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Background: Birth Preparedness and Complication Readiness (BPCR) helps in improving the effective utilization of available maternal and newborn health care services through knowledge of danger sign, identifying birth place and attendant, means of transportation, managing fund for an emergency, birth companion and identification of blood donor. Aim: To find the association between socio-demographic characteristics and BPCR index indicators. Settings and Design: A cross-sectional study was conducted among the recently delivered and pregnant women in urban and rural areas of the Gandhinagar district of Gujarat. Methods and Material: Total 420 pregnant and recently delivered women from urban and rural areas were interviewed for study. A pretested semi-structured questionnaire was used to interview women at household setting. BPCR index is estimated by set of 7 quantifiable indicators and expressed in the percentage of women with specific characteristics. Results: Regarding ANC registration within 12th weeks of pregnancy and skilled birth attendant for delivery. Significant difference was observed with variable like APL/BPL status, education of women and their husband, parity and type of family. Conclusions: Hindu religion, APL economic status, higher education level, joint family, high parity and joint family were found important predictor of better BPCR practice.
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Background: Chronic viral hepatitis is a major global public health problem, an important cause of morbidity and mortality. We conducted this study to evaluate the behavioral risk factors of HBV infection and its association with HBsAg positivity among residents of Kaza sub-division of district Lahaul & Spiti in Himachal Pradesh. Material & Methods: The study was carried out by the Gastroenterology, Community Medicine, and Microbiology Department at Indira Gandhi Medical College Shimla at Kaza, a subdivision of Lahaul & Spiti. The cluster sampling technique was used to get the desired sample size of 4000. Forty clusters were chosen using a probability proportionate to size sampling method, and 100 research participants were added to each cluster using a simple random sampling method. The data was gathered using a pre-tested interview plan. A blood sample of 5ml from each study participant was obtained, and its HBsAg content was examined. Results: In our study, 2.7% of the interviewed respondents’ parents were positive for hepatitis B and 3.7% reported one positive family member. Injectable drug use was reported by 1.6 (68/4231). Among these users 8.8% (6/68) shared needles with other IDUs in last 12 months and 35.3% (24/68) used a common container to draw up drug solution. Sexual intercourse was reported to be experienced by 15.5 (655/4231) and 12.2% either did not disclose or were children. Out of those who ever experienced sexual/penetrative intercourse 38.3% (251/655) had reported it with someone else other than a spouse. Majority of these had two partners other than a spouse (30.3%; 76/251). Around 30% (195/655) reported of using a condom in their last intercourse. Body piercings or a tattoo from someone who doesn’t sterilize his or her equipment, including local treatment from lamas, was prevalent among 16.3% of the population (689/4231). Acupuncture was taken as a remedy for any medical condition by 9% of participants. Regression analysis also revealed that one infected family member emerged as an independent factor associated with HBsAg positive test after adjusting for confounders. Conclusion: Our study provided much important information concerning hepatitis B risk factors in this tribal group. Health education about behavioral risk factors among this tribal population should be the main intervention that might help limit the spread of these blood-borne infections.
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ABSTRACT Objective: to understand interconnected influences on adolescents' intended pregnancy based on particularities of the affective-relational sphere with partners. Method: this is a qualitative-interpretive study, carried out with 16 pregnant adolescents living in a neighborhood with a low socioeconomic level in a capital in the center-west of Brazil. Data were collected in 2019 through in-depth interviews, with complementary use of self-portrait, relational map and photo-elicitation resources, subjected to thematic content analysis. Results: adolescents' intention-action towards becoming pregnant was based on status assessment and romantic relationship quality with their partners in terms of marriage/union, bond-commitment, partnership-financial protection and good interaction-love. They expressed needs for emotional bonding and material security, psychological particularities of their stage of development, in addition to social representations built on the conjugal and loving relationship and being a man and a woman in the family. Connectedly, it reflected on social conditions and family relationships experienced as well as absorptions of the cultural ideal of romantic and gender love. Conclusion: in adolescents' reproductive health, it is essential to consider the affective influences on being pregnant, without detaching them from their social and family insertions as well as their ways of exercising agency over their affective-sexual trajectories.
