探討育齡期乳癌婦女接受生殖保留術之經驗歷程

蔡縵琳

doi:10.6342/NTU202000494

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探討育齡期乳癌婦女接受生殖保留術之經驗歷程

To exploring the experience of receiving fertility preservation among reproductive aged breast cancer women

蔡縵琳 , Masters　　Advisor：楊雅玲　　

繁體中文 DOI： 10.6342/NTU202000494

乳癌；育齡期婦女；生殖保留；經驗歷程；照護需求； breast cancer ； women of reproductive age ； fertility preservation ； experience ； care needs

Abstract │ Reference (129) │ Altmetrics

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With improvements in breast cancer detection and cancer treatment, the 5-year survival rate of patients with stage 0–II breast cancer can reach as high as 89%. When these patients face cancer diagnosis- and cancer treatment-induced premature ovarian insufficiency and infertility, they also face the decision of reproductive retention treatment, which is another setback to women of reproductive age and their families. Owing to their desire to give birth, they have a risk of disease recurrence or treatment delay, and they select fertility preservation to maintain their fertility. The feelings and experiences of patients during treatment and their evaluation of treatment results remain unclear. The purpose of this study was to explore the feelings of patients and evaluate their experiences of fertility preservation and the treatment process among women of reproductive age who choose to undergo fertility preservation in order to understand their motives, feelings, and care needs regarding fertility-preserving interventions.
This study had a prospective design, and it involved a qualitative interview to understand the life course of breast cancer women. The study included breast cancer patients of reproductive age undergoing fertility-preserving interventions at a medical center in Taipei City. The researchers collected information through three semi-structured, in-depth, one-on-one interviews with eight patients having breast cancer (three undergoing embryo cryopreservation and five undergoing oocyte cryopreservation). The data were analyzed by content analysis to show the true experiences and feelings of the fertility-preservation process among these patients of reproductive age.
    This study found that the subjective experiences of the fertility-preservation process among breast cancer patients of reproductive age can be summarized as one core theme and three sub-themes. The core theme was “completing oneself through adversity in life.” The three sub-themes were as follows: (i) choice period, tug between your own life and your destiny; (ii) treatment period, a review of risk and shift in life focus; and (iii) late treatment stage, embrace hope and face breast cancer treatment. The care needs for reproductive preservation were as follows: (i) choice period, exclusive health education information on reproductive preservation for cancer patients; (ii) treatment period, comprehensive understanding of the current status of treatment; and (iii) late treatment stage, understanding of embryo/oocyte cryopreservation quality.
   Breast cancer patients of reproductive age face many physical and mental challenges and trials during the fertility-preservation process. Professional medical personnel are required to understand the patients’ inner conflicts and anxieties, and provide proper information related to fertility preservation, in addition to continuous care, support, and encouragement to help them overcome the crisis and to improve their quality of life after cancer treatment.

Reference ( 129 ) 〈TOP〉

中文文獻
衛生福利部國民健康署(2019，1月27日) ．民國106年衛生福利統計動向：陸、人口與經濟指標，取自https://dep.mohw.gov.tw/DOS/lp-4227-113.html
衛生福利部國民健康署(2019，3月11日)．民國105年癌症報告資料，取自
https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=269&pid=8084
世界衛生組織(2015)．2014癌症國家概況，取自http://www.who.int/cancer/zh/

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