育龄期炎症性肠病女性的生育相关担忧经历：一项描述性定性研究
The experiences of fertility concerns in women with inflammatory bowel disease of childbearing age: a descriptive qualitative study.
作者信息
Tu Lewei, Wu Qiaoyu, Jiang Mengxiao, Wei Meihao, Wang Ying, Xiao Ying
机构信息
Faculty of Medicine, Macau University of Science and Technology, Macau, CA999078, China.
School of Nursing, Zhejiang Chinese Medical University, Hangzhou, CA310035, China.
出版信息
BMC Gastroenterol. 2025 Jul 1;25(1):481. doi: 10.1186/s12876-025-04046-z.
BACKGROUND
Since the onset of inflammatory bowel disease (IBD) symptoms among females is usually in the reproductive years, issues regarding pregnancy and childbearing are prevalent. Relatively few studies have focused on the fertility concerns of women with IBD.
PURPOSE
To comprehensively explore the fertility concerns of women with IBD.
PATIENTS AND METHODS
This qualitative descriptive study involved 17 IBD patients recruited from Hangzhou. Participants were recruited via maximum variation purposive sampling. Individual semi-structured interviews were conducted, and transcriptions were analysed through conventional content analysis to identify key themes.
RESULTS
Four themes related to fertility concerns among women with IBD were identified: (1) self-concern, (2) worry about pregnancy, (3) worry about children, and (4) expectation of fertility-related support.
CONCLUSION
This study examined childbearing concerns among women of reproductive age with IBD, including personal worries, pregnancy fears, and support needs. The findings indicated that healthcare providers can reduce anxiety and improve quality of life by offering medical support, pre-pregnancy education, multidisciplinary care, and family/social backing.
背景
由于女性炎症性肠病（IBD）症状通常在生育年龄出现，妊娠和生育问题很普遍。相对较少的研究关注IBD女性的生育问题。
目的
全面探讨IBD女性的生育问题。
患者与方法
这项定性描述性研究纳入了从杭州招募的17名IBD患者。通过最大差异目的抽样法招募参与者。进行了个体半结构化访谈，并通过常规内容分析法对访谈记录进行分析以确定关键主题。
结果
确定了与IBD女性生育问题相关的四个主题：（1）自我关注，（2）对怀孕的担忧，（3）对孩子的担忧，以及（4）对生育相关支持的期望。
结论
本研究调查了育龄IBD女性的生育担忧，包括个人担忧、对怀孕的恐惧和支持需求。研究结果表明，医疗保健提供者可以通过提供医疗支持、孕前教育、多学科护理以及家庭/社会支持来减轻焦虑并改善生活质量。
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