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Covid-19 pozitifliği nedeniyle infertilite tedavisi iptal edilen kadın ve erkeklerin deneyimleri

Yıl 2024, Cilt: 11 Sayı: 4, 474 - 482, 31.12.2024
https://doi.org/10.52880/sagakaderg.1388978

Öz

ÖZ
Giriş: Covid-19 pandemisi insanlarda birçok sağlık sorununa neden olduğu gibi infertil bireylerin tedavilerinin aksamasına da sebep olmuştur.
Amaç: Bu çalışma Covid-19 pozitifliği nedeniyle infertilite tedavisi iptal edilen kadın ve erkeklerin deneyimleri değerlendirmek amacıyla yapılmıştır.
Yöntem: Nitel türde olan çalışmada amaçlı örnekleme yöntemi kullanılıp retrospektif tarama yapılarak yarı yapılandırılmış görüşme tekniği ile online olarak toplanmıştır. Verilen cevaplarda tekrarlayan ifadeler için iki araştırmacı tarafından bağımsız kodlar oluşturulmuş, kategorilendirilerek sınıflandırılmış ve fikir birliği oluşana kadar temalar ve alt temalar oluşturulmuştur.
Bulgular: Katılımcıların Covid-19 pozitifliği nedeniyle tedavilerinin iptal olması sonucunda yaşamış oldukları deneyimlere ilişkin ifadelerin analiz edilmesi sonucunda, “Tedavi İptaline Yönelik Duygular” ana temasının kapsamında üzüntü, hayal kırıklığı ve endişe/kaygı alt temaları, “Tedavi İptali Nedeniyle Yaşanılan Sorunlar” ana temasının kapsamında psikolojik, ekonomik, sağlık, izin, tedaviye erişim, ulaşım ve zaman sorunları alt temaları ve “Sonraki Tedavi İçin Tutumlar” ana temasında Covid olma korkusu, tedavide kararlılık ve tedirginlik alt temalarını oluşturduğu görülmüştür.
Sonuç: Çalışma sonucunda yaşanan en yoğun duyguların üzüntü, en yoğun sorunların endişe, maddi sorunlar ve izin sorunları olduğu; tedavilere devam niyeti konusunda ise tedirginlik ve tedavide kararlılığın olduğu görülmüştür.

