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Self-consciousness of type 2 diabetes mellitus patients 2 型糖尿病患者的自我意识
Pub Date : 2024-07-25 DOI: 10.4081/hls.2024.12852
D. A. Kurnia, P. Soewondo, D. Irawaty, J. Umar, D. Dahlia
The characteristics of self-consciousness of people with diabetes mellitus are determined by knowledge about diabetes mellitus, the signs and symptoms of acute and chronic complications, and the side effects of diabetes treatment. Knowledge plays an important role in the consciousness of behavioural change and diabetes self-management skills. People with diabetes recognize diabetes when they have experienced chronic complications, both macrovascular and microvascular. The study aims to explore how diabetics manage their chronic problems and their daily lives through a qualitative description of the experiences of 20 diabetes patients. This study used a descriptive-qualitative method, conducted a semi-structured interview, then transcribed and uploaded it into manual coding for analysis. Respondents were recruited from one of the community health centres in Jakarta, Indonesia. The themes were i) “Realizing diabetes is a  health problems that cannot be resolved alone”, paying attention to body signs becomes the beginning of self-consciousness; ii) “Coping with diabetes requires self-consciousness”, having adequate knowledge and growing personally with healthcare providers about early diabetes can prevent chronic complications. This study provides implications that self-consciousness greatly affects the self-management of diabetic patients in the long term.
糖尿病患者自我意识的特点取决于对糖尿病、急性和慢性并发症的症状和体征以及糖尿病治疗副作用的了解。知识在行为改变意识和糖尿病自我管理技能方面发挥着重要作用。糖尿病患者在出现慢性并发症(包括大血管并发症和微血管并发症)时才会认识到糖尿病。本研究旨在通过对 20 名糖尿病患者的经历进行定性描述,探讨糖尿病患者如何管理自己的慢性问题和日常生活。本研究采用描述-定性方法,进行半结构式访谈,然后将访谈内容转录并上载到人工编码系统进行分析。受访者来自印度尼西亚雅加达的一家社区医疗中心。研究主题为 i) "意识到糖尿病是一个无法单独解决的健康问题",关注身体征兆成为自我意识的开端;ii) "应对糖尿病需要自我意识",对早期糖尿病有足够的了解并与医疗服务提供者共同成长,可以预防慢性并发症。本研究的意义在于,从长远来看,自我意识会极大地影响糖尿病患者的自我管理。
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引用次数: 0
Anxiety among nurses in caring for COVID-19 patients: a qualitative study 护士在护理 COVID-19 患者时的焦虑:一项定性研究
Pub Date : 2024-07-25 DOI: 10.4081/hls.2024.12850
Sri Eka Wahyuni, B. Keliat, Herni Susanti, B. Besral
This study aimed to explore anxiety among nurses in caring for Coronavirus Disease 2019 (COVID-19) patients.A qualitative descriptive design was used and the number of participants was 13 nurse managers selected using the purposive sampling method. Data collection was conducted using in-depth interviews coupled with a tape recorder and camera following the consent of participants, while framework analysis was used to analyze data.The results showed that participants, comprising 12 females and one male, had work duration in the range of 1-10 years. The identified five major themes included: i) anxiety response, ii) risk factor, iii) protective factor, iv) interventions, and v) anticipated support from nurses.Nurses were found to experience anxiety when caring for COVID-19 patients, underscoring the need for mental health and psychosocial support to reduce risk factors, increase protective factors, and improve coping mechanisms, fostering resilience. The results provided data to help nurses overcome anxiety when facing cases of infection such as the COVID-19 pandemic. Furthermore, this study offered valuable insights for the government and hospitals in establishing policies regarding the importance of mental and psychological health support to maintain the well-being of nurses.