RESUMEN Objetivo: comprender influencias interconectadas sobre la intención de embarazo de adolescentes a partir de particularidades del ámbito afectivo-relacional con la pareja. Método: se trata de un estudio cualitativo-interpretativo, realizado con 16 adolescentes embarazadas que viven en un barrio de bajo nivel socioeconómico, en una capital del centro-oeste de Brasil. Los datos fueron recolectados en 2019 a través de entrevistas en profundidad, con uso complementario de recursos de autorretrato, mapa relacional y fotoecitación, sometidos a análisis de contenido temático. Resultados: la intención-acción de las adolescentes para quedar embarazada se basó en la evaluación del estado y la calidad de la relación sentimental con sus parejas en términos de matrimonio/unión, vínculo-compromiso, sociedad-protección financiera y buena interacción-amor. Estos expresaron necesidades de vinculación afectiva y seguridad material que vivieron, particularidades psíquicas de su etapa de desarrollo, además de representaciones sociales construidas sobre la relación conyugal, amorosa y el ser hombre y mujer en la familia. De manera relacionada, reflexionaron sobre las condiciones sociales y las relaciones familiares vividas, así como sobre la absorción del ideal cultural del amor romántico y de género. Conclusión: en la salud reproductiva de las adolescentes, es fundamental considerar las influencias afectivas sobre el embarazo, sin desvincularlas de sus inserciones sociales y familiares, así como de sus formas de ejercer la agencia en sus trayectorias afectivo-sexuales.
RESUMO Objetivo: compreender influências interconexas no engravidar intencionado de adolescentes a partir de particularidades da esfera afetivo-relacional com o parceiro. Método: estudo qualitativo-interpretativo, realizado com 16 adolescentes grávidas residentes em um bairro de baixo nível socioeconômico, em uma capital do centro-oeste brasileiro. Os dados foram coletados em 2019 mediante entrevistas em profundidade, com uso complementar dos recursos autorretrato, mapa relacional e foto-elicitação, submetidos à Análise de Conteúdo Temática. Resultados: a intenção-ação das adolescentes voltada ao engravidar sustentou-se na apreciação do status e da qualidade da relação amorosa com o parceiro quanto aos aspectos casamento/união, vínculo-compromisso, parceria-proteção financeira e boa interação-amor. Estas exprimiram necessidades de vínculo afetivo e de segurança material por elas vividas, particularidades psíquicas da sua fase de desenvolvimento, além de representações sociais construídas sobre a relação conjugal, amorosa e do ser homem e mulher na família. De forma conexa refletiram sobre condições sociais e relações em família vividas, além de absorções do ideal cultural do amor romântico e de gênero. Conclusão: na saúde reprodutiva de adolescentes, é indispensável considerar as influências afetivas no engravidar, sem descolá-las das inserções sociais e em família daquelas, bem como dos seus modos de exercer a agência de suas trajetórias afetivo-sexuais.
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Objective:To explore the real experience of decompensated cirrhosis patients and their spouses returning to family dual disease management and to provide a reference for the targeted intervention strategies.Methods:Totally 13 decompensated cirrhosis patients and their spouses admitted in Infectious Disease Department, the First Affiliated Hospital of Zhengzhou University from February 2022 to April 2022 were recruited for semi-structured interviews. Colaizzi 7-step analysis was used to summarize and extract the themes.Results:The final analysis yielded a total of 8 generic categories belonging to 3 categories based on the dyadic illness management theory. These were negative disease perception including disease cognitive bias, lack of complication awareness, negative family management including low self-worth, conflict management, poor management compliance, economic pressure, passive attitude, dyadic health needs to be improved including negative emotional dominance, self-perceived discrimination, communication disorders, intimacy decrease.Conclusions:Decompensated cirrhosis patients and their spouses have negative and resistant psychology in disease perception, management compliance, management attitude, behavior, and so on, clinical medical staff should be aimed at decompensated cirrhosis patients and their spouses on the health education to strengthen disease, guiding role transformation, gives targeted positive psychological intervention, to provide multi-dimensional social support, to improve the negative mood, reduce stigma and improve binary health.
