Patient experiences of fertility clinic closure during the COVID-19 pandemic: appraisals,coping and emotions
Patient experiences of fertility clinic closure during the COVID-19 pandemic: appraisals,coping and emotions
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DOI：
10.1093/humrep/deaa218
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发表时间：
2020-11-01
影响因子：
6.1
通讯作者：
Gameiro, S.
中科院分区：
文献类型：
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作者：
Boivin, J.;Harrison, C.;Gameiro, S.
研究问题：2019冠状病毒病（COVID-19）生育诊所关闭后，患者的评价、应对策略和情绪反应是什么？简要答复：诊所关闭被评估为压力，由于不确定性和威胁到父母目标的实现，但患者能够使用适合情况的不确定性的策略来科普。已知：关于COVID-19的心理学研究表明，人们比历史规范更焦虑，并且由于COVID-19而对生育治疗取消感到中度到极度不安。研究设计，规模，持续时间：该研究采用横断面设计，包括混合方法，英语，匿名，在线调查，于4月9日至21日发布到社交媒体。资格标准受COVID-19生育诊所关闭的影响，年满18岁，能够用英语完成调查。总共有946人点击了调查链接，76人不同意，420人开始但没有完成调查，450人完成（48%完成，446名女性，4名男性）。总体而言，74.7%（n = 336）的受访者是英国居民，平均年龄为33.6岁（SD = 4.4），平均尝试怀孕时间为3.5年（SD = 2.22）。该调查包括定量问题的强度认知评价和情绪的诊所关闭，以及能力，以科普诊所关闭。开放文本问题涵盖了他们对COVID-19及其对生殖健康和生育计划的影响的理解，诊所关闭的担忧和感知的好处，以及对关闭的了解。收集了社会人口统计学信息。定量数据采用描述性和推断性统计。对每个问题的文本数据进行主题定性分析（归纳编码）。演绎编码分组主题从每个问题到元主题相关的认知压力和应对theory.Main结果和机会的作用：大多数患者（81.6%，n = 367）的测试或治疗推迟，这些是自我（41.3%，n = 186）或公共（46.4%，n = 209）资助。患者评价生育诊所关闭对他们生活的负面影响可能大于正面影响，并且非常或非常难以控制和压力（P
STUDY QUESTION: What are appraisals, coping strategies and emotional reactions of patients to coronavirus disease 2019 (COVID-19) fertility clinic closures?SUMMARY ANSWER: Clinic closure was appraised as stressful due to uncertainty and threat to the attainability of the parenthood goal but patients were able to cope using strategies that fit the uncertainty of the situation.WHAT IS KNOWN ALREADY: Psychological research on COVID-19 suggests that people are more anxious than historical norms and moderately to extremely upset about fertility treatment cancellation owing to COVID-19.STUDY DESIGN, SIZE, DURATION: The study was of cross-sectional design, comprising a mixed-methods, English language, anonymous, online survey posted from April 9 to 21 to social media. Eligibility criteria were being affected by COVID-19 fertility clinic closure, 18 years of age or older and able to complete the survey in English. In total, 946 people clicked on the survey link, 76 did not consent, 420 started but did not complete the survey and 450 completed (48% completion, 446 women, four men).PARTICIPANTS/MATERIALS, SETTING, METHODS: Overall 74.7% (n = 336) of respondents were residents in the UK with an average age of 33.6 years (SD = 4.4) and average years trying to conceive, 3.5 years (SD = 2.22). The survey comprised quantitative questions about the intensity of cognitive appraisals and emotions about clinic closure, and ability to cope with clinic closure. Open-text questions covered their understanding of COVID-19 and its effect on reproductive health and fertility plans, concerns and perceived benefits of clinic closure, and knowledge about closure. Sociodemographic information was collected. Descriptive and inferential statistics were used on quantitative data. Thematic qualitative analysis (inductive coding) was performed on the textual data from each question. Deductive coding grouped themes from each question into meta-themes related to cognitive stress and coping theory.MAIN RESULTS AND THE ROLE OF CHANCE: Most patients (81.6%, n = 367) had tests or treatments postponed, with these being self (41.3%, n = 186) or publicly (46.4%, n = 209) funded. Patients appraised fertility clinic closure as having potential for a more negative than positive impact on their lives, and to be very or extremely uncontrollable and stressful (P