本研究旨在探讨护士在护理 2019 年冠状病毒病(COVID-19)患者时的焦虑。研究采用了定性描述设计,并通过目的性抽样方法选出了 13 名护士长作为参与者。在征得参与者同意后,采用深度访谈的方式进行数据收集,并配有录音机和摄像机,同时采用框架分析法对数据进行分析。结果显示,参与者中有 12 名女性和 1 名男性,工作年限在 1-10 年之间。研究发现,护士在护理 COVID-19 患者时会感到焦虑,因此需要心理健康和社会心理支持,以减少风险因素,增加保护因素,改善应对机制,培养适应能力。研究结果为帮助护士在面对 COVID-19 大流行等感染病例时克服焦虑提供了数据。此外,本研究还为政府和医院制定有关精神和心理健康支持对维护护士福祉的重要性的政策提供了有价值的见解。
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引用次数: 0
Risks associated with laser radiation reflections in a healthcare environment: a surface reflectance study in the range 250 nm – 25 μm 医疗环境中与激光辐射反射有关的风险:250 nm - 25 μm 范围内的表面反射率研究
Pub Date : 2024-07-25 DOI: 10.4081/hls.2024.12802
G. Insero, Luca Mercatelli, Cristina Cimmino, Roberto Gaetano Donato, G. Romano, Franco Fusi, Andrea Guasti
Biomedical applications relying on optical radiation, particularly with the advent of lasers, have experienced exponential growth in the last 20 years. Powerful optical sources are now found not only in universities, hospitals, and industries but also in beauty centers, used for tasks such as tattoo removal, and even in our homes. Despite their widespread use, managing the risks associated with lasers, particularly in non-research contexts, has not kept pace with their proliferation. While the risks associated with direct exposure to radiation to the eye and skin are relatively well understood, the hazards posed by reflected and diffuse radiation remain less characterized and monitored. Therefore, there is a critical need to assess potential eye and skin hazards in spaces where lasers and non-coherent light sources are used. This necessitates a detailed analysis of reflective surfaces, with particular emphasis on evaluating their reflectance characteristics at relevant wavelength ranges. This study investigates the reflectance and transmittance (where relevant) properties of commonly used materials in biomedical settings, including fabrics, plastics, and metals, across a broad spectrum from 250 nm (UVA) to visible light and into the infrared (IR) region up to 25 μm. Both specular (at 45° incidence) and diffuse reflectance spectra were measured using spectrophotometric techniques and used to provide a straightforward parameter to classify the specular/diffusive behavior of the different surfaces. Besides, small-angle reflectance measurements in the IR range were performed by Fourier transform infrared spectrometry. The knowledge of the material optical properties used in environments where optical radiation is employed allows for accurate assessment of associated risks. This facilitates the determination of appropriate preventive measures and the establishment of safer protocols, for both operators and, where applicable, patients and the general public. For this scope, the creation of a database of material reflective properties has been initiated.
依靠光辐射的生物医学应用,尤其是激光的出现,在过去 20 年里经历了指数式的增长。现在,强大的光源不仅出现在大学、医院和工业中,还出现在美容中心,用于去除纹身等工作,甚至出现在我们的家中。尽管激光被广泛使用,但对激光相关风险的管理,尤其是在非研究环境中的管理,并没有跟上激光普及的步伐。虽然人们对眼睛和皮肤直接暴露于辐射所带来的风险已经有了相对深入的了解,但对反射和漫射辐射所带来的危害的了解和监控仍然较少。因此,亟需对使用激光和非相干光源的空间中潜在的眼睛和皮肤危害进行评估。这就需要对反射表面进行详细分析,尤其要重点评估其在相关波长范围内的反射特性。本研究调查了生物医学环境中常用材料(包括织物、塑料和金属)在从 250 纳米(UVA)到可见光的宽光谱范围内以及高达 25 微米的红外(IR)区域内的反射率和透射率(如相关)特性。使用分光光度技术测量了镜面反射光谱(45° 入射角)和漫反射光谱,并提供了一个直接的参数来对不同表面的镜面/漫反射行为进行分类。此外,还利用傅立叶变换红外光谱仪对红外范围内的小角度反射率进行了测量。在使用光辐射的环境中,了解所用材料的光学特性有助于准确评估相关风险。这有助于确定适当的预防措施和制定更安全的规程,既有利于操作人员,也有利于患者和公众(如适用)。为此,已着手建立一个材料反射特性数据库。
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引用次数: 0
The effect of spiritual emotional freedom technique impact to pain in cervical cancer post-chemoradiation: a review article 精神情绪自由技术对宫颈癌化疗后疼痛的影响:综述文章
Pub Date : 2024-07-22 DOI: 10.4081/hls.2024.12189
Hamidah Hamidah, Syahrul Rauf, S. Arifuddin, Andi Muhammad Takdir Musba, P. Prihantono, N. Pelupessy, Irfan Idris, Agussalim Bukhari, Adriani Qanitha, Fatimah Fatimah, Elli Hidayati, T. P. A. Permatasari
Chronic pain that is subjective is experienced by patients with advanced cervical cancer. Simple movements are used in spiritual emotional freedom technique (SEFT) therapy, a therapeutic approach that improves performance and achievement, addresses psychological and physical pain issues, and promotes happiness and serenity in life. In this systematic review study, we evaluate how SEFT affects patients with cervical cancer who have had chemotherapy and radiation treatment. Using databases from 2003 to 2023, including Google Scholar, PubMed, ScienceDirect, PsycINFO, and Ovid, this study employs a systematic review methodology. The keywords “spiritual emotional freedom technique (SEFT)”, “emotional freedom technique (EFT)”, and “cervical cancer” form the basis of the search strategy. Experiments and observational studies with a minimum sample size of two participants involving patients with cervical cancer meet the inclusion criteria. The results show that among patients with post-chemoradiation cervical cancer, SEFT therapy is beneficial in lowering pain, stress, and depression. Cancer patients who experience pain may see a reduction in their quality of life as well as physical health issues. Cervical cancer patients can experience marked improvements in their pain, stress, and depression when the SEFT therapy theory is applied.
