Effect of peer education based on WeChat group on reproductive quality of life in patients with obstructive azoospermia

doi:10.3760/cma.j.issn.1007-1245.2023.18.010

Abstract

Abstract:

Objective　To explore the effect of peer education based on WeChat group on reproductive quality of life in patients with obstructive azoospermia. Methods　A total of 110 patients with obstructive azoospermia admitted to 73rd Group Army Hospital of People's Liberation Army from July 2021 to August 2022 were selected for the prospective study and were divided into a control group and an observation group by the random number table method, with 55 cases in each group. The control group were (32.02±5.06) years old and received routine health education. The observation group were (32.16±4.60) years old and received routine health education and received peer education based on WeChat group. The two groups were intervened for three months. The disease perception [scores of Brief Illness Perception Questionnaire (BIPQ)], fertility pressures [scores of Fertility Problem Inventory (FPI)], self-esteem [scores of Rosenberg Self-Esteem Scale (SES)] and fertility quality of life [scores of Fertility Quality of Life Scale (FertiQol)] before and after the intervention were compared between the two groups. The statistical data were analyzed by t test. Results　After the intervention, the score of BIPQ in the observation group was lower than that in the control group [(50.87±4.69) vs. (53.47±5.23); P<0.05]; the total score of FPI in the observation group was lower than that in the control group [(139.00±9.66) vs. (157.10±11.02); P<0.05]; the scores of social concern, sexual concern, need for parenthood, and rejection of childfree life of FPI in the observation group were lower than those in the control group (all P<0.05); the score of SES in the observation group was higher than that in the control group [(35.54±6.48) vs. (29.12±5.63); P<0.05]; the total score of FertiQol in the observation group was higher than that in the control group [(70.56±6.64) vs. (60.17±5.48); P<0.05]; the scores of emotional response, mind-body relation, marital relationship, environment, and tolerance of FertiQol in the observation group were higher than those in the control group (all P<0.05). Conclusion　Peer education based on WeChat group can provide better support to patients with obstructive azoospermia, significantly reduce their disease perception ability and fertility pressure, and improve their self-esteem and fertility quality of life.

Key words:

Quality of life, , WeChat group, Peer education, Obstructive azoospermia

摘要：

目的　探讨基于微信群的同伴教育对梗阻性无精子症患者生育生活质量的影响。方法　采取前瞻性研究方法，选取中国人民解放军陆军第七十三集团军医院2021年7月至2022年8月收治的梗阻性无精子症患者110例，随机数字表法分为对照组和观察组，各55例。对照组患者年龄（32.02±5.06）岁，采取常规健康教育；观察组患者年龄（32.16±4.60）岁，采取常规健康教育和基于微信群的同伴教育。两组均干预3个月，比较两组干预前后疾病感知［简易疾病感知问卷（BIPQ）评分］、生育压力［生育压力量表（FPI）评分］、自尊［自尊问卷（SES）评分］及生育生活质量［简体中文版生育生活质量量表（FertiQol）评分］。采用t检验进行统计学分析。结果　干预后，观察组BIPQ评分为（50.87±4.69）分，低于对照组的（53.47±5.23）分（P<0.05）；观察组FPI量表总分为（139.00±9.66）分，低于对照组的（157.10±11.02）分（P<0.05），且观察组FPI量表中社会关注、性关系、父母角色需要、有子女的生活方式较对照组更低（均P<0.05）；观察组SES评分为（35.54±6.48）分，高于对照组的（29.12±5.63）分（P<0.05）；观察组FertiQol量表总分为（70.56±6.64）分，高于对照组的（60.17±5.48）分（P<0.05），且观察组FertiQol量表中情感反应、身心关系、婚姻关系、环境、耐受性较对照组更高（均P<0.05）。结论　采取基于微信群的同伴教育能给梗阻性无精子患者提供更好的支持，明显降低其疾病感知能力和生育压力，提升其自尊及生育生活质量。

关键词:

生活质量, 微信群, 同伴教育, 阻塞性无精子症

Lin Qiaoying, Chen Liping, Liu Fang, Ren Jianzhi, Na Xuhong, Zhou Jialing.

Effect of peer education based on WeChat group on reproductive quality of life in patients with obstructive azoospermia [J]. International Medicine and Health Guidance News, 2023, 29(18): 2555-2559.

