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Vol. 19 No. 1 2009 13 23 Λ1 Λ2 2 1) 10 1 Infertility 1785 1978 1980 1983 IVF-ET 2) 1 1 1 6 65% 1 80% Λ1 Λ2 701-0193 288 E-Mail: hiro210691@yahoo.co.jp 13

14 2 90% 3 93% 2 10% 40% 40% 15% 5% 3) 2 4) 5) 1 1 2 2 1 2 5 1 1 ο 3 2 2 3 50 1 3 1 2 3 4 5 5 14 466,900 66,000 2005 2004 78,526 1 2004 1 10 5 18 2 650 1 12,000 ο13,000 1 320,000ο340,000 1 420,000 ο430,000 1 8% 1 4% 22% 1 2% 27% 1 2% 20%

15 1 http://www.mhlw.go.jp/shingi/2006/10/s1018-7h03.html 1 4 1 3 7 6) 9 10 17mmο19mm 34ο35 18 4 ο 6 14 7) 1 3

16 2 2 1 7 9 8) 1/3 51% 49% 9) 10) 11) 2 2 12) 7 13) 14) 15) STAI 8 16) 85% 17)

17 18) 19) 20) 21) 60% 22) 23) 2 3 1 3 24) 25) 26) 60% 27) 3 3 1 2007 3 1 3 21 99 2007 12 64 24 16 9 11 5 2 51 63 16 3 1 2 26 1 16 2 3 6 7 2 2 4 2 4 16 8 1 5 5 5 17 17,756 6 36.9% 18.1% 11.1% 9.2% 5.8% 3.9% 14.9% 7

18 2 n=64 http://www.mhlw.go.jp/bunya/kodomo/boshi-hoken03/index.html 3 n=64 http://www.mhlw.go.jp/bunya/kodomo/boshi-hoken03/index.html 4 n=64 http://www.mhlw.go.jp/bunya/kodomo/boshi-hoken03/index.html

19 5 http://www.mhlw.go.jp/bunya/kodomo/boshi-hoken03/index.html 6 n=17,756 http://www.mhlw.go.jp/houdou/2007/03/h0327-2.html 7 n=17,756 http://www.mhlw.go.jp/houdou/2007/03/h0327-2.html

20 3 2 28) 29) 30) 31) 2008 1,014 32) 73 33) 4

21 1 1 270 2004 2 2 6 2006 3 II New 3 250 257 2004 4 2 2 3 44 2005 5 ABC 1 75 2005 6 13 ART 2 227 234 2006 7 6 7 8 9 ART 2 105 165 2006 8 37 1 103 109 1996 9 25 4 2005 10 5 42 4 573 580 2001 11 40 1 168 175 1999 12 19 1 51 54 2002 13 CMI 35 39 1999 14 2 33 38 2000 15 37 4 473 480 1996 1649 1 84 90 2008 17 1 49 1 138 144 2008 18 46 2 292 299 2005 19 23 15 22 2005 2049 1 84 90 2008

22 21 2 35 4 341 349 1994 22 1 35 4 332 340 1994 23 19 1 19 29 2005 24 37 1 103 109 1996 25 25 1 112 116 1984 26 http://www.mhlw.go.jp/houdou/2007/03/h0327-2.html 27 18 112 117 2001 28 20 1 69 78 2006 29 43 4 591 598 2002 30 Vol. 7 33 38 2003 31 45 1 126 135 2004 32 http://www.jsinfc.com/ 33 http://www.nurse.or.jp/nursing/qualification/nintei/index.html 21 5 15

23 Problems of the Couples Experiencing Infertility Treatment and the Support Measure Hiromi HAYASHITANI and Emiko SUZUI (Accepted May 15, 2009) Key words : the couples, experiencing infertility treatment, nursing care Abstract This article focuses on couples experiencing infertility treatment. describe the literature in Japan was reviewed carefully. The purpose of the study is to descript; 1) the details of the physical, psychological and social health problems of those couples, 2) nursing care suitable for those couples. Suffering from treatment, harmful side effects from hormone therapy, and the high cost of treatment, infertile couples experience many kinds of psychological distress. Their marital relationships might be affected by the psychological distress. Recently it has come to be known that couples are experiencing psychological distress from this treatment. How they cope with the distress and get social support. are also clarified. However, there is no study focused on those couples' daily life. Conclusions: The role of the man and woman in their home, details of their feelings and the best nursing care for those couples to continue the treatment have to be clarified from hereafter. Correspondence to : Hiromi HAYASHITANI Master's program in Nursing Graduate school of Health and Welfare Kawasaki University of Medical Welfare Kurashiki, 701-0193, Japan E-Mail: hiro210691@yahoo.co.jp (Kawasaki Medical Welfare Journal Vol.19, No.1, 2009 13 23)