Author Affiliations: Center for Health Technology and Services Research (CINTESIS), Department of Education and Psychology, University of Aveiro (Drs Bártolo and Monteiro); William James Center for Research, Department of Education and Psychology, University of Aveiro, Aveiro, Portugal (Dr Santos).
Cancer Nurs. 2021;44(5):398-410. doi: 10.1097/NCC.0000000000000822.
Cancer treatments may compromise fertility and family building in reproductive-age women. Previous research has shown that younger women with cancer experienced several reproductive health concerns.
The aim of this study was to conduct a focused review of existing research about the subjective perceptions of reproductive concerns among young women with cancer (aged 15-49 years) and identify their potential predictors and outcomes.
A systematic synthesis of mixed-methods research was conducted including peer-reviewed articles in English. Relevant studies were identified through the electronic databases Scopus, Web of Science, PubMed, ProQuest, and Psychology & Behavioral Sciences Collection (through EBSCOhost).
A total of 22 reports met the eligibility criteria (8 qualitative and 14 quantitative). Research showed that younger women reported concerns related to their fertility status and/or own health after conception, their children's health, and their dyadic relationships. Redefinition of the motherhood role and the family future were also a source of concern. However, there is variance among women in concerns and experiences based on life stages and expectations.
Reproductive concerns seem to be affected by personal circumstances and previous therapeutics. These concerns constitute a potential risk factor, simultaneously, for psychosocial maladjustment and adherence to endocrine therapy and fertility care.
This article proposes a conceptual framework to understand the dimensions and potential predictors and outcomes of perceived concerns among reproductive-age cancer patients. Our data allow us to look at these concerns from a multifactorial perspective, identifying areas to be addressed in providing clinical care, namely, by nurses accompanying patients over an extended period.
癌症治疗可能会影响生殖年龄女性的生育能力和家庭建设。先前的研究表明，患有癌症的年轻女性会经历多种生殖健康问题。
本研究旨在对现有关于年轻女性癌症患者（15-49 岁）对生殖问题的主观认知的研究进行重点综述，并确定其潜在的预测因素和结果。
采用混合方法研究的系统综合方法，包括英语同行评审文章。通过 Scopus、Web of Science、PubMed、ProQuest 和心理学与行为科学收藏（通过 EBSCOhost）电子数据库确定相关研究。
共有 22 份报告符合入选标准（8 份定性研究和 14 份定量研究）。研究表明，年轻女性报告了与受孕后自身生育能力和/或健康状况、子女健康以及两性关系有关的担忧。重新定义母亲角色和家庭未来也是担忧的来源。然而，基于生活阶段和期望，女性的担忧和经历存在差异。
生殖担忧似乎受到个人情况和先前治疗的影响。这些担忧构成了心理社会适应不良和内分泌治疗及生育护理依从性的潜在风险因素。
本文提出了一个概念框架，以了解生殖年龄癌症患者感知到的担忧的维度、潜在预测因素和结果。我们的数据使我们能够从多因素的角度看待这些担忧，确定在提供临床护理时需要解决的领域，即通过护士在较长时间内陪伴患者。
