en دانش، نگرش و رفتار پزشکان حامی بیماران سرطانی در حفظ باروری در DKI جاکارتا: یک مطالعه مقطعی Reproductive Epidemiology Short Research Reports Short Research Reports <div style="text-align: justify;"><span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><b><span lang="AR-SA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;">مقدمه: </span></span></b><span lang="AR-SA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;">سالانه بیش از 135000 نفر </span></span><span lang="FA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;">از جمعیت </span></span><span lang="AR-SA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;">زیر 45 سال در اندونزی به سرطان مبتلا می&shy;شوند. تشخیص و مدیریت خوب سرطان کیفیت زندگی را افزایش می&shy;دهد.</span></span><b><span lang="FA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;"></span></span></b></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><b><span lang="AR-SA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;">هدف:</span></span></b><span lang="AR-SA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;"> تعیین دانش، نگرش و رفتار پزشکان حامی بیماران سرطانی در حفظ باروری.</span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><b><span lang="AR-SA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;">مواد و روش&shy; ها: </span></span></b><span lang="AR-SA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;">این مطالعه مقطعی در 18 بیمارستان دولتی نوع </span></span><span dir="LTR" style="font-size:10.0pt">D</span> <span lang="AR-SA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;">و بیمارستان دکتر </span></span><span dir="LTR" style="font-size:10.0pt">Cipto Mangunkusumo</span><span lang="AR-SA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;"> در جاکارتا، اندونزی، بین ژانویه 2018 تا آگوست 2019 انجام شد. این مطالعه شامل پزشکان ارائه&shy;دهنده مراقبت از بیماران سرطانی بود. داده&shy;ها به صورت توصیفی توصیف شد.</span></span><b><span lang="FA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;"></span></span></b></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><b><span lang="AR-SA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;">نتایج: </span></span></b><span lang="AR-SA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;">اکثر پزشکان عمومی، متخصصان و فوق‌تخصص&shy;ها شرکت‌کننده در این مطالعه به ترتیب 30-26 سال (4/65%)، 35-31 سال (4/70%) و 40-31 سال (0/53%) سن داشتند. شایعترین درمان باروری شناخته شده توسط پزشکان عمومی، لقاح آزمایشگاهی با انجماد جنین (1/12</span></span><span lang="AR-SA" style="font-size:11.0pt"><span style="font-family:&quot;Sakkal Majalla&quot;">٪</span></span><span lang="AR-SA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;">) بود، در حالیکه این درمان برای متخصصان، انجماد اسپرم (5/24</span></span><span lang="AR-SA" style="font-size:11.0pt"><span style="font-family:&quot;Sakkal Majalla&quot;">٪</span></span><span lang="AR-SA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;">) بود. در همین حال، فوق تخصص&shy;ها بیشتر در مورد لقاح آزمایشگاهی با انجماد جنین و انجماد اسپرم با استفاده از آگونیست </span></span><span dir="LTR" style="font-size:10.0pt">GnRH</span> <span lang="AR-SA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;">(مانند تزریق لوپرولید) پیش از درمان سرطان (13</span></span><span lang="AR-SA" style="font-size:11.0pt"><span style="font-family:&quot;Sakkal Majalla&quot;">٪</span></span><span lang="AR-SA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;">) می</span></span><span dir="LTR" style="font-size:11.0pt">&shy;</span><span lang="AR-SA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;">دانستند. نگرش مثبت نسبت به حفظ باروری به عنوان یک اولویت مهم برای بیماران سرطانی در 0/72% از پزشکان عمومی، 3/73% از متخصصان و 100% از فوق تخصص&shy;ها نشان داده شد. پزشکان عمومی بیشتر بیماران را به متخصصان باروری ارجاع می&shy;دادند (4/44%). بسیاری از متخصصان (9/54</span></span><span lang="AR-SA" style="font-size:11.0pt"><span style="font-family:&quot;Sakkal Majalla&quot;">٪</span></span><span lang="AR-SA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;">) و فوق تخصص&shy;ها (67</span></span><span lang="AR-SA" style="font-size:11.0pt"><span style="font-family:&quot;Sakkal Majalla&quot;">٪</span></span><span lang="AR-SA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;">) در مورد تأثیر احتمالی وضعیت بیمار و/یا درمان بیماری بر باروری بحث می&shy;کردند.