Quality of life, spiritual needs, and well-being of people affected by infertility and its treatment: quantitative results of a mixed-methods study.

IF 3.2 3区 医学 Q2 GENETICS & HEREDITY
Madeleine Bernet, Alexander M Quaas, Michael von Wolff, Alessandro Santi, Isabelle Streuli, Dorothea Wunder, Eva Soom Ammann, Arndt Büssing
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Abstract

Purpose: Infertility is a growing global health issue that significantly affects quality of life (QoL). Understanding its impact on QoL is essential for developing effective healthcare interventions. This study explored QoL, well-being, and spiritual needs among individuals affected by infertility, with implications for healthcare provision.

Methods: Standardized questionnaire data from an anonymous mixed-methods study that was conducted from October 2022 to January 2023 in Switzerland and addressing QoL (FertiQoL), spiritual needs (SpNQ-20), and psychological well-being (WHO-5) of individuals undergoing fertility treatments.

Results: The analysis included 326 participants. FertiQoL scores were lowest in the emotional domain (M = 46.35) and highest in the relational domain (M = 68.51), with a mean overall score of 56.69, indicating moderate QoL impacts. Participants without children reported significantly lower FertiQoL and WHO-5 well-being scores than those with children (p < 0.05). The WHO-5 mean score indicated moderate well-being (M = 13.89). SpNQ-20 results showed the highest needs in inner peace (M = 1.82), followed by generativity (M = 1.09) and existential needs (M = 0.86), with religious needs scoring the lowest (M = 0.43). Participants without children had significantly higher spiritual needs (p < 0.05).

Conclusion: This study highlights the emotional and spiritual challenges of infertility, revealing differences in experiences between individuals with and without children. It emphasizes the importance of addressing mental health and well-being in infertility care. Further research should focus on the psychological impacts of fertility treatments, including depressive mood states.

不孕不育患者的生活质量、精神需求和福祉及其治疗:一项混合方法研究的定量结果。
目的:不孕不育是一个日益严重的全球健康问题,严重影响生活质量(QoL)。了解其对生活质量的影响对于制定有效的医疗保健干预措施至关重要。本研究探讨不孕不育患者的生活质量、幸福感和精神需求,以及对医疗保健服务的影响。方法:从2022年10月至2023年1月在瑞士进行的一项匿名混合方法研究的标准化问卷调查数据,研究对象是接受生育治疗的个体的生活质量(FertiQoL)、精神需求(SpNQ-20)和心理健康(WHO-5)。结果:共纳入326名受试者。FertiQoL得分在情绪领域最低(M = 46.35),在关系领域最高(M = 68.51),平均总分为56.69,表明生活质量影响中等。没有孩子的参与者报告的FertiQoL和WHO-5幸福感得分明显低于有孩子的参与者(p结论:这项研究强调了不孕不育的情感和精神挑战,揭示了有孩子和没有孩子的个体之间的体验差异。它强调在不孕症护理中解决心理健康和福祉问题的重要性。进一步的研究应该关注生育治疗的心理影响,包括抑郁情绪状态。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.70
自引率
9.70%
发文量
286
审稿时长
1 months
期刊介绍: The Journal of Assisted Reproduction and Genetics publishes cellular, molecular, genetic, and epigenetic discoveries advancing our understanding of the biology and underlying mechanisms from gametogenesis to offspring health. Special emphasis is placed on the practice and evolution of assisted reproduction technologies (ARTs) with reference to the diagnosis and management of diseases affecting fertility. Our goal is to educate our readership in the translation of basic and clinical discoveries made from human or relevant animal models to the safe and efficacious practice of human ARTs. The scientific rigor and ethical standards embraced by the JARG editorial team ensures a broad international base of expertise guiding the marriage of contemporary clinical research paradigms with basic science discovery. JARG publishes original papers, minireviews, case reports, and opinion pieces often combined into special topic issues that will educate clinicians and scientists with interests in the mechanisms of human development that bear on the treatment of infertility and emerging innovations in human ARTs. The guiding principles of male and female reproductive health impacting pre- and post-conceptional viability and developmental potential are emphasized within the purview of human reproductive health in current and future generations of our species. The journal is published in cooperation with the American Society for Reproductive Medicine, an organization of more than 8,000 physicians, researchers, nurses, technicians and other professionals dedicated to advancing knowledge and expertise in reproductive biology.
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