情绪护理在男性不育症穿刺取精患者中的应用及焦虑、抑郁发生的危险因素分析

Application of Emotional Care and Risk Factors for Anxiety and Depression in Male Infertility Patients Undergoing Puncture and Sperm Aspiration

目的探讨情绪护理在男性不育症穿刺取精患者中的应用效果及焦虑、抑郁发生的危险因素。方法将116例男性不育症穿刺取精患者按照随机数字表法分为A组和B组,每组58例。A组采用常规护理,B组在A组的常规护理基础上采用情绪护理。比较2组焦虑、抑郁的评分,并对焦虑、抑郁发生的危险因素进行分析。结果B组焦虑、抑郁评分均低于A组(均P<0.05)。多因素Logistic回归分析结果显示,婚后不育病程为4年以上(OR=2.390,95%CI0.014~0.347,P<0.05)、月收入为2000元以下(OR=1.340,95%CI0.043~0.502,P<0.05)和文化程度为大学本科及以上(OR=2.870,95%CI0.312~0.673,P<0.05)均为焦虑、抑郁发生的危险因素。结论男性不育症穿刺取精患者会出现焦虑、抑郁情绪,其焦虑、抑郁情绪受多种因素影响。但通过情绪护理可明显改善患者的焦虑、抑郁的症状,从而提高临床治疗效果。

Objective To investigate the efficacy of emotional care and the risk factors for anxiety and depression in male infertility patients undergoing puncture and sperm aspiration. Methods A total of 116 male infertility patients undergoing puncture and sperm aspiration were randomly given routine nursing care alone(group A, n =58) or in combination with emotional care(group B, n =58).The scores of anxiety and depression were compared between the two groups.In addition,the risk factors for anxiety and depression were analyzed. Results The scores of anxiety and depression in group B were lower than those in group A( P <0.05).Multivariate logistic regression analysis showed that infertility duration of 4 years( OR =2.390,95% CI 0.014-0.347, P < 0.05 ),monthly income below 2000 yuan( OR =1.340,95% CI 0.043-0.502, P <0.05) and bachelor’s degree or above( OR =2.870,95% CI 0.312-0.673, P <0.05) were the risk factors for anxiety and depression. Conclusion Male infertility patients undergoing puncture and sperm aspiration may have anxiety and depression,which are affected by multiple factors.However,emotional care can improve the symptoms of anxiety and depression to thereby improving clinical results with treatment.