Abdullahzadeh Mehrdad, Vanaki Zohreh, Mohammadi Eesa, Mohtashami Jamileh
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.
J Holist Nurs. 2024 Aug 30:8980101241275201. doi: 10.1177/08980101241275201.
This study aims to delve into the process of men confronting infertility. This research employed the Straussian grounded theory approach. The study encompassed interviews with 16 participants from a private fertility center in Isfahan, Iran, between March 2023 and March 2024. The interviews were semistructured. Data analysis was carried out concurrently using constant comparative methods and standard grounded theory techniques. the participants' main concerns were identified, culminating in developing a substantive theory centered around a core category. The primary category for men struggling with infertility was "forced concealment." This was exhibited through the suppression of emotions, maintaining secrecy about infertility, hiding treatment, and attributing infertility to their wives to counteract threats to their masculinity. Factors such as partners, family, societal surroundings, care providers, and beliefs influenced the adopting of the "forced concealment" strategy. The "forced concealment" theory offers insights into the experiences of men struggling with infertility. The study highlights the necessity of formulating culturally sensitive strategies that enable healthcare providers, nurses, and health system managers to effectively fulfill their roles and address the challenges and needs of couples confronting male infertility. This can be realized through a comprehensive approach that integrates nursing skills and competencies.
本研究旨在深入探究男性面对不育问题的过程。本研究采用了施特劳斯扎根理论方法。该研究涵盖了2023年3月至2024年3月期间对来自伊朗伊斯法罕一家私立生育中心的16名参与者的访谈。访谈采用半结构化形式。数据分析同时使用持续比较法和标准扎根理论技术进行。确定了参与者的主要担忧，最终形成了一个围绕核心类别的实质性理论。男性不育问题的主要类别是“被迫隐瞒”。这表现为情感压抑、对不育问题保密、隐瞒治疗情况以及将不育归咎于妻子以应对其男子气概受到的威胁。伴侣、家庭、社会环境、护理人员和信仰等因素影响了“被迫隐瞒”策略的采用。“被迫隐瞒”理论为男性不育问题的经历提供了见解。该研究强调了制定具有文化敏感性策略的必要性，这些策略能使医疗保健提供者、护士和卫生系统管理者有效履行其职责，并应对面临男性不育问题的夫妇的挑战和需求。这可以通过整合护理技能和能力的综合方法来实现。
