Halman L J, Andrews F M, Abbey A
Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor 48109-2029.
J Obstet Gynecol Neonatal Nurs. 1994 Sep;23(7):593-600. doi: 10.1111/j.1552-6909.1994.tb01925.x.
To explore gender differences and responses of infertile couples to childbearing issues.
Data analysis from the first wave of a larger three-wave prospective panel study. Face-to-face interviews with both husbands and wives were conducted.
Husbands and wives were interviewed separately in their homes. One was generally interviewed immediately after the other.
One hundred sixty-one infertile couples in southeastern Michigan were interviewed in 1988.
Variables of interest included the self-recognized source of the fertility problem, the importance of children to individuals, stress associated with infertility treatment, the number of tests and treatments received, the acceptability of indicated treatments, the length of time couples expected it would take to have a child, and the ideal and expected number of children.
Women experienced significantly more stress from tests and treatment, placed greater importance on having children, were more accepting of indicated treatments, and wanted more children than men did.
Implications for nurses working with infertile couples are discussed, including provision of emotional support, evaluation of perceptions of success, assessment of couples' expectations, and inclusion of husbands in decision making.
探讨不孕夫妇在生育问题上的性别差异及反应。
对一项规模更大的三波前瞻性面板研究的第一波数据进行分析。对丈夫和妻子都进行了面对面访谈。
在夫妻家中分别对丈夫和妻子进行访谈。通常一人访谈结束后紧接着对另一人进行访谈。
1988年对密歇根州东南部的161对不孕夫妇进行了访谈。
感兴趣的变量包括自我认定的生育问题根源、孩子对个人的重要性、与不孕治疗相关的压力、接受的检查和治疗次数、对指定治疗的可接受性、夫妻期望生育孩子所需的时间，以及理想和期望的孩子数量。
与男性相比，女性在检查和治疗中承受的压力明显更大，更重视生育孩子，对指定治疗的接受度更高，且想要更多孩子。
讨论了对为不孕夫妇提供护理的护士的启示，包括提供情感支持、评估对成功的认知、评估夫妻的期望，以及让丈夫参与决策。
