摘要
目的:探讨接受体外受精-胚胎移植(IVF-ET)治疗的男性其发生焦虑、抑郁情绪情况以及治疗结局的影响因素。方法:随机抽取200名接受IVF-ET治疗的男性患者,在治疗周期的第1日完成自行设计的问卷,焦虑自评量表(SAS)、抑郁自评量表(SDS)、Olson-婚姻质量问卷的3个分量表,了解婚姻满意度,夫妻交流,性生活情况。结果:接受IVF-ET男性抑郁发生率达49%,焦虑发生率达27%;焦虑、抑郁得分较高者IVF妊娠失败比例较高(P<0.001);婚姻满意度、夫妻交流、性生活得分值较低的患者IVF妊娠失败比例较高(P<0.001);Logistic回归分析结果显示,人均住房面积、父母对IVF治疗态度、舆论影响、婚姻满意度、抑郁情绪与治疗结局相关。结论:焦虑和抑郁情绪普遍存在于接受IVF-ET治疗的男性患者中,且与妊娠结局有关。因此,不孕生殖中心医务人员对接受IVF-ET治疗的男性在治疗过程中进行心理支持尤为重要。
Objective： To explore the prevalence of anxiety and depression of men undergoing in vitro fertilization and embryo transfer（IVF-ET） and influencing factors of IVF-ET treatment. Methods： A total of 200 men for IVF treatments were invited to join this study by randomize sampling method. All men completed Self-Designedquestionnaire, Self-Rating Anxiety Scale（SAS）, Self-Rating Depression Scale（SDS）, Olson Marital inventory（three subscales） at the first day of IVF treatment cycle. Results： The overall prevalence of depression was 49% and anxiety was 27% for men undergoing IVF treatment. The findings showed that higher men＇s depression and anxiety scores correlated with IVF failure（P〈0.001） at first day of IVF treatment cycle; lower scores of ＂satisfaction of marriage＂, ＂communication between husband and wife＂and ＂sexual relationship＂ correlated with IVF failure（P〈0.001）. The results from the Logistic regression analysis indicated that attitude toward IVF treatment, influence on public opinion, marital satisfaction and depression were correlated with treatment outcome（P〈0.001）. Conclusion： In a sample of men undergoing IVF treatment, depression and anxiety commonly exist. Greater psychological pressure negatively correlated with pregnancy outcome. Therefore, this study suggests that for medical worker of reproductive infertility center, it is important to provide psychological intervention and support to male patients when IVF treatment is being received.
出处
《生殖与避孕》
CAS
CSCD
北大核心
2015年第10期703-708,共6页
Reproduction and Contraception
基金
湖南省医药卫生科研计划项目(No.B2014-060)
