Abstract

Objective

This study assessed the needs and perspective of (1) couples and (2) spouses/partners when considering fertility preservation after a cancer diagnosis.

Research Approach

Semi-structured interviews explored (1) couples’ shared decision-making and (2) spouses’/partners’ individual perspectives.

Participants

Twelve female cancer survivors and their partners (spouses or domestic/romantic partners) (n = 24).

Methodological Approach

Dyadic and individual interviews were conducted using a Decisional Needs Assessment interview guide. Thematic analysis identified key themes.

Findings

Couples reported making fertility preservation decisions like other major decisions, including prioritizing mutual satisfaction. Partners also reported concerns about patients’ health, variable decision-making needs, and letting patients lead. Couples unanimously recommended fertility preservation consultations, and designing resources that provide information and assess needs for both patients and partners.

Interpretations

Patients and partners have shared and unique needs when facing fertility preservation decisions.

Implications for Psychosocial Providers or Policy

Whenever feasible, psychosocial providers should assess and address couples’ and partners’ fertility preservation decision-making needs.

中文翻译：

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在癌症治疗计划期间，夫妻和配偶/伴侣如何考虑保留生育能力的决定？二元决策的定性分析

摘要

客观的

本研究评估了 (1) 夫妇和 (2) 配偶/伴侣在癌症诊断后考虑保留生育能力的需求和观点。

研究方法

半结构化访谈探讨了 (1) 夫妻共同的决策和 (2) 配偶/伴侣的个人观点。

参与者

十二名女性癌症幸存者及其伴侣（配偶或家庭/浪漫伴侣）（n  = 24）。

方法论

使用决策需求评估访谈指南进行二元访谈和个人访谈。专题分析确定了关键主题。

发现

夫妇报告说，像其他重大决定一样，做出保留生育能力的决定，包括优先考虑相互满意。合作伙伴还报告了对患者健康、可变决策需求以及让患者领导的担忧。夫妻一致建议进行生育保护咨询，并设计资源，为患者和伴侣提供信息和评估需求。

解释

在面临保留生育能力的决定时，患者和伴侣有共同和独特的需求。

对社会心理提供者或政策的影响

在可行的情况下，社会心理提供者应评估和解决夫妻和伴侣的生育保护决策需求。