Effectiveness of a Spousal Support Program in Improving the Quality of Life of Male Patients Undergoing Infertility Treatment: A Pilot Study

Document Type : Original Article

Authors

1 Faculty of Nursing, Tokyo Healthcare University, Tokyo, Japan

2 Department of Nursing, University of Occupational and Environmental Health, Fukuoka, Japan;

3 Women’s Health and Midwifery, Graduate School of Nursing Science, St. Luke’s International University, Tokyo, Japan

4 Graduate School of Medicine, Chiba University, Chiba, Japan

5 Graduate School of Health and Welfare Science, International University of Health and Welfare, Fukuoka, Japan

Abstract

Background: There are various causes of male infertility. Infertile menusually have a low quality of life (QoL) and a high level of stress compared with men without infertility problems. The present study aimed to examine the effects of a spousal support program to enhance the QoL of male patients undergoing infertility treatment.
Methods: The present quasi-experimental study (pretest-posttest) was conducted among 38 infertile couples in Tokyo (Japan) during April-August 2018. The levels of QoL, distress, and spousal support were measured using self-administered valid and reliable questionnaires. The paired t test was used to analyze pre- and post-intervention data with SPSS software (version 23.0). P<0.05 was considered statistically significant.
Results: There were significant differences between the pre-test and post-test scores for the relational and emotional sub-scales of QoL. The paired t test results showed that the post-test emotional sub-scale (66.9±16.9) was significantly higher than the pre-test emotional sub-scale (58.5±13.5; t (30)=2.2, P=0.04). Similarly, the post-test relational sub-scale (71.2±21.6) was significantly higher than its pre-test score (60.8±13.7; t (30)=2.3, P=0.03). The majority of the participants 23 (74.2%) expressed satisfaction with the program.
Conclusion: The spousal support program was well-received and significantly improved part of the QoL of men who were infertile due to various causes.

