Jiang Yuan, Mo Fengyi, Wang Shuying, Huang Yeqing, Cheng Xuzhen, Xing Lanfeng
Department of Reproductive Endocrinology, Women's Hospital School of Medicine Zhejiang University, Hangzhou, China.
J Assist Reprod Genet. 2025 Apr 12. doi: 10.1007/s10815-025-03456-y.
This study aimed to investigate the status and influencing factors of perceived stress in men before sperm collection on the day of oocyte retrieval during IVF-ET, thereby providing a theoretical basis for nursing interventions.
A cross-sectional survey was conducted using convenience sampling. We examined 507 male IVF-ET patients undergoing sperm collection using a demographic questionnaire, the Generalized Anxiety Disorder Scale, the Perceived Stress Scale, and the Chinese version of the Connor-Davidson Resilience Scale. Univariate analysis, Pearson correlation, and multivariate linear regression were utilized to identify factors affecting perceived stress before sperm collection.
The average score for perceived stress before sperm collection was 14.64 ± 4.54. For generalized anxiety, it was 6.28 ± 3.92; and for psychological resilience, it was 68.14 ± 18.46. Multivariate linear regression analysis revealed that monthly family income, psychological resilience, and anxiety were significant predictors of perceived stress in men before sperm collection (P < 0.05).
Men experienced mild anxiety and perceived stress before sperm collection on the day of oocyte retrieval, accompanied by moderate psychological resilience. Monthly family income is independent predictors of perceived stress. Anxiety correlates positively with perceived stress and can predict elevated stress levels, while psychological resilience correlates negatively with stress, serving as a protective factor. Nursing staff must address perceived stress, anxiety, and resilience in men undergoing IVF-ET, providing comprehensive information and support to enhance their psychological well-being.
本研究旨在调查体外受精-胚胎移植（IVF-ET）取卵日男性取精前感知压力的状况及影响因素，从而为护理干预提供理论依据。
采用便利抽样进行横断面调查。我们使用人口统计学问卷、广泛性焦虑障碍量表、感知压力量表和中文版康纳-戴维森心理韧性量表对507例接受IVF-ET取精的男性患者进行了调查。采用单因素分析、Pearson相关性分析和多元线性回归分析来确定影响取精前感知压力的因素。
取精前感知压力的平均得分为14.64±4.54。广泛性焦虑的平均得分为6.28±3.92；心理韧性的平均得分为68.14±18.46。多元线性回归分析显示，家庭月收入、心理韧性和焦虑是男性取精前感知压力的显著预测因素（P<0.05）。
男性在IVF-ET取卵日取精前经历轻度焦虑和感知压力，同时伴有中等程度的心理韧性。家庭月收入是感知压力的独立预测因素。焦虑与感知压力呈正相关，可预测压力水平升高，而心理韧性与压力呈负相关，是一种保护因素。护理人员必须关注接受IVF-ET的男性的感知压力、焦虑和心理韧性，提供全面的信息和支持，以提高他们的心理健康水平。
