Woods Brittany M, Patrician Patricia A, Fazeli Pariya L, Ladores Sigrid
School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Nurs Forum. 2022 May;57(3):437-445. doi: 10.1111/nuf.12683. Epub 2021 Dec 6.
To develop a clear definition of infertility-related stress using Rodgers' method of concept analysis.
Infertility affects approximately 13% of women in the United States. Though poorly defined in the literature, previous studies suggest infertility-related stressors contribute to psychological distress.
Rodgers' method of concept analysis guided the review, including sample and setting, literature search, and data analysis.
PubMed, CINAHL, and PsycINFO were searched for relevant literature.
Following abstract, title, and text screenings, 21 articles were included and reported using the PRISMA-S checklist. Texts were analyzed and results informed the proposed definition of infertility-related stress.
Antecedents included infertility, desire for children, and fear of the unknown. Attributes were identity crisis, social isolation and stigma, sexual stress, and financial strain. Consequences included treatment dropout and marital strain. Anxiety, depression, and decreased quality of life were identified as both attributes and consequences.
Synthesized results informed a proposed definition of infertility-related stress. Improved understanding of infertility-related stress allows for measurement development and facilitates recognition of patients in need of additional support, while potentially reducing the impact on the health and well-being of infertile women.
运用罗杰斯概念分析法，明确与不孕相关压力的定义。
在美国，约13%的女性受不孕问题影响。尽管文献中对此定义模糊，但先前研究表明，与不孕相关的压力源会导致心理困扰。
罗杰斯概念分析法指导本次综述，包括样本与环境、文献检索及数据分析。
检索了PubMed、CINAHL和PsycINFO数据库以获取相关文献。
经过摘要、标题及正文筛选后，纳入21篇文章，并使用PRISMA-S清单进行报告。对文本进行分析，结果为与不孕相关压力的拟议定义提供了依据。
前因包括不孕、想要孩子的愿望以及对未知的恐惧。属性有身份危机、社会孤立与污名、性压力及经济压力。后果包括治疗中断和婚姻紧张。焦虑、抑郁及生活质量下降既被视为属性，也被视为后果。
综合结果为与不孕相关压力的拟议定义提供了依据。对与不孕相关压力的更好理解有助于开展测量，并促进识别需要额外支持的患者，同时可能减轻对不孕女性健康和幸福的影响。
