Gonzalez L O
College of Nursing, Health Sciences Center, University of South Florida, 12901 Bruce B. Downs Blvd., MDC Box 22, Tampa, FL 33612-4766, USA.
Issues Ment Health Nurs. 2000 Sep;21(6):619-33. doi: 10.1080/01612840050110317.
The purpose of this qualitative descriptive study was to investigate the phenomenon of infertility as experienced by infertile women. A purposive sample of 25 infertile women participated in the study. Data were extracted from taped interviews and the researcher's observational field notes. Data analysis was conducted according to the techniques described by Miles and Huberman (1994). Participant responses to interviews were categorized by examining the interview transcripts and identifying significant statements and meanings. Themes which emerged from the statements were then ascertained and cross-case comparisons were made in order to confirm or to reconsider these themes. Five key themes emerged from the data: failure to fulfill a prescribed societal norm, assault on personal identity, mourning, transformation, and restitution. The women experienced infertility as a transformational process in which they mourned their loss of reproductive function and parenting roles and struggled to make restitution for the perceived stigma and powerlessness associated with nonfulfillment of a prescribed societal norm, the exclusion from cherished societal rituals, and the deprivation of ties of descent. Findings from this study have provided a framework for increased awareness of the phenomenon of infertility and for the essential components of supportive counseling or psychotherapy, regardless of the outcome of the infertility experience.
这项质性描述性研究的目的是调查不孕女性所经历的不孕现象。25名不孕女性作为有目的的样本参与了该研究。数据从录音访谈和研究者的观察实地记录中提取。数据分析按照迈尔斯和休伯曼（1994年）所描述的技术进行。通过检查访谈记录并识别重要陈述和意义，对参与者的访谈回答进行分类。然后确定从陈述中浮现出的主题，并进行跨案例比较，以确认或重新考虑这些主题。数据中出现了五个关键主题：未能履行规定的社会规范、对个人身份的冲击、哀悼、转变和恢复。这些女性将不孕经历视为一个转变过程，在这个过程中，她们哀悼自己失去生殖功能和育儿角色，并努力弥补因未履行规定的社会规范、被排除在珍视的社会仪式之外以及被剥夺血缘关系而感受到的耻辱和无力感。无论不孕经历的结果如何，本研究的结果都为提高对不孕现象的认识以及支持性咨询或心理治疗的基本组成部分提供了一个框架。
