Sexual & Reproductive Healthcare最新文献_第9页

Exploring the concept of unmet need within sexual and reproductive health in England: A qualitative Delphi exercise 探索英格兰性健康和生殖健康领域未满足需求的概念：德尔菲定性研究

IF 1.8 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2024-04-04 DOI: 10.1016/j.srhc.2024.100969

Danielle Solomon , Jo Gibbs , Fiona Burns , Caroline A Sabin

Background

Unmet need within sexual and reproductive health (SRH) is a concept that is difficult to define and measure. This qualitative Delphi exercise was used to ascertain the opinions of SRH professionals on the conceptualisation and measurement of unmet need within SRH.

Methods

This exercise was carried out in two rounds. In the first round, respondents responded narratively to three prompts, which were then used to create a series of statements. In the second round, participants responded narratively to the statements created in the first round. Responses from both rounds were then coded and analysed thematically.

Results

Participants felt that an understanding of unmet need is an important part of SRH service design and provision, and believed that certain populations are often underrepresented within the datasets that are used to assess unmet need. Many respondents felt that a full understanding of unmet need within SRH would only come from involvement of relevant stakeholders in the process of investigating unmet need, and that qualitative methods may also have a role to play in gaining a more holistic understanding of unmet need within SRH.

Conclusions

Respondents within this study felt that unmet need is complex concept that has a significant impact on service delivery and the outcomes and experiences of the most vulnerable populations. We need to improve our understanding of unmet need and prioritise stakeholder voices if we want to create interventions that address unmet need within SRH.

背景性健康和生殖健康（SRH）中未满足的需求是一个难以界定和衡量的概念。本德尔菲定性研究旨在了解性健康和生殖健康专业人员对性健康和生殖健康领域未满足需求的概念化和测量方法的看法。在第一轮中，受访者对三条提示做出叙述性回答，然后根据这些回答形成一系列陈述。在第二轮中，参与者对第一轮中创建的陈述进行叙述式回答。结果参与者认为，了解未满足的需求是设计和提供性健康和生殖健康服务的重要部分，并认为某些人群在用于评估未满足需求的数据集中的代表性往往不足。许多受访者认为，只有让相关利益方参与到未满足需求的调查过程中，才能全面了解性健康和生殖健康领域未满足的需求，定性方法也可以在更全面地了解性健康和生殖健康领域未满足的需求方面发挥作用。如果我们想要制定干预措施来解决性健康和生殖健康方面未得到满足的需求，我们就需要加深对未满足需求的理解，并优先考虑利益相关者的意见。

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引用次数: 0

Preparing solo mothers for childbirth and parenthood – The importance of being with like-minded women 让单亲妈妈为分娩和为人父母做好准备--与志同道合的女性在一起的重要性

IF 1.8 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2024-03-27 DOI: 10.1016/j.srhc.2024.100968

Karen Frydenrejn Funderskov , Marie Konge Nielsen , Dorthe Boe Danbjørg , Mette Juel Rothmann , Anette Werner

Objectives

Denmark and many high-income countries have seen an increase in the number of single women getting pregnant through medical assisted reproduction (MAR). These women are also named solo mothers. According to the Danish Health Authorities, they should, as all other pregnant women, be offered antenatal education. The aim of this study was to explore solo mothers’ needs in order to prepare them for childbirth and parenthood.

Methods

This qualitative study was set to investigate solo mothers’ experiences and requirements during pregnancy to prepare them for childbirth and parenting. Semi-structured interviews were conducted by telephone or face-to-face. A systematic text condensation and interpretation was used to analyse data.

Results

38 interviews were conducted before and after pregnancy. Twenty solo mothers participated in the study. Three themes emerged from the analysis: ‘Confrontation with the normative pregnancy’, ‘Mirroring and network’ and ‘Using formal and informal sources to gain information’.

Conclusion

The conventional antenatal packages offered by the healthcare system did not meet the solo mothers’ needs. The women called for content and information tailored to single parents. Solo mothers may benefit from structured antenatal classes in small groups. Being with like-minded women was essential for preparing for childbirth and parenting.

