Huang Sheng-Miauh, Tseng Ling-Ming, Lai Jerry Cheng-Yen, Lien Pei-Ju, Chen Ping-Ho
Department of Nursing, Mackay Medical College, New Taipei City, Taiwan.
Comprehensive Breast Health Center, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan.
Int J Nurs Pract. 2019 Oct;25(5):e12765. doi: 10.1111/ijn.12765. Epub 2019 Jul 16.
The purposes of this study were to describe the degree of knowledge and explore the factors associated with knowledge of infertility among women of childbearing age with breast cancer.
In this cross-sectional study, we recruited women of childbearing age with a diagnosis of breast cancer who had completed chemotherapy at a hospital in Taipei from 2015 through 2016. Face-to-face interviews were completed with 201 (62%) of 324 eligible women, asking about sociodemographic variables, disease and treatment characteristics, fertility intention, and infertility-related knowledge.
The result showed one in 10 women had thought about becoming pregnant after completion of breast cancer chemotherapy. The mean score of infertility knowledge among participants was low, especially for general knowledge. Women with higher levels of education had better knowledge scores. Fertility intention score, especially for the domain of the pregnant risk, was negatively associated with infertility knowledge score.
Women with breast cancer lacked knowledge about infertility and underestimated the possibility of infertility. We suggest future patient education on infertility after cancer treatment and about reproductive technology in oncologic practice before treatment begins.
本研究旨在描述育龄期乳腺癌女性的知识水平，并探究与不孕知识相关的因素。
在这项横断面研究中，我们招募了2015年至2016年期间在台北一家医院完成化疗的育龄期乳腺癌女性患者。对324名符合条件的女性中的201名（62%）进行了面对面访谈，询问了社会人口统计学变量、疾病和治疗特征、生育意愿以及与不孕相关的知识。
结果显示，每10名女性中有1人曾考虑在完成乳腺癌化疗后怀孕。参与者的不孕知识平均得分较低，尤其是一般知识方面。教育程度较高的女性知识得分更高。生育意愿得分，特别是怀孕风险领域的得分，与不孕知识得分呈负相关。
乳腺癌女性缺乏不孕知识，且低估了不孕的可能性。我们建议在未来对癌症治疗后的不孕问题以及治疗开始前肿瘤学实践中的生殖技术进行患者教育。
