Relationship between kinesiophobia and somnipathy among inpatients with lumbar degenerative disease after surgery and its impact pathway / 中国实用护理杂志

Objective:To explore the relationship between kinesiophobia and somnipathy among inpatients with lumbar degenerative disease after surgery, and analyze the mediating effects of post-traumatic stress disorder and family care.Methods:A cross-sectional survey method was adopted, from July 2020 to July 2022, a total of 130 lumbar degenerative disease patients from Wuhan Dongxihu District People′s Hospital were enrolled as research object by convenience sampling method. General information questionnaire, Tampa Scale for Kinesiophobia, Pittsburgh Sleep Quality Index, Posttraumatic Stress Checklist-civilian version and Family APGAR index were used for investigation. A structural equation model was established to evaluate the mediating effect of post-traumatic stress disorder, family care on kinesiophobia and somnipathy.Results:The scores of kinesiophobia, somnipathy, post-traumatic stress disorder and family care were (39.95 ± 3.90), (7.63 ± 0.46), (25.99 ± 4.99), (5.67 ± 1.76) points, respectively. There were significant differences in the scores of somnipathy in terms of age, monthly income, course of disease and pain degree ( F values were 3.21 to 10.12, all P<0.05). The dimensions and total scores of somnipathy were positively correlated with kinesiophobia ( r values were 0.347 to 0.800, all P<0.05) and post-traumatic stress disorder ( r values were 0.385 to 0.825, all P<0.05), negatively correlated with the scores of family care ( r values were - 0.653 to - 0.282, all P<0.05); the scores of family care was negatively correlated with kinesiophobia and post-traumatic stress disorder ( r = - 0.695, - 0.637, both P<0.05); the scores of kinesiophobia was positively correlated with post-traumatic stress disorder ( r = 0.773, P<0.05). The indirect effect of kinesiophobia on somnipathy was identified, and the total indirect effect value was 0.44; the indirect effect value of family care and post-traumatic stress disorder was 0.09, which accounted for 12.0% of the total effect. Conclusions:Post-traumatic stress disorder and family care play a multiple mediating role on the relationship between kinesiophobia and somnipathy in patients with lumbar degenerative disease after surgery.

Memoirs of yesterday: The lived experience of individuals with separated parents

@#Separation issues have been rampant, and a significant rise in union dissolution cases in the Philippines has been observed. This certain occurrence should be given particular attention because it may alter the individual's way of living, particularly in perceiving and dealing with relationships. This study explores the lived experience of individuals who have undergone parental separation. The study utilized a Hermeneutic Phenomenological Design, which involved ten (10) respondents using a semi-structured key informant interview guide. The respondents were selected based on criteria as follows: (1) Have parents who have decided on the dissolution of marriage (annulled or informal) living separately; (2) 18 years of age and above; (3) Residents of Central Visayas; permanent or transient in Cebu City and; (4) Able to understand and express ideas in Cebuano dialect or English language. An Interpretative Phenomenological Analysis anchored on van Manen's six-step interpretive phenomenological approach with management and analysis done manually created a poem titled “Memoirs of Yesterday,” which incorporates three (3) major themes: (1) Into the Tunnel: Etiology of Separation, (2) The Darkness in the Tunnel: effects of the dissolution of marriage to children- emotional, psychological and academic status and (3) The Light After the Tunnel: attitude of the child and parent towards relationships and separation. The study implies that nurses should recognize the importance of assessing family concerns in rendering holistic and individualized client care. Thus, nurses should use assessed needs in advocating for the creation of more programs on awareness and counseling to families and, most especially, children.

Analysis of the status quo of self-perception and its influencing factors in Changsha elderly / 中国实用护理杂志

Objective:To investigate the self-perceived aging status of the elderly in Changsha and analyze its influencing factors.Methods:From July to August in 2020, the convenient sampling method was used to select 402 elderly people in Changsha as the research object, the general data questionnaire, the elderly self-perceived aging questionnaire, the family care questionnaire and the positive psychological capital questionnaire were used to investigate them. Multiple linear regression analysis was used to analyze the influencing factors of self-perceived aging after logarithmic transformation.Results:The total score of self-perceived aging of the elderly was 109.00(102.00, 112.00), the total score of family care was 5.00(3.00, 8.00) and the total score of psychological capital was 80.00(66.00, 87.25). Regression analysis showed that the gender, educational level, age, the forms of health care, quarrels in family relationships, children visit frequency and the degree of family care were the important factors affecting the self-perceived aging of the elderly( P<0.05). Conclusions:The self-perceived aging level of the elderly is at a medium level, it is suggested that relevant departments take comprehensive measures to create positive self-aging environment.

