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患有卵巢早衰的女性对性健康和生殖健康的认知和体验。

Perceptions and experiences of women with premature ovarian insufficiency about sexual health and reproductive health.

机构信息

Department of Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

Reproductive Biotechnology Research Center, Avicenna Research Institute, ACECR, Tehran, Iran.

出版信息

BMC Womens Health. 2021 Feb 8;21(1):54. doi: 10.1186/s12905-021-01197-5.

Abstract

BACKGROUND

Premature ovarian insufficiency (POI) is a condition with impaired ovarian function that occurred in women before the age of 40. Considering that women with POI are in reproductive age and their fertility and sexual life are afflicted by this disorder directly, the present study aimed to investigate perception and experience of women with POI of sexual and reproductive health (SRH).

METHODS

This is a qualitative that was implemented based on the conventional content analysis approach. The data were collected using semi-structured in-depth interviews with 16 women having POI, based on purposeful sampling and continued until data saturation. The participants were women with POI that referred to the three infertility center in Tehran, Iran. The audio recorded data were transcribed verbatim and then analyzed using conventional content analysis based on the method proposed by Zhang and Wildmouth.

RESULTS

After content analysis of the interviews with a focus on the perception and experience of women with POI of SRH, four main categories emerged i.e. endangerment of women's health, psychological agitation, disruption of social life and disturbance in sexual life.

CONCLUSION

POI affects different aspects of women SRH (women physical, psychological, social and sexual heath). Therefore, knowledge of patients' concerns by health professionals is helpful to improve service delivery and increasing the effectiveness of treatment interventions by a comprehensive health care attitude.

摘要

背景

卵巢早衰(POI)是一种卵巢功能受损的疾病,发生在 40 岁之前的女性中。鉴于 POI 患者处于生育年龄,她们的生育和性生活直接受到这种疾病的影响,本研究旨在调查 POI 患者对性与生殖健康(SRH)的感知和体验。

方法

这是一项基于传统内容分析方法的定性研究。采用半结构式深入访谈,对伊朗德黑兰的 3 家不孕中心的 16 名 POI 患者进行了基于目的抽样的研究,直至数据饱和。参与者为 POI 患者,将访谈中有关 POI 患者 SRH 的感知和体验的内容进行分析,采用了 Zhang 和 Wildmouth 提出的常规内容分析方法。

结果

通过对 POI 患者 SRH 感知和体验的访谈进行内容分析,出现了 4 个主要类别,即危害妇女健康、心理困扰、社会生活中断和性生活紊乱。

结论

POI 影响妇女 SRH 的不同方面(妇女的身体、心理、社会和性健康)。因此,健康专业人员了解患者的关注点有助于通过全面的保健态度提高服务提供和治疗干预措施的效果。

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Pregnancy following diagnosis of premature ovarian insufficiency: a systematic review.诊断为卵巢早衰(POI)后妊娠:系统评价。
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The relationship between stress and infertility.压力与不孕之间的关系。
Dialogues Clin Neurosci. 2018 Mar;20(1):41-47. doi: 10.31887/DCNS.2018.20.1/klrooney.
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Premature ovarian insufficiency: the context of long-term effects.卵巢早衰:长期影响的背景
J Endocrinol Invest. 2016 Sep;39(9):983-90. doi: 10.1007/s40618-016-0467-z. Epub 2016 Apr 18.
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ESHRE Guideline: management of women with premature ovarian insufficiency.ESHRE 指南:卵巢早衰妇女的管理。
Hum Reprod. 2016 May;31(5):926-37. doi: 10.1093/humrep/dew027. Epub 2016 Mar 22.

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