定义不孕症:对患者和医生进行的定性采访研究
K M Summers1, A Scherer2, E E Chasco3,4
1Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, University of Iowa Hospital and Clinics, Iowa City, IA, USA.
Journal of reproductive and infant psychology
|June 8, 2023
概括
不孕症患者和医生对将不孕症归类为疾病有不同的看法. 虽然这两个群体都看到了潜在的好处,但对耻辱和灵性作用的担忧表明,需要对不孕不育护理采取更全面的方法.
科学领域:
- 生殖医学 生殖医学
- 医学社会学 医学社会学
- 患者与医生的沟通 患者与医生的沟通
背景情况:
- 不孕症是一种复杂的疾病,影响全球数百万人.
- 不孕症的概念化影响了患者的体验和医疗保健方法.
- 了解患者和医生的观点对于有效的护理至关重要.
研究的目的:
- 调查不孕症患者和医生是否使用生物医学疾病模型来治疗不孕症.
- 检查冲突和协议在他们的不孕不育的概念化.
- 探索患者和医生对不孕症作为一种疾病的看法之间的一致性和不一致性.
主要方法:
- 对20名不孕症患者和18名不孕症医生进行的半结构面试的定性分析.
- 探索不孕不育的概念化和对其作为疾病的定义的反应.
- 评估关于不孕症疾病标签的感知好处和担忧.
主要成果:
- 医生对将不孕不育定义为一种疾病的支持 (14/18) 超过了患者的支持 (6/20).
- 两组人都认可了诸如增加资金和保险覆盖面等利益.
- 患者 (10/20) 注意到潜在的耻辱感,两组 (7名医生,8名患者) 都提及宗教/精神概念.
结论:
- 这些发现挑战了普遍支持将不孕不育归类为疾病的假设.
- 疾病标签存在潜在的好处,但人们对耻辱和精神方面的担忧是显著的.
- 一个更全面的模型来理解和管理不孕可能更合适.
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