The mediating effect of meaning in life between family care and subjective well-being of family caregivers of community disabled elderly / 中华行为医学与脑科学杂志

Objective:To explore the mediating effect of meaning in life between family care and subjective well-being of family caregivers of community disabled elderly, and provide reference for improving caregivers' mental health.Methods:From August 2019 to August 2020, A total of 526 family caregivers of disabled elderly from several communities in Guangzhou were household surveyed by general information questionnaire, family APGRA index, Chinese meaning in life questionnaire and general well-being schedule.SPSS 22.0 software was used for descriptive analysis, correlation analysis and mediating effect analysis.AMOS 22.0 software was used for structural equation model construction, and Bootstrap method was used for mediation effect test.Results:The score of subjective well-being, family care, meaning in life of family caregivers of disabled elderly were (69.41±19.17), (6.42±2.56), (42.96±7.61), respectively.The family care was positively correlated with meaning in life and subjective well-being ( r=0.275, 0.289, both P<0.01) and a positive correlation was found between meaning in life and subjective well-being ( r=0.345, P<0.01). Meaning in life had a partial mediating effect between family care and subjective well-being.The mediating effect value was 4.304, accounting for 30.6% of the total effect value. Conclusion:The family care can directly or indirectly affect caregivers' subjective well-being through meaning in life.

Effects of rehabilitation education guided by the information-motivation-behavior model on schizophrenia / 中国基层医药

Objective:To investigate the effects of rehabilitation education guided by the information-motivation-behavior (IBM) model on knowledge, attitude and practice in patients with schizophrenia.Methods:The clinical data of 109 patients with schizophrenia who received treatment in Taizhou Second People's Hospital from January 2020 to June 2021 were retrospectively analyzed. These patients were divided into study group ( n = 59) and control group ( n = 50) according to different intervention methods. The control group was treated with routine health education, and the study group was treated with IBM model-induced knowledge, attitude and practice intervention. After 3 months of intervention, the Positive and Negative Syndrome Scale, the Morisky self-reported Adherence Questionnaire score, Attentional Control Scale, Family Adaptation, Partnership, Growth, Affection, Resolve Scale, and the Personal and Social Performance Scale scores were compared between the two groups. Results:After intervention, positive symptom score, negative symptom score, and total Positive and Negative Syndrome Scale score in the study group were (10.15 ± 2.20) points, (11.49 ± 2.38) points, and (64.22 ± 9.40) points, respectively, which were significantly lower than (13.68 ± 2.71) points, (14.72 ± 2.45) points, (72.57 ± 9.58) points in the control group ( t = 7.50, 6.96, 4.58, all P < 0.001). After intervention, the Morisky self-reported Adherence Questionnaire score in the study group was significantly lower than that in the control group [(1.09 ± 0.27) points vs. (1.45 ± 0.39) points, t = 5.66, P < 0.001]. Attentional Control Scale, Family Adaptation, Partnership, Growth, Affection, Resolve Scale and the Personal and Social Performance Scale scores in the study group were (62.20 ± 7.31) points, (11.26 ± 2.24) points and (52.02 ± 5.50) points, respectively, which were significantly higher than (54.75 ± 6.68) points, (9.80 ± 2.13) points, (48.78 ± 5.31) points in the control group ( t = 5.51, 3.46, 3.11, all P < 0.05). Conclusion:Information-motivation-behavior model-guided knowledge, attitude and practice intervention can remarkably improve the mental state of patients with schizophrenia, improve attention control and medication adherence, and thereby improve their family function and social function.

