Logistic regression analysis of disease uncertainty and related factors in patients with psychogenic erectile dysfunction
Objective To investigate and analyze the status quo and influencing factors of disease uncertainty in patients with psychogenic erectile dysfunction(ED).Methods The convenient sampling method was used to select 123 patients with psychogenic ED diagnosed and treated in Lishui Central Hospital from December2021 to December2022 as the observation group,and 123 patients with organic ED in the same hospital were included as the control group during the same period according to the 1 ∶1 principle.The survey items included Mishel's uncertainty in illness scale(MUIS)and clinical data(including self-rating anxiety scale(SAS),self-rating depression scale(SDS)and social support rating scale(SSRS).The status quo and influencing factors of disease uncertainty in patients with psychogenic ED were analyzed emphatically.Results The total score of MUIS score,SAS score and SDS score in the observation group were higher than those in the control group,and the SSRS score was lower than that in the control group,with statistical significant differences(P<0.05).There were statisitically significant differences in MUIS scores among psychogenic ED patients with different understanding of disease and treatment,severity of disease,anxiety and depression,and social support(P<0.05).Pearson correlation results showed that the uncertainty of disease was positively correlated with anxiety and depression(r>0,P<0.05).The uncertainty of disease was negatively correlated with social support(r<0,P<0.05).Multivariate linear regression analysis showed that the understanding degree of the disease and treatment,severity of the disease,anxiety and depression,and social support were the influencing factors of the uncertainty of the disease in patients with psychogenic ED(P<0.05).Conclusions Patients with psychogenic ED have disease uncertainty.Clinical attention should be focused on those patients with psychogenic ED who with poor understanding of the disease and treatment,more severe condition,anxiety and depression and low social support,and intervention should be strengthen to reduce their disease uncertainty and improve their quality of life.
Psychogenic erectile dysfunctionUncertainty of diseaseInfluence factor