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目的:研究主观不育事件对男性自尊心、自信心、性关系满意度及夫妻整体关系的影响。方法:采用自尊心和性关系问卷(SEAR)对不育和生育体检(对照组)的男性进行问卷调查;对不育男性按照调查者主观认为病因分4个亚组:男方因素、双方因素、不明原因和女方因素,比较各组SEAR得分。结果:①不育组中,平均年龄≥30岁组的SEAR总分为(71.77±17.42)分,<30岁组(72.74±18.38)分,差异无统计学意义(P>0.05);平均不育年限≥3年组总分为(68.66±17.19)分,<3年组为(75.50±17.05)分,差异有统计学意义(P<0.05);高中或以下学历组总分为(67.61±17.18)分,高中以上学历组为(81.42±13.99)分,差异有统计学意义(P<0.01)。②男方因素、双方因素、原因不明、女方因素亚组的SEAR总分分别为(65.69±18.68)、(68.52±17.68)、(74.85±15.19)、(83.21±12.61)分;其中,男方因素和双方因素两亚组与原因不明和女方因素亚组之间差异有统计学意义(P<0.05);原因不明亚组与女方因素亚组之间差异有统计学意义(P<0.05)。③体检组的性关系、自信、自尊、夫妻整体关系亚维度得分及总分分别为(88.40±10.74)、(92.23±9.41)、(91.95±10.67)、(90.38±14.14)、(90.04±9.85)分;去除不育年限和文化程度的影响后,其得分仍明显高于男方因素、双方因素及原因不明3个亚组,差异有统计学意义(P<0.05)。结论:主观不育事件会降低男性性关系满意度,使自尊心、自信心变差,夫妻整体关系恶化;且这种影响与个体文化程度及不育年限有关。
Objective: To study the effects of subjective infertility on male self-esteem, self-confidence, satisfaction with sexual relationship and the overall relationship between husband and wife. Methods: A questionnaire survey was conducted on males with infertility and childbirth examination (control group) by using self-esteem and sexual relationship questionnaire (SEAR). Male infertile men were subjectively divided into 4 subgroups according to their subjective factors: male factor, both factors, unknown Reason and the female factor, compare the SEAR score of each group. Results ① In the infertility group, the average score of SEAR was (71.77 ± 17.42) and <30 years old (72.74 ± 18.38) in the mean age group of ≥30 years, with no significant difference (P> 0.05) (68.66 ± 17.19) points in the 3 years of education, and (75.50 ± 17.05) points in the 3 years, the difference was statistically significant (P <0.05). The score of high school or below education group was (67.61 ± 17.18) points, and the score of high school education was (81.42 ± 13.99) points, the difference was statistically significant (P <0.01). (2) Male factors, both factors and unexplained causes, the SEAR scores of the female factor subgroups were (65.69 ± 18.68), (68.52 ± 17.68), (74.85 ± 15.19) and (83.21 ± 12.61) points, respectively; There were significant differences between the two subgroups in the two subgroups and the subgroups with unknown causes and female factors (P <0.05). There was a significant difference between the subgroups of unknown subgroups and the female patients (P <0.05). (3) The sub-dimension score and total score of the relationship between the two groups were (88.40 ± 10.74), (92.23 ± 9.41), (91.95 ± 10.67), (90.38 ± 14.14) and (90.04 ± 9.85) ) Points; After removing the influence of years of education and education, the scores of the two groups were still significantly higher than those of the male. There were significant differences between the two groups (P <0.05). Conclusion: The subjective infertility event will reduce the male sexual satisfaction, worsen self-esteem and self-esteem, and worsen the overall relationship between husband and wife. And this effect is related to individual education and years of infertility.