The purpose of this study was to describe the lived experiences of Chinese men who were diagnosed as infertile. Thirty men who had experienced infertility were interviewed in or near the clinic of a large general teaching hospital located in Taiwan. The interviews were analyzed using content analysis. Five categories were generated from the interview data: emotional response after hearing the diagnosis; seeking possible explanations for the diagnosis; using alternative treatments other than those of Western medicine; stressfrom the discovery of the infertility secret by family, relatives, and friends; and grief for discontinuation of the family heritage. Men in this study described infertility as a frustrating and stressful experience. Findings from this study can add to the knowledge base on infertility and contribute to recommendations for improving the ways that health professionals guide, counsel, and support men who are infertile.
Background This scoping review presents existing research evidence regarding diet therapy in patients with rare diseases (RDs). Methods Using the five‐stage scoping review framework proposed by Arksey, O'Malley and Levac, we searched the published literature in PubMed, Web of Science, Royal Society of Chemistry, China National Knowledge Infrastructure, VIP Database and Wan Fang Database from January 2010 to November 2022. We selected diet therapy studies on 121 RDs, as categorised by the National Health Commission of China in 2018. Charts for research analysis were developed and used to categorise the data. Results We ultimately included 34 diet therapy studies from 19 countries and territories for 10 RDs and 3 RD groups. RD diet therapy studies have mainly focused on inborn errors of metabolism (92.3%) and are common in Western countries. Most studies focused on diet therapy methods for RDs (44%). In addition, 29% of studies included diet therapy management, 15% included guidelines for diet therapy and 12% included the impact of diet therapy on patients. Conclusions Current diet therapies for RDs lack specificity and present with limited characteristics. Therefore, it is necessary to expand the scope and depth of future research and explore evidence‐based recommendations and new diet therapies focused on patient needs and family support to provide a reference for improving the efficacy and safety of diet therapies for RDs.
Purpose:To investigate the meaning of spirituality in pregnancy by asking, "How does your faith or spirituality affect your pregnancy?" Background: Despite the emphasis of midwives on the holistic nature of pregnancy, few have described the meaning that spirituality may have for pregnant women. The study was guided by the HOPE Theory (Holistic Obstetrical Problem Evaluation). Methods: Study participants were recruited from a nonrandom convenience sample of 130 pregnant African American and Caucasian women between 16 and 28 weeks' gestational age. Content analysis was conducted, and data were coded and clustered under major themes. Results: Of the study sample, 62% were African American and 38% Caucasian; 76% were Medicaid recipients. Seven themes emerged on how faith or spirituality affected the women's pregnancy, including 1) strength and confidence, 2) guidance and support, 3) protection, 4) blessing or reward, 5) time to communicate with God, 6) help with difficult moral choices, and 7) a generalized positive effect. Of the 62 women who responded that spirituality affected their pregnancy, the overarching theme was a desire for connectedness to oneself, others, or God. Conclusion: The findings from this study emphasize the importance of spirituality within a holistic framework and the need for health care providers to attend to spirituality as a resource in pregnancy for those who value it.
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