反复胚胎种植失败患者的生育生活质量及相关因素

目的:探讨反复胚胎种植失败患者生育生活质量及相关因素。方法:选取江西省某三甲医院反复胚胎种植失败患者200例,采用生育生活质量量表(FertiQoL)、不孕症病耻感量表(ISS)、心理弹性量表(CD-RISC)进行调查。结果:FertiQoL总分为59.0 (25.0,88.1)分。多元逐步线性回归结果分析显示,无子女、不孕时长、ISS得分与Ferti QoL得分负向关联(β=-3.20、-2.44、-0.28),CD-RISC得分与Ferti QoL得分正向关联(β=0.24)。结论:反复胚胎种植失败患者生育生活质量与病耻感及心理弹性密切相关,病耻感水平越高、心理弹性水平越低患者生育生活质量水平越差。     

福建某监狱男性服刑人员述情障碍状况调查

目的探查福建省某监狱男性服刑人员述情障碍状况。方法采用随机抽样方法,使用多伦多述情障碍量表(TAS-20)对355名男性服刑人员进行测量。结果男性服刑人员述情障碍总均分为(54.15±8.70),其中,高述情障碍者占26.2%;男性服刑人员述情障碍得分明显高于男性大学生和正常人群体(d=0.85,0.62);在受教育程度因素上,男性服刑人员述情障碍差异显著(F=9.42,P0.001);暴力犯述情障碍得分显著高于非暴力犯(t=2.37,P0.05)。结论男性服刑人员述情障碍状况较为严重。     

576例不育男性精液质量分析

不育症是一项世界性的医学和社会学问题,亦是21世纪危害人类生殖健康的重要疾病之一.据世界卫生组织估计,全球有6千万～8千万对不育夫妇[1].近年来,我国不育症就诊人数逐年增加[2],已日益引起人们的关注.本文对1999年～2000年来我站不育门诊咨询就诊的576例不育患者的精液进行了分析.     

述情障碍对冠心病合并2型糖尿病患者应对方式及生活质量的影响

目的:探讨述情障碍对冠心病合并2型糖尿病患者应对方式及生活质量的影响。方法:对符合世界卫生组织冠心病、2型糖尿病诊断标准的70例患者,依据多伦多述情障碍量表(TAS-20)评分分为2组,总分60分为述情障碍组,50分为非述情障碍组,50~60分不做研究。述情障碍组41例,无述情障碍组29例。尔后分别进行医学应对问卷(MCMQ)、生活质量综合评定问卷(GQLI)测评,并进行比较分析。结果:述情障碍组MCMQ面对因子评分显著低于非述情障碍组(t=-8.23,P0.01),而回避、屈从因子评分则显著高于非述情障碍组(t=5.21,4.27;P0.01)。非述情障碍组GQLI总分及躯体健康、心理健康、社会功能因子分均显著高于述情障碍组,差异有统计学意义(t=3.66,3.82,3.66,2.37;P0.01);物质生活维度评分差异无统计学意义(P0.05)。患者TAS-20评分与MCMQ的面对因子评分呈显著负相关(r=-0.34,P0.01),而与MCMQ回避、屈从因子评分呈显著正相关(r=0.32,0.34;P0.01);与GQLI总分、躯体健康、心理健康及社会功能因子分呈显著负相关(r=-0.31,-0.33,-0.30;P0.01),与物质生活维度评分无相关性。结论 :冠心病合并2型糖尿病述情障碍患者多采用回避和屈服的消极应对方式,而较少采用积极应对方式;其生活质量较非述情障碍患者差。     