Kaynakça

  • Afshari, P., Abedi, P., Sarizadeh, R., & Maniati, M. (2022). Evaluation of depression, stress, and anxiety among women with subfertility during the COVID‐19 pandemic: A cross‐sectional study in Ahvaz, Iran. Health science reports, 6(1), e967. https://doi.org/10.1002/hsr2.967.
  • Barra, F., La Rosa, V.L., Vitale, S.G., Commodari, E., Altieri, M., Scala, C., & Ferrero, S. (2022). Psychological status of infertile patients who had in vitro fertilization treatment interrupted or postponed due to COVID-19 pandemic: a cross-sectional study. Journal of Psychosomatic Obstetrics and Gynecology, 43(2), 145-152. https://doi.org/10.1080/0167482X.2020.1853095.
  • Ben-Kimhy, R., Youngster, M., Medina-Artom, T. R., Avraham, S., Gat, I., Marom Haham, L., Hourvitz, A., & Kedem, A. (2020). Fertility patients under COVID-19: attitudes, perceptions and psychological reactions. Human reproduction (Oxford, England), 35(12), 2774–2783. https://doi.org/10.1093/humrep/deaa248
  • Boivin, J., Harrison, C., Mathur, R., Burns, G., Pericleous-Smith, A., & Gameiro, S. (2020). Patient experiences of fertility clinic closure during the COVID-19 pandemic: appraisals, coping and emotions. Human reproduction (Oxford, England), 35(11), 2556–2566. https://doi.org/10.1093/humrep/deaa218https://doi.org/10.1093/humrep/deaa218.
  • Cito, G., Pizzarelli, C., Zurkirch, V., Basile, V., Ruggiero, M., Coccia, M. E., Inaudi, P., & Rossi, P. (2022). Parenthood in Infertile Couples Attending Assisted Reproductive Technologies (ARTs) Centers: What Has Changed During the COVID-19 Pandemic?. Journal of reproduction & infertility, 23(2), 120–127. https://doi.org/10.18502/jri.v23i2.8997
  • Esposito, V., Rania, E., Lico, D., Pedri, S., Fiorenza, A., Strati, M. F., Conforti, A., Marrone, V., Carosso, A., Revelli, A., Zullo, F., Di Carlo, C., & Venturella, R. (2020). Influence of COVID-19 pandemic on the psychological status of infertile couples. European journal of obstetrics, gynecology, and reproductive biology, 253, 148–153. https://doi.org/10.1016/j.ejogrb.2020.08.025
  • Goldfarb, J.M., Rosenthal, M.B, & Utian, W.H. (1985). Impact of psychologic factors in the care of the infertile couple. Semin Reprod Endocrinol, 3, 93-99.
  • Greenland, J.R., Michelow, M.D., Wang, L., & London, M.J. (2020). COVID-19 Infection: Implications for Perioperative and Critical Care Physicians. Anesthesiology, 6, 1346–1361. https://doi.org/10.1097/aln.0000000000003303.
  • Huang, C., Wang, Y., Li, X., Ren, L., Zhao, J., Hu, Y., Zhang, L., Fan, G., Xu, J., Gu, X., Cheng, Z., Yu, T., Xia, J., Wei, Y., Wu, W., Xie, X., Yin, W., Li, H., Liu, M., Xiao, Y., … Cao, B. (2020). Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet (London, England), 395(10223), 497–506. https://doi.org/10.1016/S0140-6736(20)30183-5
  • Huang, H.H., Wang, P.H., Yang, Y.P., Chou, S.J., Chu, P.W., Wu, G.J., & Chang C. (2020). A review of severe acute respiratory syndrome coronavirus 2 infection in the reproductive system. Journal of the Chinese Medical Association: JCMA, 83(10), 895–897. https://doi.org/10.1097/jcma.0000000000000388.
  • Irani, M., Bashtian, M.H., Soltani, N., & Khabiri, F. (2022). Impact of COVID-19 on mental health of infertile couple: A rapid systematic review. J Educ Health Promot, 28,11(1), 404. https://doi.org/10.4103%2Fjehp.jehp_1655_21.
  • Kamath, M. S., Joseph, T., Karuppusami, R., Chinta, P., Pal, A., Nallamilli, S. R., Sarkar, S., Poobalan, A., & Kunjummen, A. T. (2021). Knowledge, anxiety levels and attitudes of infertile couples towards COVID-19 and its impact on self-funded fertility treatment: a cross-sectional questionnaire survey. Human reproduction open, 2021(4), hoab039. https://doi.org/10.1093/hropen/hoab039
  • Koert, E., Harrison, C., Bunting, L., Gladwyn-Khan, M., & Boivin, J. (2018). Causal explanations for lack of pregnancy applying the common sense model of illness representation to the fertility context. Psychol Health, 33(10), 1284–1301. https://doi.org/10.1080/08870446.2018.1494831.
  • Lablanche, O., Salle, B., Perie, M.A., Labrune, E., Langlois-Jacques, C., & Fraison, E. (2022). Psychological effect of COVID-19 pandemic among women undergoing infertility care, a French cohort - PsyCovART Psychological effect of COVID-19: PsyCovART. J Gynecol Obstet Hum Reprod, 51(1), 102251. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8501520/