Percepciones del personal sanitario sobre el manejo familiar del aislamiento social infantil durante la COVID-19 / Perceptions of Health Personnel on Family Management of Children's Social Isolation during COVID-19

Introducción: La propagación del nuevo coronavirus responsable de la COVID-19, amenaza la vida de millones de infantes, por lo cual, en la mayoría de los países, los niños han sido confinados en sus casas, lo que favorece de manera proporcional su protección. En sentido general, la familia no ha mostrado preparación para manejar con calidad la convivencia permanente de los niños en casa y se manifiestan violaciones del aislamiento físico de los menores. Objetivo: Analizar las percepciones del personal de salud sobre el cuidado y protección familiar de los niños a través del aislamiento social. Métodos: Se realizó un estudio de tipo exploratorio bajo un diseño transversal descriptivo, en el Consejo Popular 26 de Julio del municipio Holguín en el periodo comprendido entre diciembre de 2020 y mayo de 2021. Se aplicó una encuesta al personal sanitario (n = 17) asociado a las pesquisas en dicha área de salud. Resultados: Se identificaron fortalezas y debilidades en la atención médica a las familias con niños en la zona estudiada. El 100 por ciento de los participantes identificaron las pesquisas como una excelente herramienta para la promoción del cumplimiento del aislamiento de los pequeños. Según el criterio del 96,1 por ciento de los encuestados ocurrieron violaciones en el distanciamiento físico infantil en el área de salud seleccionada. Conclusiones: La familia tiene un rol primordial en el cumplimiento del confinamiento de los pequeños, a la vez, tiene la responsabilidad de lograr calidad en este proceso. No obstante, se evidencia la violación del distanciamiento infantil como resultado de la indisciplina familiar, que incrementa la vulnerabilidad de la infancia(AU)

Introduction: The spread of the new coronavirus responsible for COVID-19 threatens the lives of millions of infants, for which, in most countries, children have been confined to their homes, which proportionally favors their protection. In general terms, the family has not shown preparation to handle with quality the permanent coexistence of the children at home and there are violations of the physical isolation of the minors. Objective: To analyze the perceptions of health personnel about the family care and protection of children through social isolation. Methods: An exploratory study was carried out under a descriptive cross-sectional design, in 26 de Julio People´s Council in Holguín municipality from December 2020 to May 2021. A survey was applied to health personnel (n = 17) associated with the investigations in said health area. Results: Strengths and weaknesses in medical care for families with children in the studied area were identified. One hundred percent of the participants identified the studies as an excellent tool for promoting compliance with the isolation of children. According to the criteria of 96.1percent of the respondents, violations of children's physical distancing occurred in the selected health area. Conclusions: The family has a fundamental role in the fulfillment of the isolation of the children and, at the same time, it is committed to achieving quality in this process. However, the violation of childhood distancing is evident as a result of family indiscipline, which increases the vulnerability of childhood(AU)

Care among siblings and repercussions of generational transmission on the sibling group / Cuidado entre irmãos e repercussões da transmissão geracional na fratria / Cuidado entre hermanos y repercusiones de la transmisión generacional en la fratría

This research is part of a broader study concerning siblings and the family network. Its objective was to investigate care among siblings and the repercussions of generational transmission on the sibling group. It employed clinical-qualitative methodology, centered on preliminary clinical interviews with families during the family assessment period. Clinical data were gathered at the Applied Psychology Service of a private university in Rio de Janeiro. The 14 families who took part in the study had the following configurations: four married-couple families, four stepfamilies, three single-parent families and three separated-parent families. We observed that both reduced parental investment and excessive family-care workload made it difficult to establish a more health-promoting parent-child relationship, often leading to the parentification of one or more of the children, with the assignment of parental functions to them. Flaws in the psychic assimilation of elements of generational transmission also influence in the creation of sibling bonds, inhibiting the development of family ties of solidarity and the establishment of healthy care practices among siblings.

Este estudo faz parte de uma pesquisa mais ampla sobre fratrias e rede familiar. Teve-se como objetivo investigar o cuidado entre irmãos e repercussões da transmissão geracional na fratria. Utilizou-se metodologia clínico-qualitativa, centrada em entrevistas clínicas preliminares com famílias no período de avaliação familiar. Os dados clínicos foram coletados no Serviço de Psicologia Aplicada de uma universidade privada carioca. Participaram da pesquisa 14 famílias, com as seguintes configurações: quatro casadas, quatro recasadas, três monoparentais e três separadas. Constatou-se que tanto o reduzido investimento parental quanto a sobrecarga nos cuidados familiares dificultam o estabelecimento de uma relação parento-filial mais promotora de saúde, muitas vezes levando à parentalização de um ou mais filhos, com atribuição de funções parentais a eles. Falhas na apropriação psíquica de elementos da transmissão geracional também repercutem na constituição do vínculo fraterno, dificultando a construção de laços familiares solidários e o estabelecimento de práticas salutares de cuidado entre os irmãos.

