期刊文献+

男性不育症患者心理健康状况 自尊 社会支持及婚姻满意度调查 被引量:6

Investigation on mental health status, self-esteem, social support and marital satisfaction of male infertile patients
下载PDF
导出
摘要 目的调查男性不育症患者的心理健康状况、自尊、社会支持及婚姻满意度。方法对295例男性不育症患者(不育组)及孕前体检的120名健康男性(对照组)进行问卷调查。比较两组心理健康状况(症状自评量表)、生育压力(生育压力问卷)、社会支持(社会支持评定量表)、自尊(自尊量表)、婚姻满意度(Olson婚姻质量调查问卷中婚姻满意度分量表)差异。将不育症患者根据症状自评量表评分分为有无心理症状患者,比较其精子密度、生育压力、社会支持、自尊及婚姻满意度,并分析不育症患者心理健康状况、精子密度、生育压力、社会支持、自尊、婚姻满意度间的关系。结果不育组症状自评量表总分及躯体化、强迫、人际敏感、抑郁、焦虑、敌对、恐怖、偏执、精神病性、其他因子评分和生育压力问卷评分均显著高于对照组(P<0.01),社会支持评定量表、自尊量表、婚姻满意度评分均显著低于对照组(P<0.01)。286例男性不育症患者中有心理症状79例(27.6%),无心理症状207例(72.4%),有心理症状不育症患者精子密度、社会支持评定量表、自尊量表及婚姻满意度评分均显著低于无心理症状不育症患者(P<0.01),生育压力问卷评分显著高于无心理症状不育症患者(P<0.01)。Pearson相关分析显示,男性不育症患者症状自评量表评分与精子密度及社会支持评定量表、自尊量表、婚姻满意度评分呈显著负相关(P<0.01),与生育压力问卷评分呈显著正相关(P<0.01);精子密度与社会支持评定量表、自尊量表、婚姻满意度评分呈显著正相关(P<0.01),与生育压力问卷评分呈显著负相关(P<0.01);生育压力问卷评分与社会支持评定量表、自尊量表、婚姻满意度评分均呈显著负相关(P<0.01),社会支持评定量表、自尊量表、婚姻满意度评分间相互呈显著正相关(P<0.01)。结论男性不育症患者心理健康状况不容乐观,与精子密度、生育压力、社会支持、自尊及婚姻满意度有关,临床可针对上述因素制定护理对策,提高其心理健康水平。 Objective To explore the mental health status,self-esteem,social support and marital satisfaction of male infertile patients.Methods A questionnaire survey was conducted on 295 male infertile patients(infertility group)and 120 healthy males with pre-pregnancy check-up(control group).The differences of mental health status[self-reporting inventory(SCL-90)],fertility stress[fertility pressure questionnaire(FPI)],social support[social support rating scale(SSRS)],self-esteem[self-esteem scale(SES)]and marital satisfaction(marital satisfaction subscale in Olson quality of marriage questionnaire)were compared between the two groups.Infertile patients were divided into patients with or without psychological symptoms according to SCL-90 score.The sperm density,fertility pressure,social support,self-esteem and marital satisfaction were compared,and the correlation among mental health status,sperm density,fertility pressure,social support,self-esteem and marital satisfaction was analyzed in male patients with infertility.Results The total score of SCL-90 and the scores of somatization,compulsion,interpersonal sensitivity,depression,anxiety,hostility,terror,paranoia,psychosis,other factors and FPI score in the infertility group were significantly higher than those in the control group(P<0.01).The scores of SSRS,SES and marital satisfaction were significantly lower than those in the control group(P<0.05).Among 286 male infertility patients,79 cases(27.6%)had psychological symptoms,207 cases(72.4%)had no psychological symptoms.The sperm density and scores of SSRS,SES and marital satisfaction of patients with psychological symptoms were significantly lower than those of patients without psychological symptoms(P<0.01).While the FPI score was significantly higher than that of patients without psychological symptoms(P<0.01).Pearson correlation coefficient analysis showed that the SCL-90 scores of male patients with infertility were significantly negatively correlated with sperm density and scores of SSRS,SES and marital satisfaction(P<0.01),and were significantly positively correlated with FPI score(P<0.01).Sperm density was significantly positively correlated with scores of SSRS,SES and marital satisfaction(P<0.01),and was significantly negatively correlated with FPI score(P<0.01).FPI score was significantly negatively correlated with scores of SSRS,SES and marital satisfaction scores(P<0.01),and SSRS score,SES score and marital satisfaction score were significantly positively correlated with each other(P<0.01).Conclusions The mental health status of male infertility patients is not optimistic,which is related to sperm density,fertility pressure,social support,self-esteem and marital satisfaction.Clinical nursing strategies can be formulated according to the above factors to improve their mental health level.
作者 郝睿楠 张倩 Hao Ruinan;Zhang Qian(The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,Henan,China)
出处 《临床心身疾病杂志》 CAS 2022年第4期52-57,共6页 Journal of Clinical Psychosomatic Diseases
关键词 不育症 男性 心理健康 自尊 社会支持 婚姻满意度 infertility male mental health self-esteem social support marital satisfaction
  • 相关文献

参考文献21

二级参考文献198

共引文献163

同被引文献82

引证文献6

二级引证文献7

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部