晚期宫颈癌患者会经历主观的慢性疼痛。精神情绪自由技术(SEFT)疗法中使用了简单的动作,这种治疗方法可以提高患者的表现和成就感,解决心理和生理疼痛问题,促进生活的幸福和宁静。在这项系统性回顾研究中,我们评估了 SEFT 如何影响接受过化疗和放疗的宫颈癌患者。本研究采用系统综述方法,使用了 2003 年至 2023 年的数据库,包括 Google Scholar、PubMed、ScienceDirect、PsycINFO 和 Ovid。关键词 "心灵情感自由技术(SEFT)"、"情感自由技术(EFT)"和 "宫颈癌 "构成了搜索策略的基础。至少有两名宫颈癌患者参与的实验和观察性研究符合纳入标准。结果显示,在化疗后宫颈癌患者中,SEFT疗法有利于减轻疼痛、压力和抑郁。经历过疼痛的癌症患者可能会发现他们的生活质量以及身体健康问题都有所下降。应用 SEFT 疗法理论后,宫颈癌患者的疼痛、压力和抑郁状况会得到明显改善。
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引用次数: 0
Enhancing the knowledge and skills of health cadres and mothers to prevent developmental disorders through stimulation interventions 提高保健干部和母亲通过刺激干预预防发育障碍的知识和技能
Pub Date : 2024-07-22 DOI: 10.4081/hls.2024.11966
Ningsih Jaya, Ambo Dalle, Sri Anggriani
The golden age of toddlerhood is a crucial time for growth and development that requires special attention. Failure to support children during this time can cause developmental issues that affect their future growth. This study examined whether toddler growth and development interventions prevent developmental disorders. This pre-experimental study used a one-group pre-test/post-test design. The proportional random sample included 70 participants. The respondents’ age, occupation, education, use of toddler growth and development stimulation interventions, and health cadres’ and mothers’ knowledge and skills were variables. Data were analyzed using Wilcoxon and Mann-Whitney. There was a significant increase in health cadres and mothers’ knowledge and skills for promoting toddler growth and preventing developmental disorders (P=0.000<0.05). Effective toddler growth and development interventions improve health cadres and mothers’ knowledge and skills, preventing developmental disorders in toddlers. These findings suggest that targeted educational programs for health cadres and mothers may reduce developmental disorders and promote healthier growth trajectories for children.
