泌尿外科门诊早泄患者的病耻感调查研究  

Survey of Internalized Stigma of Premature Ejaculation in Urologic Outpatient

作　　者：胡晓坤[1,2] 李薇 张莎[1,2] 贾丹 Hu Xiaokun;Li Wei;Zhang Sha;Jia Dan(Outpatient Department,West China Hospital of Sichuan University,Chengdu 610041,China;West China College of Nursing,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院门诊部,成都610041 [2]四川大学华西护理学院,成都610041

出　　处：《成都医学院学报》2021年第2期191-193,210,共4页Journal of Chengdu Medical College

摘　　要：目的分析泌尿外科门诊患者早泄症状对其病耻感与自我效能的影响。方法选取2018年1-9月于四川大学华西医院泌尿外科门诊就诊患者,完成早泄症状评分、病耻感以及自我效能评分调查后,诊断为非泌尿系"感染"、"肿瘤"、"勃起功能障碍"及其他有器质性病变证据的病例。筛选纳入479例患者,其中非早泄组276例,早泄组203例。对比两组患者早泄症状、病耻感、自我效能及其相关性。结果早泄组的早泄症状指数与自我效能评分低于非早泄组,同时,内在病耻感调查表(ISMI)病耻感评价总分与各分项评价分数早泄组均高于非早泄组,差异有统计学意义(P<0.05)。通过相关性分析,提示患者自我效能与早泄症状评分呈正相关(P<0.05),与患者病耻感呈负相关(P<0.05)。结论由于病耻感存在,具有早泄症状的患者其就诊意愿可能更低,提示泌尿外科门诊分诊时应更深入了解患者就诊需求。Objective To observe and analyze the effects of different degrees of premature ejaculation(PE)on internalized stigma and self-efficacy of patients in urology outpatient.Methods From January to September 2018,questionnaire surveys were conducted by using index of premature ejaculation(IPE),internalized stigma of mental illness inventory(ISMI)and general self-efficacy scale(GSES),and a total of 479 outpatients diagnosed as nonurinary tract infection,tumor,erectile dysfunction and other organic lesions in the urology outpatient of West China Hospital of Sichuan University were selected and included.Patients were divided into premature ejaculation group(n=203)and non-premature ejaculation group(n=276).IPE,ISMI,GSES and their correlation were compared between the two groups.Results IPE and GSES of premature ejaculation group were significantly lower than that of non-premature ejaculation group.The total score of ISMI and each sub-item evaluation score in premature ejaculation group were higher than those in non-premature ejaculation group,and the difference was statistically significant(P<0.05).Correlation analysis showed that GSES was positively correlated with IPE(P<0.05),and negatively correlated with ISMI(P<0.05).Conclusion Due to internalized stigma,patients with symptoms of premature ejaculation may have lower willingness to seek treatment,suggesting that more in-depth understanding of patients’demand for treatment should be conducted in outpatient triage of urology.

关 键 词：门诊分诊 早泄 病耻感 自我效能 

分 类 号：R459.9[医药卫生—治疗学]