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她、他以及他们与子宫内膜异位症的抗争历程:一项定性研究。

Her, His, and their journey with endometriosis: a qualitative study.

作者信息

Shinan-Altman Shiri, Wertheimer Aya, Frankel Bat-El, Hamama-Raz Yaira

机构信息

The Louis and Gabi Weisfeld School of Social Work, Bar-Ilan University, Ramat Gan, Israel.

Endo Israel Community Association, Givatayim, Israel.

出版信息

Front Glob Womens Health. 2024 Dec 3;5:1480060. doi: 10.3389/fgwh.2024.1480060. eCollection 2024.

Abstract

BACKGROUND

Endometriosis, impacting roughly 10% of reproductive-age women and girls globally, presents diagnostic challenges that can cause significant delays between symptom onset and medical confirmation. The aim of the current study was to explore the experience of women with endometriosis as well as that of their partners, from pre-diagnosis to diagnosis to post-diagnosis.

METHODS

In-depth semi-structured interviews were conducted with 10 couples coping with endometriosis. Each partner was interviewed separately, and each interview was analyzed both individually and as part of a dyad, using the dyadic interview analysis method.

RESULTS

Three main themes emerged: (i) "Relationship in the shadow of uncertainty": Coping with health symptoms prior to the formal endometriosis diagnosis; (ii) Coping together or alone when receiving the endometriosis diagnosis; and (iii) "The day after the diagnosis": Moving between adversity and growth.

CONCLUSIONS

The study's findings emphasize the importance of viewing the diagnosis from a dyadic perspective and comprehensively - that is, from pre-diagnosis to accepting the formal diagnosis to post-diagnosis. This journey can have a profound impact on both couple members, affecting their day-to-day functioning, communication, emotional and physical intimacy, and fertility.

摘要

背景

子宫内膜异位症影响着全球约10%的育龄妇女和女孩,其诊断具有挑战性,可能导致症状出现与医学确诊之间出现显著延迟。本研究的目的是探讨子宫内膜异位症患者及其伴侣从诊断前到诊断再到诊断后的经历。

方法

对10对患有子宫内膜异位症的夫妇进行了深入的半结构化访谈。每位伴侣分别接受访谈,每次访谈均采用二元访谈分析方法进行单独分析以及作为二元组的一部分进行分析。

结果

出现了三个主要主题:(i)“不确定性阴影下的关系”:在正式诊断子宫内膜异位症之前应对健康症状;(ii)在接受子宫内膜异位症诊断时共同应对或独自应对;(iii)“诊断后的日子”:在逆境与成长之间转换。

结论

该研究结果强调了从二元视角全面看待诊断的重要性——即从诊断前到接受正式诊断再到诊断后。这一过程可能会对夫妻双方产生深远影响,影响他们的日常功能、沟通、情感和身体亲密关系以及生育能力。

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1
Women's lived experience of endometriosis-related fertility issues.女性对子宫内膜异位症相关生育问题的体验。
PLoS One. 2023 Nov 6;18(11):e0293531. doi: 10.1371/journal.pone.0293531. eCollection 2023.
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Sex, Gender and Health: Mapping the Landscape of Research and Policy.性、性别与健康:研究与政策领域图谱
Int J Environ Res Public Health. 2022 Feb 23;19(5):2563. doi: 10.3390/ijerph19052563.
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Psychological Morbidity in Endometriosis: A Couple's Study.子宫内膜异位症的心理病态:夫妻研究。
Int J Environ Res Public Health. 2021 Oct 10;18(20):10598. doi: 10.3390/ijerph182010598.

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