辅助生殖取卵日男方取精失败对男性焦虑心理影响  

Effect of ejaculation failure to men’s anxiety level on the oocyte retrieval day in assisted reproductive therapy

作　　者：王霄 江峰[2] WANG Xiao;JIANG Feng(Obstetrics&Gynecology Hospital of Fudan University,Shanghai 200000,China)

机构地区：[1]复旦大学附属妇产科医院,上海200000 [2]上海集爱遗传与不育诊疗中心

出　　处：《中国健康心理学杂志》2021年第8期1125-1129,共5页China Journal of Health Psychology

基　　金：上海市市级科技重大专项“国际人类表型组计划(一期)”项目(编号:2017SHZDZX01)。

摘　　要：目的:本研究旨在深入评估辅助生殖治疗中取卵日男方取精失败对男性焦虑心理的影响,引导医患双方对取精前男性心理健康的关注,以配合辅助生殖的顺利完成。方法:选取2020年1-6月在复旦大学附属妇产科医院集爱遗传与不育诊疗中心进行体外受精治疗夫妇,分别收集取卵日成功取精男性44例作为对照组,取卵日取精失败男性患者40例,将其设定为研究组。采用门诊心理量表评估模式,测量男方勃起操作焦虑,采用SPSS 21.0软件对结果进行统计描述和分析。结果:研究组年龄22~43(31.6±3.75)岁;对照组年龄25~47(33.50±5.29)岁,两组在年龄及学历项目上的差异无统计学意义。在"心理咨询需求"、"引起勃起焦虑场景"、勃起焦虑操作指数(EPAI)总分以及各项具体内容中,两组人员均达到显著性差异;相关分析结果显示,勃起操作焦虑指数总分(EPAI)与心理咨询需求成正相关(r=0.757;P<0.001)。结论:取精失败男性在辅助生殖过程中更容易产生焦虑心理以及负面心理暗示,该焦虑心理将会进一步加重男性生活中焦虑及引发勃起操作焦虑情况。Objective:To study the impact of ejaculation failure to men’s anxiety level on the oocyte retrieval day in assisted reproductive therapy.Methods:From January to June 2020,a total of 44 male patients who successfully finished sperm collection on the oocyte retrieval day in Shanghai Jiai Genetics& IVF Institite China US center was recruited as the control group.Meanwhile, 40 male patients experiencing ejaculation failure encountered on the oocyte retrieval day as the study group.The participants were asked to fill in the general social demographic scale and Erectile Performance Anxiety Index(EPAI)during the outpatient services.SPSS 21.0 software was used for statistical description and analysis of the results.Results:The age range of the study group ranged from 22 to 43 years old, with an average age of 31.6±3.75 years.The age range of the control group was 25-47 years, with an average age of 33.50±5.29 years old.There was no significant difference in age and educational background between the two groups(P>0.05).In terms of psychological counseling needs, erection anxiety scenes, the total score of Erectile Performance Anxiety Index(EPAI)and other EPAI specific contents, there were significant differences between the two groups(P<0.001).The erection anxiety were positively correlated with psychological counseling needs(r=0.757,P<0.001).Conclusion:Men experiencing ejaculation failure are more likely to develop anxiety and negative mental hints in assisted reproduction process, which will further increase the anxiety level and causeing erectile operation anxiety in men’s daily life.

关 键 词：取精失败 焦虑 辅助生殖 男性 心理健康 

分 类 号：R395.9[哲学宗教—心理学]