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年轻女性在卵巢囊肿手术前对与生育相关的信息和生育困境的看法。

Young women's perceptions of fertility-related information and fertility distress before surgery for ovarian cysts.

机构信息

Department of Clinical Science, Intervention and Technology CLINTEC, Section for Obstetrics and Gynecology, Karolinska Institute, Stockholm, Sweden.

出版信息

Acta Obstet Gynecol Scand. 2013 Nov;92(11):1290-6. doi: 10.1111/aogs.12228. Epub 2013 Sep 7.

Abstract

OBJECTIVE

To investigate young women's reproductive desire and perceptions of fertility-related information when scheduled for ovarian cyst surgery with a possible impact on fertility.

DESIGN

Cross-sectional study.

SETTING

University Hospital.

POPULATION

Women of reproductive age (n = 106, mean age 32.3 years, range 18-44 years) with a diagnosis of ovarian cyst and scheduled ovarian cyst surgery between March 2011 and September 2012 were included.

METHODS

The women answered a questionnaire after the presurgery consultation with the gynecologist. The questionnaire included study-specific measures of reproductive desire, perception of fertility-related information received, worry about future fertility and sociodemographic characteristics.

MAIN OUTCOME MEASURE

Reproductive desire and recalled information on the impact of surgery on fertility.

RESULTS

A high proportion of the women (72%) reported a desire for having children in the future and more than half of them (58%) recalled receiving information about the impact of surgery on fertility. In a multivariable logistic regression model adjusted for parity, education and age, a desire to have children increased the likelihood of recalling having received fertility-related information (odds ratio 3.2, 95% CI 1.1-9.2).

CONCLUSIONS

Almost half of women with reproductive desire had ovarian surgery without recalling a discussion of fertility issues. Development of written information or interactive information might improve women's perception of fertility-related information.

摘要

目的

调查计划接受卵巢囊肿手术的年轻女性的生育愿望和对生育相关信息的认知,这些手术可能会对生育能力产生影响。

设计

横断面研究。

地点

大学医院。

人群

纳入了 106 名年龄在 18-44 岁之间(平均年龄 32.3 岁)、被诊断为卵巢囊肿并计划于 2011 年 3 月至 2012 年 9 月间接受卵巢囊肿手术的育龄妇女。

方法

在妇科医生进行术前咨询后,这些女性回答了一份问卷。问卷包括生育愿望、对接受的生育相关信息的认知、对未来生育能力的担忧以及社会人口统计学特征的特定研究措施。

主要观察指标

生育愿望和对手术对生育能力影响的回忆信息。

结果

大多数女性(72%)报告未来有生育孩子的愿望,超过一半的女性(58%)回忆曾接受过关于手术对生育能力影响的信息。在调整了产次、教育程度和年龄的多变量逻辑回归模型中,生育愿望增加了回忆接受生育相关信息的可能性(比值比 3.2,95%置信区间 1.1-9.2)。

结论

近一半有生育愿望的女性在接受卵巢手术时没有回忆起曾讨论过生育问题。制定书面信息或互动信息可能会提高女性对生育相关信息的认知。

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