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接受體外受精-胚胎移植男性焦慮狀況及影響因素分析

發(fā)布時(shí)間:2018-10-14 20:30
【摘要】:目的:了解接受體外受精-胚胎移植(IVF-ET)治療男性的焦慮狀況及其影響因素。方法:隨機(jī)抽取202例接受IVF-ET治療的男性,在治療周期的開始日完成研究團(tuán)隊(duì)自行設(shè)計(jì)的問(wèn)卷及焦慮自評(píng)量表(SAS)、社會(huì)支持評(píng)定量表(SSRS)、Olson婚姻質(zhì)量問(wèn)卷的3個(gè)分量表——婚姻滿意度、夫妻交流、性生活。結(jié)果:接受IVF-ET治療男性焦慮發(fā)生率27.2%(55/202);單因素分析顯示,獲得的社會(huì)支持總分(36.44±4.21 vs 38.65±4.87)、客觀支持(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治療男性焦慮組得分均低于無(wú)焦慮組(P0.01);婚姻質(zhì)量3個(gè)分量表總分(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治療男性焦慮組得分亦均低于無(wú)焦慮組(P0.05),且住房面積、月收入、治療不孕費(fèi)用、父母及自己對(duì)IVF-ET治療的態(tài)度、輿論壓力、是否有子女者均對(duì)接受IVF-ET治療男性焦慮發(fā)生率有顯著性影響(P0.01)。多因素Logistic回歸分析結(jié)果顯示,接受IVF-ET治療男性自身對(duì)治療的態(tài)度、輿論壓力、性生活對(duì)其焦慮情緒均有重要影響(P0.05)。結(jié)論:接受IVF-ET治療男性焦慮發(fā)生率較高,且受多種因素影響,生殖中心醫(yī)務(wù)人員對(duì)該類人群在治療過(guò)程中應(yīng)給予必要的心理支持和幫助。
[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 鹵4.21 vs, 38.65 鹵4.87), objective support (8.36 鹵1.18 vs 9.22 鹵1.82) and support availability (6.24 鹵1.61 vs 6.89 鹵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 鹵9.90 vs 103.04 鹵9.97, and the marital communication score was 30.56 鹵5.43 vs 32.29 鹵4.24) and sexual life score (34.20 鹵4.41 vs 38.03 鹵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.
【作者單位】: 湖南師范大學(xué)醫(yī)學(xué)院護(hù)理系;
【基金】:湖南省醫(yī)藥衛(wèi)生科研計(jì)劃項(xiàng)目(B2014-060)~~
【分類號(hào)】:R714.8
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本文編號(hào):2271565

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