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Objective:To analyze the status of the dyadic coping in spouses of young and middle-age cervical cancer patients undergoing synchronous radiotherapy and chemotherapy, and to explore the influencing factors in bi-directional of patients and their spouses.Methods:With the convenience sampling method, a total of 150 cervical cancer patients undergoing synchronous radiotherapy and chemotherapy who were hospitalized in the Radiotherapy Department of Tianjin Medical University Cancer Institute and Hospital from March 2021 to February 2022 and their spouses were selected. A cross-sectional study was conducted by the Dyadic Coping Inventory, the Lock-Wallace Marital Adjustment Test, the General Self-Efficacy Scale, the Hospital Anxiety and Depression Scale, etc. Besides, multiple linear regression was used to identify predictors of the dyadic coping in spouses of cervical cancer patients undergoing synchronous radiotherapy and chemotherapy.Results:The total score of dyadic coping, marital quality, general self-efficacy, anxiety and depression in spouses of cervical cancer patients undergoing synchronous radiotherapy and chemotherapy were (121.69 ± 19.67), (97.23 ± 25.05), (25.13 ± 5.19), (9.98 ± 3.46), (8.19 ± 4.06) points. The scores of anxiety and depression of cervical cancer patients undergoing synchronous radiotherapy and chemotherapy were (10.57 ± 3.60), (9.10 ± 4.12) points. Multiple linear regression analysis showed that factors of the patients′ anxiety and depression, spouse′s perception of marital quality, spouse′s general self-efficacy, changes in family relationship, family income, and period of radiotherapy were the main influencing factors ( P<0.01), which accounted for 55.7% of total variation. Conclusions:The level of dyadic coping in spouses of cervical cancer patients undergoing synchronous radiotherapy and chemotherapy was medium, the marriage quality remains to be further improved,and its influence factors involved in the bi-directional of patient and spouse, including patients′ anxiety and depression, the changes of the family relationship, period of radiotherapy, spouses perception of marital quality and self-efficacy and family income. Clinical medical staff can improve the level of dyadic coping in spouses of cervical cancer patients undergoing synchronous radiotherapy and chemotherapy by improving their cognition of disease, reducing the incongruence of dyadic illness appraisals, and taking multiple measures to reduce the economic burden felt of the spouses.
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Objective:To explore the real maternal and infant care experience and needs of spouses of puerperal women, so as to provide a basis for improving maternal and infant care capacity and participation of spouses and promoting maternal and infant health.Methods:Guided by dyadic coping theory, the semi-structured interviews were conducted among 18 spouses of puerperal women who gave birth at the First Affiliated Hospital of Soochow University from July to September 2022 using the phenomenological research method, and the recording data were analyzed by Colaizzi phenomenon analytical method.Results:Three themes were extracted, including positive experience of maternal and infant care of spouses of puerperal women (positive psychological emotions, adjustment of perceptions and behaviors, understanding of social support), negative experience of maternal and infant care of spouses of puerperal women (negative psychological emotions, poor care competence, imbalance during life and work), diversified needs for maternal and infant care of spouses of puerperal women (the need for multidimensional knowledge and skills, the suggestion of building continuous health education platform, the expectation of support from family).Conclusions:Medical staff should provide the spouses of puerperal women with diversified maternal and infant care and professional continuing nursing according to their experience and needs. Meanwhile, the family support system should be improved to enhance their sense of competence and participation in maternal and infant care and promote maternal and infant health.
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Objective:To investigate the status of grief among maternal spouse after perinatal loss, and analyze its influencing factors, so as to provide some reference for male grief supporting strategic.Methods:Using the convenient sampling method, 180 male spouses of hospitalized women in the Department of Obstetrics from Nanjing Maternity and Child Health Care Hospital from March to October 2022 were recruited. A cross-sectional survey was conducted by the general questionnaire, the Perinatal Grief Scale, the Family Adaptability and Cohesion Scale Ⅱ-Chinese Version, the Social Support Rating Scale, and the Simplified Coping Style Questionnaire.Results:The overall score of the Perinatal Grief Scale in male spouses of women who experienced a perinatal loss was (61.57 ± 14.14) points. The score of the Family Adaptability and Cohesion Scale Ⅱ-Chinese Version was (121 ± 14.42) points, the score of the Social Support Rating Scale was (34.23 ± 7.21) points, and the score of the Simplified Coping Style Questionnaire was (36.08 ± 7.64) points. Multiple linear regression analysis showed that participation in fetal interaction, loss of fetal age, social support and family adaptability were the main factors affecting male grief ( P<0.05). Conclusions:The grief among male spouses of women who experienced a perinatal loss is at a low level. The clinical medical staff can refer to the influencing factors and implement effective support, such as respecting the male's father status, coordinating social support resources, and improving the family's coping ability, in order to alleviate men's grief and help them return to normal life.
