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一项关于成功怀孕女性不孕症治疗经历的定性研究。

A qualitative study of the experience of treatment for infertility among women who successfully became pregnant.

作者信息

Redshaw M, Hockley C, Davidson L L

机构信息

National Perinatal Epidemiology Unit, University of Oxford, Oxford, UK.

出版信息

Hum Reprod. 2007 Jan;22(1):295-304. doi: 10.1093/humrep/del344. Epub 2006 Sep 7.

Abstract

BACKGROUND

In a study in which 18,503 women who had recently given birth were interviewed, 460 women who had received treatment for infertility (2.6%) were asked to participate in a postal study. The aim was to investigate the experience of women who had undergone treatment for infertility and given birth as a consequence, focusing on perceptions of treatment and care.

METHODS

The study relies on responses to open-ended questions about the impact of treatment, how treatment could be improved and advice to policy makers. The text responses to these questions were analysed qualitatively.

RESULTS

A total of 230 women responded (50%). Emergent themes related to the treatment process, pain and distress, lack of choice and control, timing, emotional and financial costs, fairness and contrasts in care.

CONCLUSIONS

Women wished to be treated with respect and dignity and given appropriate information and support. They wanted their distress recognized, to feel cared for and to have confidence in health professionals in situations where outcomes are uncertain. Women acknowledged receiving care from motivated and skilled health professionals and value the children they have enormously. For many, there is now a sense of being complete, though for some this has been at great emotional and financial cost.

摘要

背景

在一项对18503名近期分娩的女性进行访谈的研究中,460名接受过不孕症治疗的女性(2.6%)被邀请参与一项邮寄调查研究。目的是调查接受过不孕症治疗并因此分娩的女性的经历,重点关注对治疗和护理的看法。

方法

该研究依赖于对关于治疗影响、如何改进治疗以及给政策制定者的建议等开放式问题的回答。对这些问题的文字回答进行了定性分析。

结果

共有230名女性做出了回应(50%)。浮现出的主题涉及治疗过程、疼痛与痛苦、缺乏选择与控制权、时间安排、情感和经济成本、公平性以及护理方面的差异。

结论

女性希望得到尊重和有尊严的对待,并获得适当的信息和支持。她们希望自己的痛苦得到认可,感到被关心,并在结果不确定的情况下对医疗专业人员有信心。女性认可得到了积极主动且技术娴熟的医疗专业人员的护理,并极其珍视她们所拥有的孩子。对许多人来说,现在有一种圆满的感觉,尽管对一些人来说这付出了巨大的情感和经济代价。

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