  • Marom Haham, L., Youngster, M., Kuperman Shani, A., Yee, S., Ben-Kimhy, R., Medina-Artom, T. R., Hourvitz, A., Kedem, A., & Librach, C. (2021). Suspension of fertility treatment during the COVID-19 pandemic: views, emotional reactions and psychological distress among women undergoing fertility treatment. Reproductive biomedicine online, 42(4), 849–858. https://doi.org/10.1016/j.rbmo.2021.01.007
  • Miles, M.B., & Huberman, A.M. 1994. Qualitative data analysis: An expanded Sourcebook. (2nd ed.). Thousand Oaks, CA: Sage.
  • Muhaidat, N., Alshrouf, M.A., Karam, A.M., & Elfalah, M. (2021). Infertility Management Disruption During the COVID-19 Outbreak in a Middle-Income Country: Patients' Choices, Attitudes, and Concerns. Patient Prefer Adherence, 15, 2279-2288. https://doi.org/10.2147/ppa.s327055.
  • Patton, M. Q. (2014). Qualitative research & evaluation methods: Integrating theory and practice. Sage publications.
  • Peivandi, S., Razavi, A., Shafiei, S., Zamaniyan, M., Orafaie, A., & Jafarpour H. (2022). Attitudes and Knowledge of Infertile Iranian Couples Among Treatment With Assisted Reproductive Technologies During COVID-19 Pandemics. J Family Reprod Health, 16(2), 116-123. https://doi.org/10.18502%2Fjfrh.v16i2.9480.
  • Sarı, R., ve Erciyes, J.C. (2021). İnfertil Çiftlerde Psikolojik; Sosyal ve Cinsel Problemler. İstanbul Kent Üniversitesi İnsan ve Toplum Bilimleri Dergisi, 2(2), 79-94.
  • Saunders, B., Sim, J., Kingstone, T., Baker, S., Waterfield, J., Bartlam, B., Burroughs, H., & Jinks, C. (2018). Saturation in qualitative research: exploring its conceptualization and operationalization. Quality & quantity, 52(4), 1893–1907. https://doi.org/10.1007/s11135-017-0574-8
  • Seifer, D. B., Petok, W. D., Agrawal, A., Glenn, T. L., Bayer, A. H., Witt, B. R., Burgin, B. D., & Lieman, H. J. (2021). Psychological experience and coping strategies of patients in the Northeast US delaying care for infertility during the COVID-19 pandemic. Reproductive biology and endocrinology : RB&E, 19(1), 28. https://doi.org/10.1186/s12958-021-00721-4
  • Setti, P. E. L., Cirillo, F., Immediata, V., Morenghi, E., Canevisio, V., Ronchetti, C., Baggiani, A., Albani, E., & Patrizio, P. (2021). First trimester pregnancy outcomes in a large IVF center from the Lombardy County (Italy) during the peak COVID-19 pandemic. Scientific reports, 11(1), 16529. https://doi.org/10.1038/s41598-021-96134-9
  • Tokgoz, V.Y., Kaya, Y., ve Tekin, A.B. (2020). The level of anxiety in infertile women whose ART cycles are postponed due to the COVID-19 outbreak. Journal of Psychosomatic Obstetrics and Gynecology, 0 (0), 1–8. https://doi.org/10.1080/0167482X.2020.1806819.
  • Vaughan, D.A., Shah, J.S, Penzias, A.S, Domar, A.D., & Toth, T.L. (2020). Infertility remains a top stressor despite the COVID-19 pandemic. Reprod Biomed Online, 41(3), 425-427. https://doi.org/10.1016/j.rbmo.2020.05.015. Vears, D.F., & Gillam, L. (2022). Inductive content analysis: A guide for beginning qualitative researchers. Focus on Health Professional Education: A Multi-Professional Journal, 23(1), 111–127. https://doi.org/10.11157/fohpe.v23i1.544.
  • WHO. World Health Organization; (2020). Available from: http://www.who.int/csr/don/12-january-2020-novel-coronavirus-china/en/
  • Zhang, Z., Yang, Y. Z., Zhang, H. T., Xi, Y., Wang, C. T., Liu, D. F., Mao, J. M., Lin, H. C., Tang, W. H., Zhao, L. M., Zhang, X. S., Dai, Y. T., & Jiang, H. (2023). Psychological status of infertile men during the Coronavirus Disease 2019 Pandemic in China: a cross-sectional investigation. Basic and clinical andrology, 33(1), 8. https://doi.org/10.1186/s12610-022-00177-5
  • Zhu, N., Zhang, D., Wang, W., Li, X., Yang, B., Song, J., Zhao, X., Huang, B., Shi, W., Lu, R., Niu, P., Zhan, F., Ma, X., Wang, D., Xu, W., Wu, G., Gao, G. F., Tan, W., & China Novel Coronavirus Investigating and Research Team (2020). A Novel Coronavirus from Patients with Pneumonia in China, 2019. The New England journal of medicine, 382(8), 727–733. https://doi.org/10.1056/NEJMoa2001017

