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探索男性在不孕不育方面的挣扎:一项定性内容分析。

Exploring men's struggles with infertility: A qualitative content analysis.

机构信息

Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.

Department of Psychiatric Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

J Adv Nurs. 2024 May;80(5):2018-2026. doi: 10.1111/jan.15958. Epub 2023 Nov 14.

DOI:10.1111/jan.15958
PMID:37964481
Abstract

AIM

To investigate the experiences of men struggling with infertility.

DESIGN

This is a qualitative study, and the report follows the COREQ checklist.

METHODS

A team of nurse researchers conducted this research in Iran to examine the experiences of 11 men with primary infertility. The participants were selected through targeted sampling and underwent in-depth semi-structured interviews. The data collected was analysed using the conventional content analysis method outlined by Krippendorff. To ensure the study's accuracy, it followed the criteria proposed by Lincoln and Guba.

RESULTS

The central theme, "the threat to masculinity," was identified upon analysis. It comprises six categories: psychological pressure of confronting reality, frustration, discomfort with others, holding out against ridicule, tolerating unwanted opinions and advice and concealment of infertility and therapy.

CONCLUSION

This study brings attention to the challenge to masculinity that men with primary infertility face as their central struggle. It highlights the importance of culturally sensitive care from healthcare professionals, emotional support, counselling services and public awareness to reduce the stigma surrounding male infertility. It can be valuable to evaluate and enhance infertility care in various settings.

IMPLICATIONS FOR THE PROFESSION AND PATIENT CARE

To provide the best possible care for infertile men, it would be beneficial for nurses to pay more attention to sociocultural factors. Fertility care should be respectful of patients' beliefs and backgrounds.

IMPACT

WHAT PROBLEM DID THE STUDY ADDRESS?: Infertility care has been the subject of recent research, focusing on the impact of sociocultural factors. Male-factor infertility is often overlooked in clinical care literature. There is a correlation between cultural background and men's acceptance of reproductive healthcare. WHAT WERE THE MAIN FINDINGS?: Male infertility is often avoided in discussions due to its perceived threat to masculinity. Multiple factors, including societal norms, cultural expectations and personal experiences, influence the nature of men's struggles with infertility. Providing emotional support and counselling services is crucial so that men can openly discuss their fertility challenges and seek treatment without feeling ashamed or judged. WHERE AND ON WHOM WILL THE RESEARCH HAVE AN IMPACT?: Raising public awareness and providing education about male infertility is crucial. Nurses must exhibit cultural sensitivity while caring for men experiencing infertility. Policymakers need to implement strategies to reduce the stigma surrounding male infertility.

REPORTING METHOD

The study is reported using the Consolidated Criteria for Reporting Qualitative Research (COREQ).

PATIENT OR PUBLIC CONTRIBUTION

No public or patient involvement.

摘要

目的

探讨男性不育症患者的体验。

设计

这是一项定性研究,报告遵循 COREQ 清单。

方法

一组护士研究人员在伊朗进行了这项研究,以检查 11 名原发性不育男性的经验。参与者通过有针对性的抽样选择,并进行深入的半结构化访谈。使用 Krippendorff 概述的常规内容分析方法对收集的数据进行分析。为了确保研究的准确性,它遵循了 Lincoln 和 Guba 提出的标准。

结果

分析确定了中心主题“对男性气概的威胁”。它包括六个类别:面对现实的心理压力、沮丧、对他人的不适、抵制嘲笑、容忍不受欢迎的意见和建议以及隐瞒不育症和治疗。

结论

这项研究引起了人们对男性原发性不育症患者面临的男性气概挑战的关注,这是他们的核心斗争。它强调了医疗保健专业人员提供文化敏感护理、情感支持、咨询服务和提高公众认识以减少男性不育症耻辱感的重要性。评估和加强各种环境中的不育症护理可能具有价值。

对专业人员和患者护理的影响

为了为不育男性提供最佳护理,护士更加关注社会文化因素将是有益的。生育护理应尊重患者的信仰和背景。

影响

研究解决了什么问题?最近的研究关注了社会文化因素对不育症护理的影响,男性因素不育症在临床护理文献中经常被忽视。文化背景与男性接受生殖保健之间存在相关性。主要发现是什么?由于对男性气概的潜在威胁,男性不育症在讨论中经常被回避。包括社会规范、文化期望和个人经历在内的多种因素影响着男性不育症的性质。提供情感支持和咨询服务至关重要,以便男性能够公开讨论他们的生育挑战并寻求治疗,而不会感到羞耻或评判。

研究将在何处以及对谁产生影响?提高公众对男性不育症的认识和提供相关教育至关重要。护士在照顾不育症男性时必须表现出文化敏感性。政策制定者需要实施策略来减少男性不育症的耻辱感。

报告方法

使用定性研究的统一报告标准 (COREQ) 报告研究。

患者或公众参与

没有公众或患者参与。

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