蹒跚学步的黄金时期是成长和发展的关键时期,需要特别关注。如果在这一时期未能为儿童提供支持,可能会导致发育问题,影响他们未来的成长。本研究探讨了幼儿生长发育干预能否预防发育障碍。这项实验前研究采用了一组前测/后测设计。比例随机抽样包括 70 名参与者。受访者的年龄、职业、教育程度、幼儿生长发育刺激干预措施的使用情况、保健干部和母亲的知识和技能均为变量。数据分析采用 Wilcoxon 和 Mann-Whitney 方法。保健干部和母亲在促进幼儿生长和预防发育障碍方面的知识和技能有了明显提高(P=0.000<0.05)。有效的幼儿生长发育干预能提高保健干部和母亲的知识和技能,预防幼儿发育障碍。这些研究结果表明,针对保健干部和母亲的有针对性的教育计划可减少发育障碍,促进儿童更健康的成长轨迹。
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引用次数: 0
The effectiveness of risperidone on PANSS score and IL-6 in confirmed COVID-19 schizophrenic patients 利培酮对已确诊的 COVID-19 精神分裂症患者的 PANSS 评分和 IL-6 的疗效
Pub Date : 2024-07-22 DOI: 10.4081/hls.2024.12723
Sonny T. Lisal, Hawaidah Hawaidah, Dessy Natalia, A. Seweng, Yuyun Widaningsih, Erlyn Limoa, S. Syamsuddin
The study aimed to determine the efficacy of risperidone on PANSS scores and Interleukin 6 (IL-6) levels in schizophrenia patients with confirmed COVID-19. The study type was analytical observational, with a prospective cohort design. The subjects included inpatient Schizophrenia patients with and without COVID-19, mild-moderate and asymptomatic COVID-19, and schizophrenic patients without COVID-19 who were hospitalized and met the inclusion and exclusion criteria, for a total of 22 subjects in each group. The Positive and Negative Syndrome Scale (PANSS) and Elisa Interleukin 6 (IL-6) serum were sampled consecutively for this study. In the positive covid-19 group, the Mean IL-6 Post was significantly lower than Pre (23.0 vs. 26.1, p<0.001), while in the control group, the Mean IL-6 Post (four weeks) was significantly lower than Pre (baseline), with 19.3 vs. 21.0 (p<0.001). Serum IL-6 levels appeared to be an effective prognostic biomarker in COVID-19 patients. The 35 pg/mL cut-off point could distinguish mild-moderate patients from more severe ones. We discovered that schizophrenia patients with verified positive COVID-19 received COVID-19 therapy in the form of a combination of antipsychotic and antivirals had IL-6 levels lower than 35 pg/mL, indicating the role of antipsychotic (risperidone) and antiviral in reducing IL-6 levels.
该研究旨在确定利培酮对确诊为COVID-19的精神分裂症患者的PANSS评分和白细胞介素6(IL-6)水平的疗效。研究类型为分析性观察,采用前瞻性队列设计。研究对象包括有COVID-19和无COVID-19的住院精神分裂症患者、轻度-中度和无症状的COVID-19患者以及无COVID-19的住院精神分裂症患者,符合纳入和排除标准,每组共22人。本研究连续采集了阳性和阴性综合征量表(PANSS)和Elisa白细胞介素6(IL-6)血清样本。在阳性 covid-19 组中,IL-6 后期平均值显著低于前期(23.0 对 26.1,p<0.001),而在对照组中,IL-6 后期(四周)平均值显著低于前期(基线),19.3 对 21.0(p<0.001)。血清IL-6水平似乎是COVID-19患者有效的预后生物标志物。35皮克/毫升的临界点可以区分轻中度患者和重度患者。我们发现,COVID-19阳性的精神分裂症患者在接受抗精神病药物和抗病毒药物联合治疗后,IL-6水平低于35 pg/mL,这表明抗精神病药物(利培酮)和抗病毒药物在降低IL-6水平方面发挥了作用。
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引用次数: 0
Exploring the relationship between maternal parenting styles and stunting prevention behaviors in children aged 3-5 years 探索母亲的养育方式与 3-5 岁儿童预防发育迟缓行为之间的关系
Pub Date : 2024-07-18 DOI: 10.4081/hls.2024.12054
Arum Dwi Ningsih, E. Yuswatiningsih, Dwi Prasetyaningati
Indonesia, as a developing country, continues to grapple with various nutritional challenges, with stunting among toddlers being a significant concern. According to Nutritional Status Monitoring data from the past three years, stunting has the highest prevalence compared to other issues such as undernutrition, underweight, and obesity. Stunting reflects inhibited growth owing to insufficient nutrient intake. This study aimed to analyze the relationship between parenting styles and behaviors aimed at preventing stunting in children aged 3-5 years. Employing a correlational analysis with a cross-sectional research design, the study surveyed 128 respondents. Maternal parenting styles were assessed using questionnaires with parameters for authoritarian, democratic, and permissive approaches, while stunting prevention behaviors were evaluated using questionnaires covering cognitive, affective, and conative aspects. Analysis revealed that most respondents exhibited a democratic parenting style (52 respondents, 41%), and most demonstrated good stunting prevention behaviors (58 respondents, 45%). The Spearman test yielded a p-value of 0.000, indicating a significant relationship. Therefore, enhancing parents' understanding of proper parenting practices is crucial for preventing stunting in children aged 3-5 years.
