伴侣支持在早泄患者病耻感与生活质量间的中介作用  

Mediating role of partner's dyadic coping in improving the stigma and quality of life of the patients with premature ejaculation

作　　者：徐晶 吴志萍 刘文丽 张文瑾[4] XU Jing;WU Zhi-ping;LIU Wen-li;ZHANG Wen-jin(School of Nursing,Shanxi University of Chinese Medicine,Jinzhong,Shanxi 030619,China;Department of Teaching,Shanxi Academy of Medical Sciences,Taiyuan,Shanxi 030032,China;School of Nursing,Shanxi Medical University,Taiyuan,Shanxi 030001,China;Department of Urology,Shanxi Bethune Hospital/Shanxi Medical University Third Hospital/Tongji Shanxi Hospital,Shanxi Academy of Medical Sciences,Taiyuan,Shanxi 030032,China)

机构地区：[1]山西中医药大学护理学院,山西晋中030619 [2]山西医科大学第三医院/山西白求恩医院/山西医学科学院/同济山西医院教学部,山西太原030032 [3]山西医科大学护理学院,山西太原030001 [4]山西医科大学第三医院/山西白求恩医院/山西医学科学院/同济山西医院泌尿外科,山西太原030032

出　　处：《中华男科学杂志》2024年第12期1117-1121,共5页National Journal of Andrology

基　　金：山西省高等学校一般性教学改革创新项目(J20230460)。

摘　　要：目的:探讨伴侣支持在早泄患者病耻感与生活质量间的中介作用,为提高早泄患者的生活质量提供理论参考。方法:2023年1~6月,采用便利抽样法选取山西省某三所三级甲等医院480例泌尿男科门诊的早泄患者为研究对象,使用一般资料调查表、伴侣支持应对问卷、社会影响量表和SF-12生活质量量表对其进行调查,并进行中介效应分析。结果:早泄患者病耻感、生活质量及伴侣支持得分分别为(68.58±14.96)、(47.67±30.13)、(90.18±28.93)分。伴侣支持、病耻感及生活质量三者之间存在相关性(P<0.01);且伴侣支持在早泄患者病耻感、生活质量之间起中介作用,中介效应占总效应的36.38%。结论:早泄患者的生活质量水平处于中等偏下水平,伴侣支持在患者病耻感与生活质量间起中介作用。医护人员应尝试构建基于伴侣支持的干预方案,提高早泄患者配偶的伴侣支持水平,降低患者的病耻感水平,改善生活质量。Objective:To explore the mediating role of the partner's dyadic coping in improving the stigma and quality of life(QOL)of the patient with premature ejaculation(PE).Methods:We selected 480 PE patients seeking medical care in the clinic of urology and andrology from January to June 2023 by convenience sampling.Using a General Information Questionnaire,Dyadic Coping Inventory,Social Impact Scale,and Short-Form 12 Quality of Life Scale,we conducted an investigation among the patients and analyzed the mediation effect of the partner's dyadic coping on the patients'stigma and QOL.Results:The mean scores on the partner's dyadic coping and the patients'stigma and QOL were(68.58±14.96),(47.67±30.13)and(90.18±28.93),respectively,with a significant correlation between the partner's dyadic coping and the patients'stigma and QOL(P<0.01).And the partner's dyadic coping was found to have an evident mediating role in improving the stigma and QOL of the patients,with a mediation effect of 36.38%of the total effect.Conclusion:The QOL of the PE patients is at a below-average level,and the partner's dyadic coping plays a mediating role in improving the stigma and QOL of the patients.Design of dyadic coping-related intervention plans is recommended to improve the partner's dyadic coping,reduce the stigma of the patients and increase their QOL.

关 键 词：早泄 伴侣支持 病耻感 生活质量 

分 类 号：R698.3[医药卫生—泌尿科学] R195.4[医药卫生—外科学]