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不孕夫妇在女性因卵巢过度刺激综合征住院接受不孕治疗期间的家庭压力体验。

Infertile couples' experience of family stress while women are hospitalized for ovarian hyperstimulation syndrome during infertility treatment.

作者信息

Chang Shiu-Neng, Mu Pei-Fan

机构信息

Taipei Veterans General Hospital, Taipei, Taiwan.

出版信息

J Clin Nurs. 2008 Feb;17(4):531-8. doi: 10.1111/j.1365-2702.2006.01801.x. Epub 2007 Mar 1.

Abstract

AIMS AND OBJECTIVES

The aim of this study was to explore the essential structure of family stress among hospitalized women receiving infertility treatment with Ovarian Hyperstimulation Syndrome.

BACKGROUND

When hospitalization is necessary for infertile women with Ovarian Hyperstimulation Syndrome, they face health-illness transition stress and their families are traumatized by the pressure of hospitalization. Most literature on infertility treatment has dealt with the infertile women's physio-psychological reactions, the impact on the couples' relationships and the influence of social support on infertile couples.

DESIGN

A descriptive phenomenological design consistent with Husserl's philosophy.

METHODS

Ten married couples from a Taipei medical centre participated in the study. All the couples were receiving infertility treatment because the female partners were suffering from moderate or severe Ovarian Hyperstimulation Syndrome and this required hospitalized. An open in-depth interview technique encouraged parents to reflect on their experience, which raised their feelings to a conscious level. Data were analysed using Colaizzi's approach.

RESULTS

This study explored infertile women's experiences from the couples' perspectives and the results identify the overall stresses that the family face. Five themes emerged from the study, namely, the stress of 'carrying on the ancestral line', the psychological reactions of the couple, a disordering of family life, reorganization of family life and external family support.

CONCLUSIONS

The results demonstrate that the experience of family stress involves impacts that range across the domains of individual, marital, family and social interactions and there is a need to cope with these when the wife is hospitalized for moderate to severe Ovarian Hyperstimulation Syndrome.

RELEVANCE TO CLINICAL PRACTICE

The findings indicated that nurses should provide infertile couples with family-centred perspectives that are related to Chinese cultural family values. Nurses should supply information on infertility treatment and assist couples to cope with their personal and family stress.

摘要

目的与目标

本研究旨在探讨接受卵巢过度刺激综合征不孕治疗的住院女性家庭压力的基本结构。

背景

患有卵巢过度刺激综合征的不孕女性如需住院治疗,她们会面临健康与疾病转变的压力,其家庭也会因住院压力而受到创伤。大多数关于不孕治疗的文献都涉及不孕女性的生理心理反应、对夫妻关系的影响以及社会支持对不孕夫妇的作用。

设计

采用与胡塞尔哲学相符的描述性现象学设计。

方法

来自台北一家医疗中心的十对已婚夫妇参与了本研究。所有夫妇均因女性伴侣患有中度或重度卵巢过度刺激综合征而接受不孕治疗,且需要住院。采用开放式深入访谈技术,鼓励父母反思自身经历,将他们的感受提升到意识层面。数据采用科莱齐的方法进行分析。

结果

本研究从夫妻双方的角度探讨了不孕女性的经历,结果确定了家庭面临的总体压力。研究得出了五个主题,即“传宗接代的压力”、夫妻的心理反应、家庭生活紊乱、家庭生活重组以及外部家庭支持。

结论

结果表明,家庭压力的经历涉及个人、婚姻、家庭和社会互动等多个领域的影响,当妻子因中度至重度卵巢过度刺激综合征住院时,有必要应对这些影响。

与临床实践的相关性

研究结果表明,护士应向不孕夫妇提供与中国文化家庭价值观相关的以家庭为中心的观点。护士应提供不孕治疗的信息,并协助夫妇应对个人和家庭压力。

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