Experiences of men and women who canceled infertility treatment due to Covid-19 positivity

Yıl 2024, Cilt: 11 Sayı: 4, 474 - 482, 31.12.2024
https://doi.org/10.52880/sagakaderg.1388978

Öz

ABSTRACT
Introduction: The Covid-19 pandemic has caused many health problems in people, as well as disruption of the treatment of infertile individuals.
Aim: This study was conducted to evaluate the experiences of women and men whose infertility treatment was canceled due to Covid-19 positivity.
Methods: In this qualitative study, purposeful sampling method was used, retrospective scanning was conducted and collected online using semi-structured interview technique. Independent codes were created by two researchers for recurring expressions in the answers, they were categorized and themes and sub-themes were created until consensus was reached.
Results: As a result of analyzing the expressions of the participants regarding their experiences as a result of their treatments being canceled due to Covid-19 positivity, sadness, disappointment and worry/anxiety sub-themes within the scope of the main theme of "Emotions Towards Treatment Cancellation", and "Problems Experienced Due to Treatment Cancellation" sub-themes within the scope of the main theme. Within the scope of the study, it was observed that the sub-themes were psychological, economic, health, leave, access to treatment, transportation and time problems, and the main theme "Attitudes for the Next Treatment" consisted of the sub-themes of fear of being Covid, determination in treatment and uneasiness.
Conclusion: As a result of the study, the most intense emotions experienced were sadness, the most intense problems were anxiety, financial problems and leave problems; It was observed that there was uneasiness and determination in the treatment regarding the intention to continue the treatments

