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已发表论文
癌症诊断后关于生育力保存的决策：患者经历与观点的定性研究
Authors Liao S , Tian X , Liu Z, Liu X, Chen O
Received 13 June 2025
Accepted for publication 29 September 2025
Published 15 October 2025 Volume 2025:17 Pages 2403—2415
DOI https://doi.org/10.2147/CMAR.S543626
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Antonella D'Anneo
Shiyi Liao,1 Xuefei Tian,2 Zhuo Liu,1 Xiumei Liu,1 Ouying Chen1
1College of Nursing, Hunan University of Chinese Medicine, Changsha, 410208, People’s Republic of China; 2College of Integrative Chinese and Western Medicine, Hunan University of Chinese Medicine, Changsha, 410208, People’s Republic of China
Correspondence: Ouying Chen, Email 1577554027@qq.com
Background: Rising cancer incidence in reproductive-aged individuals, coupled with improved long-term survival, indicates an increasing need for fertility preservation (FP) in this population. However, limited evidence exists on the decision-making of FP from the perspectives of cancer patients in a Chinese context. This qualitative study aimed to examine the patient perceptions of the FP decision and to identify barriers and unmet needs, addressing a significant gap within evolving precision oncology and fertility care contexts.
Methods: Face-to-face, semi-structured interviews were conducted with 12 cancer patients from a tertiary hospital in Hunan Province, China, from March 2024 to June 2024. The interviews were audio-recorded, transcribed verbatim, and analyzed thematically using Colaizzi’s seven-step analysis.
Results: Three themes and nine subthemes were identified: insufficient information support (lack of information sources, inappropriate timing of information disclosure, and poor doctor-patient communication); personal and family concerns (impact on cancer treatment, impact on offspring health, marital and reproductive status, financial constraints); ethical dilemmas (conflicts with survival needs, and emotional challenges).
Conclusion: Young cancer patients predominantly aspire to preserve fertility but face multiple decision-making challenges. To address these challenges, healthcare professionals should fully understand the patients’ needs, provide accurate and timely information tailored to their needs, and enhance communication skills to facilitate informed decision-making regarding FP, with important implications for clinical practice and public health.
Keywords: cancer patients, decision-making, decision aid, fertility preservation, qualitative
1College of Nursing, Hunan University of Chinese Medicine, Changsha, 410208, People’s Republic of China; 2College of Integrative Chinese and Western Medicine, Hunan University of Chinese Medicine, Changsha, 410208, People’s Republic of China
Correspondence: Ouying Chen, Email 1577554027@qq.com
Background: Rising cancer incidence in reproductive-aged individuals, coupled with improved long-term survival, indicates an increasing need for fertility preservation (FP) in this population. However, limited evidence exists on the decision-making of FP from the perspectives of cancer patients in a Chinese context. This qualitative study aimed to examine the patient perceptions of the FP decision and to identify barriers and unmet needs, addressing a significant gap within evolving precision oncology and fertility care contexts.
Methods: Face-to-face, semi-structured interviews were conducted with 12 cancer patients from a tertiary hospital in Hunan Province, China, from March 2024 to June 2024. The interviews were audio-recorded, transcribed verbatim, and analyzed thematically using Colaizzi’s seven-step analysis.
Results: Three themes and nine subthemes were identified: insufficient information support (lack of information sources, inappropriate timing of information disclosure, and poor doctor-patient communication); personal and family concerns (impact on cancer treatment, impact on offspring health, marital and reproductive status, financial constraints); ethical dilemmas (conflicts with survival needs, and emotional challenges).
Conclusion: Young cancer patients predominantly aspire to preserve fertility but face multiple decision-making challenges. To address these challenges, healthcare professionals should fully understand the patients’ needs, provide accurate and timely information tailored to their needs, and enhance communication skills to facilitate informed decision-making regarding FP, with important implications for clinical practice and public health.
Keywords: cancer patients, decision-making, decision aid, fertility preservation, qualitative