Research on the perception of pre-semen collection stress and its influencing factors in men on the day of oocyte retrieval in IVF-ET

体外受精-胚胎移植术中,男性在取卵日精液采集前压力感知及其影响因素的研究

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Abstract

PURPOSE: This study aimed to investigate the status and influencing factors of perceived stress in men before sperm collection on the day of oocyte retrieval during IVF-ET, thereby providing a theoretical basis for nursing interventions. METHODS: A cross-sectional survey was conducted using convenience sampling. We examined 507 male IVF-ET patients undergoing sperm collection using a demographic questionnaire, the Generalized Anxiety Disorder Scale, the Perceived Stress Scale, and the Chinese version of the Connor-Davidson Resilience Scale. Univariate analysis, Pearson correlation, and multivariate linear regression were utilized to identify factors affecting perceived stress before sperm collection. RESULTS: The average score for perceived stress before sperm collection was 14.64 ± 4.54. For generalized anxiety, it was 6.28 ± 3.92; and for psychological resilience, it was 68.14 ± 18.46. Multivariate linear regression analysis revealed that monthly family income, psychological resilience, and anxiety were significant predictors of perceived stress in men before sperm collection (P < 0.05). CONCLUSIONS: Men experienced mild anxiety and perceived stress before sperm collection on the day of oocyte retrieval, accompanied by moderate psychological resilience. Monthly family income is independent predictors of perceived stress. Anxiety correlates positively with perceived stress and can predict elevated stress levels, while psychological resilience correlates negatively with stress, serving as a protective factor. Nursing staff must address perceived stress, anxiety, and resilience in men undergoing IVF-ET, providing comprehensive information and support to enhance their psychological well-being.

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