家庭尊严干预对男性不育患者及配偶的影响

Effects of family dignity intervention on male infertility patients and their spouses

目的:探讨家庭尊严干预对男性不育患者及配偶在焦虑抑郁、希望水平及生活质量的影响。方法:选取2022年6月至12月在青岛市妇女儿童医院生殖医学中心进行人类辅助生殖技术助孕的男性不育患者(无精子症和极度少弱精子症)及其配偶,应用类实验研究法将其分为干预组(38对)和对照组(40对)。干预组实施促排周期评估、家庭分享、移植前访谈和移植后随访4个阶段的家庭尊严干预,对照组实施常规护理。进周期促排前、移植后采用医院焦虑抑郁量表、Herth希望指数量表及生育生活质量量表进行评价。结果:经过家庭尊严干预后,干预组夫妇双方焦虑抑郁得分明显低于对照组(P<0.05);干预组希望水平总分及各维度评分均高于对照组(P<0.05),增加ART治疗的自信心;干预组生活质量的身体健康、心理健康、精神健康维度评分均高于对照组(P<0.05)。结论:家庭尊严干预可有效缓解男性不育患者及配偶者焦虑抑郁,提高夫妇双方的希望水平,改善他们的生活质量。

Objective:To investigate the effects of family dignity intervention(FDI)on anxiety,depression,hope level and quality of life(QOL)of male infertility patients and their spouses.Methods:Using quasi-experimental design,we selected male infertility patients and their spouses undergoing human-assisted reproductive technology(ART)in our Center of Reproductive Medicine from June to December 2022 and divided them into an intervention group(38 couples)and a control group(40 couples).The former underwent a four-stage FDI,including ovulation promotion cycle assessment,family sharing,pre-transplantation interview and post-transplantation follow-up,while the latter received routine nursing.Using Hospital Anxiety and Depression Scale,Herth Hope Index and Fertility Quality of Life Scale,we evaluated the effects of FDI before and after transplantation.Results:After FDI,the anxiety and depression scores were significantly lower(P<0.05)and the total scores on the hope level and all other dimensions remarkably higher in the intervention group than in the control(P<0.05).The self-confidence of the couples in the intervention groups in ART treatment was markedly increased in comparison with that of the controls,and their scores on physical and mental health were significantly higher than those of the latter(P<0.05).Conclusion:FDI can effectively relieve the anxiety and depression,raise the hope level and improve the quality of life of both male infertility patients and their spouses.