社会支持在精液质量异常男性生育压力与生育生活质量中的中介作用  

The mediating effect of social support on reproductive stress and reproductive quality of life in men with abnormal semen quality

作　　者：买尔哈巴·阿不力孜 赵婉竹 张晨[1] 何丽娟 Maierhaba-abulizi;ZHAO Wan-zhu;ZHANG Chen;HE Li-juan(School of Public Health,Xinjiang Medical University,Urumqi,Xinjiang 830054,China;不详)

机构地区：[1]新疆医科大学公共卫生学院,新疆乌鲁木齐830054 [2]新疆医科大学药学院博士后流动站,新疆乌鲁木齐830041

出　　处：《现代预防医学》2023年第3期525-530,共6页Modern Preventive Medicine

基　　金：国家自然科学基金(82260651);新疆医科大学药学院博士后科研经费。

摘　　要：目的 探讨精液质量异常男性生育压力、社会支持及生育生活质量之间的关系,为有效改善生育生活质量提供理论干预措施。方法 选取新疆某大学某附属医院生殖助孕中心产前诊断科就诊的精液质量异常男性287例,采用生育压力量表(fertility problem inventory,FPI)、社会支持量表(social sating rating scale,SSRS)及生育生活质量量表(fertility quality of life questionnaire,Ferti Qo L)进行调查。构建结构方程模型,分析社会支持在生育压力及生育生活质量之间的中介作用。结果 287例精液质量异常男性生育压力得分为(166.87±30.17)分、社会支持得分为(42.59±7.44)分、生育生活质量得分为(52.64±13.40)分;社会支持与生育压力呈负相关(r=-0.166,P<0.01)、与生育生活质量呈正相关(r=0.233,P<0.01);生育压力对生育生活质量的直接效应为-0.247(95%CI:-0.385~-0.107),社会支持介导之后生育压力对生育生活质量的间接效应为-0.052(95%CI:-0.121~-0.013),社会支持在生育压力与生育生活质量之间起部分中介作用,中介效应占总效应的17.4%。结论 生育压力不仅直接影响精液质量异常男性生育生活质量,还通过社会支持间接影响生育生活质量。因此医务人员及家属应关注病人的身心状况,营造良好的家庭社会氛围,有效改善生育生活质量。Objective To investigate the relationship between reproductive stress, social support, and reproductive quality of life in men with abnormal semen quality, and to provide theoretical interventions for effectively improving reproductive quality of life. Methods A total of 287 cases of men with abnormal semen quality attending the prenatal diagnosis department of a hospital affiliated to a university in Xinjiang were selected. The Fertility Problem Inventory(FPI), the Social Sating Rating Scale(SSRS), and the Fertility Quality of Life Questionnaire(FertiQoL) were used. A structural equation model was constructed to verify the mediating role of social support between fertility stress and fertility quality of life. Results The287 men with abnormal semen quality had a fertility stress score of(166.87±30.17), a social support score of(42.59±7.44),and a reproductive life quality score of(52.64 ±13.40). Social support was negatively correlated with fertility stress(r =-0.166, P<0.01) and positively correlated with reproductive quality of life(r=0.233, P<0.01). The direct effect of reproductive stress on reproductive quality of life was-0.247(95% CI:-0.385 to-0.107), and social support mediated the effect of reproductive stress on reproductive quality of life. The indirect effect was-0.052(95% CI:-0.121 to-0.013), and social support played a partial mediating role between reproductive stress and reproductive life quality, with the mediating effect accounting for 17.4% of the total effect. Conclusion Reproductive stress not only directly affects the reproductive life quality of men with abnormal semen quality but also indirectly affects the reproductive life quality through social support. Therefore,medical staff and their families should pay attention to the physical and mental conditions of patients and create a good family and social atmossphere, to effectively improve the quality of reproductive life.

关 键 词：精液质量 社会支持 生育压力 生育生活质量 

分 类 号：R169[医药卫生—公共卫生与预防医学] R698