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The barriers of joining in vitro fertilization programs among infertile couples in developing countries:A scoping review

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Asian pacific Journal of Reproduction 2023年第4期12卷 147-154,I0001-I0003页

作者： Andriana K Dewi anggi l wicaksana Muhammad lutfi Agung Dewanto Department of Obstetrics and Gynecology FK-KMK Universitas Gadjah MadaYogyakartaIndonesia Faculty of Medicine Universitas TarumanagaraJakartaIndonesia Department of Medical Surgical Nursing FK-KMK Universitas Gadjah MadaYogyakartaIndonesia

Objective:To determine the barriers of joining in-vitro fertilization(IVF)programs among infertile couples in developing countries.Methods:This study assessed infertile couples and the barriers or associated factors resulting in delayed decision-making of joining IVF program by searching databases PubMed,ScienceDirect,EBSCO,ClinicalKey,and Cochrane library from inception until December 31,2021.Additional search strategies were snowballing literature search and citation tracking.Results:Eleven articles were included in the scoping review.The cost was the greatest barrier of joining IVF program.limited access and lack of assisted reproductive technology centers,few qualified infertility trained staff,insufficient government support,low priority in government policy,along with sociocultural factors,such as religion and false beliefs or myths were also majorly considered to be associated obstacles.Conclusions:The main barrier associated with IVF program among infertile couples in developing countries is the high cost of the IVF services.

关键词： In vitro fertilization Assisted reproductive technology Barrier Developing countries

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Health-promoting behaviors among hypertensive adult patients with and without comorbidities in Indonesia:a cross-sectional study

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Frontiers of Nursing 2022年第3期9卷 255-261页

作者： anggi lukman wicaksana I Putu Athia Alit Artawan Adhe Kurnia Destiana Department of Medical Surgical Nursing Universitas Gadjah MadaYogyakartaIndonesia The Sleman Health and Demographic Surveillance System Universitas Gadjah MadaYogyakartaIndonesia School of Nursing College of NursingTaipei Medical UniversityTaipeiTaiwanChina School of Nursing Universitas Gadjah MadaYogyakartaIndonesia

Objective:The aim of this study was to evaluate health-promoting behaviors among hypertensive patients with and without comorbidities.Methods:A cross-sectional study using multistage cluster sampling in Indonesia was applied.The health-promoting behaviors were assessed using Health-Promoting lifestyle Profile 2 and analyzed using independent t-test,point-biserial correlation,and logistic regression.Results:A total of 116 participants joined this study.The score of health-promoting behaviors in adults with and without hypertension was 2.90 and 2.79,respectively.Hypertensive patients with comorbidities had significantly higher results than those without comorbidities,with the following results for the considered subscales:total score(t=-2.00,P=0.047);health responsibility(t=-3.46,P=0.001);and nutrition(t=-2.82,P=0.006).Positive correlations were found between health responsibility(r_(pb)=0.260,Plth-promoting behaviors(r_(pb)=0.185,Ply gender indicated a significant outcome for the existing comorbidity in hypertensive patients(odds ratio=4.314,P=0.027,95%confidence interval=1.185-15.706).Conclusions:Hypertensive patients with comorbidities showed higher engagement in health-promoting behaviors and the male gender was a significant predictor for existing comorbidity among patients with hypertension.

关键词： behavior comorbidity health behaviors health-promoting behavior hypertension

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Dietary adherence and the associated factors among Indonesian patients with type 2 diabetes: what should we be concerned about?

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Frontiers of Nursing 2023年第4期10卷 427-435页

作者： Rohmah Puriana Khusna Heny Suseani Pangastuti anggi lukman wicaksana School of Nursing Universitas Gadjah MadaYogyakartaIndonesia Department of Medical Surgical Nursing Universitas Gadjah MadaYogyakartaIndonesia The Sleman Health and Demographic Surveillance System Universitas Gadjah MadaYogyakartaIndonesia School of Nursing College of NursingTaipei Medical UniversityTaipeiTaiwanChina

Objective: To identify the level of dietary adherence for particular foods and determine which are challenging for patients with diabetes in Indonesia, as well as the associated factors. Methods: This study was conducted in a primary health care facility, using a cross-sectional design. Diabetic patients who had received dietary education, agreed to par ticipate, and adult age were invited. All patients with type 1, gestational, and other types of diabetes who did not join regular meetings of Prolanis and were repor ted moving or dying were excluded. The data collection used demographic and perceived dietary adherence questionnaires(PDAQs). Moreover, the height, weight, and blood glucose level were recorded. Data were analyzed using Pearson, point biserial correlation, and one-way analysis of variance(ANOVA) tests. Results: The respondents were mostly female, married, and non-smoking with a mean age of 60.2 ± 8.48 years. Mean score for dietary adherence was 29.7 ± 8.85 with scores from the specific food groups between 0.72 ± 1.89 and 4.60 ± 2.30. The lower scores of adherence were identified on low-sugar foods, high-fiber foods, fish and foods with high omega-3, and olive/organic oils in cooking. Additionally, people living with diabetes for more than 10 years and not having any comorbidity showed a higher score of dietary adherence. Conclusions: There were 4 groups of foods that had a low score of adherence. Accordingly, health care providers working in primary health care should be concerned about those 4 food groups during diabetes education and counseling. Public health workers should make more effor ts to promote consumption of the healthy diet among patients with diabetes, par ticularly those who have had diabetes for less than 10 years and other comorbidities.

关键词： diabetes dietary adherence dietary preference nutritional care nutritional therapy

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