KK Women's and Children's Hospital, Singapore City, Singapore.
Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, Level 2, Clinical Research Centre, National University of Singapore, Singapore City, Singapore.
J Clin Nurs. 2022 Oct;31(19-20):2706-2715. doi: 10.1111/jocn.16145. Epub 2021 Nov 23.
To consolidate and synthesise the current available literature regarding the experiences of endometriosis-associated infertility among women and their partners.
Endometriosis is highly associated with infertility which in turn affects many women and their partners in their prime reproductive age.
A qualitative systematic review and meta-synthesis was conducted using the PRISMA checklist.
Seven electronic databases (PubMed, Embase, CINAHL, PsycINFO, Scopus, Web of Science and ProQuest Dissertations and Theses) were searched until October 2020. Qualitative studies exploring the experiences of women and/or their partners aged 18 years and above with endometriosis-associated infertility regardless of marital or co-inhabitation status and sexual orientation were included. Studies examining women and/or partners without clinical diagnosis of endometriosis and studies which only focused on the psychosocial experiences of endometriosis were excluded. The Critical Appraisal Skills Program checklist was used to conduct quality appraisal while the Sandelowski and Barroso's two-step approach was used to meta-summarise and meta-synthesise the data from the included studies.
Thirteen studies were included. Five themes (1) Emotional response to the diagnosis, (2) Influence on family planning, (3) Desperation to gradual acceptance, (4) Revision of expected life trajectories and (5) Altered dynamics within the couple unit were derived.
Endometriosis causes great psychological distress among women and their partners. Family planning decisions were especially challenging to make for the couples. Unsuccessful attempts at conceiving were extremely distressing but some couples eventually accepted their situation, with some opting for hysterectomy for health reasons.
Current findings highlight the need for psychosocial support, in-depth fertility counselling and couple-based therapies to support the women with endometriosis and their partners.
整合和综合当前关于子宫内膜异位症相关不孕的女性及其伴侣的经验的文献。
子宫内膜异位症与不孕高度相关，进而影响到许多处于最佳生育年龄的女性及其伴侣。
使用 PRISMA 清单进行定性系统评价和元综合。
在 2020 年 10 月之前，在 7 个电子数据库（PubMed、Embase、CINAHL、PsycINFO、Scopus、Web of Science 和 ProQuest Dissertations and Theses）中进行了搜索。纳入了探索年龄在 18 岁及以上的患有子宫内膜异位症相关不孕的女性和/或其伴侣的经验的定性研究，无论其婚姻或同居状况和性取向如何。排除仅检查女性和/或伴侣无子宫内膜异位症临床诊断的研究，以及仅关注子宫内膜异位症的心理社会经验的研究。使用批判性评估技能计划清单进行质量评估，同时使用桑德洛斯基和巴罗索的两步法对纳入研究的数据进行元总结和元综合。
纳入了 13 项研究。得出了五个主题：（1）对诊断的情绪反应，（2）对家庭计划的影响，（3）从绝望到逐渐接受，（4）对预期生活轨迹的修订，以及（5）夫妻关系中的动态变化。
子宫内膜异位症给女性及其伴侣带来了巨大的心理困扰。夫妻在生育计划方面的决策特别具有挑战性。受孕失败的尝试非常痛苦，但有些夫妻最终接受了他们的情况，有些人为了健康原因选择了子宫切除术。
当前的研究结果强调需要提供社会心理支持、深入的生育咨询和夫妻为基础的治疗，以支持患有子宫内膜异位症的女性及其伴侣。