两种心身疾病患者的述情障碍及相关因素研究

目的：探讨心身疾病患者的述情障碍及相关因素。方法：采用多伦多述情障碍量表（TAS）,艾森克成人个性问卷（EPQ）,SIMH精神卫生自评量表（SCL－90）测查了42例原发性高血压患者,40例2型糖尿病患者,并以45例正常人作对照。结果：两组患者均有述情障碍;原发性高血压患者描述情感的能力欠缺,不易认识和区别情绪和躯体感受,多属外向型思维;2型糖尿病组除以上三方面述情障碍外,还具有缺乏纪想和想象力的特点。多元相关分析发现,原发性高血压组,个性越内倾,描述情感能力越欠缺;2型糖尿病组,个性越内倾,越难以认识和区分情绪和躯体的感受;两组情绪越不稳定,对情感的描述能力以及认识,区别情绪和躯本的感受的能力越低下。多元逐步回归分析发现,心怀敌意及情绪不稳定的个性缺陷是原发性高血压患者述情障碍的重要因素。偏执和精神质个性缺陷是2型糖尿病患者述情障碍的重要因素。结论：原发性高血压和2型糖尿病患者普遍存在述情障碍,且与个性特征及心理卫生状况有密切关系。     

神经症患者的述情障碍及相关因素研究

本文对４０例神经症患者进行了述情障碍及相关因素研究。结果发现：神经症患者较常人述情障碍明显，ＴＡＳ总分及Ⅰ、Ⅱ、Ⅳ因子分与常模比较有显著性差异；多元逐步回归分析，仅ＷＡＩＳ的作业智商与ＴＡＳ总分呈负相关，ＳＣＬ－９０的Ⅸ因子分与ＴＡＳ总分呈正相关，作用显著。其余各因素，均作用不显著。作者对有关因素进行了讨论。     

精神分裂症患者的述情障碍及影响因素研究

本文用多伦多述情障碍量表（ＴＡＳ）对８０例恢复期住院精神分裂症患者进行测评。结果表明，８０例患者的ＴＡＳ平均得分为７２．６±１１．９，ＴＡＳ得分与ＢＰＲＳ评分（ｒ＝０．２７，Ｐ＜０．０５）、ＳＡＮＳ评分（ｒ＝０．２２，Ｐ＜０．０５）、患者用药剂量（ｒ＝０．２３，Ｐ＜０．０５）和患者的妄想（ｒ＝０．２３，Ｐ＜０．０５）、思维贫乏（ｒ＝０．２４，Ｐ＜０．０５）、意志缺乏（ｒ＝０．２８，Ｐ＜０．０５）因子分呈显著正相关，与ＳＡＰＳ总分、患者的年龄、病程、住院次数和本次住院天数相关性不显著（Ｐ＞０．０５）。多元逐步回归分析揭示：与医生护士谈心的机会较少、用药剂量较大、与家人的感情交流较少和家庭和睦程度较差为患者述情障碍发生的主要影响因素。     

慢性前列腺炎患者生活质量及相关因素

目的:探讨慢性前列腺炎病人生活质量及其影响因素。方法:对在山东大学齐鲁医院连续就诊的慢性前列腺炎患者200例,采用世界卫生组织生活质量量表(WHOQOL-100)中文版进行生活质量的评估,同时抽取100名健康者进行对照研究。结果:与健康对照者相比,慢性前列腺炎患者除了在身材与相貌、行动能力、日常生活能力、环境条件4个方面得分没有差异外(P>0.05),在生活质量的6大领域、总的生存质量和健康状况及其余的20个方面得分均低于健康对照者(P<0.05)。影响生活质量的主要因素有:生活满意度、个人经济收入、抑郁。结论:慢性前列腺炎病人的生活质量下降,应该引起临床医生的重视。     

抗精子抗体与男性免疫性不育的相关分析

抗精子抗体(AsAb)是体内的同种异体抗体,是造成免疫性不育主要原因之一.约15%的育龄夫妻不能生育,免疫性不育占男性不育症的2.7%～4%,且近年有增加趋势[1].为了探讨抗精子抗体(AsAb)在免疫性不育中所起的作用,我们检测了从2006年1月～2007年12月来我院不孕不育门诊就诊的男性患者血清中抗精子抗体(AsAb),并以正常男性作为对照,现将结果报告如下.     