</span></span><b><span dir="LTR" style="font-size:11.0pt"></span></b></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><b><span lang="AR-SA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;">نتیجه &shy;گیری: </span></span></b><span lang="AR-SA" style="font-size:11.0pt"><span style="font-family:&quot;B Mitra&quot;">دانش و شیوه‌های مربوط به حفظ باروری در بین پزشکان عمومی، متخصصان و فوق‌تخصص&shy;ها متفاوت است. با این حال، نگرش مثبت در بین آنها مشابه بود.</span></span><b><span dir="LTR" style="font-size:11.0pt"></span></b></span></span></span></span></span></div> <div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Abstract</span></span></b></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Background: </span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">More than 135,000 people aged under 45 yr are diagnosed with cancer annually worldwide. Good detection and management of cancer increase the quality of life. </span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Objective: </span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">To determine the knowledge, attitudes, and behaviors of practitioners supporting cancer patients in fertility preservation.</span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Materials and Methods: </span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">This cross-sectional study was conducted in 18 type D government hospitals and Dr. Cipto Mangunkusumo Hospital, in Jakarta, Indonesia, between January 2018 and August 2019. This study involved practitioners providing care to cancer patients. Data were described descriptively.</span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Results: </span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Most of the general practitioners, specialists, and subspecialists who participated in this study were aged 26-30 yr (65.4%), 31-35 yr (70.4%), and 31-40 yr (53.0%), respectively. The fertility treatment most known by general practitioners was in vitro fertilization with embryo cryopreservation (12.1%); for specialists it was </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">sperm cryopreservation </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">(24.5%). Meanwhile, subspecialists knew most about in vitro fertilization with embryo cryopreservation and sperm</span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> cryopreservation</span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> using a GnRH agonist (such as leuprolide injection) pre-cancer treatment (13%). A positive attitude towards fertility preservation as an important priority for cancer patients was shown in 72.0% of general practitioners, 73.3% of specialists, and 100% of subspecialists. General practitioners mostly referred patients to fertility specialists (44.4%). Many specialists (54.9%) and subspecialists (67%) discussed the possible impact of the patient&rsquo;s condition and / or treatment on fertility. </span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Conclusion: </span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">The knowledge of and practices related to fertility preservation differed among general practitioners, specialists, and subspecialists. However, positive attitudes among them were similar. </span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""></span></span></span></span></span><br> &nbsp;</div> دانش, نگرش, تمرین, پزشک, حفظ باروری. Knowledge, Attitude, Practice, Doctor, Fertility preservation. 145 150 http://ijrm.ir/browse.php?a_code=A-10-1652-1&slc_lang=en&sid=1 Achmad Kemal Harzif kemal.achmad@gmail.com 0000-0002-3552-1610 No Division of Immuno-Endocrinology and Fertility, Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, DKI Jakarta Province, Indonesia. Raymond Surya raymond_s130291@yahoo.co.id 0000-0001-5119-0674 Yes Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, DKI Jakarta Province, Indonesia. Raden Muharam Natadisastra rmuharam@yahoo.com 0000-0001-5712-3931 No Division of Immuno-Endocrinology and Fertility, Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, DKI Jakarta Province, Indonesia. Gita Pratama gitapratama@yahoo.com 0000-0001-5626-1283 No Division of Immuno-Endocrinology and Fertility, Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, DKI Jakarta Province, Indonesia. Alfa Putri Meutia alfameutia@yahoo.com 0000-0002-5966-4034 No Division of Reconstruction Urogynecology, Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, DKI Jakarta Province, Indonesia.