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日本试管婴儿患者对过剩胚胎处置的感知和道德困扰:一项定性研究

Shizuka Katsuzaki^1,2, Yoshiyuki Takimoto^1,3, Chikako Morioka²

¹Patient Relations and Clinical Ethics Center, The University of Tokyo Hospital, Tokyo, Japan.

Frontiers in reproductive health

|September 22, 2025

概括

日本患者对多余胚胎有不同的看法,受文化价值观和实际关切的影响. 了解这些看法对于提供道德和支持性生育护理至关重要.

科学领域:

生殖医学生殖医学
生物伦理学生物伦理学
卫生社会学卫生社会学

背景情况:

日本越来越多地使用体外受精 (IVF),导致过剩的冷胚胎.
伦理困境源于多余的胚胎,加上文化价值观,制度实践和有限的法律指导.
患者的痛苦和不确定性是显著的,但了解日本患者对多余胚胎的看法仍然有限.

研究的目的:

为了探索日本患者如何看待多余的胚胎.
调查这些感知与他们的情感体验之间的关系.
了解患者对支持和胚胎处置的偏好.

主要方法:

质量研究涉及日本46名女性试管婴儿患者的半结构面试.
在2024年5月至2025年3月期间进行的在线采访.
使用Boyatzis的感应编码方法进行主题分析.

主要成果:

患者将胚胎概念化为"生命"",血缘关系"或"细胞/卵",影响情绪反应和决策.
将胚胎视为"生命"与内和悲伤有关,是一种道德困境,特别是不清楚的选择.
感知是由实际因素 (费用,计划生育),对不孕不育的性别反应和制度约束所塑造的;研究胚胎捐赠是优先考虑的,而不是捐赠给其他患者.

结论:

患者对多余胚胎的看法是复杂的,受到文化,性别,机构和实际因素的影响.
不同的胚胎概念化需要灵活的,基于道德的护理模式,承认患者的道德困境.
需要对文化敏感的支持,以应对日本试管婴儿患者在过剩胚胎方面面临的独特挑战.

关键词:

日本日本日本日本日本.胚胎的处置胚胎的处置不孕症治疗不孕症的治疗方法在道德上的痛苦,在道德上的痛苦.定性研究是指质量研究.

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