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Objective:To preliminarily develop a fertility motivation scale for infertile women (FMS-IW) and test its reliability and validity.Methods:The FMS-IW was developed according to the theory of self-determination and Maslow's hierarchy of needs, and the original item pool was established through clinical psychological counseling practice experience, literature review, consulting clinical psychotherapists, interviewing with infertile women and open-ended questionnaires. The original scale was constructed on item analysis and exploratory factor analysis in 257 infertile women. The formal version of FMS-IW was further adapted by Delphi method and tested in another 392 women to conduct confirmatory factor analysis and reliability test. Furthermore, 56 participants of 392 women were randomly retested with FMS-IW after two weeks.SPSS 25.0 and Amos 24.0 software were used for Spearman analysis, exploratory factor analysis and confirmatory factor analysis.Results:Exploratory factor analysis showed that the FMS-IW was composed of 16 items consisting of two factors: autonomous fertility motivation and controlled fertility motivation. The cumulative variance contribution rate was 64.18%. Confirmatory factor analysis showed that the model fitted well ( χ2/ df=3.292, RMSEA=0.077, SRMR=0.055, GFI=0.902, AGFI=0.871, IFI=0.938, CFI=0.938, TLI=0.928). The Cronbach's α coefficient of the FMS-IW was 0.908. The Cronbach's α coefficient for autonomous and controlled fertility motivation was 0.911 and 0.928, respectively. The parity split-half coefficient of the formal version of FMS-IW was 0.870. The test-retest reliability of the formal version of FMS-IW was 0.823. Conclusion:The FMS-IW has good reliability and validity, and can be used as an effective tool to measure fertility motivation in infertile women.
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Objective:To investigate the infuencing factors of fertility motivation in patients with chronic kidney disease (CKD).Methods:The 21 female patients with CKD in the Eastern Theater General Hospital from November 2019 to November 2020 were selected by objective sampling method. The data were collected by semi-structured interview, recording and writing on-site notes, and the subjects were extracted by Strass and Corbin′s grounded theory data analysis method.Results:The core category is "the formation of patients′ reproductive motivation". A theoretical model including four main categories of patient characteristics, disease coping style, subjective norms and perceived behavioral control was constructed. Patients′ characteristics are dynamic factors, subjective norms are situational factors, perceptual behavior control is protective factors, and patients′ disease coping style is regulatory factors.Conclusion:This study explored the influencing factors of fertility motivation in CKD patients from the perspective of patients, aiming to provide theoretical basis for the formulation and implementation of intervention measures.