体外受精过程中男性临时射精障碍相关社会心理因素的Logistic回归分析  

Socio-psychological factors related to temporary ejaculation failure in male patients undergoing IVF:Results of logistic regression analyses

作　　者：薛明玥[1] 王金鸾 XUE Ming-yue;WANG Jin-luan(Center of Integrated Chinese and Western Medicine for Reproduction and Genetics,The Affiliated Hospital of Shandong University of Chinese Medicine,Jinan,Shandong 250011,China;School of Traditional Chinese Medicine,Shandong University of Chinese Medicine,Jinan,Shandong 250014,China)

机构地区：[1]山东中医药大学附属医院中西医结合生殖与遗传中心,山东济南250011 [2]山东中医药大学中医学院,山东济南250014

出　　处：《中华男科学杂志》2021年第8期701-707,共7页National Journal of Andrology

基　　金：山东省中医药科技发展计划项目(2019-0193)。

摘　　要：目的:探讨体外受精(IVF)过程中男性临时射精障碍(TEF)的相关社会心理因素,为临床干预和治疗提供理论依据。方法:选取2019年5月至2020年5月行IVF治疗的75例TEF患者和223例非TEF患者作为研究对象进行问卷调查,包括基本情况调查表、感知压力量表(PSS)、病耻感问卷、领悟社会支持量表(PSSS)、积极心理资本问卷(PPQ),对研究目标的相关社会心理因素进行Logistic回归分析。结果:两组的年龄、文化程度、感知压力、病耻感、社会支持和心理资本比较,差异有统计学意义(P<0.05)。单因素logistic回归分析显示年龄,感知压力,病耻感,社会支持中的家庭支持、朋友支持、其他支持,心理资本中的自我效能、韧性、希望和乐观都能够显著影响男性TEF的发生。多因素logistic回归分析显示年龄(OR=1.071,95%CI:1.025~1.119)、病耻感(OR=1.132,95%CI:1.044~1.227)能够正向预测TEF,是TEF发生的独立危险因素;家庭支持(OR=0.877,95%CI:0.791~0.971)能够负向预测TEF,是TEF发生的独立保护因素。结论:年龄、病耻感、家庭支持均与IVF过程中TEF的出现相关。本研究从社会心理角度分析TEF发生的影响因素,为有效降低其发生率提供了新的干预靶点,有助于提高IVF的成功率。Objective:To explore the socio-psychological factors associated with male temporary ejaculation failure(TEF)during in vitro fertilization(IVF)and provide some theoretical evidence for the clinical intervention and treatment of the condition.Methods:We conducted a questionnaire investigation among 298 males undergoing IVF,75 with and 223 without TEF.The questionnaires covered general information,Perceived Stress Scale(PSS),Stigma Questionnaire,Perceived Social Support Scale(PSSS),and Positive Psychological Capital Questionnaire(PPQ).We subjected the relevant social psychological factors found in the investigation to logistic regression analysis and compared them between the patients in the TEF and non-TEF groups.Results:Statistically significant differences were found between the two groups in age,education level,perceived stress,stigma,social support and psychological capital(P<0.05).Univariate logistic regression analysis indicated that age,perceived stress,stigma,family support,friend support,other supports,self-efficacy,resilience,hope and optimism in psychological capital significantly affected the incidence of TEF.Multivariate logistic regression analysis showed age(OR=1.071,95%CI:1.025-1.119)and stigma(OR=1.132,95%CI:1.044-1.227)to be independent risk factors for TEF,capable of positively predicting the condition,and family support(OR=0.877,95%CI:0.791-0.971)to be an independent protective factor against TEF,capable of negatively predicting the disorder.Conclusion:Age,stigma and family support are associated with the incidence of TEF during IVF.The social psychology-related influencing factors may help provide a new intervention target for effectively reducing the incidence of TEF and improving the success rate of IVF.

关 键 词：临时射精障碍 病耻感 社会支持 LOGISTIC回归分析 

分 类 号：R698[医药卫生—泌尿科学]