述情障碍量表在咨询就诊者中的应用及相关因素分析

述情障碍主要表现为缺乏用言语描述情感的能力，少幻想及习惯于实用主义的思维方式，拘泥于外界书物的细枝末叶，难以区分情绪状态与躯体感受，本研究采用新版TAS-20（Toronto Alexithymia Scale）探讨咨询就诊者的述情特征及相关因素。     

男女不育患者心理社会因素对照研究

目的：探讨不育症患者心理、社会等影响因素。方法：对１７６例不育患者５ １７９例已生育有子女的健康人群进行心理社会方面的病例对照研究。结果Ｌ：不民健康对照人群相比每周性生活次数少、性生活满意程度低，６８．２％的患者因不育而感到痛苦、有压力，１８．２％的患者导致夫妻关系紧张。症状自评量表结果表明，病例组较对照组心身症状多，心理压力大。Ｅｙｓｅｎｃｋ个性问卷分析发现，不育患者的个性特征表现为性格内向、情     

老年人心理弹性与生活质量关系的meta分析

目的:了解老年人心理弹性与生活质量关系研究的现况,通过meta分析探讨基于Pearson相关系数的心理弹性与生活质量的相关性。方法:在中国知网全文数据库、维普期刊资源整合平台以及PubMed数据库进行关于老年人心理弹性与生活质量的文献检索,检索时限至2019年12月。由两名研究者独立按照纳入排除标准筛选文献、提取信息并评价质量后,使用RevMan5.3软件对采用r值作为结局指标的文献进行meta分析、相关性分析和亚组分析。结果:共纳入10篇文献,文献质量为中等水平。Meta分析显示,老年人心理弹性与生活质量呈正相关(r=0.51,P<0.01)。我国老年人心理弹性与生活质量的相关系数高于国外(0.54 vs.0.53);我国北方地区老年人心理弹性和生活质量相关系数高于南方地区(0.81 vs.0.40);来自社区的老年人心理弹性与生活质量相关系数高于医院(0.67 vs.0.31)。结论:老年人心理弹性与生活质量呈中等正相关,相关性存在地区差异和样本来源差异。     

Health-related quality of life and need for IVF in 1000 Italian infertile couples

BACKGROUND:A specific and still poorly investigated issue in the field of infertility is represented by the impact that the need for IVF techniques may have on health-related quality of life (HRQoL). METHODS: A total of 1000 consecutive couples (1000 women and 1000 men) were invited to complete the Health Survey Short Form (SF-36) questionnaire separately, prior to initiating their first IVF attempt in our unit. Patients were also invited to report about demographic and clinical characteristics. RESULTS: A total of 1936 (96.8%) agreed to participate. Male SF-36 scores were higher than those reported by women. Duration of infertility and previous IVF attempts significantly influenced HRQoL (P < 0.01). When scores were plotted in relation to the normative source of the Italian general population stratified by gender, corresponding age and geographical area, the subjective health profile did not significantly differ from the normative sample for both women and men. CONCLUSION: The need for IVF did not seem to markedly influence subjective health status. Conversely, duration of infertility and failure to achieve a pregnancy through IVF might have a negative impact.     

Detection of Chlamydia trachomatis,Ureaplasma urealyticum and Mycoplasma hominis in infertile Bulgarian men with multiplex real‐time polymerase chain reaction

The effect of Chlamydia trachomatis, Ureaplasma urealyticum and Mycoplasma hominis over the sperm quality is still unclear. The aim of this study was to determine their prevalence in infertile Bulgarian men. A total of 281 men were examined by applying mRT‐PCR. The registered prevalence was as follows: C. trachomatis – 13.9%, U. urealyticum – 19.2%, M. hominis – 9.9%. Co‐infection was established in eight swabs. This first in Bulgaria to study for detection of chlamydia and mycoplasmas in infertile men by mRT‐PCR demonstrates higher prevalence of the tested microorganisms in the infertile group toward the control one.     