Kaynakça

  • Afshari, P., Abedi, P., Sarizadeh, R., & Maniati, M. (2022). Evaluation of depression, stress, and anxiety among women with subfertility during the COVID‐19 pandemic: A cross‐sectional study in Ahvaz, Iran. Health science reports, 6(1), e967. https://doi.org/10.1002/hsr2.967.
  • Barra, F., La Rosa, V.L., Vitale, S.G., Commodari, E., Altieri, M., Scala, C., & Ferrero, S. (2022). Psychological status of infertile patients who had in vitro fertilization treatment interrupted or postponed due to COVID-19 pandemic: a cross-sectional study. Journal of Psychosomatic Obstetrics and Gynecology, 43(2), 145-152. https://doi.org/10.1080/0167482X.2020.1853095.
  • Ben-Kimhy, R., Youngster, M., Medina-Artom, T. R., Avraham, S., Gat, I., Marom Haham, L., Hourvitz, A., & Kedem, A. (2020). Fertility patients under COVID-19: attitudes, perceptions and psychological reactions. Human reproduction (Oxford, England), 35(12), 2774–2783. https://doi.org/10.1093/humrep/deaa248
  • Boivin, J., Harrison, C., Mathur, R., Burns, G., Pericleous-Smith, A., & Gameiro, S. (2020). Patient experiences of fertility clinic closure during the COVID-19 pandemic: appraisals, coping and emotions. Human reproduction (Oxford, England), 35(11), 2556–2566. https://doi.org/10.1093/humrep/deaa218https://doi.org/10.1093/humrep/deaa218.
  • Cito, G., Pizzarelli, C., Zurkirch, V., Basile, V., Ruggiero, M., Coccia, M. E., Inaudi, P., & Rossi, P. (2022). Parenthood in Infertile Couples Attending Assisted Reproductive Technologies (ARTs) Centers: What Has Changed During the COVID-19 Pandemic?. Journal of reproduction & infertility, 23(2), 120–127. https://doi.org/10.18502/jri.v23i2.8997
  • Esposito, V., Rania, E., Lico, D., Pedri, S., Fiorenza, A., Strati, M. F., Conforti, A., Marrone, V., Carosso, A., Revelli, A., Zullo, F., Di Carlo, C., & Venturella, R. (2020). Influence of COVID-19 pandemic on the psychological status of infertile couples. European journal of obstetrics, gynecology, and reproductive biology, 253, 148–153. https://doi.org/10.1016/j.ejogrb.2020.08.025
  • Goldfarb, J.M., Rosenthal, M.B, & Utian, W.H. (1985). Impact of psychologic factors in the care of the infertile couple. Semin Reprod Endocrinol, 3, 93-99.
  • Greenland, J.R., Michelow, M.D., Wang, L., & London, M.J. (2020). COVID-19 Infection: Implications for Perioperative and Critical Care Physicians. Anesthesiology, 6, 1346–1361. https://doi.org/10.1097/aln.0000000000003303.
  • Huang, C., Wang, Y., Li, X., Ren, L., Zhao, J., Hu, Y., Zhang, L., Fan, G., Xu, J., Gu, X., Cheng, Z., Yu, T., Xia, J., Wei, Y., Wu, W., Xie, X., Yin, W., Li, H., Liu, M., Xiao, Y., … Cao, B. (2020). Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet (London, England), 395(10223), 497–506. https://doi.org/10.1016/S0140-6736(20)30183-5
  • Huang, H.H., Wang, P.H., Yang, Y.P., Chou, S.J., Chu, P.W., Wu, G.J., & Chang C. (2020). A review of severe acute respiratory syndrome coronavirus 2 infection in the reproductive system. Journal of the Chinese Medical Association: JCMA, 83(10), 895–897. https://doi.org/10.1097/jcma.0000000000000388.
  • Irani, M., Bashtian, M.H., Soltani, N., & Khabiri, F. (2022). Impact of COVID-19 on mental health of infertile couple: A rapid systematic review. J Educ Health Promot, 28,11(1), 404. https://doi.org/10.4103%2Fjehp.jehp_1655_21.
  • Kamath, M. S., Joseph, T., Karuppusami, R., Chinta, P., Pal, A., Nallamilli, S. R., Sarkar, S., Poobalan, A., & Kunjummen, A. T. (2021). Knowledge, anxiety levels and attitudes of infertile couples towards COVID-19 and its impact on self-funded fertility treatment: a cross-sectional questionnaire survey. Human reproduction open, 2021(4), hoab039. https://doi.org/10.1093/hropen/hoab039
  • Koert, E., Harrison, C., Bunting, L., Gladwyn-Khan, M., & Boivin, J. (2018). Causal explanations for lack of pregnancy applying the common sense model of illness representation to the fertility context. Psychol Health, 33(10), 1284–1301. https://doi.org/10.1080/08870446.2018.1494831.
  • Lablanche, O., Salle, B., Perie, M.A., Labrune, E., Langlois-Jacques, C., & Fraison, E. (2022). Psychological effect of COVID-19 pandemic among women undergoing infertility care, a French cohort - PsyCovART Psychological effect of COVID-19: PsyCovART. J Gynecol Obstet Hum Reprod, 51(1), 102251. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8501520/
