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目的 通过现象学研究的方法深入了解不孕症患者亲密伴侣暴力(IPV)情况，以期降低IPV发生率，减少IPV对不孕症患者的伤害。方法 采用目的抽样法，对2024年4月至2024年7月在北京协和医院接受诊治的、经历过IPV的12例不孕症患者进行半结构化访谈，重点关注不孕症患者所经历的IPV形式和来源，以及患者对IPV的认知和应对方式，采用Colaizzzi的现象学7步分析法进行资料分析和主题提取。结果 研究结果表明IPV的成因并非单一，由高到低依次为生活压力(66.7%,8/12)、原生家庭(58.3%,7/12)和社会环境(33.3%,4/12);IPV的形式包括心理暴力和躯体暴力，约66.7%(8/12)的患者遭受过心理暴力(例如吵架、冷战),50%(6/12)患者遭受过躯体暴力(例如摔东西、推搡、殴打);有50%(6/12)的患者认为IPV对其造成了严重影响，但也有33.3%(4/12)的患者认为这是夫妻间不可避免的正常现象。不孕症患者面对IPV的应对方式主要包括反抗(7/12)、忍受(7/12)、反思(2/12)和倾诉(6/12)。结论 不孕症患者的IPV来源于多个方面，吵架和冷战等心理暴力是主要的IPV形式，患者对IPV的认知不一，主要采用反抗、忍受、反思、倾诉等方法应对IPV。
Abstract：Objectives:To gain insight into the experience of intimate partner violence(IPV) among infertile patients through a phenomenological research approach, with a view to reducing the incidence of IPV and the harm it causes to infertile patients.Methods:A purposive sampling method was used to conduct semi-structured interviews with 12 infertility patients who experienced IPV and were treated at Peking Union Medical College Hospital from April to July 2024,focusing on the forms of IPV experienced by infertility patients, the sources of IPV,and the patients' perceptions of and ways of coping with IPV. The Colaizzzi's phenomenological 7-step analysis was used to analyse the data and extract themes.Results:Infertility patients perceived IPV as stemming from multifaceted factors, ranked in descending order as life stress(66.7%,8/12),family of origin(58.3%,7/12) and social environment(33.3%,4/12). IPV manifestations encompassed psychological violence(66.7%,8/12) such as quarrelling and cold wars, and physical violence(50.0%,6/12) such as dropping things, pushing and hitting. Half of patients(6/12) thought that IPV had a serious impact on them, but 33.3%(4/12) patients thought it was an inevitable and normal phenomenon between couples. Infertile patients' responses to IPV mainly consisted of resistance(7/12),tolerance(7/12),reflection(2/12) and confabulation(6/12).Conclusions:IPV in infertility patients originated from a number of sources. Psychological violence such as quarrelling and cold wars was the main forms of IPV. Patients' perceptions of IPV were inconsistent, and they mainly used methods such as defiance, tolerance, reflection, and confabulation to cope with IPV.
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基本信息:
中图分类号:R711.6
引用信息:
[1]王建宁,金洪运,熊巍,等.不孕症患者亲密伴侣暴力体验的现象学研究[J].生殖医学杂志,2026,35(01):42-47.
2026-01-15
2026-01-15