İnfertilite ve yaşam kalitesi: Sistematik derleme

Abstract

Yaşam kalitesi, Dünya Sağlık Örgütü'ne göre kişilerin amaçları, kaygıları, beklentileri, standartları ile ilgili olarak yaşadıkları kültür ve değer sistemi içinde hayattaki kendi ABSTRACT OBJECTIVES: The tests performed for diagnostic procedures, lack of decision about treatment options, insufficient information about treatment process, anxiety and ambivalent feelings about the treatment and results, physical problems experienced during the diagnosis and treatment process and pain, negatively affect the quality of life of infertile people. The aim of this study is to systematically review the published studies about quality of life in infertile people. METHODS: In this systematic review; Pubmed, Science Direct and Medline databases were examined by using "infertility and quality of life" as the keyword. Studies published in international journals between January 2014 and February 2019 were evaluated and 495 studies were obtained. 12 studies complying with the inclusion/ exclusion criteria were included in the study. RESULTS: According to the results of the studies, it was determined that infertile people had lower quality of life than fertile people. Infertile women were found to have lower quality of life than infertile males. Factors such as age, education, cultural differences and negative results from previous treatments were found to be effective on quality of life. It was also found that coping mechanisms such as complementary alternative medicine methods and the use of spirituality increased the quality of life. CONCLUSION: Quality of life decreases due to factors such as unable to perform reproductive function and social roles, and experienced during the treatment period (intense medication use, exposure to invasive procedures such as oocyte retrieval, semen administration, increased expectation and anxiety caused by pregnancy, etc.). Therefore, it is important for nurses to assess the quality of life of individuals at every stage of the diagnosis and treatment process while providing care to infertile people.

The Effects of Yoga on Pregnancy, Stress, and Anxiety in Infertile Individuals

“…Meditation and relaxation help to increase clarity of mind, maintain healthy body chemistry, and provide patients with the psychological means by which to deal with the hardships of infertility treatment 11. It is a program that comprises breathing techniques, meditation, relaxation, and muscle flexibility exercises, and can help reduce the stress and tension caused by infertility by removing the patient's mental focus on the problem, which results in mental relaxation and increased patience 12. The results of a randomized controlled trial12 found that yoga has a positive effect on stress reduction in women who are undergoing infertility treatment.…”

“…It is a program that comprises breathing techniques, meditation, relaxation, and muscle flexibility exercises, and can help reduce the stress and tension caused by infertility by removing the patient's mental focus on the problem, which results in mental relaxation and increased patience 12. The results of a randomized controlled trial12 found that yoga has a positive effect on stress reduction in women who are undergoing infertility treatment. In a study related to relaxation therapy, oxidative stress has been shown to lead to infertility, and the relaxation response elicits changes in specific gene expressions, which provides convincing evidence of yoga's long-term cellular effects 12.…”

“…The results of a randomized controlled trial12 found that yoga has a positive effect on stress reduction in women who are undergoing infertility treatment. In a study related to relaxation therapy, oxidative stress has been shown to lead to infertility, and the relaxation response elicits changes in specific gene expressions, which provides convincing evidence of yoga's long-term cellular effects 12. Other studies have reported that pregnancy outcomes change positively after using techniques to reduce stress to increase the success rate of in vitro fertilization (IVF) treatment13,14; therefore, to increase the chances of pregnancy in IVF patients, yoga is one of the complementary treatments that should be investigated among the methods that reduce stress in infertile couples.…”