目标丹麦和许多高收入国家通过医疗辅助生殖（MAR）怀孕的单身妇女人数不断增加。这些妇女也被称为单亲母亲。根据丹麦卫生当局的规定，她们应该像所有其他孕妇一样接受产前教育。本研究旨在探讨单亲母亲的需求，以便为她们的分娩和养育子女做好准备。方法本定性研究旨在调查单亲母亲在怀孕期间的经历和要求，以便为她们的分娩和养育子女做好准备。通过电话或面对面的方式进行了半结构化访谈。结果在怀孕前后共进行了 38 次访谈。有 20 位单亲母亲参与了研究。分析得出了三个主题："与规范怀孕的对抗"、"镜像和网络 "以及 "利用正式和非正式渠道获取信息"。妇女们要求提供适合单亲父母的内容和信息。单亲母亲可能会从有组织的小组产前课程中受益。与志同道合的妇女在一起，对于为分娩和养育子女做好准备至关重要。

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引用次数: 0

Home-based postnatal care following early hospital discharge: A descriptive study of the health care service midwife home 早期出院后的家庭产后护理：医疗保健服务助产士之家的描述性研究

IF 1.8 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2024-03-23 DOI: 10.1016/j.srhc.2024.100967

Benedikte Kjetland Skarsgaard , Therese Harvold Henriksen , Unn Dahlberg , Tone Shetelig Løvvik , Ingvild Aune

Objective

At St. Olav’s University Hospital in Trondheim, Norway, “Midwife Home” (MH) is an integrated home-based postnatal service for mothers who want early discharge (i.e. 6–24 h) after giving birth. The purpose of our study was to evaluate MH by (1) describing the characteristics of mother–newborn pairs followed up by MH to investigate whether the service has an appropriate target group; (2) describing the number and causes of possible readmissions for safety; (3) investigating whether MH follows the criteria set for the service; and (4) exploring whether the service facilitates continuity of care.

Methods

Following a cross-sectional design, we collected data from medical records at St. Olav’s University Hospital.

Results

In the 212 mother–newborn pairs investigated, most mothers had a high level of education, were multiparous, had vaginal delivery, did not experience postpartum haemorrhage exceeding 500 mL, experienced first-degree or no perineal tear and started breastfeeding before discharge from hospital. Most newborns had a birthweight of 3000–4000 g and an APGAR score exceeding 7 after 5 min. Within the first six weeks postpartum, 1.4 % of the mothers and 2.3 % of the newborns were readmitted.

Conclusion

Mothers who choose follow-up by MH represent a homogeneous group of healthy, highly educated multiparous mothers with uncomplicated births and healthy newborns. The low number of readmissions imply that MH is a safe service, and that the target group is appropriate.

目的在挪威特隆赫姆的圣奥拉夫大学医院，"助产士之家"（MH）是一项以家庭为基础的产后综合服务，面向产后希望尽早出院（即 6-24 小时）的产妇。我们的研究旨在通过以下方式对 "助产士之家 "进行评估：（1）描述由 "助产士之家 "进行跟踪的母婴对的特征，以调查该服务是否有合适的目标群体；（2）描述为安全起见可能再次入院的人数和原因；（3）调查 "助产士之家 "是否遵循了为该服务设定的标准；以及（4）探讨该服务是否有利于护理的连续性。在调查的 212 对母亲-新生儿中，大多数母亲具有较高的教育水平、多产妇、阴道分娩、产后出血量不超过 500 毫升、会阴一级撕裂或无会阴撕裂、出院前开始母乳喂养。大多数新生儿的出生体重为 3000-4000 克，5 分钟后的 APGAR 评分超过 7 分。在产后六周内，有 1.4% 的产妇和 2.3% 的新生儿再次入院。再次入院的人数较少，这意味着产妇保健服务是一项安全的服务，其目标群体也是适当的。

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引用次数: 0

What sexual and reproductive health issues do young people want to discuss with a doctor, and why haven’t they done so? Findings from an online survey 年轻人希望与医生讨论哪些性健康和生殖健康问题？在线调查的结果

IF 1.8 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2024-03-20 DOI: 10.1016/j.srhc.2024.100966

H. Bittleston , J.S. Hocking , M. Temple-Smith , L. Sanci , J.L. Goller , J. Coombe

Objective

Young people are a priority group for sexual and reproductive health (SRH) care. We considered which SRH topics young Australians want to discuss with a general practitioner (GP) and explored barriers they encounter to discussing these issues.

