Ebrahimzadeh Zagami Samira, Latifnejad Roudsari Robab, Janghorban Roksana, Mousavi Bazaz Seyed Mojtaba, Amirian Maliheh, Allan Helen T
Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Research Center for Patient Safety, Mashhad University of Medical Sciences, Mashhad, Iran.
J Caring Sci. 2019 Jun 1;8(2):95-104. doi: 10.15171/jcs.2019.014. eCollection 2019 Jun.
Infertility is a major medical issue. Investigations and treatment of infertility are the beginning of a complex, time-consuming and stressful process for couples that may fail well. The present study explored the needs of infertile couples following treatment failure with Assisted Reproductive Technologies (ARTs). A descriptive qualitative study was conducted in an Iranian infertility center, in the Northeast of the country between April 2016 and June 2017. The researchers recruited 29 individuals including 9 couples, 9 women and two men with primary infertility through purposive sampling. The data were collected using semi-structured interviews and analyzed iteratively, using conventional content analysis with MAXQDA software. The main concepts obtained from the data were classified into one theme titled: ""The need for support"" and four main categories along with their subcategories, and included the need for psychological support, the need for more useful information, the need for social support and the need to access to supplementary services. The findings show that following treatment failure, the infertile patients' expressed needs and preferences were not met. Identifying and meeting their needs may help the infertile couples to deal with ARTs failure and to reach a decision about future treatment.
不孕不育是一个重大的医学问题。对不孕不育的检查和治疗对于夫妻来说是一个复杂、耗时且压力巨大的过程的开端,而且很可能效果不佳。本研究探讨了辅助生殖技术(ARTs)治疗失败后不孕不育夫妇的需求。2016年4月至2017年6月期间,在伊朗东北部的一个不孕不育中心开展了一项描述性定性研究。研究人员通过目的抽样法招募了29名个体,包括9对夫妇、9名单身女性和2名单身男性,均为原发性不孕。数据通过半结构化访谈收集,并使用MAXQDA软件通过传统内容分析法进行迭代分析。从数据中获得的主要概念被归为一个主题,即“支持需求”,以及四个主要类别及其子类别,包括心理支持需求、更多有用信息需求、社会支持需求和获得补充服务的需求。研究结果表明,治疗失败后,不孕不育患者表达的需求和偏好未得到满足。识别并满足他们的需求可能有助于不孕不育夫妇应对辅助生殖技术治疗失败的情况,并对未来的治疗做出决定。