School of Psychology, Flinders University, Adelaide, Australia.
Support Care Cancer. 2012 Jun;20(6):1259-65. doi: 10.1007/s00520-011-1212-y. Epub 2011 Jun 10.
This study aims to assess the fertility concerns among cancer survivors aged 50 and under as part of a larger study investigating the survivors' concerns regarding fertility, sexuality and parenting.
Cancer survivors who were at least 1 month post-treatment were invited to a recorded interview. The patients were identified from an oncology database and invited to participate via letter or during clinic consultation. The participants were recruited until saturation of themes was achieved. Transcripts were coded thematically, with greater emphasis given to frequently raised themes.
Twenty-five survivors (19 women) were interviewed. The median age was 37 (range 24-50). Median time since completion of treatment was 7 months. Twenty were married or in a relationship; 18 had children at the time of diagnosis. Two became pregnant after treatment. Four themes were identified: (1) Fertility represents more than child-bearing capacity: potential fertility loss was a concern for participants, irrespective of their desire for future children; (2) Assumed infertility: There was a tendency for participants to assume that they were infertile; (3) Lack of information regarding decision-making and fertility: The respondents reported a perceived lack of consideration of fertility at diagnosis by medical professionals, and this impacted upon the decision-making process; and (4) Participant recommendations: The respondents wanted more information and for support services to be offered.
Fertility is an important concern for young cancer survivors. There is a need for strategies regarding information provision and support for cancer patients with regard to these concerns.
本研究旨在评估 50 岁及以下癌症幸存者的生育问题，这是一项更大规模研究的一部分，该研究旨在调查幸存者对生育、性和育儿的关注。
邀请至少接受过 1 个月治疗的癌症幸存者参加录音采访。从肿瘤数据库中确定患者，并通过信件或在诊所咨询时邀请他们参加。招募参与者，直到主题达到饱和。对转录本进行主题编码，更注重经常提出的主题。
对 25 名幸存者（19 名女性）进行了采访。中位年龄为 37 岁（范围 24-50 岁）。中位治疗结束时间为 7 个月。20 人已婚或有伴侣；18 人在诊断时已有孩子。两人在治疗后怀孕。确定了四个主题：（1）生育不仅仅代表生育能力：潜在的生育能力丧失是参与者关注的问题，无论他们是否希望未来有孩子；（2）假设的不孕：参与者倾向于假设自己不孕；（3）缺乏关于决策和生育的信息：受访者报告说，医疗专业人员在诊断时对生育问题的考虑不足，这影响了决策过程；（4）参与者建议：受访者希望获得更多信息，并提供支持服务。
生育对年轻癌症幸存者来说是一个重要的问题。需要制定有关信息提供和支持的策略，以解决癌症患者的这些问题。