Methods

We conducted an online survey (2nd May – 21st June 2022) of Australians aged 16–29 years. Participants were asked to identify from a list of SRH topics which they wanted to discuss, but never had, with a GP. Those who selected any topic/s (with ‘undiscussed SRH issues’) were asked a free-text follow-up question about what prevented them from discussing issues. We explored characteristics associated with having undiscussed issues using multivariate logistic regression. Free-text comments were analysed using content analysis.

Results

A total of 1887 people completed relevant survey questions. Most (67.1 %) were women and 48.5 % were heterosexual. Two-thirds (67.0 %) had a usual GP. Nearly half (45.6 %) had undiscussed issues. Most commonly, women wanted to discuss cervical screening and sexual problems, and men wanted to discuss sexual problems and STIs. Participants who were male, older, heterosexual, and with a usual GP were least likely to have undiscussed issues. Barriers to accessing care for SRH were identified from free-text comments, including discomfort, lack of opportunity, fear of negative outcomes, low priority of SRH issues, and perceptions about the role and expertise of GPs.

Conclusions

Many young people would welcome more preventative SRH care. Young people may be reassured that all issues, including sexual difficulties and dysfunction, are appropriate to discuss with a GP.

目标年轻人是性健康和生殖健康（SRH）护理的优先群体。我们研究了澳大利亚年轻人希望与全科医生（GP）讨论哪些性与生殖健康话题，并探讨了他们在讨论这些问题时遇到的障碍。方法我们对 16-29 岁的澳大利亚人进行了一次在线调查（2022 年 5 月 2 日至 6 月 21 日）。我们要求参与者从性健康和生殖健康话题列表中找出他们想讨论但从未与全科医生讨论过的话题。对于那些选择了任何话题（包括 "未讨论过的性健康和生殖健康问题"）的人，我们向他们提出了一个自由文本后续问题，询问是什么阻碍了他们讨论这些问题。我们使用多变量逻辑回归法探讨了与未讨论问题相关的特征。我们使用内容分析法对自由文本评论进行了分析。大多数（67.1%）为女性，48.5%为异性恋。三分之二（67.0%）的人有固定的全科医生。近一半（45.6%）的人有未讨论过的问题。最常见的情况是，女性希望讨论宫颈筛查和性问题，男性希望讨论性问题和性传播感染。男性、年龄较大、异性恋、有固定全科医生的参与者最不可能有未讨论的问题。从自由文本评论中发现了获得性健康和生殖健康护理的障碍，包括不舒服、缺乏机会、害怕负面结果、性健康和生殖健康问题的优先级低以及对全科医生的角色和专业知识的看法。年轻人可以放心，所有问题，包括性困难和性功能障碍，都适合与全科医生讨论。

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引用次数: 0

Experiences of implementing and working with obstetric emergency triage: A qualitative study among Swedish midwifes, auxiliary nurses, and obstetricians 产科急诊分诊的实施和工作经验：瑞典助产士、辅助护士和产科医生的定性研究

IF 1.8 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2024-03-11 DOI: 10.1016/j.srhc.2024.100958

Linnéa Lindroos , Verena Sengpiel , Helen Elden

Introduction

Obstetric emergency triage is a relatively new form of emergency triage and is not yet implemented in Sweden. Adaptations enables safe assessment of the childbearing woman, fetus and labor status. Failure to identify severely ill childbearing women and women post childbirth has repeatedly led to adverse outcomes. Introducing obstetric emergency triage constitutes a profound alteration in management that may challenge preconceived notions on how to provide best care. This study aimed at exploring and describing obstetric staff’s experiences of working with obstetric emergency triage.

Materials and Methods

Thirteen obstetricians, midwives and auxiliary nurses at an obstetric emergency department in eastern Sweden were recruited by purposeful sampling. Individual qualitative interviews underwent inductive qualitative content analysis according to Graneheim and Lundman.

Results

An overarching theme − A new mindset − emerged from the analysis, comprising the four categories: Implications for the individual caregiver’s own work, An improved organization, Improved patient care. Initial skepticism to triage changed towards a positive attitude during implementation, identifying barriers and facilitators for successful implementation.

Conclusions

This first study exploring Swedish obstetric staff’s perception of obstetric emergency triage as a working method suggests that, given time for implementation, a new mindset in obstetric emergency care might develop. Triage provides structure and a sense of control through a clear and quick overview of childbearing women seeking emergency care and enhances teamwork by improving communication. Triage directs attention toward aberrations and promotes reflection and action, improving patient safety.

