Are health care providers adequately educating couples for embryo disposition decisions?
Are health care providers adequately educating couples for embryo disposition decisions?
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DOI：
10.1016/j.fertnstert.2015.11.025
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发表时间：
2016-03-01
影响因子：
6.7
通讯作者：
Karnis, Megan F.
中科院分区：
文献类型：
--
作者：
Deniz, Stacy G.;Hughes, Edward G.;Karnis, Megan F.
目的：探讨在体外受精(IVF)治疗过程中和治疗后由医护人员提供的教育在夫妇处理剩余胚胎方面的效果。设计：横断面调查。地点：大学附属生育中心。患者(S)：胚胎冷冻2年以上的夫妇。干预(S)：自行设计问卷。主要结果(S)：采用李克特量表对患者是否愿意决定剩余胚胎的问题进行评分。结果(S)：调查应答率为70%(131例)。卫生保健专业人员在开始治疗前提供的教育满足了大多数参与者的需要(n=86)。治疗后，接受的教育不足以帮助夫妇做出胚胎处置决定。在127名就其冷冻胚胎的意向提供意见的受访者中，37%(n=47)无意将冷冻胚胎用于自己的生殖，24%(n=30)打算使用胚胎繁殖，其余39%(n=50)仍未决定未来使用其胚胎。有3年以上不孕症的患者(n=49)最容易对治疗后的决定感到矛盾。结论(S)：治疗后接受的教育不足。不孕症持续时间较长的夫妇和对最终胚胎处置存在矛盾的夫妇可能是进一步干预的合适目标。治疗后更多的书面信息和/或咨询服务可能有助于患者对剩余胚胎做出明智和及时的决定。(C)2016年由美国生殖医学会评选。
Objective: To determine the effectiveness of education provided by health care professionals during and after IVF treatment in preparing couples for surplus embryo disposition decisions.Design: Cross-sectional survey.Setting: University-affiliated fertility center.Patient(s): Couples with embryos cryopreserved for more than 2 years.Intervention(s): Self-administered questionnaire.Main Outcome Measure(s): A Likert scale was used to rate the response to questions about patients' preparedness to make decisions regarding their surplus embryos.Result(s): The survey response rate was 70% (131 of 187). Education provided by health care professionals before initiating treatment met the needs of the majority of participants (n = 86). After treatment, the education received was not adequate to assist couples in making embryo disposition decisions. Of the 127 respondents who provided feedback on their intention for their cryopreserved embryos, 37% (n = 47) had no intention of using cryopreserved embryos for their own reproduction, 24% (n = 30) intended to use embryos for procreation, and the remaining 39% (n = 50) remained undecided regarding their future use of their embryos. Participants with more than 3 years of infertility (n = 49) were most likely to feel conflicted about the decision after treatment.Conclusion(s): The education received after treatment was considered inadequate. Couples with a long duration of infertility and those conflicted about final embryo disposition may be appropriate targets for further intervention. More written information and/or counseling services after treatment may help patients make informed and timely decisions regarding their surplus embryos. (C) 2016 by American Society for Reproductive Medicine.