| 吴文举.早泄患者疾病不确定感现状及影响因素的相关性分析[J].安徽医药,待发表. |
| 早泄患者疾病不确定感现状及影响因素的相关性分析 |
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| 投稿时间：2025-03-24 录用日期：2025-04-30 |
| DOI： |
| 中文关键词: 早泄 疾病不确定感 抑郁 伴侣关系 影响因素 |
| 英文关键词: |
| 基金项目:江苏省“六大人才高峰”项目（WSW-051） |
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| 摘要点击次数: 13 |
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| 中文摘要: |
| 目的 探讨早泄患者疾病不确定感现状及其相关影响因素。方法 选取2024年1月至10月就诊于徐州医科大学附属医院男科门诊的早泄患者，采取问卷调查的方式，收集一般资料，并应用相应量表对其疾病特征、疾病不确定感水平、焦虑与抑郁情况等进行评估，分析早泄患者疾病不确定感的影响因素。结果 病程更长、阴道内射精潜伏期更短、伴侣关系不佳、无频繁手淫史、伴有焦虑以及抑郁表现的早泄患者，具有更高的疾病不确定感水平（P＜0.05）。多元线性回归分析显示，病程更长（P=0.009）、伴侣关系不佳（P=0.034）、伴有中重度抑郁（P=0.025）、无频繁手淫史（P＜0.001）是影响早泄患者疾病不确定感水平的独立危险因素。经协变量调整后，可排除早泄分类对回归模型的混杂影响（P≥0.05）。结论 早泄患者的疾病不确定感总体属于中等水平。应重点关注病程较长、伴侣关系不佳、伴有中重度抑郁表现、无频繁手淫史的患者，适当加强干预从而降低其疾病不确定感，以期达到更好的治疗效果。 |
| 英文摘要: |
| Objective To investigate the current status of illness uncertainty and identify associated influencing factors in patients with premature ejaculation (PE). Methods A cross-sectional study was carried out from January to October 2024 among individuals diagnosed with premature ejaculation who visited the Urology Department of the Affiliated Hospital of Xuzhou Medical University. Participants completed questionnaires designed to obtain demographic information. Validated measurement instruments were utilized to evaluate clinical features, levels of illness uncertainty, anxiety, and depression. Multivariate analysis was performed to identify factors associated with illness uncertainty. Results Patients with longer disease duration, shorter intravaginal ejaculatory latency time, poor partner relationships, lack of frequent masturbation history, and comorbid anxiety or depression exhibited significantly higher illness uncertainty levels (P<0.05). Multivariate linear regression analysis identified longer disease duration (P=0.009), poor partner relationships (P=0.034), moderate-to-severe depression (P=0.025), and lack of frequent masturbation history (P<0.001) as independent risk factors for elevated illness uncertainty. After adjusting for covariates, different classifications showed no confounding effect on the regression model (P≥0.05). Conclusion The overall illness uncertainty level in patients with premature ejaculation is moderate. Clinical attention should focus on patients with longer disease duration, poor partner relationships, moderate-to-severe depression, and lack of frequent masturbation history. Appropriate interventions should be implemented to reduce illness uncertainty and improve therapeutic outcomes. |
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