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不孕症预防与健康促进:护士在公共卫生倡议中的作用。

Infertility Prevention and Health Promotion: The Role of Nurses in Public Health Initiatives.

作者信息

Sagheb Ray Shirazi Malihe, Salarkarimi Fatemeh, Moghadasi Fatemeh, Mahmoudikohani Fatemeh, Tajik Farnoosh, Bastani Nejad Zahra

机构信息

Department of Anatomical Sciences, Faculty of Nursing and Midwifery, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

Department of Midwifery, Reproductive Health Promotion Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

出版信息

Galen Med J. 2024 Oct 17;13:e3534. doi: 10.31661/gmj.v13i.3534. eCollection 2024.

DOI:10.31661/gmj.v13i.3534
PMID:39483859
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11525107/
Abstract

Infertility is a growing public health concern, affecting millions of individuals and couples worldwide. Despite advancements in medical treatments, prevention remains a critical strategy for reducing the burden of infertility. Nurses, as frontline healthcare providers, play a pivotal role in infertility prevention and health promotion, particularly through public health initiatives. This review aims to explore the diverse roles of nurses in infertility prevention and their contributions to public health strategies. A review of existing literature was conducted to examine the epidemiology of infertility, key risk factors, and the preventive measures that can be employed by nursing professionals. Emphasis is placed on the role of nurses in health education, screening, early detection, and community-based interventions, which are essential in reducing infertility rates. In addition, this review identifies barriers that impede effective nurse-led infertility prevention, such as disparities in access to care, cultural sensitivity challenges, and policy constraints. Evidence suggests that nurses are well-positioned to lead public health campaigns, conduct reproductive health counseling, and advocate for policy reforms to improve infertility prevention. The review concludes with recommendations for future research, suggesting enhanced nursing education and training, as well as the need for stronger integration of nurses into public health policy-making. This study underscores the critical role of nurses in promoting reproductive health and preventing infertility, advocating for their inclusion in comprehensive public health strategies aimed at addressing infertility on a global scale.

摘要

不孕症是一个日益受到关注的公共卫生问题,影响着全球数百万个人和夫妇。尽管医学治疗取得了进展,但预防仍然是减轻不孕症负担的关键策略。护士作为一线医疗服务提供者,在不孕症预防和健康促进方面发挥着关键作用,特别是通过公共卫生倡议。本综述旨在探讨护士在不孕症预防中的不同作用及其对公共卫生策略的贡献。通过对现有文献的回顾,研究不孕症的流行病学、关键风险因素以及护理专业人员可采用的预防措施。重点关注护士在健康教育、筛查、早期发现和社区干预中的作用,这些对于降低不孕症发生率至关重要。此外,本综述还确定了阻碍护士有效开展不孕症预防工作的障碍,如获得护理服务的差异、文化敏感性挑战和政策限制。有证据表明,护士处于引领公共卫生运动、进行生殖健康咨询以及倡导政策改革以改善不孕症预防的有利地位。综述最后提出了未来研究的建议,建议加强护理教育和培训,并需要将护士更有力地纳入公共卫生政策制定中。本研究强调了护士在促进生殖健康和预防不孕症方面的关键作用,倡导将他们纳入旨在全球范围内解决不孕症问题的综合公共卫生策略中。

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本文引用的文献

1
Core recommendations of effective preconception counselling services in low-and-middle-income countries - A scoping review.中低收入国家有效孕前咨询服务的核心建议 - 范围综述。
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Association between nutrient intake and female infertility: a study based on NHANES database.营养素摄入与女性不孕的关联:基于 NHANES 数据库的研究。
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Human rights approaches to reducing infertility.以人权为导向减少不孕不育
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Front Endocrinol (Lausanne). 2023 Apr 19;14:1140739. doi: 10.3389/fendo.2023.1140739. eCollection 2023.
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Infertility prevalence and the methods of estimation from 1990 to 2021: a systematic review and meta-analysis.1990年至2021年不孕症患病率及其估计方法:一项系统评价和荟萃分析。
Hum Reprod Open. 2022 Nov 12;2022(4):hoac051. doi: 10.1093/hropen/hoac051. eCollection 2022.