الفهرس 
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Abstract
Summary
n Vitro Fertilization is one assisted reproductive 2 technology (ART) commonly referred to as IVF. IVF is the process of fertilization by manually combining an egg and sperm in a laboratory dish, and then transferring the embryo to the uterus (Baer, Lykins, and Peters, 2012). IVF treatment is complex process includes ”daily injections, semen analysis, scans, and invasive procedures” may be a cause of distress to both partners. Moreover, many couples have to deal with treatment failure and are often confronted with emotionally difficult treatment choices, such as whether or not to freeze embryos ( Jóźków and Mędraś, 2013).
Coping is a way of controlling and regulating stress. Coping strategies refer to the specific efforts, both behavioral and psychological, that people employ to master, tolerate, reduce, or minimize stressful events. For couples experiencing infertility, coping can play an important role in managing heightened demands unexpectedly placed upon them. For most couples, infertility is a life-changing experience that often carries unexpected stressors and potential stigmatization, thus coping strategies is very important for infertile couple (Myers, 2011).
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The present study aimed to evaluate the effect of educational program on improving coping strategies among couples undergoing In Vitro Fertilization .
The study was conducted at assisted reproductive unit of Ain Shams Maternity university Hospital, 2days / week from 9am to 1pm. A convenient sample was used to recruit 98 couple under going IVF. These couples were divided into two equal groups randomly, 49 couple were selected as study group who received educational program and another 49 couple were selected as control group who received only routine care . The period of implementation was 10 months in the period from April 2018 to January 2019 . Two tools of data collection were used (interviewing questionnaire sheet and WQS scale ).
The main results of the present study were as follows:
There was no statistical significant relation between socio demographic characteristics and knowledge at control and studied couples before program and also there was no statistical significant relation between socio demographic characteristic and coping strategies at control and studied couples before program. However, there was highly statistical significant relation between
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socio-demographic characteristic and knowledge at control and studied couples after program. Also, there was highly statistical significant relation between socio-demographic characteristics and coping strategies at control and the studied couples after program.
As regard knowledge of couples regarding IVF, there was no statistical significant differences at control and the studied couples according to their knowledge about IVF before program but there was highly statistical significant differences at control and the studied couples according to their knowledge about IVF after program .
Concerning their coping strategies of couples between control and study group before program there was no statistical significant differences between wives and husbands. But there was highly statistical significant differences between wives and husbands regarding their total adaptation patterns scale after program and there was improvement in psychological and cognitive scale of wives however, there was improvement in spiritual and psychological scale .
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There was a highly statistical significant differences relation (P<0.001**) between wives’ level of knowledge and their total adaptation patterns scale after program. Also there was statistical significant differences relation (P<0.05*) between husbands’ level of knowledge and their total adaptation patterns scale after program .
Based on the finding of the present study, it is concluded that :
The findings of the current study supported the hypothesis of this study which stated that couples undergoing In Vitro Fertilization who receive educational program their coping strategies was improved than couples have routine IVF care.
In the light of the previous results of the present study , the following recommendations are suggested ;
Application of coping strategies for all couples suffer from infertility and undergoing IVF.
Further researches needed to apply educational program for improving coping strategy to couples undergoing IVF at all government and non government setting