首页|男性不育症患者"C-HAPA"健康管理方案的构建及应用研究

男性不育症患者"C-HAPA"健康管理方案的构建及应用研究

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目的 探讨"C-HAPA"方案在男性不育症患者健康管理中的应用效果.方法 选取2022年1—4月在我院男科门诊就诊的男性不育症患者51例,采用"C-HAPA"方案进行4个月的健康管理,比较干预前后干预对象健康促进行为、精液质量、自我效能和夫妻支持应对情况.结果 干预后患者吸烟、饮酒、饮食类型、每周体育锻炼情况均有改善(P<0.05);精液常规指标前向运动精子计数(106/mL)、前向运动精子百分率(%)、正常形态精子百分率(%)均有提升(P<0.001);一般自我效能、夫妻支持应对总分、积极应对均有提升(P<0.001).结论 "C-HAPA"健康管理方案能够促进不育症患者健康行为的改善,提高精液质量,提升患者自我效能和夫妻支持应对,为男性生殖健康管理和生育力保护提供新思路.
Construction and application of the"C-HAPA"health management plan for male infertility patients
Objective To explore the effectiveness of the "C-HAPA" health management program,which integrates health coaching techniques with the HAPA theory,in managing the health of infertile patients.Methods From January to April 2022,51 male infertility patients visiting a top-tier hospital' s urology outpatient clinic were selected.They received a 4-month"C-HAPA"-based health management program and changes in health-promoting behaviors,semen quality,self-efficacy,and spousal support were comparatively analyzed before and after the intervention.Results Improvements were observed in smoking,drinking,diet types,and weekly physical exercise,all showing statistical significance (P<0.05).Semen parameters,including progressive motile sperm count ( M),post-intervention;progressive motile sperm percentage and normal morphology sperm rate were all improved,all with indicating statistically significant differences (P<0.001).General self-efficacy,the DCI total score and active coping were also significantly improved after intervention (P<0.001).Conclusion The "C-HAPA" health management program,effectively improves health-promoting behaviors and semen quality in infertile patients,enhances self-efficacy,and strengthens spousal support,which offers a new approach to managing male reproductive health and fertility preservation.

health behaviorhealth managementinfertilitymaleself-efficacy

郑悦、万婠、胡萍、袁玉娟、朱亚捷、张萌、唐笑寒、陈雁

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南京大学医学院附属鼓楼医院,江苏 南京210008

健康行为 健康管理 不育 男性 自我效能

2024

中国男科学杂志
上海交通大学医学院,国家人口和计划生育委员会科学技术研究所

中国男科学杂志

CSTPCD
影响因子:0.437
ISSN:1008-0848
年,卷(期):2024.38(6)