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Introduction: Alcohol dependence syndrome is a very common condition affecting the general population. Alcohol abuse can result in novelty seeking and risk taking behaviour resulting in violence and road traffic accidents. Long duration abuse can cause several psychiatric disorders like anxiety, depression, and family disharmony. These problems are much more common in countries like India. In this single stage cross-sectional case control Methodology and Results: study, the degree of psychological well-being was grossly affected in spouses of patients with alcohol dependence in comparison to spouses of normal subjects. The overall mean (SD) of desirable coping strategies was 33.08 (7.7) in the study group and 68.0 (2.0) in the control group. The overall mean (SD) of undesirable coping strategies was 28.8 (4.2) in the study group and 5.2 (1.6) in the control group. In the study group, higher means were obtained by greater use of undesirable coping strategies in comparison to that in control group. Further analysis into the domains showed significant difference (P-value 0.001) between the study and control groups in all domains except substance use. The spouses of the Conclusion: study group showed higher usage of maladaptive coping strategies to handle their stress
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A infertilidade repercute como uma problemática em diferentes âmbitos. No tocante à esfera do casal, trata-se de uma situação que pode afetar ambos os cônjuges e opera na satisfação conjugal. Portanto, o objetivo do presente estudo foi conhecer de que modo a conjugalidade é afetada pela infertilidade feminina a partir da produção científica nacional e internacional. Trata-se de uma revisão integrativa da literatura científica indexada nas bases/bibliotecas PUBMED, PsycINFO e LILACS entre 2008 e 2018, nos idiomas português, espanhol e inglês, que recuperou 34 publicações, as quais foram submetidas à análise crítica. Trata-se de uma produção predominantemente internacional, de abordagem quantitativa. A pergunta norteadora que conduziu a presente revisão foi respondida, de modo que se constatou que a infertilidade transforma a relação conjugal, na maioria das vezes negativamente, o que não tem influência direta do fator feminino enquanto causa. Em contrapartida, a busca por tratamento se mostra como um aspecto de coesão entre o casal, que se fortalece ao buscar um objetivo comum. Por isto, faz-se necessário o desenvolvimento de ações que almejem a melhoria na qualidade de vida conjugal e sexual dos casais que estão passando pelo diagnóstico e tratamento para infertilidade.
Infertility has repercussions as a problem in different areas. Regarding the sphere of the couple, this is a situation that can affect both spouses and operates in marital satisfaction. Therefore, the objective of the present study was to know how the conjugality is affected by the female infertility from the national and international scientific production. It is an integrative review of the scientific literature indexed in the databases/libraries PUBMED, PsycINFO and LILACS published between 2008 and 2018, in the Portuguese, Spanish and English languages, which recovered 34 publications, which were submitted to critical analysis. It is a predominantly international production, with a quantitative approach. The guiding question that led to the present revision was answered, so that it was found that infertility transforms the conjugal relationship, most often negatively, which has no direct influence of the female factor as cause. In contrast, the search for treatment is shown as an aspect of cohesion between the couple, which strengthens itself in pursuit of a common goal. Therefore, it is necessary to develop actions that aim at improving the marital and sexual quality of life of couples who are undergoing diagnosis and treatment for infertility.
La infertilidad repercute como una problemática en diferentes ámbitos. En cuanto a la esfera de la pareja, se trata de una situación que puede afectar a ambos cónyuges y opera en la satisfacción conyugal. Por lo tanto, el objetivo del presente estudio fue conocer de qué modo la conyugalidad es afectada por la infertilidad femenina a partir de la producción científica nacional e internacional. Se trata de una revisión integradora de la literatura científica indexada en PubMed, PsycINFO y LILACS entre 2008 y 2018, en portugués, español e Inglés, que se recuperó 34 publicaciones, que se sometieron a un análisis crítico. Se trata de una producción predominantemente internacional, de abordaje cuantitativo. La pregunta orientadora que condujo la presente revisión fue respondida, de modo que se constató que la infertilidad transforma la relación conyugal, en la mayoría de las veces negativamente, lo que no tiene influencia directa del factor femenino en cuanto causa. En contrapartida, la búsqueda por tratamiento se muestra como un aspecto de cohesión entre la pareja, que se fortalece al buscar un objetivo común. Por eso, se hace necesario el desarrollo de acciones que anhelan la mejora en la calidad de vida conyugal y sexual de las parejas que están pasando por el diagnóstico y tratamiento para la infertilidad.
