心理护理干预模式对精索静脉曲张合并男性不育患者精神心理压力的影响研究  

The influence of psychological nursing intervention model on mental psychological stress in male infertility patients with varicocele

作　　者：崔林 高睿 任海迪 高攀[2] 张耀[2] 高晶晶[2] 杜俊华[2] 张贤生[2] Cui Lin;Gao Rui;Ren Haidi;Gao Pan;Zhang Yao;Gao Jingjing;Du Junhua;Zhang Xiansheng(Central Operating Room,The First Affiliated Hospital of Anhui Medical University,Hefei 230022,Anhui,China;Urology Department,The First Affiliated Hospital of Anhui Medical University,Hefei 230022,Anhui,China)

机构地区：[1]安徽医科大学第一附属医院中心手术室,安徽合肥230022 [2]安徽医科大学第一附属医院泌尿男科,安徽合肥230022

出　　处：《中国男科学杂志》2024年第5期98-102,共5页Chinese Journal of Andrology

摘　　要：目的讨论和总结心理护理干预模式对精索静脉曲张(VC)合并男性不育患者精神心理压力的影响。方法2020年12月至2021年6月收集VC伴男性不育的患者资料,随机分为心理护理干预组和常规护理组(各组40例)。患者分别在入院和术后1个月进行精神心理压力的问卷评估(包括焦虑自评量表、抑郁自评量表和生育压力量表)。结果心理护理干预组较常规护理组显著改善了患者的焦虑和抑郁症状(P<0.05),而且心理护理干预组较常规护理组显著改善了患者的生育压力总分、性关系关注、关系关注和无生育子女生活方式的取舍等方面的维度评分(P<0.05)。结论心理护理干预模式可以改善VC合并男性不育患者的焦虑和抑郁情绪,同时可以减轻患者生育方面的精神心理压力。Objective To discuss and summarize the effects of psychological nursing intervention model on mental psychological stress in male infertility patients with varicocele(VC).Methods Total of 80 male infertility patients with VC from December 2020 to June 2021 were enrolled in the study and their clinical data were collected.They were randomly divided into two groups including the psychological care intervention group and the usual care group(40 cases in each group).A questionnaire survey on mental and psychological stress(including anxiety self-rating scale,depression self-rating scale and fertility stress scale)was conducted among all the patients at admission and 1 month after surgery.Results The anxiety and depression symptoms of the patients in the psychological care intervention group were significantly improved compared with those of the patients in the usual care group(P<0.05).Moreover,compared with those of the conventional nursing group,the total score of fertility stress,sexual relationship concern,relationship concern and trade-off of lifestyle of childless children in the psychological nursing intervention group were all prominently ameliorated(P<0.05).Conclusion Psychological nursing intervention model can improve the anxiety and depression in male infertility patients with VC.

关 键 词：心理护理 精索静脉曲张 不育 男性 

分 类 号：R395.3[哲学宗教—心理学] R697.24[医药卫生—医学心理学]