肺动脉高压患者生活质量及其影响因素

目的：了解肺动脉高压患者的生活质量状况并探讨其影响因素。方法：采用整群抽样的方法选择2014年6月至2015年6月期间在中南大学湘雅医院住院治疗的68例肺动脉高压患者作为研究对象。采用一般资料问卷、中文版简明健康调查量表(Short Form 36 Health Survey Questionnaire,SF-36)对其进行调查,运用单因素分析及多元线性回归法分析其影响因素。结果：肺动脉高压患者SF-36量表各维度评分均低于常模,差异均有统计学意义(P<0.05)。影响生活质量生理健康的因素为性别、6分钟步行试验距离(6-minute walking distance,6MWD)、是否合并右心衰竭、是否坚持氧疗;影响生活质量心理健康的因素为性别、文化程度、有无医疗保险。结论：肺动脉高压患者生活质量不高。医护人员应对女性、文化程度低、无医疗保险、6MWD短、合并右心衰竭、未坚持氧疗的患者给予更多的关注。     

Does asthma control correlate with quality of life related to upper and lower airways? A real life study

Background:  The goal of asthma therapy is to achieve an optimal level of disease control, but the relationship between asthma control, impact of comorbid rhinitis and health related quality of life (HRQoL) in real life remains unexplored.
Objective:  The aims of this real life study were to evaluate asthma control, the impact of asthma (with and without rhinitis) on HRQoL, the relationship between asthma control and HRQoL, and the role of rhinitis on asthma control and HRQoL.
Methods:  122 asthma patients completed the Asthma Control Test, Rhinitis Symptoms score (T5SS) and RHINASTHMA.
Results:  Asthma control was unsatisfactory (44.27% of uncontrolled patients), as well as HRQoL. Controlled patients controlled showed significantly lower scores in all the RHINASTHMA domains compared to uncontrolled. Irrespective of their level of control, patients with rhinitis symptoms showed worse HRQoL in Upper Airways (UA) ( P  < 0.0001), Lower Airways (LA) ( P  < 0.001), and Global Summary (GS) ( P  < 0.0001). In patients with symptomatic rhinitis, RHINASTHMA were lower in controlled asthma patients (UA P  = 0.002; LA P  < 0.0001; RAI P  < 0.01; GS P  < 0.0001). Asthma control was associated with lower T5SS score ( P  = 0.034).
Conclusion:  Asthma control in real life is unsatisfactory. Rhinitis and asthma influence each other in terms of control and HRQoL. The control of rhinitis in asthma patients can lead to an optimization of HRQoL related to the upper airways, while this phenomenon is not so evident in asthma. These results suggest to strengthen the ARIA recommendation that asthma patients must be evaluated for rhinitis and vice versa.     

Quality of life and resilience in adolescents with a mobility disability

OBJECTIVES: To examine the influences from life stress and the hypothesized protective variables of social competence, family functioning, and peer social engagement on quality of life (QL) in adolescents with mobility disabilities within a stress-resilience model. METHODS: Variables were assessed with questionnaires completed by 159 adolescents with a mobility disability (aged 11-18 years) and their parents. Both more subjective and objective QL measures were completed using both adolescent and parent reports. RESULTS: Increased life stress was associated with worse QL. Hypothesized protective variables were used to explain significant variance in more subjective, but not objective, measures of QL beyond covariates and life stress. The hypothesized protective variables, however, did not moderate the effects of life stress on QL. There was a cumulative effect from the hypothesized protective variables such that adolescents with more of these factors had more subjective QL than those with just one factor, regardless of the specific factor. CONCLUSIONS: Consistent with the tested model, interventions to improve QL in adolescents with a mobility disability may focus on reducing life stress and developing resilience by enhancing a variety of personal and social resources.     

社区人群生活质量研究──IV生活质量主、客观指标的相互关系及其影响因素

本文通过对生活质量主、客观指标相互关系及其影响因素的研究，结果发现，客观生活状态是影响主观生活满意度的主要因素。而不同群体在不同的客观生活状态水平下，主、客观指标评定的不一致性则与生活的需求重点、评价参照标准、个性与应付方式等中介因素有关。