基于微信群的同伴教育对梗阻性无精子症患者生育生活质量的影响  

Effect of peer education based on WeChat group on reproductive quality of life in patients with obstructive azoospermia

作　　者：林巧樱 陈丽萍 刘芳 任建枝 那旭红 周佳玲 Lin Qiaoying;Chen Liping;Liu Fang;Ren Jianzhi;Na Xuhong;Zhou Jialing(Reproductive Medicine Center,73rd Group Army Hospital of People's Liberation Army,Xiamen 361000,China)

机构地区：[1]中国人民解放军陆军第七十三集团军医院生殖医学中心,厦门361000

出　　处：《国际医药卫生导报》2023年第18期2555-2559,共5页International Medicine and Health Guidance News

基　　金：厦门市医学优势亚专科建设项目(厦卫科教[2018]296号)。

摘　　要：目的探讨基于微信群的同伴教育对梗阻性无精子症患者生育生活质量的影响。方法采取前瞻性研究方法,选取中国人民解放军陆军第七十三集团军医院2021年7月至2022年8月收治的梗阻性无精子症患者110例,随机数字表法分为对照组和观察组,各55例。对照组患者年龄(32.02±5.06)岁,采取常规健康教育;观察组患者年龄(32.16±4.60)岁,采取常规健康教育和基于微信群的同伴教育。两组均干预3个月,比较两组干预前后疾病感知[简易疾病感知问卷(BIPQ)评分]、生育压力[生育压力量表(FPI)评分]、自尊[自尊问卷(SES)评分]及生育生活质量[简体中文版生育生活质量量表(FertiQol)评分]。采用t检验进行统计学分析。结果干预后,观察组BIPQ评分为(50.87±4.69)分,低于对照组的(53.47±5.23)分(P<0.05);观察组FPI量表总分为(139.00±9.66)分,低于对照组的(157.10±11.02)分(P<0.05),且观察组FPI量表中社会关注、性关系、父母角色需要、有子女的生活方式较对照组更低(均P<0.05);观察组SES评分为(35.54±6.48)分,高于对照组的(29.12±5.63)分(P<0.05);观察组FertiQol量表总分为(70.56±6.64)分,高于对照组的(60.17±5.48)分(P<0.05),且观察组FertiQol量表中情感反应、身心关系、婚姻关系、环境、耐受性较对照组更高(均P<0.05)。结论采取基于微信群的同伴教育能给梗阻性无精子患者提供更好的支持,明显降低其疾病感知能力和生育压力,提升其自尊及生育生活质量。Objective To explore the effect of peer education based on WeChat group on reproductive quality of life in patients with obstructive azoospermia.Methods A total of 110 patients with obstructive azoospermia admitted to 73rd Group Army Hospital of People's Liberation Army from July 2021 to August 2022 were selected for the prospective study and were divided into a control group and an observation group by the random number table method,with 55 cases in each group.The control group were(32.02±5.06)years old and received routine health education.The observation group were(32.16±4.60)years old and received routine health education and received peer education based on WeChat group.The two groups were intervened for three months.The disease perception[scores of Brief Illness Perception Questionnaire(BIPQ)],fertility pressures[scores of Fertility Problem Inventory(FPI)],self-esteem[scores of Rosenberg Self-Esteem Scale(SES)]and fertility quality of life[scores of Fertility Quality of Life Scale(FertiQol)]before and after the intervention were compared between the two groups.The statistical data were analyzed by t test.Results After the intervention,the score of BIPQ in the observation group was lower than that in the control group[(50.87±4.69)vs.(53.47±5.23);P<0.05];the total score of FPI in the observation group was lower than that in the control group[(139.00±9.66)vs.(157.10±11.02);P<0.05];the scores of social concern,sexual concern,need for parenthood,and rejection of childfree life of FPI in the observation group were lower than those in the control group(all P<0.05);the score of SES in the observation group was higher than that in the control group[(35.54±6.48)vs.(29.12±5.63);P<0.05];the total score of FertiQol in the observation group was higher than that in the control group[(70.56±6.64)vs.(60.17±5.48);P<0.05];the scores of emotional response,mind-body relation,marital relationship,environment,and tolerance of FertiQol in the observation group were higher than those in the control group(all P<0.05).Concl

关 键 词：生活质量 微信群 同伴教育 阻塞性无精子症 

分 类 号：R473[医药卫生—护理学]