非梗阻性无精子症患者的生育生活质量及影响因素调查

Fertility quality of life and the influencing factors in men with non-obstructive azoospermia

目的了解非梗阻性无精子症患者的生育生活质量现状及其影响因素。方法选取生殖中心就诊的311例非梗阻性无精子症患者,采用一般情况问卷、简明中文版生育生活质量量表及社会支持评定量表进行横断面问卷调查。结果非梗阻性无精子症患者生育生活质量得分为(65.55±13.52)分。回归分析显示,不育年限、家庭年收入、接受辅助生殖技术治疗次数和社会支持为非梗阻性无精子症患者生育生活质量的影响因素,可解释总变异的35.4%。结论非梗阻性无精子症患者生育生活质量较低,医护人员应重点关注不育年限长、家庭收入低、接受辅助生殖技术治疗次数多及社会支持水平低者,采取针对性干预措施提高其生活质量。

Objective To describe the fertility quality of life(QoL)of men with non-obstructive azoospermia(NOA)and to explore the influencing factors.Methods The sample consisted of 311 men with NOA who were under treatment in the infertility center.A general information questionnaire,the Chinese version of the Fertility Quality of Life(FertiQoL)and Social Support Rating Scale(SSRS)were used to analyze the fertility QoL and related factors of NOA patients.Results The total FertiQol score of NOA patients was 65.55±13.52.The results of multivariate regression analysis showed that years of infertility,annual household income,the number of assisted reproductive treatment cycles and social support were the main factors that influenced the fertility QoL of NOA patients,explaining 35.4%of the total variance.Conclusion NOA patients′fertility QoL is relatively poor.Medical staff should pay attention to those with long years of infertility,low family income,more assisted reproductive treatment cycles and low social support,and take corresponding interventions to improve their QoL.