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Humans , Female , Marriage/psychology , Spouses/psychology , Infertility, Female/psychology , Quality of Life , Infertility, Female/prevention & control , Infertility, Female/therapyABSTRACT
RESUMEN Introducción: El acompañamiento en el parto representa una estrategia con diversos beneficios, por lo cual es necesario comprender las necesidades físicas y emocionales presentes en la mujer para prestar un servicio humanizado y de calidad, que satisfaga sus expectativas. Objetivo: Describir las expectativas de la gestante sobre el acompañamiento de la pareja durante el trabajo de parto en un hospital del tercer nivel de atención. Métodos: Estudio descriptivo y transversal, realizado en 120 gestantes atendidas en el Hospital Nacional "Sergio E. Bernales", que fueron seleccionadas de manera no probabilística. Se aplicó un cuestionario validado sobre la expectativa del acompañamiento de la pareja. Se estimaron frecuencias absolutas y relativas. Resultados: El 98,3 % prefería estar acompañada por su pareja en el parto. En los preparativos para el parto, 75 % prefería que su pareja se informe sobre su rol y 76,7 % que le brinde seguridad y confianza. Para el periodo de dilatación, 88,3 % esperaba que su pareja la comprenda y 6,7 % señaló que no quisiera recibir masajes por parte de su pareja. Para el periodo expulsivo, 96,7 % señaló que esperaba que su pareja esté atento al nacimiento del bebé; y para el alumbramiento, 95 % esperaba que su pareja muestre afecto a su hijo. Conclusiones: Las gestantes presentan altas expectativas sobre el acompañamiento previo y durante el proceso de trabajo de parto, especialmente en el aspecto emocional con ella y el recién nacido.
ABSTRACT Introduction: Accompaniment in childbirth represents a strategy with various benefits, which is why it is necessary to satisfy the physical and emotional needs present in women to provide a humanized and quality service that satisfies their expectations. Objective: To describe the expectations of the pregnant woman about the accompaniment of the couple during labor in a hospital of the tertiary care level. Methods: Descriptive and cross-sectional study, carried out in 120 pregnant women treated at the Sergio E. Bernales National Hospital, who were selected in a non-probabilistic way. A validated questionnaire was applied on the expectation of the accompaniment of the couple. Absolute and relative frequencies were estimated. Results: The 98,3 % preferred to be accompanied by their partner during childbirth. In preparing for childbirth, 75 % preferred that their partner be informed about her role and 76.7 % that they provide security and confidence. For the period of dilation, 88,3 % expected their partner to understand and 6,7 % indicated that they did not want to receive messages from their partner. For the second stage, 96,7 % indicated that they expected their partner to be attentive to the birth of the baby; and for delivery, 95 % expected their partner to show affection to their child. Conclusions: Pregnant women have high expectations about the accompaniment before and during the labor process, especially in the emotional aspect with her and the newborn.
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Background: The Mindfulness-Based Cognitive Therapy (MBCT) is a reputed intervention programme which employs an active, purposive and non-judgemental awareness of experiences. The present study aims to evaluate relative efficiency of MBCT in improving resilience and well-being of Spouses of deployed military soldiers. Methodology: A quasi-experimental design was adopted with a non-randomized single group pre-test post- test design. The sample of the study comprised of N=53 female spouses of soldiers of Indian army with age range of 28-45 years. The Experimental Group (Mage= 38.35; SD= ±4.27) received MBCT sessions for 8 weeks. The participants completed measures of Resilience, Psychological well-being, Hardiness, HEXACO personality model and Social Support. Results: Post-test results showed that the experimental group participants scored higher in the overall resilience, certain domains of psychological well-being i.e. Personal Growth, Positive relations and Purpose in life in the post-intervention stage when compared to their baseline scores. Hardiness has significant positive relationship with resilience and purpose in life construct of well-being.. Conclusion: Spouses of soldiers who face a lot of separation from their partners amongst other military spouses be given an opportunity to use mindfulness skills in their practical life.
