보조생식술을 받은 여성의 선택적 태아감소술에 대한 의사결정 경험
= Experience of Decision Making about Selective Fetal Reduction among Women Who Conceived through Assisted Reproductive Techniques
- 저자[authors] 장혜영 ( Jang Hyeyoung ), 정재원 ( Chung Chaeweon )
- 학술지명[periodical name] 임상간호연구
- 권호사항[Volume/Issue] Vol.24No.1[2018]
- 발행처[publisher] 병원간호사회
- 자료유형[Document Type] 학술저널
- 수록면[Pagination] 44-55
- 언어[language] Korean
- 발행년[Publication Year] 2018
- 주제어[descriptor] Multifetal Pregnancy Reduction, Assisted Reproductive Techniques, Decision Making, Multiple Pregnancy, Qualitative Research
초록[abstracts]
[Purpose: This study aimed to explore and understand the experience of decision making among women undergoing or forgoing selective fetal reduction who have higher-order multiple pregnancies through assisted reproductive techniques. Methods: A qualitative study was conducted from August 1, to October 30, 2013. Eight participants were interviewed and the interviews were audio-recorded and transcribed verbatim. Six persons participated in in-depth interviews in person and two participated over the telephone. A thematic analysis was conducted. Results: Four themes were identified and carefully named: Confusion after higher-order multiple pregnancy; Obstacles to choice: Uncertain safety; Weighing between reality and ideality and; Influences of medical professionals. Conclusion: The results demonstrated a wide range of factors considered by women when making decisions about selective fetal reduction, and mothers’feelings of conflict and distress in the decision-making process. The results suggest that it is important for nurses to provide emotional support and consolation, in addition to sufficient information. These findings will help nurses improve their counseling techniques by understanding the situation of infertile couples.]