论文部分内容阅读
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(P<0.01);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(P<0.05),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(P<0.01)。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(P<0.05)。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。
Objective: To understand the anxiety status and its influencing factors in men undergoing IVF-ET (IVF-ET). Methods: A total of 202 men who were treated with IVF-ET were randomly selected. The self-designed questionnaire and self-rating anxiety scale (SAS), social support rating scale (SSRS), Olson Marital Quality Questionnaire The three subscales - marital satisfaction, marital exchange, sexual life. Results: The incidence of anxiety in male patients receiving IVF-ET was 27.2% (55/202). Univariate analysis showed that the total score of social support was 36.44 ± 4.21 vs 38.65 ± 4.87 and objective support was (8.36 ± 1.18 vs 9.22 ± 1.82 ) And supportive utilization (6.24 ± 1.61 vs 6.89 ± 1.50). The score of male anxiety group receiving IVF-ET was lower than that of non-anxiety group (P <0.01). The three subscales of marital quality score (96.89 ± 9.90 vs 103.04 ± 9.97), scores of intercourse between husband and wife (30.56 ± 5.43 vs 32.29 ± 4.24) and sex life (34.20 ± 4.41 vs 38.03 ± 5.27), male anxiety group receiving IVF-ET also lower than those without anxiety (P <0.05) ), And the housing area, monthly income, the cost of infertility treatment, parents and their own attitude towards IVF-ET treatment, public opinion pressure, and whether or not children have significant effects on the incidence of anxiety in men receiving IVF-ET treatment (P < 0.01). Multivariate logistic regression analysis showed that men treated with IVF-ET had significant influence on anxiety (P <0.05). Conclusion: The incidence of anxiety in male patients receiving IVF-ET is high, and influenced by many factors. The medical staff of reproductive center should give necessary psychological support and help to such people in the course of treatment.