男性不育对接受卵胞浆内单精子注射治疗的男性的心理社会影响：一项定性研究。
The psychosocial impact of male infertility on men undergoing ICSI treatment: a qualitative study.
作者信息
de Vries Carmen E J, Veerman-Verweij Esther M, van den Hoogen Agnes, de Man-van Ginkel Janneke M, Ockhuijsen Henriëtta D L
机构信息
Department of Reproductive Health, University Medical Center Utrecht, 100 Heidelberglaan, 3584 CX, Utrecht, The Netherlands.
Department of Cardiology and Cardiothoracic Surgery, Erasmus University Medical Center, 40 Dr. Molenwaterplein, 3015 GD, Rotterdam, The Netherlands.
出版信息
Reprod Health. 2024 Feb 19;21(1):26. doi: 10.1186/s12978-024-01749-6.
BACKGROUND
Male infertility is in 20-70% of cases the cause of a couple's infertility. Severe forms of male infertility are best treated with Intracytoplasmic Sperm Injection (ICSI). The psychosocial impact of infertility and ICSI on men is unclear because the focus is socially, clinically, and scientifically on women. However, there is evidence that it can affect the psychological well-being of men, but these studies are mainly quantitative. Qualitative research needed to explore the experiences of infertile men in-depth is limited. Therefore, the objective of this study was to clarify the psychosocial consequences of male infertility on men undergoing ICSI to understand their experiences with reproduction problems more comprehensively.
METHODS
In this generic qualitative study, men who were undergoing or had undergone ICSI after a male factor infertility diagnosis were included. A purposive sample with maximum variation was sought in a fertility clinic of one university medical centre in the Netherlands. Data were collected through individual face-to-face semi-structured interviews. Thematic analysis was used to identify themes from the data.
RESULTS
Nineteen Dutch men were interviewed. The mean duration of the interviews was 90 min. An everyday contributing backpack was identified as the main theme, as men indicated that they always carried the psychosocial consequences of infertility and ICSI with them. Different world perspective, Turbulence of emotions, Changing relation, and Selective sharing were the psychosocial consequences that men were most affected by. Moreover, men indicated that they were Searching for contribution during ICSI because the focus was entirely on the woman.
CONCLUSION
Men with male infertility experience psychosocial problems due to infertility and ICSI treatment. Healthcare professionals need to recognize the impact of infertility on men and create room for a role for them during ICSI.
背景
在20%-70%的病例中，男性不育是夫妻不育的原因。严重的男性不育症最好通过卵胞浆内单精子注射（ICSI）进行治疗。不育症和ICSI对男性的社会心理影响尚不清楚，因为社会、临床和科学上的关注点都在女性身上。然而，有证据表明它会影响男性的心理健康，但这些研究主要是定量研究。深入探索不育男性经历的定性研究有限。因此，本研究的目的是阐明男性不育对接受ICSI治疗的男性的社会心理后果，以便更全面地了解他们在生殖问题上的经历。
方法
在这项一般性定性研究中，纳入了因男性因素不育诊断而正在接受或已经接受ICSI治疗的男性。在荷兰一所大学医学中心的生育诊所中，选取了一个具有最大变异性的目的抽样样本。通过个人面对面的半结构化访谈收集数据。采用主题分析法从数据中识别主题。
结果
对19名荷兰男性进行了访谈。访谈的平均时长为90分钟。一个日常的“负重背包”被确定为主要主题，因为男性表示他们一直背负着不育和ICSI的社会心理后果。不同世界观、情绪波动、关系变化和选择性分享是男性受影响最大的社会心理后果。此外，男性表示他们在ICSI过程中寻求贡献，因为关注点完全在女性身上。
结论
患有男性不育症的男性因不育和ICSI治疗而经历社会心理问题。医疗保健专业人员需要认识到不育对男性的影响，并在ICSI过程中为他们创造发挥作用的空间。
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