چالش فرزندآوری در زنان بقاء یافته از سرطان پستان: یک مرور سیستماتیک

نوع مقاله : مروری

نویسندگان

1 دانشجوی دکتری گروه مامایی و بهداشت باروری، مرکز تحقیقات مامایی و بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

2 استاد گروه مامایی و بهداشت باروری، مرکز تحقیقات مامایی و بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

3 دانشیار، مرکز تحقیقات تعیین کننده‌های اجتماعی سلامت، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی البرز، کرج، ایران.

4 استادیار گروه پرتو انکولوژی، دانشکده پزشکی، دانشگاه علوم پزشکی شهید صدوقی یزد، یزد، ایران.

5 استاد گروه آمار زیستی، دانشکده پیراپزشکی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

10.22038/ijogi.2024.78460.6022

چکیده

مقدمه: از چالش‌های سلامت باروری زنان بقاءیافته از سرطان پستان، تمایل به فرزندآوری می‌باشد که تحت تأثیر عوامل متعدد پزشکی و غیرپزشکی متعددی قرار دارد. تعیین کننده‌های اجتماعی سلامت، عوامل غیرپزشکی هستند که فرزندآوری و سرطان پستان را تحت تأثیر خود قرار می‌دهند. مطالعه حاضر با هدف بررسی عوامل تعیین کننده واسطه‌ای فرزندآوری زنان بقاءیافته از سرطان پستان انجام شد.
روش‌کار: این مطالعه مرور نظام‌مند بر اساس چک‌لیست PRISMA، با جست‌و‌جو در چهار پایگاه اطلاعاتی scopus، embase، web of science و pubmed با استفاده از کلید واژه­ های استاندارد شده Mesh و Emtree شامل fertility intention، social determinants of health، reproductive behavior، survivorship، breast neoplasm و معادل فارسی آنها و همچنین ترکیبات احتمالی آنها در باز زمانی 2023-2008 انجام شد.
یافته ­ها: در مجموع از بین 4542 مقاله بازیابی شده، 10 مطالعه وارد شدند. در بین مطالعات وارد شده، 7 مطالعه به‌صورت مقطعی و 3 مطالعه به‌صورت کوهورت انجام شده بود. روش نمونه‌گیری در اکثر مطالعات آسان و دردسترس بود. عوامل واسطه‌ای تعیین کننده سلامت که در تعداد بیشتری از مطالعات مورد بررسی قرار گرفته بود، عوامل رفتاری، عوامل بیولوژیک و عوامل روانی بودند که با چالش‌هایی چون افزایش تمایل و ارزش حس مادر شدن بعد از درمان، قصد باردار شدن و احساس نیاز به فرزندآوری ارتباط معنی‌داری داشت.
نتیجه­ گیری: عوامل واسطه‌ای تعیین کننده سلامت در حیطه فرزندآوری زنان بقاء‌یافته از سرطان پستان شامل: عوامل بیولوژیک، عوامل رفتاری و عوامل روانی اجتماعی می­ باشد. با توجه به محدود بودن مطالعات انجام شده در این زمینه، انجام مطالعات رابطه‌ای بیشتر جهت تشخیص دقیق این مؤلفه­ ها با توجه به تأثیر آنها در سلامت عمومی این گروه از زنان توصیه می­ شود.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Childbearing challenges in breast cancer survivors: a systematic review

نویسندگان [English]

  • Behjat Khorsandi 1
  • Mahrokh Dolatian 2
  • Zoherh Mahmoodi 3
  • Mohammad Ali Broomand 4
  • Hamid Alavi Majd 5
1 PhD student, Department of Midwifery and Reproductive Health, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2 Professor, Department of Midwifery and Reproductive Health, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
3 Associate Professor, Social Determinants of Health Research Center, School of Nursing and Midwifery, Alborz University of Medical Sciences, Karaj, Iran.
4 Assistant Professor, Department of Radiation Oncology, Faculty of Medicine, Yazd Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
5 Professor, Department of Biostatistics, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
چکیده [English]

Introduction: One of the reproductive health challenges in breast cancer survivors is desire to childbearing that is influenced by many medical and non-medical factors. The social determinants of health are non-medical factors that affect fertility and breast cancer. This study was performed with aim to investigate mediating determinants of childbearing in breast cancer surviving women.
Methods: This systematic review study was conducted based on the PRISMA checklist by searching four databases of Pubmed, Web of Science, Embase, and Scopus using the Mesh and Emtree standardized keywords including breast neoplasm, survivorship, social determinants of health, reproductive behavior, fertility intention, and their Persian equivalents and their possible combinations in the period of 2008-2023.
Results: In total, among the 4542 retrieved articles, 10 studies were included. Among the included studies, 7 were cross-sectional and 3 were cohort studies. Most of the studies used easy and accessible sampling method. The intermediating determinants of health that were examined in a larger number of studies were behavioral factors, biological factors, and psychological factors that were significantly associated with challenges such as increasing the desire and value of motherhood after treatment, the intention to get pregnant, feeling need to have children.
Conclusion: The mediating factors that determine childbearing issues of survived breast cancer women include: biological factors, behavioral factors, and psychosocial factors. Considering the limited number of studies conducted in this field, it is recommended to carry out more relational studies in order to accurately diagnose these components with regard to their impact on the general health of this group of women.

کلیدواژه‌ها [English]

  • Social determinants of health
  • Mediating factors
  • Breast cancer survivors
  • Childbearing

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مجله زنان، مامایی و نازایی ایران
دوره 27، شماره 4
تیر 1403
صفحه 56-70

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