Knowledge and satisfaction of couples regarding infertility services
Lamiaa Omar Mohamad;
Abstract
SUMMARY
I
nfertility is defined as the inability to conceive despite regular unprotected sexual intercourse over a specific period of time, usually 1-2 years. Worldwide, more than 70 million couples suffer from infertility, the majority being residents of the developing countries. The recent advances in infertility treatment and the access of patients to such information have led to early presentation of these patients and their request for treatment. This may give a false impression of an increasing infertility problem (Gurunath, 2011).
The present study was aiming to assess knowledge and satisfaction of couples regarding infertility services. The study was conducted at the infertility clinics of Ain shams Maternity University Hospital. The purposive sample of this study included 400 infertile couples. Sample was selected in the study according to certain criteria; diagnosed as infertile couple with primary or secondary infertility, age of the women from 18 to 48 years. Approval was obtained orally before taking history and after explaining the purpose of the study.
Data was collected during morning shift for infertility clinics; 3days a week from 9 am to 2 pm, Saturday, Sunday and Monday of each week for a year. Privacy was kept during data collection. There were two types of tools for data collection:
I) A Structured interviewing questionnaire include the following: Part 1: covered the sociodemographic data related to the couple such as name, age, level of education, socioeconomic standard and marital status, part 2: concerned with women obstetrical and gynecological history, and part 3: designed to assess knowledge about infertility & its services.
Scoring system for knowledge; the correct answers were predetermined according to literature. Each knowledge question was given 3 possible answers either (complete, incomplete, no answer) then the percentage of the total score will be calculated & classified as follows: Good (75% or more correct answers), Satisfactory (50%-74% correct answers), and Poor (less than 50% correct answers)
II) Patient satisfaction questionnaire adopted from (Murad, 2010): The main topics addressed by the questionnaire (e.g. waiting times at the clinic, doctor's attitude, information and explanation, investigations and emotional support including counseling). There was a question asked responders to rank five aspects of their care in order to relative importance to them: 1 being the most important to them and 5 being the least important.
Pilot study was carried out for a period of one month. It was collected to evaluate the reliability and applicability of the tools, 10% from total sample (40 cases) were excluded from the sample.
The findings of the present study reached to the following results:
85.5% of husbands and 84.8 of wives were scaled to have satisfactory knowledge regarding infertility services, and 12% of wives, 12.5% of husbands were scaled to have poor knowledge. Media was the most important source of information about infertility services. 53% of couples were satisfied regarding infertility services in Ain Shams Maternity University hospital, 38.75% of couples were dissatisfied, 2.50% of couples were very satisfied, and 5.75% of couples were very unsatisfied. The two aspects of care which were ranked most highly in terms of importance were 'the information and explanation given' and the investigations followed by emotional support, doctor attitude, and waiting time. There was a significant relation between knowledge of couples about infertility services and satisfaction of couples regarding infertility services.
I
nfertility is defined as the inability to conceive despite regular unprotected sexual intercourse over a specific period of time, usually 1-2 years. Worldwide, more than 70 million couples suffer from infertility, the majority being residents of the developing countries. The recent advances in infertility treatment and the access of patients to such information have led to early presentation of these patients and their request for treatment. This may give a false impression of an increasing infertility problem (Gurunath, 2011).
The present study was aiming to assess knowledge and satisfaction of couples regarding infertility services. The study was conducted at the infertility clinics of Ain shams Maternity University Hospital. The purposive sample of this study included 400 infertile couples. Sample was selected in the study according to certain criteria; diagnosed as infertile couple with primary or secondary infertility, age of the women from 18 to 48 years. Approval was obtained orally before taking history and after explaining the purpose of the study.
Data was collected during morning shift for infertility clinics; 3days a week from 9 am to 2 pm, Saturday, Sunday and Monday of each week for a year. Privacy was kept during data collection. There were two types of tools for data collection:
I) A Structured interviewing questionnaire include the following: Part 1: covered the sociodemographic data related to the couple such as name, age, level of education, socioeconomic standard and marital status, part 2: concerned with women obstetrical and gynecological history, and part 3: designed to assess knowledge about infertility & its services.
Scoring system for knowledge; the correct answers were predetermined according to literature. Each knowledge question was given 3 possible answers either (complete, incomplete, no answer) then the percentage of the total score will be calculated & classified as follows: Good (75% or more correct answers), Satisfactory (50%-74% correct answers), and Poor (less than 50% correct answers)
II) Patient satisfaction questionnaire adopted from (Murad, 2010): The main topics addressed by the questionnaire (e.g. waiting times at the clinic, doctor's attitude, information and explanation, investigations and emotional support including counseling). There was a question asked responders to rank five aspects of their care in order to relative importance to them: 1 being the most important to them and 5 being the least important.
Pilot study was carried out for a period of one month. It was collected to evaluate the reliability and applicability of the tools, 10% from total sample (40 cases) were excluded from the sample.
The findings of the present study reached to the following results:
85.5% of husbands and 84.8 of wives were scaled to have satisfactory knowledge regarding infertility services, and 12% of wives, 12.5% of husbands were scaled to have poor knowledge. Media was the most important source of information about infertility services. 53% of couples were satisfied regarding infertility services in Ain Shams Maternity University hospital, 38.75% of couples were dissatisfied, 2.50% of couples were very satisfied, and 5.75% of couples were very unsatisfied. The two aspects of care which were ranked most highly in terms of importance were 'the information and explanation given' and the investigations followed by emotional support, doctor attitude, and waiting time. There was a significant relation between knowledge of couples about infertility services and satisfaction of couples regarding infertility services.
Other data
| Title | Knowledge and satisfaction of couples regarding infertility services | Other Titles | معلومات ورضاء الأزواج تجاه خدمات العقم | Authors | Lamiaa Omar Mohamad | Issue Date | 2015 |
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