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生殖医学中心患者的心理健康:临床医生的观点。

Psychological Well-being of Patients in Reproductive Medicine Center: Clinicians' Perspectives.

机构信息

Department of Nautical Psychology, Faculty of Psychology, Naval Medical University, Shanghai, P.R, China.

Department of Special Medical, Shanghai Fourth People's Hospital, School of Medicine, Tongji University, Shanghai, P.R, China.

出版信息

J Reprod Infant Psychol. 2024 Sep;42(5):855-868. doi: 10.1080/02646838.2023.2188893. Epub 2023 Mar 9.

Abstract

OBJECTIVES

This qualitative study aimed to comprehend the psychological well-beings and available interventions of current Chinese infertile patients, as well as investigate more integrated and effective patient support interventions, if necessary.

BACKGROUND

It is well known that infertility is a difficult struggle. Assisted reproductive technologies (ART) provide patients with the hope of having a child, but they also cause them pain and stress. There is a dearth of research on the mental health of infertile patients, particularly in developing nations such as China.

METHOD

Individual interviews were conducted with eight experienced clinicians at the Reproductive Medicine Center from five different hospitals. On the basis of the grounded theory, interviews were transcribed and recursively analysed with the NVivo 12 Plus software by a research team.

RESULTS

73 categories were created, which were then grouped into 12 subthemes that were combined to form the following themes: Theme I: Psychological Distress; Theme II: Sources of Distress; Theme III: Protective Factors; and Theme IV: Interventions.

CONCLUSIONS

The themes of subjective experience identified in the study reveal infertile patients' emotional disturbance and resources of distress, consistent with previous related studies. Despite limitations such as the relatively small number of participants and the exclusively self-report nature of qualitative study, the findings of the study imply the importance of emotional and physical support networks for infertile patients at Reproductive Medicine Centers, consistency of psychological awareness and adequate professional supports.

摘要

目的

本 qualitative 研究旨在理解当前中国不孕患者的心理福祉和可用干预措施,并在必要时研究更综合和有效的患者支持干预措施。

背景

众所周知,不孕是一场艰难的斗争。辅助生殖技术(ART)为患者带来了生育的希望,但也给他们带来了痛苦和压力。不孕患者的心理健康问题研究较少,特别是在发展中国家如中国。

方法

对来自五家不同医院生殖医学中心的 8 名经验丰富的临床医生进行了个体访谈。基于扎根理论,研究团队使用 NVivo 12 Plus 软件对访谈进行转录和递归分析。

结果

创建了 73 个类别,然后将其分为 12 个子主题,这些子主题组合形成以下主题:主题 I:心理困扰;主题 II:困扰的来源;主题 III:保护因素;和主题 IV:干预。

结论

研究中确定的主观体验主题揭示了不孕患者的情绪困扰和困扰源,与之前的相关研究一致。尽管存在参与者数量相对较少以及定性研究仅为自我报告的局限性,但该研究的结果表明生殖医学中心的不孕患者需要情感和身体支持网络,一致性的心理意识和足够的专业支持很重要。

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