污名对不孕女性心理健康和生活质量的影响:一项系统综述。
The impact of stigma on mental health and quality of life of infertile women: A systematic review.
作者信息
Xie Yue, Ren Yue, Niu Changmin, Zheng Ying, Yu Ping, Li Lin
机构信息
School of Nursing and Public Health, Yangzhou University, Yangzhou, China.
Affiliated Hospital of Yangzhou University, Yangzhou, China.
出版信息
Front Psychol. 2023 Jan 9;13:1093459. doi: 10.3389/fpsyg.2022.1093459. eCollection 2022.
INTRODUCTION
The stigma of not giving birth to children affects approximately 53. 08~64% of female infertility patients worldwide. This stigma not only causes harm to the mental health of these infertility patients, but also affects their quality of life, making them bear the adverse social consequences such as domestic violence, marriage breakdown, or even delay in receiving the treatment. Therefore, it is crucial to have a deep understanding of the patients' stigma and effective intervention in alleviating it.
AIMS/QUESTION: This study aims to discuss and summarize the stigma in infertile women and its impact on patients, and to provide a theoretical basis for the clinical treatment and nursing intervention of disease stigma in infertile female patients.
METHODS
The literature search used four English databases (Cochrane Library, EMBASE, Web of Science, and PubMed) and two Chinese databases (CNKI and Wanfang). The search time of the literature ranges from the establishment of the library to 2022, with no language restriction.
RESULTS
The review included 28 studies, with 20 cross-sectional studies and 8 qualitative studies. This study found that social support, living environment, education level, occupation, and fertility awareness were the major influencing factors of infertility stigma.
CONCLUSIONS
Infertility stigma can bring heavy mental pressure and psychological burden to female infertility patients and affect their quality of life. Therefore, effective and targeted psychological interventions should be developed to reduce the patients' stigma and improve their quality of life.
IMPLICATIONS FOR PRACTICE
Healthcare workers must develop targeted nursing interventions, provide professional counseling services to reduce the level of stigma in female infertility patients, alleviate fertility stress, and improve their quality of life.
引言
无法生育的污名影响着全球约53.08%至64%的女性不孕患者。这种污名不仅对这些不孕患者的心理健康造成伤害,还会影响她们的生活质量,使她们承受家庭暴力、婚姻破裂等不良社会后果,甚至延误治疗。因此,深入了解患者的污名并进行有效干预以减轻污名至关重要。
目的/问题:本研究旨在探讨和总结不孕女性的污名及其对患者的影响,为不孕女性患者疾病污名的临床治疗和护理干预提供理论依据。
方法
文献检索使用了四个英文数据库(Cochrane图书馆、EMBASE、科学引文索引和PubMed)和两个中文数据库(中国知网和万方)。文献检索时间范围从各数据库建库至2022年,无语言限制。
结果
该综述纳入28项研究,其中20项横断面研究和8项定性研究。本研究发现社会支持、生活环境、教育水平、职业和生育观念是不孕污名的主要影响因素。
结论
不孕污名会给女性不孕患者带来沉重的精神压力和心理负担,影响她们的生活质量。因此,应制定有效且有针对性的心理干预措施,以减少患者的污名,提高其生活质量。
对实践的启示
医护人员必须制定有针对性的护理干预措施,提供专业咨询服务,以降低女性不孕患者的污名程度,减轻生育压力,提高她们的生活质量。
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