不育症男性生育生活质量现状及影响因素研究

目的调查不育症男性生育生活质量现状及探讨相关影响因素,提出有效措施改善生育生活质量。方法选取新疆某大学某附属医院生殖助孕中心就诊的不育症男性260例,采用生育生活质量量表(Fertility Quality of Life Questionnaire,FertiQoL)、社会支持量表(Social Support Rating Scale,SSRS)、正念注意觉知量表(Mindful Attention Awareness Scale,MAAS)及生育压力量表(Fertility Problem Inventory,FPI)进行调查,多元线性回归法探讨不育症男性生育生活质量影响因素。结果不育症男性生育生活质量总分为(68.08±14.07)分,其中治疗环境得分最低仅为(59.79±14.18)分;多元线性回归分析结果显示,没有既往疾病史者比有疾病史者生育生活质量平均提升0.140,日常无暴露于有害环境者比暴露于有害环境者生育生活质量平均提升0.116,社会支持总得分和正念得分与生育生活质量总分正向关联(b’=0.245、0.356),生育压力总分与生育生活质量总分负向关联(b’=-0.176)。结论不育男性的生育生活质量不容乐观,社会支持、正念水平越高者,生育生活质量越好,生育压力越低者,生育生活质量越好。社会、家庭及患者自身需注重身心结合、身心同治。

Status quo and influencing factors of reproductive life quality of infertile men

Objective To investigate the status quo of reproductive life quality of infertile men and explore the relatedinfluencing factors so as to propose effective measures to improve reproductive life quality. Methods We selected 260 infertile men who were treated in a reproductive assistance center of an affiliated hospital of a university in Xinjiang. Fertility Quality of Life Questionnaire (FertiQoL), Social Support Rating Scale (SSRS), Mindful Attention Awareness Scale (MAAS) and Fertility Problem Inventory (FPI) were used to conduct the survey. Multiple linear regression method was employed to explore the factors influencing reproductive life quality of the infertile men. Results The total score of reproductive life quality in the infertile men was (68.08±14.07), of which the score of treatment environment was the lowest, only (59.79±14.18). The results of multiple linear regression analysis showed that the average reproductive life quality of infertile men without a history of disease improved by 0.140 compared with those with a history of disease, and the average reproductive life quality of infertile men without daily exposure to harmful environments improved by 0.116 compared with those with daily exposure to harmful environments. The total score of social support and the score of mindfulness were positively correlated with the total score of reproductive life quality (b’=0.245,b’=0.356). The total score of fertility stress was negatively correlated with the total score of reproductive life quality (b’=-0.176). Conclusion Reproductive life quality of the infertile men is not optimistic. The higher the levels of social support and mindfulness, the better the reproductive life quality. The lower the fertility stress, the superior the reproductive life quality.Society, family and patients themselves need to pay attention to the integration of body and mind and treat both body and mind together.