导言产科急诊分诊是一种相对较新的急诊分诊形式，目前尚未在瑞典实施。产科急诊分诊是一种相对较新的急诊分诊方式，在瑞典尚未实施。如果不能识别病情严重的育龄妇女和产后妇女，就会一再导致不良后果。引入产科急诊分诊是对管理的深刻变革，可能会对如何提供最佳护理的先入为主的观念提出挑战。本研究旨在探讨和描述产科工作人员在产科急诊分诊中的工作经验。材料与方法通过有目的的抽样调查，招募了瑞典东部一家产科急诊部门的 13 名产科医生、助产士和辅助护士。根据 Graneheim 和 Lundman 的方法，对个人定性访谈进行了归纳式定性内容分析。结果分析得出一个总体主题--新思维--包括四个类别：对护理人员个人工作的影响、改进的组织、改善的患者护理。在实施过程中，最初对分诊的怀疑态度逐渐转变为积极态度，并确定了成功实施的障碍和促进因素。结论这项首次探讨瑞典产科工作人员对产科急诊分诊作为一种工作方法的看法的研究表明，如果有时间实施，产科急诊护理中可能会形成一种新的思维模式。通过对寻求急诊护理的育龄妇女进行清晰、快速的概述，分诊提供了结构性和控制感，并通过改善沟通增强了团队合作。分诊引导人们关注异常情况，促进反思和行动，提高患者安全。

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引用次数: 0

Psychometric testing and the predictive validity of the Postpartum Depression Predictors Inventory-Revised (PDPI-R): A longitudinal study with Turkish women 产后抑郁预测量表-修订版（PDPI-R）的心理测试和预测有效性：针对土耳其妇女的纵向研究

IF 1.8 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2024-03-02 DOI: 10.1016/j.srhc.2024.100965

Fatma Ayhan , Ayse Akalin , Habip Balsak , Arzu Erden

Objective

The aim of this study was to investigate the validity and reliability of the prenatal and postnatal versions of the Postpartum Depression Predictors Inventory-Revised (PDPI-R) and to examine the predictive validity of PDPI-R in Turkish women, considering two gold standards to determine postpartum depression (PPD).

Methods

This prospective longitudinal study was conducted between August 2021 and September 2023. A total of 301 pregnant women participated in the study. Participants completed the PDPI-R during the third trimester of pregnancy (T1) and at 4 weeks postpartum (T2). At T2, participants also completed the Edinburgh Postnatal Depression Scale (EPDS), and women were interviewed using the Structured Clinical Interview for DSM-IV Disorders.

Results

The prenatal version of the PDPI-R predicted PPD with 64% (R:0.64) accuracy on the basis of the EPDS and 78% accuracy (R:0.78) according to DSM IV criteria. The postnatal version of the PDPI-R predicted PPD with 71% (R:0.71) accuracy on the basis of the EPDS and 81% accuracy (R:0.781) based on DSM IV criteria. The cut-off points exhibited the highest sensitivity and specificity values at 8.5 for the prenatal version and 10.5 for the postnatal version.

Conclusions

The PDPI-R is a valid and reliable screening tool for identifying Turkish women at high risk of developing PPD and for estimating the psychosocial risk associated with PPD.

本研究的目的是调查产前和产后版本的产后抑郁预测量表-修订版（PDPI-R）的有效性和可靠性，并根据确定产后抑郁（PPD）的两个黄金标准，研究 PDPI-R 在土耳其妇女中的预测有效性。共有 301 名孕妇参与了研究。参与者在怀孕三个月（T1）和产后 4 周（T2）时填写了 PDPI-R。结果根据爱丁堡产后抑郁量表（EPDS），产前版 PDPI-R 预测 PPD 的准确率为 64% (R:0.64)，根据 DSM IV 标准，准确率为 78% (R:0.78)。产后版 PDPI-R 根据 EPDS 预测 PPD 的准确率为 71% (R:0.71)，根据 DSM IV 标准预测 PPD 的准确率为 81% (R:0.781)。结论PDPI-R是一种有效、可靠的筛查工具，可用于识别土耳其妇女中患PPD的高危人群，并估计与PPD相关的社会心理风险。

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引用次数: 0

Swedish midwives’ attitudes towards continuity models-a cross-sectional survey 瑞典助产士对连续性模式的态度--横断面调查

IF 1.8 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2024-02-29 DOI: 10.1016/j.srhc.2024.100957

Ingegerd Hildingsson , Hanna Fahlbeck , Birgitta Larsson , Margareta Johansson

Background

Midwifery continuity models are growing worldwide, but few such alternatives are available in Sweden. There is sparse knowledge about Swedish midwives’ attitudes about midwifery continuity models.