作为一个发展中国家,印度尼西亚仍在努力应对各种营养挑战,其中幼儿发育迟缓是一个令人严重关切的问题。根据过去三年的营养状况监测数据,与营养不良、体重不足和肥胖等其他问题相比,发育迟缓的发生率最高。发育迟缓反映了营养摄入不足导致的生长受抑制。本研究旨在分析养育方式与旨在预防 3-5 岁儿童发育迟缓的行为之间的关系。本研究采用相关分析和横断面研究设计,对 128 名受访者进行了调查。母亲的养育方式通过问卷进行评估,问卷参数包括专制、民主和放任,而预防发育迟缓的行为则通过问卷进行评估,问卷涵盖认知、情感和内涵等方面。分析表明,大多数受访者表现出民主的养育方式(52 人,41%),大多数受访者表现出良好的预防发育迟缓行为(58 人,45%)。斯皮尔曼检验的 p 值为 0.000,表明两者之间存在显著关系。因此,加强家长对正确育儿方法的了解对于预防 3-5 岁儿童发育迟缓至关重要。
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引用次数: 0
Relationship between peer conformity and reproductive health maintenance behaviours among early adolescent girls in Islamic boarding schools 伊斯兰寄宿学校少女的同伴一致性与生殖健康维护行为之间的关系
Pub Date : 2024-07-16 DOI: 10.4081/hls.2024.11993
Peni Perdani Juliningrum, Lantin Sulistyorini, Layinatul Qoriah, Ira Rahmawati, Nuning Dwi Merina
Reproductive health problems are often experienced by early adolescents who live in Islamic boarding schools because Islamic boarding schools have a higher population density and interpersonal contact than other schools. In the early adolescent years, there is a tendency in terms of a solid urge to behave like peers, so conformity quickly occurs when adolescents adopt reproductive health care behaviours. This study aimed to determine the relationship between peer conformity and reproductive health maintenance behaviour of early adolescent girls at Islamic boarding schools. This study used a correlational research design with a cross-sectional approach and a purposive sampling technique conducted on 165 early adolescents. The analytical method used for this study was univariate and bivariate analysis tests, in bivariate tests using the Pearson test processed with the Statistical Package for Social Sciences (SPSS) program. The analysis showed that all early adolescents (100%) had a history of vaginal discharge. The results of the bivariate test showed a value of p=0.0001. The level of reproductive health maintenance behaviour is determined by the extent to which conformity occurs in adolescents. Conformity that occurs can affect and change one's perceptions and behaviour.
由于伊斯兰寄宿学校的人口密度和人际交往比其他学校要高,因此,生活在伊斯兰寄宿学校的低年级青少年经常会遇到生殖健康问题。在青春期早期,青少年有一种与同伴行为一致的强烈冲动,因此在采取生殖保健行为时,很快就会出现一致性。本研究旨在确定伊斯兰寄宿学校少女的同伴一致性与生殖健康维护行为之间的关系。本研究采用了相关研究设计、横断面方法和目的性抽样技术,对 165 名早期青少年进行了调查。本研究使用的分析方法是单变量和双变量分析测试,双变量测试使用社会科学统计软件包(SPSS)程序处理的皮尔逊测试。分析结果显示,所有早期青少年(100%)都有阴道分泌物病史。双变量检验结果显示,P=0.0001。生殖健康维护行为的水平取决于青少年的顺从程度。顺从会影响和改变一个人的观念和行为。
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引用次数: 0
Enhancing self-care in elderly patients: the impact of WhatsApp reminder messages at the Heart and Vascular Center 加强老年患者的自我护理:WhatsApp 提醒信息对心脏和血管中心的影响
Pub Date : 2024-07-16 DOI: 10.4081/hls.2024.11752
Hidayatus Sya’diyah, Dewi Purnama Sarira, Diyan Mutyah, A. Mayasari, Sukma Ayu Candra Kirana
The importance of reminder messages lies in improving self-care among heart disease patients. At the Heart and Vascular Center, many patients, both those under ongoing care and those recently treated, do not consistently engage in self-care activities. Reminder messages can encourage adherence to medication regimens. This study aimed to investigate the effectiveness of WhatsApp reminder messages on the self-care of elderly patients at the Heart and Vascular Center. The research employed a quasi-experimental design with a two-group pre- and post-test control design. Using a probability sampling technique with simple random sampling, the study required 16 new patients in each group. The instrument used was the Self-Care Heart Failure Index (SCHFI) questionnaire, consisting of 22 questions. Data analysis was performed using the Mann-Whitney test. The results indicated that WhatsApp reminder messages are effective in enhancing patient self-care at the Heart and Vascular Center at Premier Hospital Surabaya (p-value<0.001). The Mann-Whitney test results post-intervention showed a p-value of 0.013, confirming the effectiveness of WhatsApp reminder messages in improving self-care among patients. This study demonstrated a significant positive influence of WhatsApp reminder messages on the self-care of elderly patients at the Heart and Vascular Center. These messages are an effective tool for improving patient self-care practices at Premier Hospital Surabaya.
