Prácticas pa ra la prevención de accidentes en el hogar en cuidadores de niños de 1 a 5 años en un barrio de Cartagena (Colombia) / Practices for the prevention of accidents in the home in caregivers of children from 1 to 5 years in a district of Cartagena (Colombia)

Introducción: los accidentes en la población infantil constituyen una importante causa de morbilidad y mortalidad convirtiéndose hoy día en un problema de salud pública mundial, principalmente la población más afectada son los niños en etapa preescolar, por la vulnerabilidad y dependencia del cuidador. Objetivos: describir las prácticas para la prevención de accidentes en el hogar en cuidadores de niños de 1 a 5 años en un barrio de Cartagena (Colombia). Materiales y métodos: estudio cuantitativo descriptivo transversal. Constituido por 354 cuidadores de niños menores de 5 años, se utilizó la técnica de observación y la aplicación del instrumento con base a la práctica N° 15 de AIEPI (Atención Integrada a las Enfermedades Prevalentes de la Infancia). Resultados: socio demográficamente los cuidadores fueron principalmente de género femenino (87%), con 20 ­ 29 años de edad (44,9%), madres de los niños (61,3%), conviven en unión libre (54,2%), son bachilleres (50,3%), de estrato uno (91,8%), amas de casa (62,7%), con hijos (93,8%), residen en casas (54,5%). Los niños de 1 a 5 años fueron mayoritariamente de género masculino (51,7%), y han presentado accidentes (75,1%), sobre todo, caídas (61,9%). El nivel de riesgo de accidentes en el hogar fue bajo (85%), y las prácticas de prevención suelen ser regulares (55,1%). Conclusión: los niños enfrentan relativamente bajo riesgo de accidente en el hogar, sin embargo, las prácticas para prevenirlos resultan ser regulares..(AU)

Introduction: accidents in children are an important cause of morbidity and mortality,becoming today a global public health problem, mainly the most affected population are children in preschool, for the vulnerability and dependence of the caregiver. Objectives:to describe the practices for the prevention of accidents at home in caregivers of children from 1 to 5 years of age, in a neighborhood of Cartagena (Colombia). Materials and methods: quantitative, descriptive and cross-sectional study. Consisting of 354 caregivers of children under 5 years of age, the technique of observation and the application of the instrument was used based on practice No. 15 of IMCI (Integrated Management of Childhood Illness). Results: demographic partner caregivers were mainly female (87%), with 20 - 29 years of age (44.9%), mothers of children (61.3%), live together in a free union (54.2%), are high school graduates (50.3%), of stratum one (91.8%), housewives (62.7%), with children (93.8%), reside in houses (54.5%). Children from 1 to 5 years old were male (51.7%), and had accidents (75.1%), especially falls (61.9%). The level of accident risk in the home was low (85%), and prevention practices are usually regular (55.1%). Conclusion: children face relatively low risk of accident in the home, however, practices to prevent them turn out to be regular..(AU)

Depression And Anxiety In Mothers Of Children With Cancer And How They Cope With It: A Cross-Sectional Hospital Based Study In Eastern India

Objective: Cancer is a chronic, long-term illness that affects not only the child but also the family as a whole. The family faces objective as well as subjective difficulties, e.g. stress, anxiety and depression. The burden is often experienced by mothers, since they take on the major responsibility of care giving. We conducted a study in mothers of children with acute lymphoblastic leukemia (ALL) and determined whether their coping mechanisms were acceptable and if these mechanisms were helpful to reduce depression. Methods: Mothers of 58 children with Pre (precursor) B cell leukemia were evaluated using Beck's depressive inventory (BDI), Coping Health Inventory for Parents (CHIP), and State-Trait Anxiety Inventory (STAI). Results: Coping with behaviors used by mothers of children with ALL was ineffective. The mothers mostly used coping behavior, which involved family life and relationships, and the parents' outlook on life of the affected child. The use of CHIP sub scale-type I, ie.“talking with other individuals/parents in my same situation” was significantly related to more use of sub scale-type II, ie. “doing things together as a family, involving all members of the family” are both were significantly related to STAI (p < 0.001). However total BDI score was not significantly related with any of the coping scores (BDI scores more than 9). Patients with higher BDI scores had lower scores in all sub scales of CHIP. Conclusions: Our subjects did not use social support and did not understand the medical situation through communication with other parents, or medical professionals. Fewer depressed patients used more coping skills. Educating the parents about healthy coping mechanism can be a good way to reduce stress. Encouraging social support networking and providing information about the disease may help to increase the acceptance among the mothers with ALL. A

