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应对不孕症:来自不断增长的研究成果的经验教训及实践建议指南

Responding to Infertility: Lessons From a Growing Body of Research and Suggested Guidelines for Practice.

作者信息

Shreffler Karina M, Greil Arthur L, McQuillan Julia

机构信息

Oklahoma State University.

Alfred University.

出版信息

Fam Relat. 2017 Oct;66(4):644-658. doi: 10.1111/fare.12281.

Abstract

Infertility is a common, yet often misunderstood, experience. Infertility is an important topic for family scientists because of its effects on families; its relevance to research in related areas, such as fertility trends and reproductive health; and its implications for practitioners who work with individuals and couples experiencing infertility. In this review, we focus on common misperceptions in knowledge and treatment of infertility and highlight insights from recent research that includes men, couples, and people with infertility who are not in treatment. The meaning of parenthood, childlessness, awareness of a fertility problem, and access to resources are particularly relevant for treatment seeking and psychosocial outcomes. On the basis of insights from family science research, we provide specific guidelines for infertility practice within broader social contexts such as trends in health care, education, employment, and relationships. Guidelines are presented across three areas of application: infertility education for individuals, families, and practitioners; steps to support the emotional well-being of those affected by infertility; and understanding of treatment approaches and their implications for individuals and couples.

摘要

不孕症是一种常见却常被误解的经历。不孕症对家庭科学家而言是一个重要话题,因为它会对家庭产生影响;与生育趋势和生殖健康等相关领域的研究相关;并且对为不孕不育的个人和夫妇提供服务的从业者也有影响。在本综述中,我们聚焦于不孕症知识和治疗方面的常见误解,并强调近期研究的见解,这些研究涵盖了男性、夫妇以及未接受治疗的不孕不育者。为人父母的意义、无子女状态、对生育问题的认知以及获得资源的情况,对于寻求治疗和心理社会结果尤为重要。基于家庭科学研究的见解,我们在更广泛的社会背景下,如医疗保健、教育、就业和人际关系的趋势,为不孕症治疗实践提供具体指导方针。指导方针涵盖三个应用领域:针对个人、家庭和从业者的不孕症教育;支持受不孕症影响者情绪健康的步骤;以及对治疗方法及其对个人和夫妇影响的理解。

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本文引用的文献

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Access to and use of infertility services in the United States: framing the challenges.美国不孕不育服务的获取与使用:应对挑战
Fertil Steril. 2016 May;105(5):1113-1118. doi: 10.1016/j.fertnstert.2016.01.017. Epub 2016 Jan 27.
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Surgical sterilization, regret, and race: contemporary patterns.手术绝育、后悔情绪与种族:当代模式
Soc Sci Res. 2015 Mar;50:31-45. doi: 10.1016/j.ssresearch.2014.10.010. Epub 2014 Nov 8.

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