scholarly journals Impact of paramedical counseling on infertile male patients’ coping strategies and care satisfaction

2020 ◽  
Author(s):  
Angelika Szatmári

Célok A tanulmány célja a Magyarországon eddig alig, vagy nem használt betegvezetési technikák alkalmazása meddőségi zavarokkal küzdő férfi betegek körében. A kezelés időszakában ¬az információk nyújtása mellett – az egyéni támogatás keretében hozzájárulni a keletkező hatások, tapasztalatok, ismeretek feldolgozásához, továbbá a stresszel való adaptív megküzdési stratégiák kialakításához, valamint a reproduktivitást befolyásoló egészségmagatartás változók közvetlen vagy közvetett módosításához. Közvetett célként tekintjük a kezelések, valamint a biztonságos betegellátás hatékonyságának támogatását az ellátottak ismereteinek bővítésével, továbbá a betegelégedettségi mutatók kedvező irányú változásának elősegítését. A rendelkezésre álló pszichológiai vizsgálóeszközök segítségével felmérni az általunk kidolgozott betegvezetési program hatékonyságát. Módszerek A vizsgálatot kizárólag férfi faktoros meddőséggel küzdők körében, kísérleti (N=57) és kontrollcsoport (N=51) keretében végeztük. A betegek részletes kivizsgálását, valamint a veszteségre adott válaszreakcióinak és a betegségükkel kapcsolatos tájékozottság felmérését követően a kísérleti csoport tagjai 5 alkalommal betegvezetésben részesültek. A kontrollcsoportnál a pszichológiai önjellemző diagnosztikai kérdőívek felvételére a kutatás elején és végén, a célcsoportoknál a foglalkozásokat megelőzően, majd azt követően került sor. Eredmények Az intervenciós csoport nagyfokú tudatossággal rendelkezett a diagnózisokról, valamint a javasolt kezelések természetéről és céljairól. Az intervenciós csoport szignifikánsan célirányos probléma fókuszú megküzdési stratégát alkalmazott a meddőségi kezelés során. A betegek a beavatkozással szembeni elégedettségről számoltak be, ami a kísérleti csoport BDI és STAI pontszámainak csökkenésében is tükröződik. Következtetés: A fertilitásproblémákkal küzdők számára paramedikális tanácsadással kedvezőbb pszichés jóllét biztosítható a professzionális segítők aktív közreműködésével. A páciensek hatékony, célzott és problémaspecifikus segítségnyújtásban részesülhetnek. A férfi-meddőség ellátásában kiemelt szerepet kell biztosítani az egészségügyi ellátók; az ápolók, a reproduktív orvoslás, a mentálhigiénés szakember által nyújtott paramedikális tanácsadásnak.

2018 ◽  
Vol 159 (31) ◽  
pp. 1262-1268 ◽  
Author(s):  
Angelika Szatmári ◽  
Zsuzsanna Fejes ◽  
István Király

Abstract: In recent decades, the incidence of male infertility has been increasing continuously both worldwide and in Hungary and is becoming a more and more central issue. Millions of men at the reproductive age are affected by male infertility. In addition to the known organic reasons, many life-style and environmental factors can be expected to contribute to this. The biopsychosocial theoretical model of infertility allows us to interpret the lack of fertility not only from the medical point of view, but also as a psychosocial phenomenon. Men’s coping strategies, health information seeking habits, and knowledge of infertility are similar to women’s, but there are several different points in their responses given to the problem. So medical, nursing and other health professionals dealing with infertile male patients should devote special and high attention to patients’ conducting and paramedical counselling as supportive therapy. Within the framework of this – besides giving information – the individual support contributes to the elaboration of information, arising effects and experiences, furthermore to the developement of adaptive coping strategies for stress, and to the modification of direct or indirect changes in health behavior affecting reproductive health during the treatment period. Orv Hetil. 2018; 159(31): 1262–1268.


2014 ◽  
Vol 55 (2) ◽  
pp. 134 ◽  
Author(s):  
Dae Sung Hwang ◽  
Tae Gyeong Jeon ◽  
Hyun Jun Park ◽  
Nam Cheol Park

2021 ◽  
Vol 0 (0) ◽  
pp. 0
Author(s):  
Hong Huang ◽  
Xue-Jun Shang ◽  
Zhi-Gang Wu ◽  
Wei-Kang Chen ◽  
Qian-Jin Fei ◽  
...  

2015 ◽  
Vol 156 (3) ◽  
pp. 105-112
Author(s):  
Márta Erdei ◽  
Réka Eszter Cserepes ◽  
Antal Bugán

Introduction: The effectiveness of fertility treatments is influenced by the health care professionals’ knowledge regarding infertility as well as their empathy. Aim: The aim of the study was to examine infertility-related knowledge and perceptions of emotional and mind/body consequences of infertility among medical students. Methods: A questionnaire design was used. Data were obtained from 112 medical university students (76 women, 36 men) who participated involuntary and compensation-free. Results: Medical students’ knowledge concerning infertility proved to be incomplete and ambiguous. Subjects underestimated the presence of mind/body and emotional symptoms caused by infertility in men particularly, and overestimated some emotional concerns in women, e.g. sadness. Conclusions: Medical students have gaps in their subject-specific knowledge, so that they need more (even practical) information regarding infertility during their studies. Students’ conceptions about emotional and physical consequences of infertility are distorted by stereotypes. The risk of these biases is that it could make it difficult to perceive patients in a non-distorted way, especially infertile male patients. Orv. Hetil., 2015, 156(3), 105–112.