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The study aims to evaluate the association between social support from partners (SSP) and physical activity (PA) levels. A cross-sectional study conducted in 26 gyms (n = 390) from Pelotas, Rio Grande do Sul, Brazil. Methods: PA was measured using questions about frequency/duration of PA performed at the gym and elsewhere and analyzed as numerical and dichotomized (median). SSP was measured using a validated questionnaire and analyzed in quartiles. Respectively, Linear and Poisson regression were used to assess the associations. SSP was associated with PA in both analyses. Persons belonging to the highest SSP quartile performed 66.1 (95%CI: 11.1 - 121.0) more minutes of PA and had 1.37 (95%CI:1.01 1.85) higher probability to perform more than 300 min/week of PA than those from the lowest SSP quartile. SSP was associated with PA, researchers must consider the potential of SSP when targeting PA behavioral changes
O estudo objetiva avaliar a associação entre apoio social do cônjuge (ASC) e o níveis de atividade física (AF). Estudo transversal realizado em 26 academias (n = 390) de Pelotas, Rio Grande do Sul, Brasil. A AF foi medida usando perguntas sobre frequência e duração de AF realizadas na academia e em outros locais, a mesma foi analisada como desfecho numérico e dicotomizado (mediana). O ASC foi medido utilizando um questionário validado e analisado em quartis. Respectivamente, regressões Linear e de Poisson foram utilizadas para avaliar as associações entre os desfechos e as exposições. Pessoas pertencentes ao quartil mais alto de ASC realizaram 66,1 (IC95%: 11,1 - 121,0) mais minutos de AF e tiveram 1,37 (IC95%: 1,01 - 1,85) maior probabilidade de realizar mais de 300 min/semana AF do que os do quartil de ASC mais baixo. O ASC está diretamente associado com maiores níveis de AF, pesquisadores devem considerar o potencial do ASC ao direcionar as mudanças comportamentais do AF
Subject(s)
Psychological Theory , Marital Status , Spouses , Social Determinants of Health , Motor ActivityABSTRACT
Serious psychiatric conditions like schizophrenia, bipolar disorder, alcohol dependence syndrome lead to a great burden in care givers who adopt a variety of styles to cope with their family member’s illness. Burden perceived and coping styles used by spouses is quite different from other care givers given their close relationship with the patient. Little research is focused on spouses as an exclusive group for their assessment of burden & coping. The aim was to compare the burden and coping in spouses across three patient groups with schizophrenia, bipolar disorder and alcohol dependence syndrome.METHODSThis was conducted at Institute of Mental Health, Hyderabad with 180 spouses (30 male & 30 female) from patients of above three illnesses. After IEC approval and a written informed consent, the patient and spouse were interviewed with the semi-structured intake pro-forma to capture socio-demographic details of spouse, illness, marital, family & treatment history. After initial assessment of patient’s functional status using GAF scale; BAS, CCL, GHQ-12 instruments were administered on spouses to assess the burden of illness, coping styles and general health status. Data was analysed with SPSS 17.RESULTSAlcohol use and mental illness is high in families of patients with alcohol dependence reaching statistical significance. Nuclear families are high in schizophrenia group and in alcohol dependence group, substance use in spouses is high at 25 (52.1%) along with abuse of spouses at 19 (67.9%) which is statistically significant. On ANOVA & post hoc analysis, means of GHQ-12 in alcohol dependence group is higher than other groups while means of BAS is higher in alcohol dependence group showing high scores on BAS factor analysis.CONCLUSIONSBurden perceived by spouses of these three patient groups is significant. The coping styles used by spouses to handle the distress due to patient’s illness are many. A high global functioning score of the patient corresponds to good general health in the spouse. Proper psychosocial interventions when employed can help spouses deal better with burden and enhance coping styles.
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Serious mental illnesses like schizophrenia, bipolar disorder, alcohol dependence syndrome lead to great burden in care givers who adopt a variety of methods to cope with their family member’s illness. Burden perceived and coping styles used by spouses is quite different from other care givers given their close relationship with the patient. Little research is focused on spouses as an exclusive group for the assessment of burden & coping. The aim was to study the socio-demographic profile, the burden and coping in the spouses of patients with schizophrenia, bipolar disorder and alcohol dependence syndrome.METHODSThis study was conducted at the Institute of Mental Health, Hyderabad, among 180 study participants including spouses (30 male & 30 female) from patient groups of the above three illnesses. After obtaining written informed consent, patient and spouse were interviewed with a semi-structured intake pro-forma to capture the socio-demographic details of spouse, illness, marital, family & treatment history. After initial assessment of patient’s functional status using GAF scale; BAS, CCL, GHQ-12 instruments were administered on spouses to assess the burden of illness, coping styles and general health status. SPSS 17 was applied to the data.RESULTSAlcohol use and mental illness is high in families of patients with alcohol dependence reaching statistical significance. Nuclear families are high in schizophrenia group and in alcohol dependence group, substance use in spouses is high at 25 (52.1%) along with abuse of spouses at 19 (67.9%) with statistical significance. Also, means of GHQ-12 in alcohol dependence group is higher than other groups while means of BAS is higher in alcohol dependence group.CONCLUSIONSBurden perceived by spouses of these three patient groups is significant. The coping styles used by spouses to handle the distress due to patient’s illness are many. A high global functioning score of the patient corresponds to good general health in the spouse. Proper psychosocial interventions when employed can help spouses deal better with burden and enhance coping styles.
