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功能性不射精症患者抑郁状况调查及影响因素分析

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目的 调查功能性不射精症(PAE)患者的抑郁状况,并分析其相关影响因素.方法 选取2021 年 1 月至2023 年8 月前来南京大学医学院附属鼓楼医院进行性咨询的80 例PAE患者作为研究对象,采用一般信息量表收集患者基本情况,同时采用患者健康问卷(PHQ-9)调查患者的抑郁状况,采用单因素和多元 Logistic 回归分析 PAE 患者抑郁发生的影响因素.结果 PAE 患者抑郁发生率为68.75%(55/80).多因素 Logistic 回归分析显示,病程 6~24 个月(OR =6.782,95%CI:1.238~37.163)、病程>24 个月(OR =7.765,95%CI:1.404~42.951)和有生育压力(OR =3.203,95%CI:1.011~10.150)是PAE患者发生抑郁的危险因素(P<0.05),与性伴侣的性生活满意(OR =0.161,95%CI:0.037~0.706)是抑郁发生的保护因素(P<0.05).结论 PAE患者抑郁发生率高,其影响因素包括病程、是否有生育压力及性生活的满意程度,应针对这些因素采取认知行为疗法、放松训练及合理情绪疗法来改善.
Investigation and influencing factors analysis on the depression status in patients with psychogenic anejaculation
Objective To investigate the depression status of patients with psychogenic anejaculation(PAE),and to analyze relevant influencing factors.Methods A total of 80 patients with PAE who came to the Drum Tower Hospital Affiliated to Nanjing University School of Medical for sexual counseling from January 2021 to August 2023 were selected as the research subjects.The general information scale was used to collect patients'basic information,and the patient health questionnaire-9(PHQ-9)was used to investigate patients'depression status.Univariate and multivariate Logistic regression analysis were used to analyze the influencing factors of depression occurence in patients with PAE.Results The incidence of depression in patients with PAE was 68.75%(55/80).Multivariate Logistic regression analysis showed that the 6-24 months course of the disease(OR=6.782,95%CI:1.238-37.163),the>24 months course of the disease(OR=7.765,95%CI:1.404-42.951)and having reproductive pressure(OR =3.203,95%CI:1.011-10.150)were risk factors for depression occurence in patients with PAE(P<0.05),and having sexual satisfaction with sexual partners(OR=0.161,95%CI:0.037-0.706)was the protective factor for depression occurence(P<0.05).Conclusions The incidence of depression in patients with PAE is high,and its influencing factors include the course of disease,reproductive pressure,and sexual satisfaction.Cognitive behavioral therapy,relaxation training,and rational emotional therapy shoulde be taken to improve these factors.

Psychogenic anejaculationDepressionInfluencing factor

张恩思、郑淑娟、万婠、崇武、张颖、秦雪、车晓艳

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江苏大学鼓楼临床医学院男科,南京 210008

南京大学医学院附属鼓楼医院男科,南京 210008

功能性不射精症 抑郁 影响因素

南京大学中国医院改革发展研究院课题南京鼓楼医院医学发展医疗救助基金会资助项目南京鼓楼医院临床研究专项南京鼓楼医院护理重点课题

NDYG20220692022-LCYJ-PY-222023-R262

2024

中国性科学
中国性学会

中国性科学

CSTPCD
影响因子:1.394
ISSN:1672-1993
年,卷(期):2024.33(2)
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