School of Social Work, The University of Texas at Arlington, Arlington, TX, USA.
Department of Gynecologic Oncology and Reproductive Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
J Psychosoc Oncol. 2021;39(2):268-284. doi: 10.1080/07347332.2020.1836546. Epub 2020 Dec 11.
This study assessed the needs and perspective of (1) couples and (2) spouses/partners when considering fertility preservation after a cancer diagnosis.
Semi-structured interviews explored (1) couples' shared decision-making and (2) spouses'/partners' individual perspectives.
Twelve female cancer survivors and their partners (spouses or domestic/romantic partners) ( = 24).
Dyadic and individual interviews were conducted using a Decisional Needs Assessment interview guide. Thematic analysis identified key themes.
Couples reported making fertility preservation decisions like other major decisions, including prioritizing mutual satisfaction. Partners also reported concerns about patients' health, variable decision-making needs, and letting patients lead. Couples unanimously recommended fertility preservation consultations, and designing resources that provide information and assess needs for both patients and partners.
Patients and partners have shared and unique needs when facing fertility preservation decisions.
Whenever feasible, psychosocial providers should assess and address couples' and partners' fertility preservation decision-making needs.
本研究评估了（1）夫妇和（2）配偶/伴侣在考虑癌症诊断后的生育力保留时的需求和观点。
半结构化访谈探讨了（1）夫妇的共同决策和（2）配偶/伴侣的个体观点。
12 名女性癌症幸存者及其伴侣（配偶或同居/浪漫伴侣）（ = 24）。
使用决策需求评估访谈指南进行了对偶和个体访谈。主题分析确定了关键主题。
夫妇报告说，他们做出生育力保留决策就像做出其他重大决策一样，包括优先考虑相互满足。伴侣还报告了对患者健康的担忧、不同的决策需求以及让患者主导的问题。夫妇一致建议进行生育力保留咨询，并设计提供患者和伴侣双方信息和评估需求的资源。
患者和伴侣在面临生育力保留决策时有共同和独特的需求。
只要可行，心理社会提供者应评估和满足夫妇和伴侣的生育力保留决策需求。
