年轻成年女性癌症幸存者对生育力保存的决策遗憾。
Young Adult Female Cancer Survivors' Decision Regret About Fertility Preservation.
作者信息
Benedict Catherine, Thom Bridgette, Kelvin Joanne F
机构信息
Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center , New York, New York.
Survivorship Center, Memorial Sloan Kettering Cancer Center , New York, New York.
出版信息
J Adolesc Young Adult Oncol. 2015 Dec;4(4):213-8. doi: 10.1089/jayao.2015.0002.
Abstract
This study evaluated fertility-related experiences of young adult female cancer survivors (18-39 years). Data were from a retrospective, cross-sectional survey. Women were more likely to undergo pre-treatment fertility preservation (FP) if they received fertility counseling (by a fertility nurse specialist, reproductive endocrinologist, or gynecologist). Compared with women who underwent FP, those who did not had greater decision regret (DR) after treatment (p < 0.001). Multiple reasons for not pursuing FP were reported; lack of time and distress related to more DR and not wanting children in the future related to less DR (p < 0.05). Decision regret may lead to psychosocial morbidity in survivorship.
摘要
本研究评估了年轻成年女性癌症幸存者（18 - 39岁）与生育相关的经历。数据来自一项回顾性横断面调查。如果女性接受了生育咨询（由生育护士专家、生殖内分泌学家或妇科医生提供），她们更有可能在治疗前进行生育力保存（FP）。与接受FP的女性相比，未接受FP的女性在治疗后有更大的决策遗憾（DR）（p < 0.001）。报告了不进行FP的多种原因；与更多DR相关的时间不足和痛苦，以及与较少DR相关的未来不想生育（p < 0.05）。决策遗憾可能导致幸存者出现心理社会疾病。
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