与停止生育治疗相关的因素:一个系统的范围审查
Quan Shen1,2,3, Binglu Wang3, Tan He3
1Department of Gynecology and Obstetrics of The Third XiangYa Hospital of Central South University, No138, Tongzipo Road, Changsha, 410013, Hunan Province, China.
Journal of assisted reproduction and genetics
|November 21, 2023
概括
停止生育治疗会影响成为父母的机会. 关键因素包括患者人口统计,社会经济,治疗细节和医疗保健系统,保险和心理健康等可修改要素提供干预目标.
科学领域:
- 生殖医学 生殖医学
- 医疗保健服务研究 医疗服务研究
- 心理学 心理学 心理学
背景情况:
- 停止生育治疗会对父母的成功产生负面影响,导致资源被浪费.
- 对影响停药的因素的证据是不一致的.
- 本次审查解决了对综合证据的需求.
研究的目的:
- 系统地审查与停止生育治疗相关的因素.
- 识别当前研究中的知识差距.
- 为未来的研究和干预提供建议.
主要方法:
- 在多个数据库 (PubMed,Embase,Cochrane等) 中进行全面搜索. 和灰色文学.
- 包括对影响不孕治疗停止的因素的研究.
- 将鉴定出来的因素映射到世界卫生组织的治疗坚持模型中.
主要成果:
- 分析了37项涉及来自13个国家的41,973名患者的研究.
- 确定了42个因素,主要是与患者相关的,其次是社会经济,治疗,状况和医疗保健系统因素.
- 影响停药的因素包括教育,社会支持,保险,性别平等,男性不孕不育,抑郁症以及不孕不育/治疗的持续时间.
结论:
- 这是第一个综合结合关于生育治疗中止因素的证据的范围审查.
- 结果可以指导临床医生,研究人员和政策制定者制定有针对性的干预措施.
- 解决可修改的障碍和促进者可以改善治疗的延续和结果.
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