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Objetivo: conhecer os sentimentos vivenciados pelos companheiros de mulheres submetidas à mastectomia. Método: estudo qualitativo e descritivo, realizado com cinco companheiros. A coleta de dados foi realizada por meio de entrevista em agosto de 2015. Os dados foram analisados mediante a análise de conteúdo de Bardin. Resultados: ao analisar as entrevistas, emergiram três categorias: "O momento do diagnóstico"; "A fé como suporte"; e "Nada mudou após a mastectomia". O diagnóstico de câncer de mama da mulher traz ao companheiro sentimentos de medo, insegurança e desespero, eles buscam força na religião e na fé em Deus. A imagem corporal não foi uma preocupação masculina, e a vida sexual permaneceu a mesma vivida antes da doença. Conclusão: é de extrema importância criar redes de apoio capacitadas para atender o companheiro de mulheres com diagnóstico de câncer, a fim de entender seus reais sentimentos e ajudar nesse processo difícil
Objective: to know the feelings experienced by the companions of women submitted to the mastectomy. Method: qualitative and descriptive study, carried out with five companions. Data collection was performed through an interview in August 2015. Data were analyzed through the Bardin content analysis. Results: when analyzing the interviews, three categories emerged: "The moment of diagnosis", "Faith as support" and "Nothing changed after mastectomy". The woman's breast cancer diagnosis brings feelings of fear, insecurity and despair to the partner, they seek strength in religion and faith in God. Body image was not a male concern and sexual life remained the same lived before the disease. Conclusion: it is extremely important to create support networks that are capable of meeting the needs of women diagnosed with cancer in order to understand their real feelings and help in this difficult process
Objetivo: Conocer los sentimientos vivenciados por los compañeros de mujeres sometidas a la mastectomía. Métodos: Estudio cualitativo y descriptivo, realizado con cinco compañeros. La recolección de datos fue realizada a través de una entrevista en agosto de 2015. Los datos fueron analizados a través del análisis de contenido de Bardin. Resultados: Al analizar las entrevistas surgieron tres categorías: "El momento del diagnóstico", "La fe como soporte" y "Nada cambió después de la mastectomía". El diagnóstico de cáncer de mama de la mujer trae al compañero sentimientos de miedo, inseguridad y desesperación, ellos buscan fuerza en la religión y la fe en Dios. La imagen corporal no fue una preocupación masculina y la vida sexual permaneció la misma vivida antes de la enfermedad. Conclusión: Es de extrema importancia crear redes de apoyo capacitadas para atender al compañero de mujeres con diagnóstico de cáncer, a fin de entender sus reales sentimientos y ayudar en ese proceso difícil
Subject(s)
Humans , Male , Breast Neoplasms , Spouses , Mastectomy , Brazil , Women's HealthABSTRACT
China's limited community medical resources cannot meet the needs of chronic disease prevention and treatment due to the rapidly growing ageing population.The improvement and long-term maintenance of patient's self-management is essential for chronic disease management.In view of chronic disease management having a characteristic of being carried out in the family for a long time in recent years, it has been proposed that the key role of spouse in the management of chronic disease should not be underestimated.This article reviews the epidemiological evidence, theoretical foundations and interventional findings of elderly couples' collaborative management with chronic diseases, aiming to provide the evidence for efficiently conducting chronic disease management for community-dwelling older adults.
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China's limited community medical resources cannot meet the needs of chronic disease prevention and treatment due to the rapidly growing ageing population.The improvement and long-term maintenance of patient's self-management is essential for chronic disease management.In view of chronic disease management having a characteristic of being carried out in the family for a long time in recent years,it has been proposed that the key role of spouse in the management of chronic disease should not be underestimated.This article reviews the epidemiological evidence,theoretical foundations and interventional findings of elderly couples' collaborative management with chronic diseases,aiming to provide the evidence for efficiently conducting chronic disease management for community-dwelling older adults.
