心因性勃起功能障碍患者疾病不确定感现状及相关因素的Logistic回归分析  

Logistic regresion analysis of disease uncertainty and related factors in patients with psychogenic serectile dysfunction

作　　者：孙晓乐 林盈盈 郑宜 SUN Xiaoyue;LIN Yingying;ZHENG Yi(Department of Urology,Lishui Central Hospital,Lishui 323000,Zhejiang,China)

机构地区：[1]浙江丽水市中心医院泌尿外科,浙江丽水323000

出　　处：《中国性科学》2024年第2期14-17,共4页Chinese Journal of Human Sexuality

摘　　要：目的调查分析心因性勃起功能障碍(ED)患者疾病不确定感现状及影响因素。方法采用便利抽样法,选取2021年12月至2022年12月浙江丽水市中心医院诊治的123例心因性ED患者作为观察组,并按1∶1原则同期纳入同院123例器质性ED患者作为对照组。调查项目包括疾病不确定感[疾病不确定感量表(MUIS)]及临床资料[包含焦虑自评量表(SAS)、抑郁自评量表(SDS)、社会支持评定量表(SSRS)]。重点分析心因性ED患者疾病不确定感现状及影响因素。结果观察组疾病不确定感总分、SAS评分和SDS评分均高于对照组,且SSRS评分低于对照组,差异具有统计学意义(P<0.05)。不同对疾病和治疗的了解程度、病情严重程度、焦虑和抑郁情绪、社会支持的心因性ED患者疾病不确定感评分比较,差异具有统计学意义(P<0.05)。经Pearson相关性分析显示,疾病不确定感与焦虑情绪、抑郁情绪呈正相关性(r>0,P<0.05);疾病不确定感与社会支持呈负相关性(r<0,P<0.05)。经多元线性回归分析显示,对疾病和治疗的了解程度、病情严重程度、焦虑和抑郁情绪、社会支持是心因性ED患者疾病不确定感的影响因素(P<0.05)。结论心因性ED患者存在疾病不确定感,临床应重点关注对疾病和治疗的了解程度匮乏、病情较重、有焦虑和抑郁情绪和社会支持偏低的心因性ED患者,加强干预来降低其疾病不确定感,提高生活质量。Objective To investigate and analyze the status quo and influencing factors of disease uncertainty in patients with psychogenic erectile dysfunction(ED).Methods The convenient sampling method was used to select 123 patients with psychogenic ED diagnosed and treated in Lishui Central Hospital from December 2021 to December 2022 as the observation group,and 123 patients with organic ED in the same hospital were included as the control group during the same period according to the 1∶1 principle.The survey items included Mishel′s uncertainty in illness scale(MUIS)and clinical data(including self-rating anxiety scale(SAS),self-rating depression scale(SDS)and social support rating scale(SSRS).The status quo and influencing factors of disease uncertainty in patients with psychogenic ED were analyzed emphatically.Results The total score of MUIS score,SAS score and SDS score in the observation group were higher than those in the control group,and the SSRS score was lower than that in the control group,with statistical significant differences(P<0.05).There were statisitically significant differences in MUIS scores among psychogenic ED patients with different understanding of disease and treatment,severity of disease,anxiety and depression,and social support(P<0.05).Pearson correlation results showed that the uncertainty of disease was positively correlated with anxiety and depression(r>0,P<0.05).The uncertainty of disease was negatively correlated with social support(r<0,P<0.05).Multivariate linear regression analysis showed that the understanding degree of the disease and treatment,severity of the disease,anxiety and depression,and social support were the influencing factors of the uncertainty of the disease in patients with psychogenic ED(P<0.05).Conclusions Patients with psychogenic ED have disease uncertainty.Clinical attention should be focused on those patients with psychogenic ED who with poor understanding of the disease and treatment,more severe condition,anxiety and depression and low social support,and inter

关 键 词：心因性勃起功能障碍 疾病不确定感 影响因素 

分 类 号：R698[医药卫生—泌尿科学]