Lee Shu-Hsin, Wang Shu-Chuan, Kuo Ching-Pyng, Kuo Pi-Chao, Lee Maw-Sheng, Lee Meng-Chih
School of Nursing, Chung Shan Medical University, Taichung, Taiwan.
Scand J Caring Sci. 2010 Sep;24(3):507-13. doi: 10.1111/j.1471-6712.2009.00742.x.
Reproductive technology has increased the childbearing potential for many infertile women, but in vitro fertilization (IVF) failures are common, which often trigger grief responses and coping strategies to manage the stressful life event. The present cross-sectional study investigated 66 women who had experienced at least one failure with IVF treatment. The data were gathered by a self-administered structured questionnaire, and included the participant's personal profile, grief responses and the Jalowiec's coping scale. The most common grief response among the respondents was bargaining, followed by acceptance, depression, anger, denial, and isolation. The order of coping strategies used, from highest-to-lowest, were confrontative, optimistic, self-reliant, fatalistic, supportive, evasive, palliative, and emotive. Use and self-perceived effectiveness among all coping strategies had a high correlation, except emotion. Bargaining, the most common grief response, was associated with a variety of coping strategies. All coping strategies were correlated with grief responses. The results of identifying the grief responses and associated coping strategies of women who have undergone failed IVF treatment may assist nurses and other health care professionals in their efforts to provide appropriate information, care and psychological support.
生殖技术提高了许多不孕妇女的生育潜力，但体外受精（IVF）失败很常见，这往往会引发悲伤反应以及应对压力性生活事件的应对策略。本横断面研究调查了66名经历过至少一次IVF治疗失败的女性。数据通过自行填写的结构化问卷收集，包括参与者的个人资料、悲伤反应和贾洛维茨应对量表。受访者中最常见的悲伤反应是讨价还价，其次是接受、抑郁、愤怒、否认和孤立。所使用的应对策略从高到低依次为对抗性、乐观性、自力更生、宿命论、支持性、回避性、姑息性和情感性。除情感性外，所有应对策略的使用与自我感知效果都具有高度相关性。最常见的悲伤反应——讨价还价，与多种应对策略相关。所有应对策略都与悲伤反应相关。识别经历IVF治疗失败的女性的悲伤反应及相关应对策略的结果，可能有助于护士和其他医护专业人员努力提供适当的信息、护理和心理支持。
