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女性肿瘤患者及其生育力保存的体验:一项现象学研究。

The experience of female oncological patients and fertility preservation: A phenomenology study.

机构信息

Nursing Department, Faculty of Nursing and Podiatry, University of Valencia, Valencia, Spain.

Faculty of Nursing, University of Valencia, Valencia, Spain.

出版信息

Eur J Cancer Care (Engl). 2022 Nov;31(6):e13757. doi: 10.1111/ecc.13757. Epub 2022 Nov 10.

Abstract

OBJECTIVE

The aim of this study is to analyse the experience of fertility preservation among female oncological patients.

METHODS

A phenomenological study was conducted in an Assisted Human Reproduction Unit. The sample was composed of 14 females of reproductive age diagnosed with a cancer that may affect reproductive function, who had undergone a fertility preservation procedure. In-depth interviews were carried out, and the transcripts were entred into the Atlas.ti.v.8.2.3 qualitative analysis software package. The steps proposed by Taylor-Bogdan were followed in the analysis of the data.

RESULTS

Four thematic categories emerged in relation to the experience with the fertility preservation process: interruption of life plans and changes in the person; knowledge about fertility preservation options, reproductive capacity and impact because of the possible loss; dyadic relationshipsand social representations of fertility.

CONCLUSIONS

Patients suffer from difficulties when making decisions about fertility whilst dealing with a cancer diagnosis. They need adequate information and support from health professionals. Despite increasing awareness of fertility preservation, there is a lack of knowledge regarding patients' experiences and needs related to this process.

摘要

目的

本研究旨在分析肿瘤女性患者的生育力保存体验。

方法

在辅助生殖单位进行了一项现象学研究。样本由 14 名被诊断患有可能影响生殖功能的癌症的育龄期女性组成,她们接受了生育力保存手术。进行了深入的访谈,并将转录本输入到 Atlas.ti.v.8.2.3 定性分析软件包中。数据分析遵循了 Taylor-Bogdan 提出的步骤。

结果

与生育力保存过程相关的经验出现了四个主题类别:生活计划的中断和人的变化;关于生育力保存选择、生殖能力和可能丧失的影响的知识;二元关系和生育力的社会表征。

结论

患者在处理癌症诊断时,在生育力决策方面会遇到困难。他们需要卫生专业人员提供充分的信息和支持。尽管对生育力保存的认识不断提高,但对与该过程相关的患者体验和需求的了解仍然不足。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83e7/9787558/4ba414fbba6a/ECC-31-e13757-g002.jpg

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