提醒信息的重要性在于提高心脏病患者的自我保健能力。在心脏和血管中心,许多患者,无论是正在接受治疗的患者还是刚刚接受治疗的患者,都没有坚持进行自我保健活动。提醒信息可以鼓励患者坚持用药。本研究旨在调查 WhatsApp 提醒信息对心脏和血管中心老年患者自我护理的效果。研究采用了前测和后测两组对照的准实验设计。研究采用简单随机抽样的概率抽样技术,每组需要 16 名新患者。使用的工具是由 22 个问题组成的心力衰竭自理指数(SCHFI)问卷。数据分析采用曼-惠特尼检验。结果表明,WhatsApp 提示信息能有效提高泗水总理医院心脏和血管中心患者的自我护理水平(p 值<0.001)。干预后的 Mann-Whitney 检验结果显示 p 值为 0.013,证实了 WhatsApp 提示信息在提高患者自我护理方面的有效性。这项研究表明,WhatsApp 提示信息对心脏和血管中心老年患者的自我护理具有显著的积极影响。这些信息是改善泗水总理医院患者自我护理实践的有效工具。
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引用次数: 0
Determinants of birth weight and length: an analysis of the 2020 mothers' cohort register data 出生体重和身长的决定因素:2020 年母亲队列登记数据分析
Pub Date : 2024-07-15 DOI: 10.4081/hls.2024.11979
G. P. Mulyo, Denira Kusuma Putri, Aryani Sudja, Yenny Moviana, Mulus Gumilar, Umi Nurhidayah, Nitta Isdiany
A woman's nutritional status significantly impacts the qualities of the baby she delivers, as assessed by the baby's weight and length at birth. This study aimed to identify factors influencing birth weight and length using a retrospective case-control design with secondary data collected from the mothers' cohort register at the Community Health Center in 2020-2021. The study included 100 samples, comprising 25 cases and 75 controls. Several determinants of birth weight and length were examined: the mother's age (OR=4.1, 95% CI 1.41-12.0), weight gain during pregnancy (OR=3.6, 95% CI 1.051-12.553), mid-upper arm circumference (OR=2.9, 95% CI 1.061-8.220), hemoglobin level (OR=4.711, 95% CI 1.57-14.11), and iron supplement intake (OR=1.837, 95% CI 0.600-5.624), with hemoglobin level identified as the most influential factor on birth qualities. Mothers with less than normal hemoglobin levels have a 4.7 times higher risk of delivering babies of lower weight and length than mothers with normal hemoglobin levels. The impact of low hemoglobin in pregnant women includes reduced oxygen supply for both the mother and fetus, resulting in low birth weight, child anemia, premature birth, and child mortality. Given these significant effects, it is crucial to establish standards for health services in Indonesia, ensuring that pregnant women with low hemoglobin receive comprehensive care aligned with Indonesia's Sustainable Development Goals (SDGs) standards.
根据婴儿出生时的体重和身长评估,妇女的营养状况对其所生婴儿的质量有重大影响。本研究采用回顾性病例对照设计,从 2020-2021 年社区卫生中心的母亲队列登记中收集二手数据,旨在确定影响出生体重和身长的因素。研究包括 100 个样本,其中有 25 个病例和 75 个对照。研究考察了出生体重和身长的几个决定因素:母亲的年龄(OR=4.1,95% CI 1.41-12.0)、孕期体重增加(OR=3.6,95% CI 1.051-12.553)、中上臂围(OR=2.9,95% CI 1.061-8.220)、血红蛋白水平(OR=4.711,95% CI 1.57-14.11)和铁补充剂摄入量(OR=1.837,95% CI 0.600-5.624),其中血红蛋白水平被认为是对出生质量影响最大的因素。与血红蛋白水平正常的母亲相比,血红蛋白水平低于正常的母亲分娩体重和身长较低婴儿的风险高出 4.7 倍。孕妇血红蛋白过低的影响包括减少母亲和胎儿的氧气供应,导致出生体重过低、儿童贫血、早产和儿童死亡。鉴于这些重大影响,在印尼制定医疗服务标准,确保血红蛋白偏低的孕妇获得符合印尼可持续发展目标(SDGs)标准的全面护理至关重要。
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引用次数: 0
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Healthcare in Low-resource Settings
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