2023 Fiscal Year Final Research Report

Creating a Decision Support Guide for Advanced Age Infertile Couples from Initial Consultation to Conclusion of Treatment

Research Project

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Project/Area Number	19K11015
Research Category	Grant-in-Aid for Scientific Research (C)
Allocation Type	Multi-year Fund
Section	一般
Review Section	Basic Section 58070:Lifelong developmental nursing-related
Research Institution	Musashino University
Principal Investigator	SAKAJO AKIKO 武蔵野大学, 看護学部, 教授 (80266626)
Co-Investigator(Kenkyū-buntansha)	森美紀埼玉県立大学, 保健医療福祉学部, 准教授 (70585687) 大月恵理子順天堂大学, 大学院医療看護学研究科, 教授 (90203843) 林ひろみ東邦大学, 健康科学部, 教授 (90282459) 青柳優子順天堂大学, 医療看護学部, 先任准教授 (40289872) 林はるみ群馬県立県民健康科学大学, 看護学部, 講師 (80529397) 青木恭子埼玉県立大学, 保健医療福祉学部, 助教 (60714110)
Project Period (FY)	2019-04-01 – 2024-03-31
Keywords	高年齢不妊カップル / 不妊治療 / 意思決定 / 支援ガイド
Outline of Final Research Achievements	In decision support for infertility treatment among advanced age infertile couples, an interview survey was conducted with certified infertility nursing specialists, and 12 support contents were obtained, such as [involvement to help patients themselves realize that the low fertility is due to age]. Furthermore, nine challenges and difficulties in providing decision support were identified, including [hesitation in support due to the gap in perception between patients and nurses regarding advanced age infertility treatment]. Additionally, an interview survey was conducted with advanced age infertile couples, and 13 experiences were identified as [experiences in decision-making in infertility treatment for advanced age infertile couples], such as [being driven by the urgency of being of advanced age to seek treatment]. Based on these results and a review of the literature, a decision support guide was created."
Free Research Field	生殖看護
Academic Significance and Societal Importance of the Research Achievements	高年齢で不妊治療を受けるカップルは急増している。しかし、男女共に加齢は妊孕力の低下の大きな要因であり、特に、40歳以上の場合は治療を受けても必ずしも妊娠・分娩につながるとは限らない。一方、妊娠・分娩できた場合も、妊娠合併症などを有する可能性は高くハイリスク妊娠・分娩となり、子育ての負担も大きい可能性がある。そのため、高年齢で治療を受けるカップルの初診から治療終結までの意思決定における支援ガイドは、不妊カップルが納得して治療を選択するために必要不可欠である。