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第2期 总第127期 南 ·
南京医科大学学报（社会科学版）京医科大学学报（社会科学版）
2025年4月 Journal of Nanjing Medical University（Social Sciences）of Nanjing Medical University（Social Sciences） · 193
Journal

Qualitative study on reproductive intention and needs of young stroke

patients and their spouses

1 1 1 2，3 1
CHANG Xiao ，TU Houmian ，WANG Yuting ，ZHANG Haifeng ，GONG Guiping
1. Department of Neurology，the First Affiliated Hospital of Anhui Medical University，Hefei 230031；2. School of Health
Management，3. Institute of Hospital Administration，Anhui Medical University，Hefei 230031，China
Abstract：Despite the increasingly evident trend of“delayed age”of first childbearing，the advancing
onset age of stroke has prevented the full realization of reproductive potential among young stroke groups. The
continued decline in fertility intentions of young chronic disease patients，especially those with stroke，requires
immediate attention from relevant administrative authorities. This study used purposive sampling to select 15
young stroke patients and spouses receiving treatment in the neurology department of a tertiary hospital in
Anhui province for semi⁃structured，in⁃depth interviews. Using Colaizzi’s descriptive phenomenological method，
four major themes were identified from the original data：generally low fertility intentions，concerns about the
negative impact of illness on reproduction，a lack of education related to stroke rehabilitation and fertility
safety，and the need for psychological，social，and family support. This study concludes that the fertility
intentions of young stroke patients are generally low，with influencing factors mainly including individual
factors，psychological and social factors，and economic and environmental factors. To address the identified
needs，this study proposed comprehensive intervention strategies，including enhancing medical support and
health guidance by promoting health education，establishing specialized medical consultations，and enhancing
rehabilitation and follow⁃up services，as well as improving the social environment and support system.
Key words：young stroke；fertility intentions；needs；qualitative study