Aim

The aim of this study was to explore Swedish midwives’ attitudes toward continuity models. An additional aim was to evaluate the psychometric properties of a previously developed instrument measuring attitudes to continuity models.

Methods

A cross-sectional survey of a national sample of 2537 midwives in Sweden. The participants completed a questionnaire online. A Principal component Analysis was performed to identify components in the instrument.

Results

A fairly similar proportion of midwives worked in antenatal care (30.7%), intrapartum care (30.7%) and in other areas (31.1%). Many midwives (59%) agreed that continuity models should be available to women, but were not certain about if such models should be offered to all women or low risk women only. Two domains of the attitude scale were identified; Relationship-based Midwifery Continuity Models, and Practical and Organisational Aspects of Midwifery Continuity Models. Age, having children, marital status, length of work experience and place of work were associated with high agreement non the two components.

Conclusion

Many midwives in general held positive attitudes about continuity models. The relationship aspects were highly valued but midwives were also hesitant about the practical and organisational aspect of continuity models. Unbiased information to midwives about the pros and cons with continuity models should be offered, in order to limit misunderstandings about the model.

背景助产士连续性模式在全球范围内不断发展，但在瑞典却鲜有此类替代方案。关于瑞典助产士对连续性助产模式的态度，我们所知甚少。方法对瑞典全国 2537 名助产士样本进行横断面调查。参与者在线填写了一份问卷。结果从事产前护理（30.7%）、产中护理（30.7%）和其他领域（31.1%）工作的助产士比例相当接近。许多助产士（59%）同意应向妇女提供连续性模式，但不确定是否应向所有妇女或仅向低风险妇女提供这种模式。态度量表确定了两个领域：以关系为基础的助产士连续性模式，以及助产士连续性模式的实际和组织方面。年龄、有无子女、婚姻状况、工作经验长短和工作地点与这两个组成部分的高度一致相关。许多助产士普遍对连续性模式持积极态度，她们高度评价连续性模式的关系方面，但也对连续性模式的实用性和组织方面犹豫不决。应向助产士提供有关连续性模式利弊的公正信息，以减少对该模式的误解。

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引用次数: 0

Perceptions and educational needs of social and healthcare professionals in the prevention of domestic violence – A focus group study 社会和医疗保健专业人员对预防家庭暴力的看法和教育需求--焦点小组研究

IF 1.8 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2024-02-23 DOI: 10.1016/j.srhc.2024.100956

Evanthia Sakellari , Mari Berglund , Areti Lagiou , Maria Luisa Sotto-mayor De Carvalho Pinto , Maria Anabela Ferreira Dos Santos , Mari Lahti , Tiina Murto

Objective

To explore and describe social and healthcare professionals’ perceptions and educational needs in relation to domestic violence and its prevention.

Methods

A qualitative research was conducted in three European countries. Two multidisciplinary focus group interviews were conducted (in each country) among professionals and higher education teachers in the field of social and health care. Total number of participants were 32 (Finland n=12, Greece n=12, Portugal n=8). The transcribed data were analyzed by thematic analysis.

Results

Participants’ perceptions of domestic violence and its prevention included: multidimensional phenomenon, consequences, and addressing concern. Domestic violence was seen as a multidimensional phenomenon, which has various consequences for several aspects of life. Professionals have difficulties addressing their concern due to lack of knowledge and tools. Solutions to prevent domestic violence that the participants shared were: education, intervention, and strategies. Education was seen as the key aspect for the prevention of domestic violence. Also, professionals’ communication and situation management skills, as well as national and international strategies, were seen as valuable solutions. Educational needs for prevention of domestic violence were expressed based on content, methods, and practices, such as services system and legislation.

Conclusion

The findings of the current study highlight the social- and healthcare professionals’ need for education about domestic violence. It is essential that these professionals receive appropriate training to effectively identify and address domestic violence. The current study provides useful information for the development of relevant training/education for this group of professionals.

