نیازهای زوجین نابارور بعد از درمان ناموفق با روش‌های کمک باروری: یک مرور سیستماتیک

نوع مقاله : مقاله مروری

نویسندگان

1 دانشجوی دکتری بهداشت باروری، مرکز تحقیقات مراقبت‌های مامایی و پرستاری، دانشگاه علوم پزشکی مشهد، مشهد، ایران

2 استاد، مرکز تحقیقات مراقبت‌های مامایی و پرستاری، دانشگاه علوم پزشکی مشهد، مشهد، ایران

3 استادیار، مرکز تحقیقات مراقبت روان‌درمانی مبتنی بر جامعه، دانشگاه علوم پزشکی شیراز، شیراز، ایران

4 دانشیار، گروه پزشکی اجتماعی، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران

5 دانشیار، گروه زنان، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران

چکیده

مقدمه: ناباروری به عنوان یکی از مشکلات عمده‌ی پزشکی در دنیای امروز شناخته شده است و ورود به درمان ناباروری، فرایندی پیچیده، زمان‌بر و استرس‌زا می‌باشد و ممکن است منجر به عدم موفقیت درمان گردد. پی‌گیری بیماران بعد از درمان ناموفق، شناخت نیازها، خواسته‌های آنان و ارایه‌ی خدمات بهداشتی در جهت ارتقای سلامت آنان، ضروری به نظر می‌رسد. از این رو، مرور سیستماتیک حاضر با هدف بررسی نیازها و خواسته‌های زوجین نابارور بعد از درمان ناموفق با روش‌های کمک باروری انجام شد.روش‌ها: در این مرور سیستماتیک، جستجوی مقالات بدون محدودیت زمانی در پایگاه‌های اطلاعاتی PubMed، Scopus، The Cochrane Library، PsycINFO، Web of Science و همچنین، موتور جستجوی Google Scholar و پایگاه‌های ایرانی Magiran، Scientific Information Database (SID)، Clinical key Iranpsych و Iranmedex انجام شد. واژگان کلیدی شامل درمان ناباروری، روش‌های کمک باروری، نیاز، انتظارات، درمان ناموفق و معادل انگلیسی این کلمات یا عبارات بود. مقالات مرتبط در پایگاه‌های اطلاعاتی انگلیسی و فارسی شناسایی شدند. این مقالات، به طور مستقل توسط دو پژوهشگر ارزیابی شد و موارد تناقض، با نویسنده‌ی سوم مورد بحث قرار می‌گرفت.یافته‌ها: در نهایت، 24 مطالعه (16 مطالعه‌ی مقطعی و 8 مطالعه‌ی هم‌گروهی) واجد شرایط که بین سال‌های 2019-1980 انجام گرفته بود، وارد مطالعه شدند. نیازهای بیماران نابارور در این مطالعات، مشتمل بر نیازهای آموزشی- اطلاعاتی، نیاز به مشاوره‌ی روان‌شناختی، نیازهای حمایتی، نیاز به آموزش راهبردهای مدیریت استرس، نیاز به مشاوره‌ی زناشویی، نیازهای ویژه‌ی مردان و نیاز به رعایت احترام و همدلی توسط پرسنل درمانی بود.نتیجه‌گیری: نیازهای زوجین نابارور، شامل طیف وسیعی از نیازهای آموزشی، روان‌شناختی، حمایتی و نیازهای مشاوره‌ای و نیز نیازهای ویژه‌ی مردان بود. شناسایی نیازهای این گروه آسیب‌پذیر، می‌تواند به سیاست‌گذاران و برنامه‌ریزان در طراحی و اجرای خدمات مشاوره‌ای در درمانگاه‌های ناباروری کمک کند؛ به گونه‌ای که کیفیت خدمات بهداشتی در این درمانگاه‌ها اصلاح شود و نیازهای زوجین نابارور تأمین گردد.

کلیدواژه‌ها

عنوان مقاله [English]

The Needs of Infertile Couples after Unsuccessful Treatment with Assisted Reproductive Technologies: A Systematic Review of Literature

نویسندگان [English]

  • Samira Ebrahimzadeh-Zagami 1
  • Robab Latifnejad Roudsari 2
  • Roksana Janghorban 3
  • Seyed Mojtaba Mousavi-Bazaz 4
  • Maliheh Amirian 5
1 PhD Student in Reproductive Health, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
2 Professor, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
3 Assistant Professor, Community-Based Psychiatric Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
4 Associate Professor, Department of Community Medicine, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
5 Associate Professor, Department of Obstetrics and Gynecology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
چکیده [English]

Background: Infertility is recognized as one of the major medical problems in the world. Infertility treatment is a complex, long, and stressful process, and may lead to unsuccessful treatment. It seems necessary to follow up the patients after unsuccessful treatment, to identify their needs and desires, and to provide health services for their health promotion. Therefore, this systematic review was conducted to investigate the needs and preferences of infertile couples after unsuccessful treatment with assisted reproductive technologies (ARTs).Methods: In this systematic review, searching was performed without time restrictions in PubMed, Scopus, the Cochrane Library, PsycINFO, Web of Science databeses, as well as Google Scholar search engine, and Iranian databases including Magiran, Scientific Information Database (SID), Iranpsych, Clinical key, and Iranmedex. Keywords included infertility treatment, assisted reproductive techniques, needs, expectations, unsuccessful treatmen,t and their equivalent words. The relevant articles were retrieved from English and Persian databases. The articles were independently evaluated by two researchers, and disagreements were discussed with the third author.Findings: 24 eligible studies (16 cross-sectional and 8 cohort studies), published between the years 1980 and 2019, were included in the study. The needs expressed by infertile patients in these studies includes educational-informational needs, the need to psychological counseling, supportive needs, men's special needs, the need to strategies for stress management, the need for couples counseling, and the need for receiving respect and empathy from health care staff.Conclusion: Infertile couples' needs included a wide spectrum of needs including educational, psychological, supportive, and counseling needs as well as men's special needs. Recognition of this vulnerable group’s needs can help policymakers and programmers to plan and implement counseling services in fertility clinics. In such a way, the quality of health services in these clinics would be improved and infertile couples' needs would be met.

کلیدواژه‌ها [English]

  • Infertility
  • Needs
  • Treatment failure
  • Assisted reproductive techniques
  • Systematic Review

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مجله دانشکده پزشکی اصفهان
دوره 37، شماره 531 - شماره پیاپی 531
مرداد و شهریور 1398
صفحه 695-707

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  • تاریخ دریافت: 11 خرداد 1398
  • تاریخ بازنگری: 11 آبان 1403
  • تاریخ پذیرش: 17 فروردین 1401

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