Vadaparampil Susan T, Clayton Heather, Quinn Gwendolyn P, King Lindsey M, Nieder Michael, Wilson Crystal
H. Lee Moffitt Cancer Center & Research Institute, Health Outcomes and Behavior Program, Tampa, Florida, USA.
J Pediatr Oncol Nurs. 2007 Sep-Oct;24(5):255-63. doi: 10.1177/1043454207303878.
This study explores nurses' attitudes toward the discussion of fertility preservation (FP) with pediatric cancer patients and their families. A cross-sectional survey was administered to attendees of a pediatric oncology conference. Of the 115 nurses who responded and comprised the study sample, most reported discussing risks of infertility or FP <or= 50% of the time. The 3 attitudinal factors most commonly rated by nurses to influence discussion of FP are the potential of upsetting patients' families, that boys younger than 18 years should not be given erotic materials during semen collection, and difficulty locating FP facilities. The 3 patient factors most likely to encourage the discussion of FP are the patient being recently married or engaged, the patient asking about FP, and availability of patient education materials. While the results indicate that nurses do not regularly discuss FP with their patients, nurses perceive such discussion as being within their scope of practice. Therefore, with appropriate intervention, nurses may play a key role in facilitating discussions regarding FP with patients and families.
本研究探讨护士对与儿科癌症患者及其家属讨论生育力保存（FP）的态度。对一次儿科肿瘤学会议的参会者进行了横断面调查。在115名做出回应并构成研究样本的护士中，大多数报告称讨论不孕风险或生育力保存的时间≤50%。护士最常认为会影响生育力保存讨论的3个态度因素是可能使患者家属不安、18岁以下男孩在采集精液时不应给予色情材料以及难以找到生育力保存机构。最有可能促使讨论生育力保存的3个患者因素是患者最近结婚或订婚、患者询问生育力保存以及有患者教育材料。虽然结果表明护士并不经常与患者讨论生育力保存，但护士认为这种讨论属于他们的执业范围。因此，通过适当干预，护士可能在促进与患者及其家属关于生育力保存的讨论中发挥关键作用。