  • Marom Haham, L., Youngster, M., Kuperman Shani, A., Yee, S., Ben-Kimhy, R., Medina-Artom, T. R., Hourvitz, A., Kedem, A., & Librach, C. (2021). Suspension of fertility treatment during the COVID-19 pandemic: views, emotional reactions and psychological distress among women undergoing fertility treatment. Reproductive biomedicine online, 42(4), 849–858. https://doi.org/10.1016/j.rbmo.2021.01.007
  • Miles, M.B., & Huberman, A.M. 1994. Qualitative data analysis: An expanded Sourcebook. (2nd ed.). Thousand Oaks, CA: Sage.
  • Muhaidat, N., Alshrouf, M.A., Karam, A.M., & Elfalah, M. (2021). Infertility Management Disruption During the COVID-19 Outbreak in a Middle-Income Country: Patients' Choices, Attitudes, and Concerns. Patient Prefer Adherence, 15, 2279-2288. https://doi.org/10.2147/ppa.s327055.
  • Patton, M. Q. (2014). Qualitative research & evaluation methods: Integrating theory and practice. Sage publications.
  • Peivandi, S., Razavi, A., Shafiei, S., Zamaniyan, M., Orafaie, A., & Jafarpour H. (2022). Attitudes and Knowledge of Infertile Iranian Couples Among Treatment With Assisted Reproductive Technologies During COVID-19 Pandemics. J Family Reprod Health, 16(2), 116-123. https://doi.org/10.18502%2Fjfrh.v16i2.9480.
  • Sarı, R., ve Erciyes, J.C. (2021). İnfertil Çiftlerde Psikolojik; Sosyal ve Cinsel Problemler. İstanbul Kent Üniversitesi İnsan ve Toplum Bilimleri Dergisi, 2(2), 79-94.
  • Saunders, B., Sim, J., Kingstone, T., Baker, S., Waterfield, J., Bartlam, B., Burroughs, H., & Jinks, C. (2018). Saturation in qualitative research: exploring its conceptualization and operationalization. Quality & quantity, 52(4), 1893–1907. https://doi.org/10.1007/s11135-017-0574-8
  • Seifer, D. B., Petok, W. D., Agrawal, A., Glenn, T. L., Bayer, A. H., Witt, B. R., Burgin, B. D., & Lieman, H. J. (2021). Psychological experience and coping strategies of patients in the Northeast US delaying care for infertility during the COVID-19 pandemic. Reproductive biology and endocrinology : RB&E, 19(1), 28. https://doi.org/10.1186/s12958-021-00721-4
  • Setti, P. E. L., Cirillo, F., Immediata, V., Morenghi, E., Canevisio, V., Ronchetti, C., Baggiani, A., Albani, E., & Patrizio, P. (2021). First trimester pregnancy outcomes in a large IVF center from the Lombardy County (Italy) during the peak COVID-19 pandemic. Scientific reports, 11(1), 16529. https://doi.org/10.1038/s41598-021-96134-9
  • Tokgoz, V.Y., Kaya, Y., ve Tekin, A.B. (2020). The level of anxiety in infertile women whose ART cycles are postponed due to the COVID-19 outbreak. Journal of Psychosomatic Obstetrics and Gynecology, 0 (0), 1–8. https://doi.org/10.1080/0167482X.2020.1806819.
  • Vaughan, D.A., Shah, J.S, Penzias, A.S, Domar, A.D., & Toth, T.L. (2020). Infertility remains a top stressor despite the COVID-19 pandemic. Reprod Biomed Online, 41(3), 425-427. https://doi.org/10.1016/j.rbmo.2020.05.015. Vears, D.F., & Gillam, L. (2022). Inductive content analysis: A guide for beginning qualitative researchers. Focus on Health Professional Education: A Multi-Professional Journal, 23(1), 111–127. https://doi.org/10.11157/fohpe.v23i1.544.
  • WHO. World Health Organization; (2020). Available from: http://www.who.int/csr/don/12-january-2020-novel-coronavirus-china/en/
  • Zhang, Z., Yang, Y. Z., Zhang, H. T., Xi, Y., Wang, C. T., Liu, D. F., Mao, J. M., Lin, H. C., Tang, W. H., Zhao, L. M., Zhang, X. S., Dai, Y. T., & Jiang, H. (2023). Psychological status of infertile men during the Coronavirus Disease 2019 Pandemic in China: a cross-sectional investigation. Basic and clinical andrology, 33(1), 8. https://doi.org/10.1186/s12610-022-00177-5
  • Zhu, N., Zhang, D., Wang, W., Li, X., Yang, B., Song, J., Zhao, X., Huang, B., Shi, W., Lu, R., Niu, P., Zhan, F., Ma, X., Wang, D., Xu, W., Wu, G., Gao, G. F., Tan, W., & China Novel Coronavirus Investigating and Research Team (2020). A Novel Coronavirus from Patients with Pneumonia in China, 2019. The New England journal of medicine, 382(8), 727–733. https://doi.org/10.1056/NEJMoa2001017
Toplam 28 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Hizmetleri ve Sistemleri (Diğer)
Bölüm Araştırma
Yazarlar

Gizem Çevik 0000-0002-5850-7029

Yayımlanma Tarihi 31 Aralık 2024
Gönderilme Tarihi 10 Kasım 2023
Kabul Tarihi 7 Kasım 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 11 Sayı: 4

Kaynak Göster

APA Çevik, G. (2024). Covid-19 pozitifliği nedeniyle infertilite tedavisi iptal edilen kadın ve erkeklerin deneyimleri. Sağlık Akademisyenleri Dergisi, 11(4), 474-482. https://doi.org/10.52880/sagakaderg.1388978
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