初期月经改变或低雌激素症状不明显，病人可能还尚存月经稀发和自然排卵行为，身体轻微的变化易被病人忽视而延迟决策。在疾病治疗方面，病人往往高估了医疗辅助生殖技术的成功率，致使夫妻双方推迟生育计划、咨询生育门诊延迟[21]。社交媒体对疾病年轻化的高频传播，叠加个人习惯的联想（如熬夜、饮食不规律后的自责），使其对医院的认知转变为“自我健康否定”的象征而犹豫就医决策[22]。另一方面，对医院医疗流程的陌生，例如医院挂号、付费、检查等流程，进一步阻碍了就医决定[23]。因此，相关卫生保健部门应加强对女性生殖健康的关注，早期识别易延迟就医群体并进行适当的干预，可采取加强健康指导、针对女性组织生殖健康筛查等。此外，医院应当进一步强化对病人的全流程指引工作。可通过在门诊大厅设置清晰醒目的导诊标识、安排专业的导医人员进行现场答疑等方式，确保病人能够快速明确就医方向与步骤。
3.2　育龄期卵巢储备功能减退病人就医决策延迟的影响因素
3.2.1　一般人口学资料
本研究结果显示，文化程度是育龄期卵巢储备功能减退病人发生就医决策延迟的影响因素（P<0.05），与Passet-Wittig等[24]研究结果一致。接受过高等教育的个体往往具备更系统的知识储备与学习能力，这使得他们能够通过多途径获取并理解专业的健康知识，进而形成全面的健康素养体系。当身体出现异常改变时，病人会根据积累的健康知识判断症状的风险，从而产生更强的自主就医意识。例如，在察觉到月经规律轻微改变时，文化程度高的病人会联系到生殖系统肿瘤或内分泌失调的可能性，进而主动寻求专业医疗诊断。因此，卫生部门需全面关注不同教育程度女性的生殖健康需求。病人居住地影响病人就医决策延迟的发生情况（P<0.05），居住于农村的病人就医决策延迟倾向更严重。从内在环境来看，农村地区权威的医疗机构相对较少，部分居民前往县级医院可能需数小时，往返交通的时间与经济成本让部分群体就医延迟。从外在环境来看，小型医疗机构由于医疗水平受限，无法对早期的症状进行正确识别，进而误导了就医的决策[25]。因此，社会应加大对偏远地区女性的生殖健康宣传力度，为其提供更加便捷和优质的医疗服务。
3.2.2　疾病不确定感
本研究结果显示，MUIS-A得分越高的育龄期卵巢储备功能减退病人就医决策延迟得分越高（P<0.05）。疾病不确定感是指无法对疾病引起的相关刺激构成进行归纳时，产生的一种不确定感，可将其用来解释慢性疾病的持续不确定感。卵巢储备功能减退病人对该病的性质、严重程度及预后等方面存在不解，这种认知层面的模糊会影响其就医决策的时效性[26]。具体而言，卵巢储备功能减退病人的身体变化微弱且未危及生命，易陷入反复犹豫的心理状态。更倾向于采取观望等待的应对策略，导致在症状出现后需要更长时间的自我观察或家庭内部讨论，进而从症状感知到决定就医之间的时间间隔延长。因此，医院和医务工作者应增加对女性生殖健康需求的关注，从认知上降低疾病不确定性对就医决策的影响，如加强面向女性群体的妇科健康知识普及工作。通过媒体宣传、医疗机构公益活动等多渠道，将生殖系统疾病的预防知识、症状识别要点、规范诊疗流程等内容传递给女性。
3.2.3　领悟社会支持
本研究结果显示，PSSS得分越高，育龄期卵巢储备功能减退病人就医决策延迟得分越低（P<0.05）。与Zhang等[7]研究结果一致，病人做出积极的求医决定与家庭和社会支持有一定的关联。领悟社会支持是个体在与亲友、同事和医务人员等社会关系的互动中，所能感知到的精神慰藉或物质援助，以及自身对这些外部支持的可利用程度与接纳度。当卵巢储备功能减退病人处于家人的耐心劝说、朋友的积极鼓励等正向引导环境中时，这种外部的情感激励往往能有效促使其主动寻求治疗的内在决策。相反，对于领悟社会支持较低的卵巢储备功能减退病人而言，病人因缺乏外界有效的心理疏导与情感支持，容易在面对疾病时产生孤独、焦虑、抑郁等负面情绪，进而形成消极应对疾病的心态或逃避正视病情，最终在这种负面心理状态的影响下，进一步延迟甚至放弃就医行为[27]。因此，社会可针对性为女性群体建立专业化的生殖医学帮助中心，为女性提供情绪疏导等服务，帮助她们在面对疾病时建立积极心态。
3.2.4　医学应对方式
本研究结果显示，医学应对方式是育龄期卵巢储备功能减退病人就医决策延迟的影响因素（P<0.05）。医学应对方式是指病人面对疾病时所采取的态度和解决方式。积极应对表现为主动关注症状并及时寻求医疗帮助，消极应对则体现为刻意忽视症状、回避疾病存在的现实。病人主动面对疾病症状、积极寻求解决办法的态度程度与就医决策延迟呈负相关；病人刻意回避症状信息、拒绝思考疾病可能性程度与就医决策延迟呈正相关；被动接受症状存在、放弃主动干预的心态程度与就医延迟呈正相关[28]。由于卵巢储备功能减退疾病的小众性，易导致病人凭自身经验误判症状，如将经量减少归为劳累或情绪波动等，可能会采取被动观望、拒绝面对的态度，最终延误就医。存在回避或屈服倾向的病人，会下意识对症状进行合理化解读，如将异常身体变化判定为非典型的正常现象，或自我否认病情认为只是阶段性的异常，这种心理会进一步削弱其主动就医的动力。因此，护理人员在宣教时应用通俗语言解释卵巢储备功能减退的症状及生物学基础，避免因未知产生回避心理。应纠正认知误区，增强病人主动面对的动力。运用现代医学对卵巢储备功能减退的干预手段（如生活方式调整、药物治疗、辅助生殖技术等），减少因觉得无药可医而产生的屈服心态。
4　小结
收起
本研究显示，卵巢储备功能减退病人就医决策延迟处于中等水平，文化程度、居住地、疾病不确定感、领悟社会支持、医学应对方式是卵巢储备功能减退病人发生就医决策延迟的影响因素。建议医疗卫生部门应从加强女性生殖健康保健、加大基层妇儿机构建设、优化医疗保险制度、提高诊疗水平等方面加以改进。本研究采用了横断面设计和自我报告方式收集数据，这在一定程度上限制了对变量之间因果关系的深入理解。未来的研究可以考虑使用纵向研究探讨卵巢储备功能减退病人就医决策延迟水平如何随着时间的推移而演变。