Keywords


  1. Vander*Borght M, Wyns C. Fertility and infertility: Definition and epidemiology. Clinical Biochemistry. 2018;62:2-10.
  2. Zegers-Hochschild F, Adamson GD, Dyer S, et al. The International Glossary on Infertility and Fertility Care, 2017. Human Reproduction. 2017;32:1786-1801.
  3. Mascarenhas MN, Flaxman SR, Boerma T, et al. National, regional, and global trends in infertility prevalence since 1990: a systematic analysis of 277 health surveys. PLoS Medicine. 2012;9:e1001356.
  4. Dadkhahtehrani T, Momenyan S, Heidari S, Momenyan N. Association between the Religious Coping of Infertile People with their Own Quality of Life and Their Spouses’: A Correlation Study in Iranian Infertile Couples. Iranian Journal of Nursing and Midwifery Research. 2018;23:198-204.
  5. Ying LY, Wu LH, Loke AY. Gender differences in experiences with and adjustments to infertility: A literature review. International Journal of Nursing Studies. 2015;52:1640-52.
  6. Casu G, Gremigni P. Screening for infertility-related stress at the time of initial infertility consultation: psychometric properties of a brief measure. Journal of Advanced Nursing. 2016;72:693-706.
  7. Wichman CL, Ehlers SL, Wichman SE, et al. Comparison of multiple psychological distress measures between men and women preparing for in vitro fertilization. Fertility and Sterility. 2011;95:717-21.
  8. Aarts JW, van*Empel IW, Boivin J, et al. Relationship between quality of life and distress in infertility: a validation study of the Dutch FertiQoL. Human Reproduction. 2011;26:1112-8.
  9. Namavar*Jahromi B, Mansouri M, Forouhari S, et al. Quality of life and its influencing factors of couples referred to an infertility center in Shiraz, Iran. International Journal of Fertility & Sterility. 2018;11:293-7.
  10. Keramat A, Masoomi SZ, Mousavi SA, et al. Quality of life and its related factors in infertile couples. Journal of Research in Health Sciences. 2014;14:57-63.
  11. Chachamovich JR, Chachamovich E, Ezer H, et al. Investigating quality of life and health-related quality of life in infertility: A systematic review. Journal of Psychosomatic Obstetrics and Gynaecology. 2010;31:101-10.
  12. Agostini F, Monti F, Andrei F, et al. Assisted reproductive technology treatments and quality of life: a longitudinal study among subfertile women and men. Journal of Assisted Reproduction and Genetics. 2017;34:1307-15.
  13. Maroufizadeh S, Hosseini M, Rahimi*Foroushani A, et al. The effect of depression on quality of life in infertile couples: an actor-partner interdependence model approach. Health and Quality of Life Outcomes. 2018;16:73.
  14. Yazdani F, Elyasi F, Peyvandi S, et al. Counseling-supportive interventions to decrease infertile women’s perceived stress: A systematic review. Electronic Physician. 2017;9:4694-702.
  15. Asazawa K. Effects of a partnership support program for couples undergoing fertility treatment. Japan Journal of Nursing Science. 2015;12:354-66.
  16. Huppelschoten AG, van*Dongen AJ, Verhaak CM, et al. Differences in quality of life and emotional status between infertile women and their partners. Human Reproduction. 2013;28:2168-76.
  17. Winters BR, Walsh TJ. The epidemiology of male infertility. The Urologic Clinics of North America. 2014;41:195-204.
  18. Esteves SC, Hamada A, Kondray V, et al. What every gynecologist should know about male infertility: an update. Archives of Gynecology and Obstetrics. 2012;286:217-29.
  19. Smith JF, Walsh TJ, Shindel AW, et al. Sexual, marital, and social impact of a man’s perceived infertility diagnosis. The Journal of Sexual Medicine. 2009;6:2505-15.
  20. Fisher JR, Hammarberg K. Psychological and social aspects of infertility in men: an overview of the evidence and implications for psychologically informed clinical care and future research. Asian Journal of Andrology. 2012;14:121-9.
  21. Asazawa K, Jitsuzaki M, Mori A, et al. Quality-of-life predictors for men undergoing infertility treatment in Japan. Japan Journal of Nursing Science. 2019;16:329-41.
  22. Martins MV, Basto-Pereira M, Pedro J, et al. Male psychological adaptation to unsuccessful medically assisted reproduction treatments: a systematic review. Human Reproduction Update. 2016;22:466-78.
  23. Polit DF, Beck CT. Nursing Research: Generating and Assessing Evidence for Nursing Practice. 10th ed. Philadelphia: Lippincott Williams & Wilkins; 2016.
  24. Piché ML, Babineau V, Robitaille J, et al. Lifestyle-Related Factors Associated with Reproductive Health in Couples Seeking Fertility Treatments: Results of A Pilot Study. International Journal of Fertility & Sterility. 2018;12:19-26.
  25. Boivin J, Takefman J, Braverman A. The fertility quality of life (FertiQoL) tool: development and general psychometric properties. Human Reproduction. 2011;26:2084-91.
  26. Asazawa K, Jitsuzaki M, Mori A, et al., Validity and Reliability of the Japanese Version of the Fertility Quality of Life (FertiQoL) Tool for Couples Undergoing Fertility Treatment. Open Journal of Nursing. 2018;08:616-28.
  27. Asazawa K, Mori A. Development of a partnership causal model for couples undergoing fertility treatment. Japan Journal of Nursing Science. 2015;12:208-21.
  28. Tsutsumi A, Kayaba K, Ishikawa S, et al. Jichi medical school social support scale (JMS-SSS) revision and tests for validity and reliability. Japanese Journal of Public Health. 2000;47:866-78. [In Japanese]
  29. Bolsoy N, Taspinar A, Kavlak O, Sirin A. Differences in quality of life between infertile women and men in Turkey. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2010;39:191-8.
  30. Wang JY, Li YS, Chen JD, et al. Investigating the relationships among stressors, stress level, and mental symptoms for infertile patients: a structural equation modeling approach. PLoS One. 2015;10:e0140581.
  31. Mousavi SA, Masoumi SZ, Keramat A, et al. Assessment of questionnaires measuring quality of life in infertile couples: a systematic review. Journal of Reproduction & Infertility. 2013;14:110-9.
  32. Asazawa K, Jitsuzaki M, Mori A, et al. Supportive care needs and medical care requests of male patients during infertility treatment. Open Journal of Nursing. 2018;8:235-47.
  33. Peterson BD, Pirritano M, Christensen U, et al. The longitudinal impact of partner coping in couples following 5 years of unsuccessful fertility treatments. Human Reproduction. 2009;24:1656-64.
  34. Drosdzol A, Skrzypulec V. Evaluation of marital and sexual interactions of polish infertile couples. The Journal of Sexual Medicine. 2009;6:3335-46.