2013 ◽  
Vol 5 (2) ◽  
pp. 76-79
Author(s):  
KP Biswas ◽  
Jayesh Amin ◽  
Asit Kumar Dutta ◽  
Kumud Kunwar ◽  
Veena G Shinde ◽  
...  

ABSTRACT Rising number of infertile males in India provokes the need of evidence-based comprehensive formula addressing unattended causes of male infertility. There is an innovative product*, a combikit available in Indian market, containing 30 tablets of antioxidant, multivitamin, amino acid and mineral tablets, with documented evidence on ingredients in treatment of male infertility, and 25 tablets of clomiphene citrate which is a timetested drug in treatment of male infertility (in particular oligospermia and/or asthenospermia). In order to assess efficacy of the product in Indian infertile male patients, we undertook phase IV multicentric clinical study, at 18 centers across India in 100 patients. Very high couple pregnancy rate of 53% was reported. As first line treatment of male infertility (in particular oligospermia and/or asthenospermia), the use of this innovative product therefore holds a strong promise. How to cite this article Amin J, Mishra SK, Dutta AK, Kunwar K, Shinde VG, Chauhan A, Sud S, Maurya R, Nepal N, Sarode P, Biswas KP, Mazumder GP, Chitrabanshi M, Shibe S, Shukla R, Trivedi N, Dayal M, Sortey D, Shukla S, Gawade B. Indian Clinical Experience on Innovative Product in Treatment of Male Infertility. J South Asian Feder Obst Gynae 2013;5(2):76-79.


2022 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Mariela Holzer ◽  
Estefanía Massa ◽  
Sergio Ghersevich

2018 ◽  
Vol 16 (7) ◽  
pp. 469-474 ◽  
Author(s):  
Aylin Esmailkhani ◽  
Mohammad Taghi Akhi ◽  
Javid Sadeghi ◽  
Behrooz Niknafs ◽  
Abed Zahedi Bialvaei ◽  
...  

Author(s):  
Priyanka Roy ◽  
Pranay Kumar Phukan ◽  
Debojit Changmai ◽  
Surajeet Boruah

Background: Pesticides, insecticides can damage the male reproductive system in a number of ways. They may cause reproductive toxicity with direct damage to the structure of the cells or as a result of biotransformation into metabolites. They can alter DNA structure. They may also act like hormones in the endocrine system and disrupt the function of the natural endogenous hormones, when doing so they are often called endocrine disrupting chemicals. The objective of the study was to evaluate the association of infertility with pesticide and insecticide exposure among the infertile male patients attending Out Patient Department of Assam Medical College and Hospital.Methods: The pesticides and insecticides used by the population were cypermethrin, thiaclopride, acetamiprid, emmacetin benzoate A total of 55 oligospermic infertile male patients were taken for the study. Twenty-seven among them were exposed to pesticides and rest twenty-eight unexposed cases were taken as control group. Semen analysis was done along with serum FSH, LH and Testosterone. Scrotal ultrasonography of the subjects was also done. One way ANOVA test and t-test assuming two unequal variances were applied to find out the statistical significance of the association of pesticides with their infertility. p<0.05 was taken to be significant.Results: A significant decrease in sperm concentration was found in the exposed group. Also, a significant increase in serum LH was found in the exposed group. A significant decrease in sperm concentration and serum testosterone along with a significant increase in serum FSH and LH was found with increase in duration of exposure to pesticides and insecticides.Conclusions: The gonadotoxic effect of pesticides and insecticides was reflected from the study and it was concluded that pesticide and insecticide exposure has got a definite relation with the infertility of the subjects evaluated in the study.


2018 ◽  
Vol 5 (3) ◽  
pp. 196-209
Author(s):  
Ahmed El-Monshed ◽  
Nelly Mahgoub ◽  
Hassan Abdel-Baky ◽  
Samah Taha

1995 ◽  
Vol 77 (1) ◽  
pp. 147-154 ◽  
Author(s):  
Mervyn K. Wagner ◽  
David Armstrong ◽  
James E. Laughlin

To investigate cognitive coping styles and how they might relate to perceived quality of life for individuals seriously ill with cancer 41 mostly elderly, male patients with a wide variety of cancers were administered the Illness Effects Questionnaire, a quality of life measure, the COPE Questionnaire, which samples different coping strategies, and questions regarding beliefs about illness behaviors, expectations about cancer's effects, comparisons of the participants' lives with those of others, feelings since having cancer, and motivation to resist lifestyle disruptions. Six of the belief factors and two of the coping strategies were related to perceived quality of life. If the effects of cancer were less than expected, quality of life was better; with an expectation of a negative effect from the disease, lowered quality of life was perceived. Two coping strategies were related to quality of life, suppression of competing activities and using religious practices. Other relationships were also discussed.


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