文献
收起
参考文献 引证文献
排序方式：
1
CHRISTODOULAKI A,BOEL A,TANG M X,et al.Prospects of germline nuclear transfer in women with diminished ovarian reserve[J].Frontiers in Endocrinology,2021,12:635370.
2
DEVINE K,MUMFORD S L,WU M E,et al.Diminished ovarian reserve in the United States assisted reproductive technology population:diagnostic trends among 181 536 cycles from the Society for Assisted Reproductive Technology Clinic Outcomes Reporting System[J].Fertility and Sterility,2015,104(3):612-619.
3
SCOTT R T,LEONARDI M R,HOFMANN G E,et al.A prospective evaluation of clomiphene citrate challenge test screening of the general infertility population[J].Obstetrics and Gynecology,1993,82(4Pt 1):539-544.
4
ZHANG X Y,ZHANG N,DONG Z B,et al.The role of Chinese herbal medicine in diminished ovarian reserve management[J].Journal of Ovarian Research,2025,18(1):90.
5
TORTI R A,WINSHIP T.Culpability for delay in the treatment of breast cancer[J].The Medical Annals of the District of Columbia,1963,32:132-133.
6
JAILLARD S,SREENIVASAN R,BEAUMONT M,et al.Analysis of NR5A1 in 142 patients with premature ovarian insufficiency,diminished ovarian reserve,or unexplained infertility[J].Maturitas,2020,131:78-86.
7
ZHANG B Y,SUN Q X,LV Y M,et al.Influencing factors for decision-making delay in seeking medical care among acute ischemic stroke patients in rural areas[J].Patient Education and Counseling,2023,108:107614.
8
LEW R.Natural history of ovarian function including assessment of ovarian reserve and premature ovarian failure[J].Best Practice & Research Clinical Obstetrics & Gynaecology,2019,55:2-13.
9
卵巢储备功能减退临床诊治专家共识专家组,中华预防医学会生育力保护分会生殖内分泌生育保护学组.卵巢储备功能减退临床诊治专家共识[J].生殖医学杂志,2022,31(4):425-434.
10
AIYU Z,CUIYU L,DONGMEI W,et al.Analysis on the status quo and influencing factors of medical treatment delay in infertility patients undergoing IVF-ET[J].Journal of International Reproductive Health/Family Planning,2024,43(3):190-194.
11
AL-HASSAN M A,OMRAN S M.The effects of health beliefs on health care-seeking decisions of Jordanian patients with myocardial infarction symptoms[J].International Journal of Nursing Practice,2005,11(1):13-20.
12
LI P W C,LEE D T F,YU D S F.Psychometric evaluation of the Perceived Barriers to Health Care-seeking Decision in Chinese patients with acute coronary syndromes[J].Heart & Lung,2014,43(2):140-145.
13
MISHEL M H.Uncertainty in illness[J].Image:the Journal of Nursing Scholarship,1988,20(4):225-232.
14
许淑莲,黄秀梨.Mishel疾病不确定感量表之中文版测试[J].护理研究,1996,4(1):59-68.
15
ZIMET G D,DAHLEM N W,ZIMET S G,et al.The Multidimensional Scale of Perceived Social Support[J].Journal of Personality Assessment,1988,52(1):30-41.
16
姜乾金.领悟社会支持量表[J].中国行为医学科学,2001,10(特刊):41-42.
17
