[Influencing factors of fertility preservation decision-making in patients with testicular cancer: A qualitative study].

Q4 Medicine
中华男科学杂志 Pub Date : 2025-08-01
Ya Hu, Xue Fu, Cang-Mei Fu, Xiang-Dong Li
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引用次数: 0

Abstract

Objective: The aim of this study is to explore the influencing factors of fertility preservation decision-making in testicular cancer patient and provide a basis for clinical decision.

Methods: A descriptive qualitative study was conducted using purposive sampling in 18 testicular cancer patients. Semi-structured interviews were performed, and data were analyzed through content analysis.

Results: A total of 3 themes and 10 subthemes were extracted including individual factors (fertility circumstance, concerns about sperm cryopreservation efficacy/quality, the preferred choice between treatment and fertility preservation, confidence in future fertility), medical factors (physicians' recommendations on fertility preservation, fertility-related information, urgency of treatment), and socio-environmental factors (traditional beliefs of fertility, family/partner support, accessibility/cost of cryopreservation).

Conclusion: This study highlights many influencing factors of fertility preservation decision-making in testicular cancer patients, emphasizing the need for clinicians to enhance awareness of fertility preservation, provide timely and targeted information, and advocate for policy interventions to reduce financial barriers. Strengthening healthcare support and systemic safeguards may optimize patients' decision-making outcomes.

[影响睾丸癌患者生育保留决策的因素:一项定性研究]。
目的:探讨睾丸癌患者保留生育能力决策的影响因素,为临床决策提供依据。方法:对18例睾丸癌患者采用有目的抽样进行描述性定性研究。采用半结构化访谈,通过内容分析对数据进行分析。结果:共提取了3个主题和10个子主题,包括个人因素(生育情况、对精子冷冻保存效果/质量的担忧、治疗和保留生育能力的首选、对未来生育能力的信心)、医学因素(医生对保留生育能力的建议、生育相关信息、治疗的紧迫性)和社会环境因素(传统生育观念、家庭/伴侣支持、生育能力、生育能力和生育能力)。可及性/低温保存成本)。结论:本研究突出了影响睾丸癌患者保留生育能力决策的诸多因素,强调临床医生需要提高保留生育能力的意识,及时、有针对性地提供信息,并倡导政策干预,减少资金障碍。加强医疗支持和系统保障可以优化患者的决策结果。
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来源期刊
中华男科学杂志
中华男科学杂志 Medicine-Medicine (all)
CiteScore
0.40
自引率
0.00%
发文量
5367
期刊介绍: National journal of andrology was founded in June 1995. It is a core journal of andrology and reproductive medicine, published monthly, and is publicly distributed at home and abroad. The main columns include expert talks, monographs (basic research, clinical research, evidence-based medicine, traditional Chinese medicine), reviews, clinical experience exchanges, case reports, etc. Priority is given to various fund-funded projects, especially the 12th Five-Year National Support Plan and the National Natural Science Foundation funded projects. This journal is included in about 20 domestic databases, including the National Science and Technology Paper Statistical Source Journal (China Science and Technology Core Journal), the Source Journal of the China Science Citation Database, the Statistical Source Journal of the China Academic Journal Comprehensive Evaluation Database (CAJCED), the Full-text Collection Journal of the China Journal Full-text Database (CJFD), the Overview of the Chinese Core Journals (2017 Edition), and the Source Journal of the Top Academic Papers of China's Fine Science and Technology Journals (F5000). It has been included in the full text of the American Chemical Abstracts, the American MEDLINE, the American EBSCO, and the database.
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