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接受卵子的女性的心理社会体验:一项定性研究。

Psycho-social experience of oocyte recipient women: a qualitative study.

机构信息

School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Hezarjerib AV., Isfahan, Iran.

出版信息

BMC Womens Health. 2021 Dec 9;21(1):406. doi: 10.1186/s12905-021-01562-4.

Abstract

BACKGROUND

Although associated with many successes, oocyte donation can lead to numerous psychological challenges in recipient women. The identification of these challenges during the treatment process is crucial to improve recipient mental health. Thus, the aim of this study was to gain an understanding of the experiences of oocyte recipient women.

METHODS

This research was conducted using a qualitative approach and inductive content analysis method. The data collection tool was in-depth interviews. Twenty women with the experience of receiving donated oocyte were selected and entered the study using purposive sampling method and considering the maximum variation.

RESULTS

Three main categories of psychological challenges were extracted from patient interviews, specifically, distressing psychologic symptoms, social stigmatization, and negative coping mechanisms. The category of distressing psychologic symptoms was shaped based on the subcategories of self-esteem destruction, anxiety and stress, depression and spiritual discouragement. The category of social stigmatization included the subcategories of concern about disclosure, judgment of others, and conflict with religious teachings. And the category of negative coping mechanisms was formed based on the subcategories of aggression and denial.

CONCLUSION

The results indicated that the process of treatment with donated oocyte is followed by the experiences of distressing psychologic symptoms, social stigmatization, and negative coping mechanisms in recipient women. As such, paying attention to the socio-cultural factors which affect this process seems necessary to maintain the mental health of these women. Although associated with many successes, oocyte donation can lead to numerous psychological challenges in recipient women. The aim of this study was to gain an understanding of the experiences of oocyte recipient women. This research was conducted using a qualitative approach and inductive content analysis method. The data collection tool was in-depth interviews. Twenty women with the experience of receiving donated oocyte were selected and entered the study using purposive sampling method and considering the maximum variation. Three main categories of psychological challenges were extracted from patient interviews, specifically, distressing psychologic symptoms, social stigmatization, and negative coping mechanisms. The category of distressing psychologic symptoms was shaped based on the subcategories of self-esteem destruction, anxiety and stress, depression and spiritual discouragement. The category of social stigmatization included the subcategories of concern about disclosure, judgment of others, and conflict with religious teachings. And the category of negative coping mechanisms was formed based on the subcategories of aggression and denial. The results indicated that the process of treatment with donated oocyte is followed by experience of distressing psychologic symptoms, social stigmatization, and negative coping mechanisms in recipient women. As such, paying attention to the socio-cultural factors which affect this process seems necessary to maintain the mental health of these women.

摘要

背景

尽管卵母细胞捐赠带来了许多成功,但它也会给接受者女性带来许多心理挑战。在治疗过程中识别这些挑战对于改善接受者的心理健康至关重要。因此,本研究的目的是了解接受卵母细胞捐赠的女性的体验。

方法

本研究采用定性方法和归纳内容分析方法进行。数据收集工具是深入访谈。采用目的抽样法和最大变异法选择 20 名有接受捐赠卵母细胞经验的女性进入研究。

结果

从患者访谈中提取了三个主要的心理挑战类别,即困扰的心理症状、社会污名化和消极应对机制。困扰的心理症状类别是基于自尊破坏、焦虑和压力、抑郁和精神沮丧等亚类形成的。社会污名化类别包括披露担忧、他人评判和与宗教教义冲突等亚类。消极应对机制类别是基于攻击和否认等亚类形成的。

结论

研究结果表明,接受捐赠卵母细胞的治疗过程会给女性带来困扰的心理症状、社会污名化和消极应对机制的体验。因此,关注影响这一过程的社会文化因素对于维护这些女性的心理健康是必要的。

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