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接受体外受精-胚胎移植男性焦虑状况及影响因素分析

发布时间:2018-10-14 20:30
【摘要】:目的:了解接受体外受精-胚胎移植(IVF-ET)治疗男性的焦虑状况及其影响因素。方法:随机抽取202例接受IVF-ET治疗的男性,在治疗周期的开始日完成研究团队自行设计的问卷及焦虑自评量表(SAS)、社会支持评定量表(SSRS)、Olson婚姻质量问卷的3个分量表——婚姻满意度、夫妻交流、性生活。结果:接受IVF-ET治疗男性焦虑发生率27.2%(55/202);单因素分析显示,获得的社会支持总分(36.44±4.21 vs 38.65±4.87)、客观支持(8.36±1.18 vs 9.22±1.82)及支持利用度(6.24±1.61 vs 6.89±1.50),接受IVF-ET治疗男性焦虑组得分均低于无焦虑组(P0.01);婚姻质量3个分量表总分(96.89±9.90 vs 103.04±9.97)、夫妻交流得分(30.56±5.43 vs 32.29±4.24)和性生活得分(34.20±4.41 vs 38.03±5.27),接受IVF-ET治疗男性焦虑组得分亦均低于无焦虑组(P0.05),且住房面积、月收入、治疗不孕费用、父母及自己对IVF-ET治疗的态度、舆论压力、是否有子女者均对接受IVF-ET治疗男性焦虑发生率有显著性影响(P0.01)。多因素Logistic回归分析结果显示,接受IVF-ET治疗男性自身对治疗的态度、舆论压力、性生活对其焦虑情绪均有重要影响(P0.05)。结论:接受IVF-ET治疗男性焦虑发生率较高,且受多种因素影响,生殖中心医务人员对该类人群在治疗过程中应给予必要的心理支持和帮助。
[Abstract]:Objective: to investigate the anxiety status and its influencing factors in men treated with in vitro fertilization and embryo transfer (IVF-ET). Methods: two hundred and twenty two male patients who were treated with IVF-ET were randomly selected to complete the self-designed questionnaire and the (SAS), Social support scale (SAS),) (SSRS), Olson marital quality questionnaire, which were completed on the beginning of the treatment cycle. Couples communicate and have sex. Results: the incidence of anxiety in men treated with IVF-ET was 27.2% (55 / 202). The total scores of social support (36.44 卤4.21 vs, 38.65 卤4.87), objective support (8.36 卤1.18 vs 9.22 卤1.82) and support availability (6.24 卤1.61 vs 6.89 卤1.50) were lower in the male anxiety group treated with IVF-ET than those in the non-anxiety group (P0.01), the total score of the three subscales of marital quality was 96.89 卤9.90 vs 103.04 卤9.97, and the marital communication score was 30.56 卤5.43 vs 32.29 卤4.24) and sexual life score (34.20 卤4.41 vs 38.03 卤5.27). The scores of male anxiety group treated with IVF-ET were also lower than that of non-anxiety group (P0.05), and the housing area was also lower than that of non-anxiety group (P0.05). The monthly income, the cost of infertility treatment, the attitude of parents and themselves to IVF-ET treatment, the pressure of public opinion, and the incidence of anxiety in men treated with IVF-ET had significant effects on the incidence of anxiety (P0.01). The results of multivariate Logistic regression analysis showed that the attitude towards treatment, public opinion pressure and sex life had important effects on the anxiety of men treated with IVF-ET (P0.05). Conclusion: the incidence of anxiety in men treated with IVF-ET is high and influenced by many factors. The medical staff of reproductive center should give necessary psychological support and help to this kind of people during the course of treatment.
【作者单位】: 湖南师范大学医学院护理系;
【基金】:湖南省医药卫生科研计划项目(B2014-060)~~
【分类号】:R714.8


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