Qualitative research on the psychological feeling of mothers of children with osteogenesis imperfecta during treatment / 中国实用护理杂志

Objective To understand the feeling of mothers of children with osteogenesis imperfecta during the accompany of children's diagnosis and treatment.Methods A total of 20 mothers of children with osteogenesis imperfecta participated the semi-structured interview.The data were analyzed by Colaizzi's method of phenomenology.Results Three themes were acquired including heavy psychological burden,facing multiple pressure and mother's support through analysis,reorganization and extraction of the subjects.Conclusions Mothers of children with osteogenesis imperfecta needed humanistic concern and emotional support.Nursers should adopted personalized care measures to improve their quality of life.

Caracterización de los conocimientos de las madres sobre la discapacidad de sus hijos y su vínculo con la dinámica familiar / Characterization of the knowledge of mothers concerning their children's disability and the relation with the family dynamics / Caracterização dos conhecimentos das mães sobre a incapacidade de seus filhos e seu vínculo com a dinâmica familiar

El propósito del estudio es establecer los conocimientos, la dinámica familiar y comunitaria de madres de hijos con discapacidad que sirvan de base para la instrumentación de programas de intervención. Participaron 42 madres con edades entre 19 y 49 años (M = 31.14) de un Centro de Rehabilitación Infantil perteneciente a la Secretaría de la Defensa Nacional en México. Se utilizó una guía de entrevista semi-estructurada para explorar los conocimientos, la dinámica familiar y comunitaria de las familias. Las madres reportaron que no recibieron preparación de cómo tratar a sus hijos; sin embargo, ellas consideran la importancia de adquirir conocimientos especializados para entender y tratar al menor. Las madres que no tienen los conocimientos necesarios sobre la discapacidad de su hijo no son capaces de entender ni aceptar la condición del niño, conllevando a la negación del problema, inconformidad, culpa y depresión. Se observó en el estudio que una adecuada preparación de la madre después del nacimiento de su hijo, acerca de la discapacidad, puede proveer una mejor interacción y funcionamiento de estas familias.

The purpose of this study is to enquire about the knowledge, as well as about the family and community dynamics of mothers of children with disabilities, as a basis to implement intervention programs. Participants were 42 mothers aged between 19 and 49 years (M= 31.14) who attended a Children's Rehabilitation Center belonging to the National Defense Secretariat in Mexico [SEDENA, for its Spanish acronym]. Semi-structured interviews were used to assess the mother's knowledge on the disability of the child and the family and community dynamics. Mothers reported receiving no training on how to treat their children, though they considered the importance of acquiring expertise to understand and treat the child. Mothers who do not have the necessary knowledge about their child's disability are not able to understand or accept the child's condition, leading to a denial of the problem, dissatisfaction, guilt and depression. It was noted in the study that proper preparation of the mother after the birth of her child, in terms of the disability can provide a better interaction and functioning of these families.

O propósito do estudo é estabelecer os conhecimentos, a dinâmica familiar e comunitária de mães de filhos com incapacidade que sirvam de base para a instrumentação de programas de intervenção. Participaram 42 mães com idades entre 19 e 49 anos (M = 31.14) de um Centro de Recuperação Infantil pertencentes à Secretaria de Defesa Nacional no México. Utilizou-se um roteiro de entrevista semiestruturada para explorar os conhecimentos, a dinâmica familiar e comunitária das famílias. As mães relataram que não receberam preparação de como cuidar seus filhos; porém, elas consideram a importância de adquirir conhecimentos especializados para entender e tratar ao menor. As mães que não têm os conhecimentos necessários sobre a incapacidade de seu filho não são capazes de entender nem aceitar a condição da criança, levando à negação do problema, inconformidade, culpa e depressão. Observou-se no estudo que uma preparação adequada da mãe depois do nascimento de seu filho, sobre a incapacidade, pode dar uma melhor interação e funcionamento destas famílias.

