考虑计划性卵子冷保存的妇女的决策:决策满意度还是遗憾?
A Korkidakis1, S Martinez2, R Sabbagh1
1Boston IVF - The Eugin Group, Waltham, MA, USA; Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, MA, USA; Department of Obstetrics, Gynecology and Reproductive Biology, Harvard Medical School, Boston, MA, USA.
Reproductive biomedicine online
|January 11, 2025
概括
考虑进行卵子冷保存的女性如果不进行,会经历重大决策后悔. 那些用很少的冷卵进行了手术的人也报告了更高的遗憾.
科学领域:
- 生殖医学 生殖医学
- 决策科学 决策科学 决策科学
背景情况:
- 计划性卵子冷保存 (POC) 是延迟生育的女性的一个选择.
- 了解决策后悔对于患者的咨询和支持至关重要.
研究的目的:
- 为了比较追求POC和不追求POC的女性之间的决策后悔.
- 在这个人群中确定与决策后悔相关的因素.
主要方法:
- 在2016-2021年期间向POC咨询的妇女进行了一项调查.
- 使用了决定遗憾量表 (DRS) 和人口统计/生殖规划问题.
- 采用了统计模型和情绪分析.
主要成果:
- 338名女性回答; 52.7%的女性继续使用POC.
- 没有进行POC的女性报告中度至重度遗憾显著增加 (50%对13%,P<0.001).
- 较少的冷保存卵细胞数量与较高的DRS得分相关 (R = -0.41,P < 0.001).
结论:
- 考虑但没有接受POC的女性经历了实质性的决策后悔.
- 冷保存后较低的卵细胞产量与遗憾增加有关.
- 这些发现强调了咨询对POC结果和决策的重要性.
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