摘要
目的:研究弱精子症患者心理弹性与生育生活质量的关系。方法:采用便利抽样法选取2021年5—10月兰州大学第一医院生殖医学中心因弱精子症就诊的198例患者为调查对象,采用一般资料调查表、中文版心理弹性量表(Connor-Davidson Resilience Scale,CD-RISC)、生育生活质量量表(fertility quality of life,FertiQoL)对患者进行调查,使用SPSS 26.0软件分析研究对象的心理弹性、生育生活质量水平及其相关性。结果:198例弱精子症患者的心理弹性总分为(66.41±12.99)分,FertiQoL总分为(64.73±11.04)分。是否有亲生子女、不同的诊断为不育症的时间、不同的不育症治疗时间、不同的生育压力来源的弱精子症患者的FertiQoL得分差异有统计学意义(均P<0.05)。多重线性回归分析显示,是否有亲生子女、不同的生育压力来源是弱精子症患者FertiQoL得分的重要影响因素(均P<0.05),可解释总变异的28.8%(R^(2)=0.288,调整后R^(2)=0.269,F=15.534,P<0.05)。Pearson相关分析显示,弱精子症患者心理弹性总分与FertiQoL总分呈正相关(r=0.479,P<0.001),心理弹性水平会影响患者的生育生活质量。结论:弱精子症患者的心理弹性与生育生活质量呈正相关,且心理弹性和生育生活质量处于中等水平,应重视不育症患者的心理问题并制定相应的护理干预措施,提高不育症患者的生育生活质量。
Objective:To study the relationship between mental resilience and the reproductive quality of life in patients with asthenospermia.Methods:A total of 198 patients with asthenospermia who were admitted to our Reproductive Medicine Center from May 2021 to October 2021 were selected by convenience sampling method,General data questionnaire,Chinese version of Connor-Davidson Resilience Scale(CD-RISC)and fertility quality of life(FertiQoL)were used,and SPSS 26.0 software was used to analyze their mental resilience,reproductive quality of life and their correlation.Results:The total score of mental resilience and FertiQoL of 198 asthenospermia patients were(66.41±12.99)points and(64.73±11.04)points,respectively.There were significant differences in the FertiQoL scores of asthenospermia patients with or without biological children,different time of diagnosis of infertility,different years of treatment for infertility,or with different sources of fertility pressure(all P<0.05).Multiple linear regression analysis showed that the having biological children and different sources of fertility stress were two important factors influencing FertiQoL score in asthenospermia patients(all P<0.05),which could explain 28.8%of total variation(R^(2)=0.288,adjusted R^(2)=0.269,F=15.534,P<0.05).Pearson correlation analysis showed that the total mental resilience of asthenospermia patients was positively correlated with the total score of FertiQoL(r=0.479,P<0.001).The level of mental resilience would affect the reproductive quality of life of patients.Conclusions:The mental resilience of asthenospermia patients is positively correlated with the quality of reproductive life,and the mental resilience and the quality of reproductive life are in the middle level.We should pay attention to the psychological problems of infertility patients,and to formulate corresponding nursing interventions,so as to improve the quality of reproductive life of infertility patients.
作者
谢雷
裴梦月
杨媛
赵晴
王董慧
李帅彤
李小鹏
胡俊平
XIE Lei;PEI Meng-yue;YANG Yuan;ZHAO Qing;WANG Dong-hui;LI Shuai-tong;LI Xiao-peng;HU Jun-ping(School of Nursing,Lanzhou University,Lanzhou 730000,China;Reproductive Medicine Center,The First Hospital of Lanzhou University,Lanzhou 730000,China)
出处
《国际生殖健康／计划生育杂志》
CAS
2022年第2期106-109,共4页
Journal of International Reproductive Health/Family Planning
关键词
不育
男(雄)性
弱精子症
生活质量
心理弹性
生育生活质量
Infertility,male
Asthenozoospermia
Quality of life
Mental resilience
Fertility quality of life
