患者和提供者对接受非紧急卵子冷的决定的观点:需要评估
E Shirin Dason1, Leah Drost2, Ellen M Greenblatt1,3
1Department of Obstetrics & Gynecology, Temerty Faculty of Medicine, Faculty of Medicine, University of Toronto, 12th floor, 123 Edward St Toronto, Ontario, M5G 1E2, Canada.
BMC women's health
|November 12, 2023
概括
考虑冷卵子 (EF) 的患者面临着重大挑战. 加强决策支持,包括患者辅助和改善提供者咨询,对于有关生育保护的知情选择至关重要.
科学领域:
- 生殖医学是一种生殖医学.
- 决策科学科学 决策科学
- 患者咨询咨询 患者咨询
背景情况:
- 患者在决定非紧急卵子冷 (EF) 时遇到困难.
- 了解患者和提供者的决策挑战和支持需求至关重要.
研究的目的:
- 调查考虑EF的患者遇到的决策困难.
- 为患者和医疗保健提供者确定有效的决策支持机制.
主要方法:
- 使用加拿大12名患者和13名医疗服务提供者的个人访谈进行的定性研究.
- 采访以太华决策支持框架为指导,并使用NVIVO 12进行主题分析.
主要成果:
- 决策困难源于多种选择,生殖衰老,技术不确定性,财务负担,遗憾不确定性以及患者提供者角色的不同看法.
- 支持机制包括明确的信息,价值澄清,个性化咨询和心理社会/同行支持.
结论:
- 对于考虑结卵子的女性来说,需要加强决策支持.
- 建议包括患者决策辅助工具和修改的医疗保健提供者咨询,并进行适当的后续.
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