体外受精-胚胎移植治疗夫妻心理体验与调适质性研究的Meta整合  

Qualitative Research on Psychological Experience and Adjustment of Couples Undergoing In Vitro Fertilization and Embryo Transfer:A Meta-synthesis

作　　者：周楠 顾炜 智诗涵 张丽红 王萌 经晓宇 ZHOU Nan;GU Wei;ZHI Shihan;ZHANG Lihong;WANG Meng;JING Xiaoyu(School of Nursing,Health Science Centre of Xi’an Jiaotong University,Xi’an 710061,Shaanxi Province,China;School of Nursing and Rehabilitation,Xi’an Medical University,Xi’an 710021,Shaanxi Province,China;Reproductive Center,Northwest Women’s and Children’s Hospital,Xi’an 710003,Shaanxi Province,China)

机构地区：[1]西安交通大学医学部护理学系,陕西西安710061 [2]西安医学院护理与康复学院,陕西西安710021 [3]西北妇女儿童医院生殖中心,陕西西安710003

出　　处：《军事护理》2025年第4期30-33,38,共5页MILITARY NURSING

基　　金：陕西省重点研发计划项目(2022SF-438)。

摘　　要：目的系统整合体外受精-胚胎移植(in vitro fertilization and embryo transfer,IVF-ET)治疗夫妻的心理体验与调适,为夫妻二元健康管理提供证据。方法计算机检索Cochrane Library、PubMed、Web of Science、CINAHL、Embase、Scopus、Oivd、中国知网、万方和维普数据库中关于IVF-ET治疗夫妻心理体验与调适的质性研究,检索时限为建库至2023年12月31日,按照澳大利亚乔安娜布里格斯研究所(Joanna Briggs Institute,JBI)循证卫生保健中心质性研究质量评价标准进行文献方法学质量评价,采用汇集性整合的方法对结果进行Meta整合。结果纳入15篇文献,提炼出31个结果,归纳为9个类别,形成4个整合结果:获得的积极感受和社会支持、面临的身心压力和社会挑战、夫妻采取多种方式应对治疗压力、夫妻关系经过调适发生变化。结论加强以夫妻二元为中心的IVF-ET治疗全周期健康管理,重视夫妻治疗不同阶段的心理体验,提升夫妻积极应对与调适,完善社会文化和医疗支持体系,进而改善治疗结局和夫妻婚姻质量。Objective To systematically evaluate the psychological experience and adjustment of couples undergoing IVF-ET,so as to provide evidence for the implementation of dyadic management of such couples.Methods Cochrane Library,PubMed,Web of Science,CINAHL,Embase,Scopus,Oivd,CNKI,Wanfang and VIP were searched with the retrieval period from inception to December 31,2023.The methodological quality of the literature was evaluated according to Joanna Briggs Institute Critical Appraisal Tool for qualitative research in Australia.Meta-integration of the results was performed by aggregative synthesis.Results A total of 15 studies were included,from which 31 results were extracted and summarized into 9 categories,ultimately synthesizing into 4 integrated results:positive feelings and social support,physical and psychological stress and social challenges,various dyadic coping strategies adopted by couples to deal with stress in the treatment,and change in marital relationship after adjustment.Conclusions It is crucial for healthcare providers and policymakers to strengthen couple-centered health management of IVF-ET treatment during the whole course,focus on the complex psychological experience of couples at different stages,promote positive dyadic coping and adjustment,and enhance the sociocultural and medical support system,so as to improve treatment and marital quality.

关 键 词：体外受精-胚胎移植 夫妻 心理体验 调适 Meta整合 

分 类 号：R473.71[医药卫生—护理学]