The relationship between the self-efficacy and quality of life in the male patients undergoing in vitro fertilization-embryo transfer:mediating effects based on marital adjustment
Objective To explore the mediating effect of marital adjustment on the relationship between self-efficacy and quality of life among male patients in couples undergoing in vitro fertilization-embryo transfer(IVF-ET)treatment.Methods A time-series sampling method was employed to select 293 male patients who underwent IVF-ET treatment at the Reproductive Medicine Center of a tertiary hospital in Beijing from January to April 2022.A general information questionnaire,a general self-efficacy scale,the Locke-Wallace marital adjustment test,and a fertility quality of life scale were used for investigation.Structural equation modeling was applied to test the mediating effect.Results The total quality of life score for male patients undergoing IVF-ET treatment was 68.46±10.85.Marital adjustment was positively correlated with both self-efficacy and overall quality of life(r=0.408,0.391;P<0.01).Marital adjustment served as a mediating variable between self-efficacy and quality of life(β=0.104,P<0.001),with the mediating effect accounting for 26.74%of the total effect.Conclusions Male patients undergoing IVF-ET treatment exhibit moderate levels of quality of life,and marital adjustment partially mediates the relationship between self-efficacy and quality of life.It is recommended that during the intervention work aimed at improving the quality of life of male patients undergoing IVF-ET,attention should be paid to the impact of marital adjustment,to stimulate patients'self-efficacy,to conduct joint health education for couples,and to enhance marital adjustment to further improve quality of life.
In vitro fertilization-embryo transferSelf-efficacyMarital adjustmentQuality of lifeMediating effect