Hess Rosanna F, Ross Ratchneewan, GilillandJr John L
Research for Health, Inc., Cuyahoga Falls, OH, USA.
School of Nursing & Health Sciences, Malone University, Canton, OH, USA.
Afr J Reprod Health. 2018 Mar;22(1):60-72. doi: 10.29063/ajrh2018/v22i1.6.
Relatively little is known about infertility and its consequences in Mali, West Africa where the context and culture are different from those of previously studied settings. This study therefore aimed to specifically examine infertility induced psychological distress and coping strategies among women in Mali. A convergent mixed-methods design-correlational cross-sectional and qualitative descriptive-guided the study. Fifty-eight infertile Malian women participated: 52 completed the Psychological Evaluation Test specific for infertility and a question on general health status, and 26 were interviewed in-depth. Over 20% scored above the cut-off point for psychological distress, and 48% described their general health as poor. There was no significant difference between women with primary vs. secondary infertility. The study found that infertile women lived with marital tensions, criticism from relatives, and stigmatization from the community. They experienced sadness, loneliness, and social deprivation. Coping strategies included traditional and biomedical treatments, religious faith and practices, and self-isolation. Health care professionals should provide holistic care for infertile women to meet their physical, spiritual, psychological, and social needs.
在西非的马里，人们对不孕症及其后果了解相对较少，那里的背景和文化与先前研究的环境不同。因此，本研究旨在专门调查马里女性中不孕症引发的心理困扰及应对策略。一项收敛性混合方法设计——相关性横断面研究和定性描述性研究——指导了该研究。58名马里不孕女性参与其中：52人完成了针对不孕症的心理评估测试以及一项关于总体健康状况的问题，26人接受了深入访谈。超过20%的人在心理困扰方面得分高于临界值，48%的人将自己的总体健康状况描述为不佳。原发性不孕与继发性不孕的女性之间没有显著差异。研究发现，不孕女性面临着婚姻紧张关系、来自亲属的批评以及社区的污名化。她们经历悲伤、孤独和社会剥夺。应对策略包括传统和生物医学治疗、宗教信仰及实践，以及自我隔离。医疗保健专业人员应为不孕女性提供全面护理，以满足她们的身体、精神、心理和社会需求。
