A Qualitative Study of Fertility Preservation Experience in Women with Breast Cancer.

IF 2.5 4区医学 Q2 OBSTETRICS & GYNECOLOGY

International Journal of Women's Health Pub Date : 2025-04-23 eCollection Date: 2025-01-01 DOI:10.2147/IJWH.S517901

Zilian Wang, Xinyi Yang, Xia Hong, Yu He, Aike Xu, Xuechun Jiang, Qun Wei

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引用次数: 0

Abstract

Objective: To explore the experiences of women with breast cancer who have undergone fertility preservation and to explore the psychological needs of patients.

Methods: Using descriptive phenomenological research methods, 11 patients who underwent oocyte or embryo cryopreservation after diagnosis of breast cancer were selected for semi-structured interviews in a tertiary care hospital. Themes were distilled using Colaizzi's 7-step analysis and reported according to COREQ guidelines.

Results: The experiences of women with breast cancer who underwent fertility preservation can be categorized into 4 themes and 11 sub-themes: a. Physical pain and discomfort (physiological pain, tolerance of physical discomfort); b. heavy psychological burdens (fertility worries, self-blame and guilt, loneliness and helplessness, bias from others and self); c. Actively seeking and benefiting from ways of coping with illness (life over procreation; hope, confidence and courage; positive coping with illness; adequate social support; growth follow in adversity); d. Lack of fertility-related information support.

Conclusion: Oncology and reproductive health professionals should pay attention to the experiences of breast cancer patients undergoing fertility preservation and target timely, scientific, and effective interventions to promote disease recovery and improve quality of life.

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乳腺癌妇女生育能力保存经验的定性研究。

目的：探讨乳腺癌患者保留生育能力的经验，探讨患者的心理需求。方法：采用描述现象学研究方法，选取某三级医院11例乳腺癌诊断后行卵母细胞或胚胎冷冻保存的患者进行半结构化访谈。使用Colaizzi的7步分析提取主题，并根据COREQ指南进行报告。结果：保留生育能力的乳腺癌妇女的经历可分为4个主题和11个子主题：a.身体疼痛和不适（生理性疼痛，对身体不适的耐受性）；B.心理负担重（生育忧虑、自责内疚、孤独无助、他人和自己的偏见）；c.积极寻求并受益于应对疾病的方法(生命胜过生育；希望、信心和勇气；积极应对疾病；充足的社会支持；逆境中成长)；d.缺乏与生育有关的信息支持。结论：肿瘤学和生殖健康专业人员应重视乳腺癌患者保留生育能力的经历，及时、科学、有效地进行干预，促进疾病恢复，提高生活质量。

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

International Journal of Women's Health OBSTETRICS & GYNECOLOGY-

CiteScore

3.70

自引率

0.00%

发文量

194

审稿时长

16 weeks

期刊介绍： International Journal of Women''s Health is an international, peer-reviewed, open access, online journal. Publishing original research, reports, editorials, reviews and commentaries on all aspects of women''s healthcare including gynecology, obstetrics, and breast cancer. Subject areas include: Chronic conditions including cancers of various organs specific and not specific to women Migraine, headaches, arthritis, osteoporosis Endocrine and autoimmune syndromes - asthma, multiple sclerosis, lupus, diabetes Sexual and reproductive health including fertility patterns and emerging technologies to address infertility Infectious disease with chronic sequelae including HIV/AIDS, HPV, PID, and other STDs Psychological and psychosocial conditions - depression across the life span, substance abuse, domestic violence Health maintenance among aging females - factors affecting the quality of life including physical, social and mental issues Avenues for health promotion and disease prevention across the life span Male vs female incidence comparisons for conditions that affect both genders.