林巧樱陈丽萍刘芳任建枝那旭红周佳玲.

基于微信群的同伴教育对梗阻性无精子症患者生育生活质量的影响 [J]. 国际医药卫生导报, 2023, 29(18): 2555-2559.

References

[1] 李康宁,余杨,邓又斌,等.阴囊超声用于选择梗阻性无精子症治疗方法[J].中国医学影像技术,2020,36(4):579-583.DOI:10.13929/j.issn.1003-3289.2020.04.024.
[2] 齐伟,吴畏,徐杰,等.经直肠实时超声引导精囊镜在治疗射精管梗阻性无精子症的效果分析[J].中华男科学杂志,2021,27(2):129-133.DOI:10.13236/j.cnki.nja.2021. 02.005.
[3] 陈超,马静,王琇,等.经皮睾丸穿刺取精行卵细胞质内单精子注射对梗阻性无精子症患者胚胎质量的影响[J].中国性科学,2020,29(8):1-3.DOI:10.3969/j.issn.1672-1993. 2020.08.001.
[4] 陈其桂,李大文,李金燕.不同来源精子对梗阻性无精子症ICSI治疗结局影响的研究进展[J].广西医科大学学报,2020,37(11):2083-2087.DOI:10.16190/j.cnki.45-1211/r.2020.11.026.
[5] 陈红涛,宋小花,李力.微信群同伴教育对喉癌术后患者疾病感知和创伤后成长的影响[J].护理学杂志,2020,35(7):80-83.DOI:10.3870/j.issn.1001-4152.2020.07.080.
[6] Schwartz MN, Rimland CA, Quinn KA, et al. Utility of the brief illness perception questionnaire to monitor patient beliefs in systemic vasculitis[J]. J Rheumatol, 2020,47(12):1785-1792. DOI: 10.3899/jrheum.190828.
[7] 李冬,张维,李莉,等.不孕不育夫妇生育压力与其社会支持及应对方式的研究[J].中国计划生育和妇产科,2021,13(1):74-78.DOI:10.3969/j.issn.1674-4020.2021.01.19.
[8] 李爱丽.积极心理学护理模式对老年抑郁症患者自尊水平及社会功能的影响[J].检验医学与临床,2020,17(23):3502-3505.DOI:10.3969/j.issn.1672-9455.2020.23.034.
[9] 苏梦驰,王华伟,饶猛,等.体外受精-胚胎移植中男方少弱精子症与胚胎质量及妊娠结局的相关研究[J].中国男科学杂志,2021,35(1):7-10.DOI:10.3969/j.issn.1008-0848. 2021.01.002.
[10] 王先龙,蔡菲菲,刘蛟龙,等.睾丸穿刺与睾丸切开活检术在无精子症患者中的应用及安全性分析[J].医药前沿,2020,10(14):55-56.
[11] 胥秀,胡秀琼,张蓉,等.同伴教育对早产儿母亲育儿认知与心理状况的影响[J].护理管理杂志,2021,21(10):747-750,756.DOI:10.3969/j.issn.1671-315x.2021.10.013.
[12] Bräuner EV, Nordkap L, Priskorn L, et al. Psychological stress, stressful life events, male factor infertility, and testicular function: a cross-sectional study[J]. Fertil Steril, 2020,113(4):865-875. DOI: 10.1016/j.fertnstert. 2019.12.013.
[13] 周飞京,戴善军,刘金豪,等.青年不育男性的生育压力状况及其对主观幸福感的影响[J].护理管理杂志,2020,20(10):701-705.DOI:10.3969/j.issn.1671-315x.2020.10.004.
[14] 廖荣荣,陈连凤,陈晶晶,等.基于微信主导的同伴支持教育对中晚期肺癌患者心理弹性及应对方式的影响[J].中国健康教育,2020,36(10):942-945.DOI:10.16168/j.cnki.issn. 1002-9982.2020.10.015.
[15] 李美玲,陶花.男性不育患者心理健康情况及相关风险因素分析[J].重庆医学,2020, 49(s1):4-7.
[16] 罗丽燕,史莉.无精子症患者生育压力对生活质量的影响及相关性研究[J].中华男科学杂志,2018,24(5):425-430.DOI:10.13263/j.cnki.nja.2018.05.008.