体外受精-胚胎移植取卵日男性临时射精障碍心理体验的质性研究  

The man′s psychological experience of temporary ejaculation disorder on the day of retrieving ova during in vitro fertilization-embryo transfer treatment: a qualitative study

作　　者：蒋远[1] 莫凤逸 马青 程旭珍 邢兰凤[1] Jiang Yuan;Mo Fengyi;Ma Qing;Cheng Xuzhen;Xing Lanfeng(Department of Reproductive Endocrinology,Women′s Hospital,School of Medicine,Zhejiang University,Hangzhou 310006,China)

机构地区：[1]浙江大学医学院附属妇产科医院生殖内分泌科,杭州310006

出　　处：《中国实用护理杂志》2022年第33期2612-2618,共7页Chinese Journal of Practical Nursing

摘　　要：目的深入了解体外受精-胚胎移植取卵日男性临时射精障碍的感受和心理体验,为采取针对性干预措施提供理论参考依据。方法采用现象学研究法及目的抽样法,选取2021年7—10月在浙江大学医学院附属妇产科医院生殖中心就诊的13例临时射精障碍患者为研究对象,对其进行半结构式深入访谈,应用Colaizzi 7步分析法对访谈资料进行分析、归纳及提炼主题。结果共提炼出5大主题:负性情绪;压力与挫败;夫妻亲密关系改变;社会支持系统不完善;生育忧虑。结论医务人员应密切关注患者的情绪反应和心理状态,有效进行心理疏导;建立情感支持,改善不孕不育夫妻亲密关系;提供多元化、个性化信息支持和多渠道的社会支持;合理布局取精室,改善医疗环境,提高辅助生殖服务质量。Objective To deeply understand the man′s feelings and psychological experience of temporary ejaculation disorder on the day of retrieving ova during in vitro fertilization-embryo transfer(IVF-ET)treatment,and to provide theoretical basis for targeted intervention measures.Methods Using the phenomenological method,13 male patients with temporary ejaculation disorder were interviewed individually on the day of retrieving ova from July to October 2021 in the department of Reproductive Endocrinology,Women′s Hospital,School of Medicine Zhejiang University and a semi-structured interview was recruited with them.The interview data were analyzed,summarized and refined according to Colaizzi′s 7-step method.Results Totally 6 classification topics were formed:Somatization discomfort;Negative emotion;Stress and frustration;Change of intimacy between infertile couples;Imperfect social support system;Fertility pressure.Conclusions Medical staff should pay close attention to the emotional reaction and psychological state of patients,establish emotional support,improve the intimate relationship between infertile couples,provide effective psychological counseling,provide diversified and personalized information support and multi-dimension social support,arrange reasonably the sperm collection room,improve the medical environment and improve the quality of assisted reproductive services.

关 键 词：定性研究 体外受精-胚胎移植 临时射精障碍 心理体验 

分 类 号：R473.71[医药卫生—护理学]