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辅助生殖治疗中的医学成功与夫妻心理问题:一种基于叙事的医学方法

Medical successes and couples' psychological problems in assisted reproduction treatment: a narrative based medicine approach.

作者信息

Smorti Martina, Smorti Andrea

机构信息

Free University of Bolzano, Faculty of Education, Bolzano, Italy.

出版信息

J Matern Fetal Neonatal Med. 2013 Jan;26(2):169-72. doi: 10.3109/14767058.2012.722728. Epub 2012 Sep 21.

DOI:10.3109/14767058.2012.722728
PMID:22928539
Abstract

OBJECTIVE

  1. To explore the psychological processes that develop in women and men during their first pregnancy obtained with assisted reproduction treatment; 2) to individuate the main plot that women and men use to recount their transition to parenthood.

METHODS

A face-to-face semi-structured autobiographical interview was administered. The interview was aimed to investigate the story of pregnancy. Interviews were transcribed verbatim and analyzed in order to merge principal themes.

PARTICIPANTS

15 Italian couples waiting for the first child after a conception with assisted reproductive technologies.

RESULTS

Medically assisted pregnancy constitutes an extremely stressful, highly medicalised experience, that the couple, however, narrated according to a basic plot consisting in four phases: doubt, final sentence, victory, monitoring.

CONCLUSIONS

Results suggest that physicians can benefit from knowing the phases that infertile couples experience during pregnancy because these can serve as a framework to use in monitoring their transition to parenthood and in planning psychological support and health interventions for them.

摘要

目的

1)探讨接受辅助生殖治疗的女性和男性在首次怀孕过程中产生的心理过程;2)确定女性和男性讲述其为人父母转变过程时所采用的主要情节。

方法

进行了面对面的半结构化自传式访谈。该访谈旨在调查怀孕经历。访谈内容逐字转录并进行分析,以归纳主要主题。

参与者

15对意大利夫妇,他们通过辅助生殖技术受孕后正在等待生育第一个孩子。

结果

医学辅助怀孕是一种压力极大且高度医疗化的经历,然而,这对夫妇根据一个由四个阶段组成的基本情节来讲述:怀疑、最终确定、成功、监测。

结论

结果表明,医生了解不孕夫妇在孕期经历的各个阶段会有所助益,因为这些阶段可作为一个框架,用于监测他们向父母角色的转变,并为他们规划心理支持和健康干预措施。

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BMC Pregnancy Childbirth. 2023 Jul 17;23(1):520. doi: 10.1186/s12884-023-05727-x.
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Maternal-fetal attachment and anxiety in pregnant women who conceived through assisted reproductive technology: A longitudinal study.通过辅助生殖技术受孕的孕妇的母婴依恋与焦虑:一项纵向研究。
Int J Reprod Biomed. 2022 Jan 12;19(12):1075-1084. doi: 10.18502/ijrm.v19i12.10058. eCollection 2021 Dec.
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Working With Infertile Couples Seeking Assisted Reproduction: An Interpretative Phenomenological Study With Infertility Care Providers.
与寻求辅助生殖的不孕夫妇合作:一项针对不孕不育护理提供者的解释现象学研究。
Front Psychol. 2020 Dec 17;11:586873. doi: 10.3389/fpsyg.2020.586873. eCollection 2020.
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Research studies on patients' illness experience using the Narrative Medicine approach: a systematic review.运用叙事医学方法对患者疾病体验的研究:一项系统综述。
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