Bernet Madeleine, Quaas Alexander M, von Wolff Michael, Santi Alessandro, Streuli Isabelle, Wunder Dorothea, Soom Ammann Eva, Büssing Arndt
Division of Nursing, Department of Health Professions, Bern University of Applied Sciences, Bern, Switzerland.
Faculty of Health, Witten/Herdecke University, Witten, Germany.
J Assist Reprod Genet. 2025 Apr 1. doi: 10.1007/s10815-025-03463-z.
Infertility is a growing global health issue that significantly affects quality of life (QoL). Understanding its impact on QoL is essential for developing effective healthcare interventions. This study explored QoL, well-being, and spiritual needs among individuals affected by infertility, with implications for healthcare provision.
Standardized questionnaire data from an anonymous mixed-methods study that was conducted from October 2022 to January 2023 in Switzerland and addressing QoL (FertiQoL), spiritual needs (SpNQ-20), and psychological well-being (WHO-5) of individuals undergoing fertility treatments.
The analysis included 326 participants. FertiQoL scores were lowest in the emotional domain (M = 46.35) and highest in the relational domain (M = 68.51), with a mean overall score of 56.69, indicating moderate QoL impacts. Participants without children reported significantly lower FertiQoL and WHO-5 well-being scores than those with children (p < 0.05). The WHO-5 mean score indicated moderate well-being (M = 13.89). SpNQ-20 results showed the highest needs in inner peace (M = 1.82), followed by generativity (M = 1.09) and existential needs (M = 0.86), with religious needs scoring the lowest (M = 0.43). Participants without children had significantly higher spiritual needs (p < 0.05).
This study highlights the emotional and spiritual challenges of infertility, revealing differences in experiences between individuals with and without children. It emphasizes the importance of addressing mental health and well-being in infertility care. Further research should focus on the psychological impacts of fertility treatments, including depressive mood states.
不孕症是一个日益严重的全球健康问题，严重影响生活质量（QoL）。了解其对生活质量的影响对于制定有效的医疗干预措施至关重要。本研究探讨了受不孕症影响的个体的生活质量、幸福感和精神需求，为医疗服务提供参考。
采用标准化问卷调查数据，该匿名混合方法研究于2022年10月至2023年1月在瑞士进行，涉及接受生育治疗个体的生活质量（FertiQoL）、精神需求（SpNQ - 20）和心理健康（WHO - 5）。
分析纳入326名参与者。FertiQoL得分在情感领域最低（M = 46.35），在关系领域最高（M = 68.51），总体平均得分为56.69，表明对生活质量有中度影响。未育参与者的FertiQoL和WHO - 5幸福感得分显著低于育有子女者（p < 0.05）。WHO - 5平均得分表明幸福感为中度（M = 13.89）。SpNQ - 20结果显示内心平静方面需求最高（M = 1.82），其次是繁衍需求（M = 1.09）和存在需求（M = 0.86），宗教需求得分最低（M = 0.43）。未育参与者的精神需求显著更高（p < 0.05）。
本研究突出了不孕症带来的情感和精神挑战，揭示了育有子女者与未育者在经历上的差异。强调了在不孕症护理中关注心理健康和幸福感的重要性。进一步的研究应聚焦于生育治疗的心理影响，包括抑郁情绪状态。