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Objetivo: Identificar fatores associados à baixa qualidade de vida de gestantes com gravidez de alto risco. Método: Trata-se de um estudo transversal, que incluiu 104 pacientes, atendidas no ambulatório de cuidado pré-natal de alto risco em um hospital público, de agosto a novembro de 2017, por meio do Índice de Qualidade de Vida de Ferrans e Powers. Foram avaliadas as associações das características sociodemográficas e clínico-obstétricas com a qualidade de vida destas gestantes, utilizando-se as razões de prevalência e seus respectivos intervalos de confiança de 95%, através do teste qui-quadrado ou a prova exata de Fisher. Uma análise multivariada foi realizada por meio da regressão de Poisson entre as variáveis com p ≤ 0,25. Foi utilizado como nível de significância p < 0,05. Resultados: Mulheres sem cônjuges apresentaram 1,28 (IC95% 1,10-1,49) vez maior probabilidade de estarem associadas à baixa qualidade (p=0,001), quando comparadas às mulheres com parceiro. As demais variáveis não apresentaram significância estatística de forma geral. As comorbidades mais prevalentes entre as gestantes foram as doenças obstétricas. Conclusão: A ausência de um parceiro fixo foi a única variável diretamente associada à baixa qualidade de vida em gestantes de alto risco.
Objective: To identify factors associated with a low quality of life in high-risk pregnant women. Methods: This is a cross-sectional study involving 104 patients of a high-risk prenatal clinic in a public hospital from August to November 2017, using the Ferrans and Powers Quality of Life Index. The associations between sociodemographic and clinical-obstetric characteristics and the quality of life were evaluated, using the prevalence ratios and their respective confidence intervals (95%), using the chi-square test or Fisher exact test. A multivariate analysis was performed using the Poisson regression among variables with p-value ≤ 0.25. The significance level was p <0.05. Results: Women with no spouses were 1.28 (95% CI 1.10-1.49) times more likely to be associated with low quality (p = 0.001), when compared to women with partners. The other variables did not present statistical significance. The most prevalent comorbidities were obstetric diseases. Conclusion: The absence of a partner was the only variable directly associated to the low quality of life in high-risk pregnant women.
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Introduction: Schizophrenia is a severe mental illness,resulting in impairing and debilitating worldwide. The primarycare giver is expected to meet all the deficiencies of the sickrelative leading to caregiver burden. So the present studyaims to study the burden and factors influencing them, so asto decrease the burden, facilitate better prognosis. Currentresearch aimed to study the caregiver burden in the spousesof patients with schizophrenia with the objectives to study thecaregiver burden in the spouses of patients with schizophreniaand to study the factors influencing the caregiver burden.Material and methods: A consecutive sample of spousesof 100 patients with schizophrenia were taken at IMH,hyderabad. A semi structured questionnaire was administeredto collect the socio demographic details. Followed by IDEASfor measuring and quantifying the mental illness, later BAS(burden assessment scale), to assess the burden. Statisticalanalysis was done using SPSS.Results: The mean total burden is 82.68, majority werehaving moderate burden (76%). Severe burden was seen inundifferentiated schizophrenic patients, those with longerduration of illness (>10 years) and with severe disability,which were statistically significant (p<0.001). More burdenwas seen with female gender, self employed spouses, financialdependence on patient. Mental illness in the spouse and havingabused by the patient were found to be statistically significant.Conclusion: Majority of the spouses experienced moderatelevel of burden. Factors like type of schizophrenia, duration ofillness and severity of illness are significantly associated withlevel of burden. Psycho- therapeutic techniques like psychoeducation, family and couple therapy may help in bettercoping of spouses of mentally ill persons, to reduce burden.
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Background: Anemia is an important public health problem all over the world, both in rich and poor countries. The present study is a cross-sectional multicentric study where data from 10 different stations by 16 different medical establishments were collected. Objective: The present study was conducted to determine the prevalence of anemia in female spouses of army personnel in an Army’s Corps zone. Materials and Methods: The total size of the sample was 14,273 which covered female spouses of army personnel of five different formations under an Army’s Corps zone. All the non-pregnant female spouses of army personnel were screened for anemia using hemoglobin level estimation. Uniform instructions for screening were given from the medical branch of Army’s Corps Headquarters to medical units. Results: The prevalence of anemia found in this study was 21.54% which is much below the national prevalence of 55% as per National Family Health Survey-3 data. Conclusions: Our study with a large sample size demonstrates that the prevalence of anemia in female spouses of army personnel is almost half of national prevalence. This is indeed a landmark achievement of the Army Medical Corps where success was achieved in reducing the burden of anemia.