影响生育生活质量的因素途径研究。
A pathway study of factors influencing quality of fertility life.
机构信息
The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China.
School of Public Health, Xinjiang Medical University, Urumqi, Xinjiang, China.
出版信息
BMC Public Health. 2024 Apr 15;24(1):1045. doi: 10.1186/s12889-024-18386-0.
BACKGROUD
To investigate the factors influencing fertility quality of life in infertile men, constructing a structural equation model of the factors influencing fertility quality of life in infertile men, and to provide suggested measures for improving fertility quality of life in infertile men.
METHODS
It is a Observational study. Infertile men (n = 250) attending a fertility centre in a hospital in Xinjiang, matched 1:2 men with no obvious male factor in the control group (n = 500).The Quality of Fertility Life Scale, the Social Support Scale, the Fertility Stress Scale and the Positive Attention Awareness Scale were used to conduct the survey. The model was constructed by applying the maximum likelihood estimation method in Mplus 8.3 software, to explore the factors influencing the quality of reproductive life of infertile men through path analyses. Differences between the case and control groups were statistically significant (P < 0.05) in terms of total fertility quality of life scores, core entry dimensions, affective responses, physical and mental relationships, selective treatment dimensions, and treatment tolerance.
RESULTS
Past medical history, history of exposure to hazardous environments, health insurance reimbursement, social support, fertility stress, and mindfulness are important factors affecting the quality of fertility life of infertile men.
CONCLUSION
The quality of fertility life of infertile men is not optimistic. By improving the level of mindfulness, fertility stress, and social support, we propose appropriate measures to improve the quality of fertility life of infertile men. These measures can improve their confidence in clinical diagnosis and infertility treatment, enabling them to cope positively with these challenges.
背景
为了探讨影响男性不育患者生育生活质量的因素，构建男性不育患者生育生活质量影响因素的结构方程模型，为提高男性不育患者生育生活质量提供建议措施。
方法
本研究为观察性研究。选取新疆某医院生殖中心就诊的不育男性 250 例（病例组），按照 1：2 配对选择无明显男性因素的男性（对照组）500 例。采用生育生活质量量表、社会支持量表、生育压力量表和正念注意觉察量表对其进行调查。采用 Mplus8.3 软件最大似然估计法构建模型，通过路径分析探讨影响男性不育患者生育生活质量的因素。病例组与对照组在生育生活质量总分、核心进入维度、情感反应、身心关系、选择性治疗维度、治疗宽容度方面差异均有统计学意义（P<0.05）。
结果
既往病史、有害环境暴露史、医保报销情况、社会支持、生育压力、正念是影响男性不育患者生育生活质量的重要因素。
结论
男性不育患者的生育生活质量不容乐观。通过提高正念水平、生育压力和社会支持，提出了适当的措施来提高男性不育患者的生育生活质量。这些措施可以增强他们对临床诊断和不育治疗的信心，使他们能够积极应对这些挑战。
Zotero 插件