Stress and Family Burden in Mothers of Children with Disabilities.

The present study was designed to assess and compare parenting stress and family burden in mothers of children with disabilities and children without disability. For this purpose, a multi group design was adopted which consisted of five groups of mothers viz. mothers of children with mental disability, mothers of children with both mental and physical disability, mothers of children with physical disability, mothers of deaf and dumb children and mothers of children without disability. Parenting stress index and family burden scale were administered on 125 mothers of children with disabilities and without disability (25mothers in each group), selected from three districts of Haryana state. For statistical analysis, t- test, simple analysis of variance and Duncan‟s post hoc test were used. Results revealed that mothers of children with both mental and physical disability and mothers of children with mental disability scored significantly higher level of parenting stress and family burden compared to mothers of children with physical disability, mothers of deaf and dumb children, and mothers of children without disability.

A Prediction Model for the Quality of Life in Mothers of Children with Nephrotic Syndrom / 아동간호학회지

The purpose of the study was to develop and test the model for the quality of life in mothers of children with nephrotic syndrome. A hypothetical model was constructed on the basis of previous studies and a review of literature. The conceptual framework was built around ten constructs. Exogenous variables included in this model were mother's health, father's health, marital intimacy, mother's attitude on children, economic state, side effect of steroid, severity of illness and social support. Endogenous variables were mother's burden and quality of life. Empirical data for testing the hypothetical model were collected by using a self-report questionnaire from 152 mothers of children with nephrotic syndrom at the outpatient clinics and in the hospital. The data was collected from May, 1999 to August, 1999. Reliability of the seven instruments was tested with Cronbach's alpha which ranged from 0.71 - 0.92. For the data analysis, SPSS 8.0 WIN program and LISREL 8.20 WIN program were used for descriptive statistics and covariance structural analysis. The results of covariance structural analysis were as follow : 1.The hypothetical model showed a good fit with the empirical data.[x2 = .56, df = 3, p = .90(p > .05 ), GFI = .99, AGFI = .99, RMSR = .005.] 2. For the parsimony of model, a modified model was constructed by deleting 1 variable and excluding 2 paths according to the criteria of statistical significance and meaning. 3.The modified model also showed a good fit with the data[x2 = 2.83, df = 7, p = .90( p > .05 ), GFI = 1.00, AGFI = .97, RMSR = .011]. The result of the testing of the hypothesis were as follows : 1.Mother's health( gamma 21 = .26, t = 4.16), father's health( gamma 22 = .19, t = 2.92), marital intimacy( gamma 23 = .26, t = 4.13) and social support( gamma 28 = .12, t = 2.03) had a significant direct effect on the quality of life. 2. Mother's burden( beta 21 = -.20, t = -3.10) had a significant negative direct effect on the quality of life. 3. Mother's attitude on children( gamma 14 = -.34, t = .-4.57), mother's health( gamma 11 = -.22, t = -2.96) and side effect of steroid ( gamma 16 = -.23, t = .-2.69) had a significant direct negative effect on the burden. The result of this study showed that mother's health, marital intimacy, mother's burden, father's health, and social support had a significant direct effect on the quality of life. Mother's attitude on children, mother's health, and side effect of steroid had a significant direct effect on mother's burden. These six variables, mother's health, marital intimacy, father's health, social support, mother's attitude on children and side effect of steroid were identified as relatively important variables. The results of this study suggest, it needed to determine the nursing intervention will alleviate mother's burden and promote a greater quality of life in mothers of children with nephrotic syndrom.