FEIFEL H,STRACK S,NAGY V T.Coping strategies and associated features of medically ill patients[J].Psychosomatic Medicine,1987,49(6):616-625.
18
沈晓红,姜乾金.医学应对方式问卷中文版701例测试报告[J].中国行为医学科学,2000(1):18-20.
19
林静静.基于计划行为理论和知信行模式的急性心肌梗死患者就医决策延迟影响因素研究[D].南昌:南昌大学,2020.
20
DI-BATTISTA A,MOYSÉS-OLIVEIRA M,MELARAGNO M I.Genetics of premature ovarian insufficiency and the association with X-autosome translocations[J].Reproduction,2020,160(4):R55-R64.
21
DELBAERE I,PITSILLOS T,TYDÉN T,et al.Fertility awareness and parenthood intentions among medical students in three European countries[J].The European Journal of Contraception & Reproductive Health Care,2021,26(4):312-322.
22
KALLIO M.Information on headache for brain tumor patients on internet-guiding or misleading?[J].Neuro-Oncology,2020,22(Suppl 2):ii181.
23
ZENG Y B,XU W Q,CHEN L L,et al.The influencing factors of health-seeking preference and community health service utilization among patients in primary care reform in Xiamen,China[J].Patient Preference and Adherence,2020,14:653-662.
24
PASSET-WITTIG J,GREIL A L.Factors associated with medical help-seeking for infertility in developed countries:a narrative review of recent literature[J].Social Science & Medicine,2021,277:113782.
25
MORSHED-BEHBAHANI B,LAMYIAN M,JOULAEI H,et al.Infertility policy analysis:a comparative study of selected lower middle- middle- and high-income countries[J].Globalization and Health,2020,16(1):104.
26
OROM H,BIDDLE C,WATERS E A,et al.Causes and consequences of uncertainty about illness risk perceptions[J].Journal of Health Psychology,2020,25(8):1030-1042.
27
REISINGER M W,MOSS M,CLARK B J.Is lack of social support associated with a delay in seeking medical care?A cross-sectional study of Minnesota and Tennessee residents using data from the behavioral risk factor surveillance system[J].BMJ Open,2018,8(7):e018139.
28
蔡方方,黄志红,张娟,等.D型人格和应对方式对急性心肌梗死患者就医决策延迟的影响[J].中国急救医学,2023,43(3):197-201.
2026年第40卷第4期
16
6
引用本文
BibTeX
文章信息
doi: 10.12102/j.issn.1009-6493.2026.04.018
  • 接收时间：2025-07-30
  • 首发时间：2026-10-28
  • 出版时间：2026-02-25
补充材料
相关文章
文章信息
作者
出版历史
  • 收稿日期：2025-07-30
  • 修回日期：2026-02-01
基金
作者信息
    1锦州医科大学护理学院，辽宁 121001

通讯作者:

王红霞，E-mail：
WANG Hongxia，E-mail：
参考文献
分享链接
https://castjournals.cast.org.cn/joweb/hlyj/CN/10.12102/j.issn.1009-6493.2026.04.018
分享至
全文二维码

扫描看全文

引用本文
BibTeX
本文的引用情况
2种不同金属材料的力学参数
科
Family		 属数
Number of
genus		 种数
Number of
species		 占总种数比例
Percentage of
total species (%)		 属
Genus		 种数
Number of
species		 占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
关闭全屏
相关链接
论文
最新文章
热读文章
热点专题
内参
蓝皮书
产业发展报告
传播力报告
期刊分级目录
资讯
学术新闻
行业新闻
学术会议
行业会议
关于
关于我们
联系我们
北京市海淀区学院南路86号
100081
010-62662699（运营及技术支持）
qkjq@cast.org.cn

中国科学技术协会版权所有 京ICP 备10216604号-4 海淀分局备案 1101084647
科技导报社主办 中国科协信息中心技术支持