目标探索并描述社会和医疗保健专业人员对家庭暴力及其预防的看法和教育需求。方法在三个欧洲国家开展了一项定性研究。每个国家都对社会和医疗保健领域的专业人员和高等教育教师进行了两次多学科焦点小组访谈。参与者总数为 32 人（芬兰 12 人，希腊 12 人，葡萄牙 8 人）。结果参与者对家庭暴力及其预防的看法包括：多维现象、后果和解决关切。家庭暴力被视为一种多层面现象，会对生活的多个方面造成各种后果。由于缺乏知识和工具，专业人员很难消除他们的担忧。与会者分享了预防家庭暴力的解决方案：教育、干预和战略。教育被视为预防家庭暴力的关键环节。此外，专业人员的沟通和情况管理技能以及国家和国际战略也被视为有价值的解决方案。预防家庭暴力的教育需求是基于内容、方法和实践，如服务体系和立法。这些专业人员必须接受适当的培训，以有效识别和处理家庭暴力。本研究提供了有用的信息，有助于为这类专业人员开展相关培训/教育。

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引用次数: 0

IF 1.8 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2024-02-20 DOI: 10.1016/j.srhc.2024.100955

Alison Swift , Emily Thomas , Kim Larson , Melvin Swanson , Madeline Fernandez-Pineda

Objective

Fertility treatments often cause women high levels of stress and low quality of life (QoL). Women discontinue fertility treatments for a variety of reasons, yet little is known about infertility-related stress and QoL among women who discontinue treatments. The purpose of this study was to examine infertility-related stress and QoL among women who discontinued fertility treatments compared to those who continued treatments, and reasons for treatment discontinuation.

Methods

A secondary analysis was conducted to examine infertility-related stress and QoL among 70 women who discontinued from fertility treatments compared to 166 women who received fertility treatments. Statistical analysis included descriptive statistics, chi-square test for independence, independent t-tests, and binary logistic regression analysis. Conventional content analysis was conducted on responses to an open-text question about reasons for treatment discontinuation.

Results

No differences in infertility-related stress and QoL were found between groups. Explanatory variables of treatment discontinuation included income [odds ratios (OR) 2.50, 95% CI 1.12–5.61], QoL dissatisfaction (OR 2.49, 95% CI 1.33–4.69), and infertility duration three years or greater (OR 2.40, 95% CI 1.30–4.42). Three themes of treatment discontinuation were identified: Covering the Cost; Waiting for a Resolution; Re-envisioning Family Identity.

Conclusion

Infertility-related stress and QoL are similar among women who discontinued and who received fertility treatments, highlighting the need for emotional support services for women regardless of their treatment status. During the period of infertility, treatment discontinuation related to cost, waiting for a resolution, or re-envisioning family identity occurred, suggesting opportunities for specific interventions to support women’s mental health needs.

目标不孕不育治疗通常会给女性带来很大的压力，并降低她们的生活质量（QoL）。妇女中止生育治疗的原因多种多样，但人们对中止治疗的妇女中与不孕症相关的压力和 QoL 却知之甚少。本研究的目的是研究中止生育治疗的女性与继续治疗的女性之间与不孕症相关的压力和 QoL，以及中止治疗的原因。方法对 70 名中止生育治疗的女性与 166 名接受生育治疗的女性之间与不孕症相关的压力和 QoL 进行了二次分析。统计分析包括描述性统计、独立性卡方检验、独立 t 检验和二元逻辑回归分析。对有关中止治疗原因的开放文本问题的回答进行了常规内容分析。中止治疗的解释变量包括收入[几率比（OR）2.50，95% CI 1.12-5.61]、QoL不满意度（OR 2.49，95% CI 1.33-4.69）和不孕症持续时间三年或三年以上（OR 2.40，95% CI 1.30-4.42）。确定了三个中断治疗的主题：结论在停止治疗和接受治疗的妇女中，与不孕不育相关的压力和 QoL 相似，这突出表明，无论妇女的治疗状况如何，她们都需要情感支持服务。在不孕不育期间，因费用、等待解决方案或重新认识家庭身份而中断治疗的情况时有发生，这表明有机会采取特定干预措施来支持妇女的心理健康需求。

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引用次数: 0

Midwifery research: A vital catalyst for addressing gaps in sexual and reproductive healthcare 助产研究：弥补性保健和生殖保健差距的重要催化剂

IF 1.8 3区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sexual & Reproductive Healthcare

Pub Date : 2024-02-17 DOI: 10.1016/j.srhc.2024.100954

L. Brigante, M.V. Christiansen, R.D. Maimburg

引用次数: 0