Fertility-Preservation Knowledge, Perceived Barriers, and Tokophobia Among Female Oncology Patients: The Moderating Role of Psychological Capital.

IF 2.5 Q2 NURSING

SAGE Open Nursing Pub Date : 2025-09-22 eCollection Date: 2025-01-01 DOI:10.1177/23779608251376079

Sara Mamdouh Mohamed Hussien, Mohamed A Zoromba, Heba Emad El-Gazar, Ola Mousa, Shaimaa Mohamed Amin, Mohamed Hussein Ramadan Atta

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Abstract

Background: Tokophobia, or fear of childbirth, is a significant psychological concern for female oncology patients, particularly those considering fertility preservation therapies.

Aim: This study investigates the relationships between perceived barriers, knowledge of fertility preservation therapies, psychological capital, and tokophobia and explores the moderating role of psychological capital in these relationships.

Methods: Cross-sectional quantitative research was conducted among 312 female oncology patients. Data were collected using validated scales to measure barriers, knowledge, psychological capital, and tokophobia. Descriptive statistics, correlation analysis, and moderation analysis using the PROCESS macro for SPSS examined the role of psychological capital in moderating the relationship between knowledge and tokophobia.

Results: The study revealed that female oncology patients perceived multiple barriers to fertility preservation, with the total barriers score averaging 75.11 ± 18.1. Subscale means were personal (20.04 ± 4.3), medical (21.56 ± 5.8), relational (13.61 ± 4.1), and financial barriers (19.89 ± 5.5). These barriers were negatively associated with total psychological capital (PsyCap) (r = -.124, p < .05), particularly resilience (r = -.163, p < .01) and optimism (r = -.096, p < .05). Knowledge of fertility preservation (mean = 18.28 ± 4.2) was positively associated with PsyCap (r = .262, p < .01). Moderation analysis showed that PsyCap significantly moderated the relationship between knowledge and tokophobia (β = -0.034, p = .001).

Conclusion: This study highlights the complex interplay between knowledge, psychological capital, and tokophobia among female oncology patients. While knowledge of fertility preservation therapies can heighten tokophobia in patients with low psychological capital, it may reduce tokophobia in those with high psychological capital.

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女性肿瘤患者保生育知识、认知障碍与Tokophobia：心理资本的调节作用。

背景：分娩恐惧症，或对分娩的恐惧，是女性肿瘤患者的重要心理问题，特别是那些考虑生育保留治疗的患者。目的：本研究探讨认知障碍、生育保护疗法知识、心理资本与恐惧症之间的关系，并探讨心理资本在这些关系中的调节作用。方法：对312例女性肿瘤患者进行横断面定量研究。使用有效的量表收集数据来测量障碍、知识、心理资本和tokophobia。描述性统计、相关分析和使用SPSS PROCESS宏的调节分析检验了心理资本在调节知识与tokophobia之间关系中的作用。结果：研究发现，女性肿瘤患者存在多种保留生育能力的障碍，总障碍得分平均为75.11 ± 18.1。子量表均值为个人（20.04 ± 4.3）、医疗（21.56 ± 5.8）、关系（13.61 ± 4.1）和财务障碍（19.89 ± 5.5）。这些障碍是消极与心理资本总额(PsyCap) (r = -.124,p r = -.163,p r = -.096,p r = 。262, p β = -0.034,p = .001)。结论：本研究强调了知识、心理资本与女性肿瘤患者恐惧症之间复杂的相互作用。而生育保护疗法的知识可以提高低心理资本患者的tokophobia，它可以减少高心理资本患者的tokophobia。

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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