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| Investigation of psychological health status and its influencing factors analysis of patients with non-obstructive azoospermia |
| Reproductive Hospital of Henan Provincial People’s Hospital, Henan Provincial Key Laboratory of Nursing Medicine, Zhengzhou University People’ s Hospital, Zhengzhou, Henan Province, 450003 |
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Abstract To explore the psychological health status of patients with non-obstructive azoospermia (NOA), and to analyze the influencing factors of their NOA. Methods: The clinical data of 287 patients with NOA between September 2017 and September 2021 were analyzed retrospectively. Mental Status Scale in Nonpsychiatric Setting (MSSNS) was used to evaluate the psychological status of these patients, and according to the evaluated results, these patients were divided into group A (203 cases with abnormal psychology of MSSNS score≥60 points) and group B (84 cases with normal psychology of MSSNS score <60 points). One-way analysis of variance was used to analyze the clinical data of the patients in the two groups, which included age, marriageable age, personal education level, education level of spouse, body mass index (BMI) value, place of residence, occupational composition, family monthly income, marriage quality, social support, and urgency to give birth, and so on. Logistic multiple regression analysis was also used to analyze the influencing factors further. Results: There were no significant differences in the marriage age, the personal education level, the education level of spouse, the BMI value, the residence place, the occupation composition, and the family monthly income of the patients between the two groups (P＞0.05). There were significantly differences in the age, the scores of ENRICH and SSRS, and the rate of urgency to give birth of the patients between the two groups (P＜0.05). Regression analysis showed that age ≥35 years old, ENRICH score <341 points, SSRS score<24 points, and greater urgency to give birth of the patients were the independent influencing factors of the deterioration of their mental health status (P＜0.05). Conclusion: The patients with NOA are prone to negative psychological status, such as anxiety, depression, and loneliness, etc. Age, poor marital quality, insufficient social support, and greater urgency to give birth of the patients are the related factors that cause their negative psychological status, which suggesting that the psychological support of the patients should be paid attention by the providers in clinic and their family members, and their marital quality and reproductive health will be improved after intervention.
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