辅助生殖技术对性功能障碍妇女影响的定性研究。

IF 2.5 4区 医学 Q2 OBSTETRICS & GYNECOLOGY International Journal of Women's Health Pub Date : 2024-03-26 eCollection Date: 2024-01-01 DOI:10.2147/IJWH.S449830
Qun Wei, Zilian Wang, Yu He, Xia Hong, Xuling Shen, Songying Zhang
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引用次数: 0

摘要

研究目的本研究旨在调查使用辅助生殖技术的妇女因性交困难而产生的性交恐惧现象。主要目的是为制定有针对性的护理干预措施提供启示:采用目的性抽样方法,选取2022年7月至2022年12月期间在浙江大学医学院附属邵逸夫医院生殖医学中心接受治疗的23名女性患者作为研究对象。通过半结构式深度访谈收集定性数据。随后,采用科莱兹七步分析法对访谈记录进行了仔细分析,并确定了新出现的主题:分析得出了五个突出主题:心理障碍、不一致的认知、对受孕的预期、适应性反应不足以及性期望:医务工作者必须尊重患者的性观念和性状况,理解他们的担忧,并提供有效的情感支持。应根据患者的个人需求和性体验设想,提供有针对性的、多方面的性健康知识,从而促进配偶和家庭的和谐。通过优先考虑患者的性健康,营造富有同情心的医疗环境,提高辅助生殖服务的质量,可以实现全面的改善。
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A Qualitative Study on the Experience of Assisted Reproductive Technology in Women with Dyspareunia.

Objective: This study aims to investigate the phenomenon of sexual intercourse-related fear among women utilizing assisted reproductive technology due to dyspareunia. The primary objective is to offer insights that can inform the development of targeted nursing interventions.

Methods: Employing a purposive sampling approach, a cohort of 23 female patients experiencing dyspareunia and undergoing treatment at the Reproductive Medicine Center of Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, between July 2022 and December 2022, were selected as participants for this research. Semi-structured, in-depth interviews were conducted to gather qualitative data. The Colaizzi 7-step analysis method was subsequently applied to scrutinize the interview transcripts and identify emergent themes.

Results: The analysis yielded five prominent themes: psychological disturbances, incongruent cognitive perceptions, anticipations regarding conception, insufficient adaptive responses, and sexual expectations.

Conclusion: It is imperative for medical practitioners to demonstrate reverence for patients' sexual beliefs and conditions, attune to their apprehensions, and offer efficacious emotional support. Tailored and multifaceted sexual health knowledge should be dispensed based on patients' individual requirements and their envisioned sexual experiences, thereby fostering spousal and familial harmony. By prioritizing patients' sexual well-being, cultivating a compassionate medical milieu, and augmenting the quality of assisted reproductive services, comprehensive improvements can be achieved.

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来源期刊
International Journal of Women's Health
International Journal of Women's Health OBSTETRICS & GYNECOLOGY-
CiteScore
3.70
自引率
0.00%
发文量
194
审稿时长
16 weeks
期刊介绍: International Journal of Women''s Health is an international, peer-reviewed, open access, online journal. Publishing original research, reports, editorials, reviews and commentaries on all aspects of women''s healthcare including gynecology, obstetrics, and breast cancer. Subject areas include: Chronic conditions including cancers of various organs specific and not specific to women Migraine, headaches, arthritis, osteoporosis Endocrine and autoimmune syndromes - asthma, multiple sclerosis, lupus, diabetes Sexual and reproductive health including fertility patterns and emerging technologies to address infertility Infectious disease with chronic sequelae including HIV/AIDS, HPV, PID, and other STDs Psychological and psychosocial conditions - depression across the life span, substance abuse, domestic violence Health maintenance among aging females - factors affecting the quality of life including physical, social and mental issues Avenues for health promotion and disease prevention across the life span Male vs female incidence comparisons for conditions that affect both genders.
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