Stevenson Eleanor L, McEleny Kevin R
a Division of Health for Women, Children and Families , Duke University School of Nursing , Durham , NC , USA.
b Newcastle Fertility Centre , The Newcastle-upon-Tyne Hospitals NHS Trust , Newcastle , UK.
Hum Fertil (Camb). 2017 Sep;20(3):148-154. doi: 10.1080/14647273.2017.1303198. Epub 2017 Mar 22.
Male factor infertility (MFI) is extremely common, often with several associated chronic health conditions. Because a man's fertility assessment may be their first contact with health services, the health care team has a responsibility to act as male health advocates to ensure comprehensive care. The diagnosis of subfertility allows a broader view of these men as patients with a chronic illness who have complex health needs. Because of the associated complexity of care following evaluation, there needs to be new approach in how men affected by MFI should be managed long term. In this commentary, we propose that the Adaptive Leadership Framework model for Chronic Illness is a suitable vehicle to use for management of the MFI patient's journey towards optimized health.
男性因素不育（MFI）极为常见，通常伴有多种相关的慢性健康状况。由于男性的生育能力评估可能是他们首次接触医疗服务，医疗团队有责任充当男性健康倡导者，以确保提供全面的护理。亚生育力的诊断使我们能够更全面地看待这些男性，将他们视为患有慢性疾病且有复杂健康需求的患者。由于评估后护理的复杂性，对于受MFI影响的男性的长期管理需要一种新方法。在本评论中，我们提出慢性病适应性领导框架模型是管理MFI患者走向最佳健康之旅的合适工具。
