- 作者：Abdoul Baldé ; France Lé ; garé ; ; Michel Labrecque
- 关键词：Male sterilization ; Vasectomy ; Decision making ; Decision aids ; Needs assessment
- 刊名：Patient Education and Counseling
- 出版年：2006
- 期刊代码：217_07383991
- 类别：med
- 出版时间：November 2006
- 卷：63
- 期：3
- 页码：301-307
- 文件大小：111 K
To assess the needs of men for decision support on male sterilization.
Methods
Forty-two men facing a decision about undergoing a vasectomy or not and 11 physicians who perform vasectomy were interviewed to assess the sources of difficulty in this decision-making process. On the day of their vasectomy, 209 men completed the decisional conflict scale (DCS) and a knowledge test.
Results
Sources of difficulty about the decision to have a vasectomy or not included: lack of information about risks and benefits, clarification of personal values concerning parenthood after the vasectomy, and undue pressure from partner. On the day of their vasectomy, only 1.9%(95%confidence interval 0.5–4.8%) of men had unresolved decisional conflict. However, most men scored poorly on their knowledge test mean score (58.2 ± 13.5%).
Conclusion
Men facing the decision about having a vasectomy or not would benefit from a decision support intervention that would address conflicting information and clarification of values.
Practice implications
Health professionals should provide decision support to men facing the decision about having a vasectomy or not. A decision aid on male sterilization would be useful in this respect.