接受辅助生殖技术的男性患者的决策冲突:一种定性研究
Kyoko Asazawa1, Mina Jitsuzaki2, Akiko Mori3
1Division of Nursing, Tokyo Healthcare University, 2-5-1 Higashigaoka, Meguro-ku, Tokyo, 152-8558, Japan. k-asazawa@thcu.ac.jp.
BMC research notes
|October 1, 2025
概括
接受辅助生殖技术 (ART) 的男性面临着关于治疗不确定性和信息差距的重大决策冲突. 了解这些挑战对于为男性不孕症患者开发有效的决策支持至关重要.
科学领域:
- 生殖医学 生殖医学
- 男人的健康 男人的健康
- 不孕症的心理学 不孕症的心理学
背景情况:
- 辅助生殖技术 (ART) 涉及不育男性的复杂治疗决策.
- 了解接受ART的男性所面临的具体决策冲突对于提供足够的支持至关重要.
研究的目的:
- 澄清接受辅助生殖技术 (ART) 的男性所经历的决策冲突.
- 确定男性对ART做出决策的关键不确定性和信息需求领域.
主要方法:
- 定性描述性研究设计. 定性描述性研究设计.
- 与10名在过去5年内接受过ART的男性进行半结构面试.
- 从2023年6月到8月在东京收集的数据.
主要成果:
- 确定了四种类型的决策冲突:
- 关于ART是最佳治疗的不确定性.
- 缺乏关于优先考虑ART风险和益处的明确性.
- 对ART的益处/风险的信息不足,无法决定是否继续/终止治疗.
- 关于其他男性患者治疗决策的信息不足.
结论:
- 接受ART的男性经历了与治疗选择,风险益处评估和信息可用性有关的明显的决策冲突.
- 识别这些冲突可以为ART中男性的决策支持工具的开发提供信息.
- 进一步的研究可以探索量身定制的干预措施,以解决这些特定的男性患者需求.
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