在不孕症治疗中解构自我实现的结果指标
Mayli Mertens1,2, Heidi Mertes3
1Department of Philosophy, Center for Ethics, University of Antwerp, Antwerp, Belgium.
Bioethics
|October 3, 2023
概括
目前的不孕症治疗方法仅以活产率来定义成功,将其他方法标记为失败. 这项研究提出了一项新的措施,重点是减轻患者的痛苦,重新定义治疗结果,而不仅仅是分娩.
科学领域:
- 生殖医学 生殖医学
- 健康心理学的健康心理学
- 卫生社会学 卫生社会学
背景情况:
- 不孕症治疗成功的标准指标是活产率,创建成功或失败的二进制.
- 这种狭的定义可能会导致患者经历深刻的痛苦和失败感,即使停止治疗是一个积极的生活选择.
研究的目的:
- 批评活产率作为不孕症治疗中唯一的结果指标的局限性.
- 提出一个以减轻与不孕症相关的痛苦为重点的替代结果措施.
主要方法:
- 对当前不孕症治疗结果指标的概念分析.
- 为评估治疗成功的修订框架进行论证.
主要成果:
- 活生生的出生率作为一个自我实现的预言,加强成功或失败的功能.
- 替代结果措施可以承认出生后的积极经历,例如从不孕症相关的痛苦中获得情感释放.
结论:
- 重新考虑不孕症治疗的成功对于患者的福祉至关重要.
- 一个以减轻痛苦为中心的结果衡量方法为生育护理提供了更全面和支持性的方法,验证了多样化的患者旅程.
相关概念视频
Infertility in Males
289
Male infertility affects millions of couples worldwide, arising from various factors that impact different stages of the reproductive process. An endocrine imbalance resulting from conditions like hypogonadism, Klinefelter syndrome, or pituitary disorders can disrupt hormone levels and reduce sperm production. Testicular defects, such as tumors, cryptorchidism, atrophic testes, abnormal sperm morphology, and low sperm count or motility, may arise due to genetic factors, structural...
289
Infertility in Females
342
Female infertility is defined as the inability to conceive after a year of regular, unprotected intercourse and affects about 10–15% of couples worldwide. The primary cause of female infertility is ovulatory disorders, which hinder the release of eggs. These disorders can be classified as hypothalamic amenorrhea, polycystic ovarian syndrome (PCOS), premature ovarian failure, and hyperprolactinemic anovulation disorders.
Endometriosis, a condition characterized by abnormal growth of...
Endometriosis, a condition characterized by abnormal growth of...
342
Regression Toward the Mean
6.3K
Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
6.3K
Self-Discrepancy Theory
18.3K
One influential perspective on what motivates people's behavior is detailed in Tory Higgin's self-discrepancy theory (Higgins, 1987). He proposed that people hold disagreeing internal representations of themselves that lead to different emotional states.
18.3K
Guidelines for Writing Outcome
2.8K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
2.8K
In Vitro Fertilization
326
In vitro fertilization (IVF) is a form of assisted reproductive technology where an egg is fertilized with sperm in a controlled laboratory environment before transferring the resulting embryo into the uterus. This process is designed to help individuals and couples experiencing difficulties conceiving.
The IVF process begins with ovarian stimulation, during which reproductive endocrinologists prescribe hormonal medications to stimulate the ovaries to produce multiple eggs instead of the single...
The IVF process begins with ovarian stimulation, during which reproductive endocrinologists prescribe hormonal medications to stimulate the ovaries to produce multiple eggs instead of the single...
326