Este estudio es parte de una investigación más amplia sobre fratrías y redes familiares. El objetivo fue investigar el cuidado entre hermanos y las repercusiones de la transmisión generacional en la fratría. Se utilizó metodología clínico-cualitativa, centrada en entrevistas clínicas preliminares a las familias durante el período de evaluación familiar. Los datos clínicos se recolectaron en el Servicio de Psicología Aplicada de una universidad privada en Rio de Janeiro. Catorce familias participaron en la investigación, con las siguientes configuraciones: cuatro casadas, cuatro vueltas a casar, tres monoparentales y tres separados. Se encontró que tanto la menor inversión de los padres como la sobrecarga por los cuidados con la familia dificultan el establecimiento de una relación entre padres e hijos que promueva la salud, lo que a menudo conduce a la crianza de uno o más hijos con atribución de las funciones parentales a ellos. Las fallas en la apropiación psíquica de elementos de transmisión generacional también inciden en la constitución de un vínculo fraterno, dificultando la construcción de lazos familiares solidarios y el establecimiento de prácticas de cuidado saludable entre los hermanos.

Analysis on the utilization and satisfaction with clinical services for the elderly through hospital-at-home in Xuzhou City / 中华老年医学杂志

Objective:To understand the utilization of clinical services provided through hospital-at-home to the elderly in Xuzhou City, and analyze patient satisfaction.Methods:The stratified cluster sampling method was used to select community elderly people aged 60 and above in Xuzhou city to conduct a face-to-face questionnaire survey.Descriptive analysis was used to examine the utilization and evaluation of home-based clinical services for the elderly.Multiple linear regression analysis was used to analyze associated factors for the satisfaction of the elderly in this care setting.Results:A total of 203 elderly people who had received this type of services were investigated.The overall satisfaction of the elderly in Xuzhou City with home-based clinical services was 79.3%(161/203), and the average satisfaction score of the comprehensive evaluation was(4.11±1.03)points.Age( β=-0.011), marital status( β=0.164), informed consent for service( β=0.162), doctors' bed-side services( β=0.146), service fee( β=0.346), and the home hospital bed assembling process( β=0.257)were the influencing factors for satisfaction with family hospital bed services, according to the patients involved in the comprehensive evaluation(all P<0.05). Conclusions:The utilization and evaluation with clinical services by elderly people in the hospital-at-home setting in downtown Xuzhou is relatively good, with relatively high satisfaction.Comprehensive measures should be taken in response to factors related to satisfaction to promote sustainable development of clinical services through hospital-at-home in China.

Parental stress: a neglected entity

Background: Parents feel very stressed when their child is sick and in Intensive care unit. Objectives of study were to identify common parental stressors during their child's critical illness and to examine its relationship with demographic variables.Methods: It's a Cross-sectional questionnaire based study done in PICU & NICU of a tertiary care medical college hospital in Mumbai, 62 parents of children admitted to PICU and NICU for at least 24 hours were interviewed using the Parental Stress Scale. The demographic variables were also recorded.The data analyzed using Cluster Analysis, Kruskal Wallis test, Chi- square test and spearman correlation.Results: The main cause of parental stress was to witness the child's sufferings (unresponsiveness/pain, procedures, tubes, monitors around child) (median of standardized score = 3.9, IQR = 0.5, p <0.005). The median of standardised stress score due to hospital environmental factors (monitor alarms, nurses, doctors around baby, other sick children) was 3.7 (IQR = 0.5) and that due to lack of intimacy with child was 3.6 (IQR =0.4). Age of parent inversely correlated with the level of stress (r = -0.638) and parents of infants were more stressed (p = 0.005). Number of children, socioeconomic status didn't affect the stress levels.Conclusions: Young parents and parents of infants were more stressful. Socioeconomic status, residential area and parental sex didn't affect stress. Few stress factors need remedial steps to meet parental needs. The clinician's awareness about these stressors, may help to provide optimized family-directed care.

Quedas da pessoa idosa ­ Repercussão para o cuidar no ambiente familiar-domiciliar / Falls in the elderly: The impact of family-care in the household environment / Caídas en el anciano: Repercusiones del cuidado en el ambiente familiar-domiciliario

Objetiva-se, neste estudo, conhecer como a família se reorganiza para o processo de cuidar e viver com o ente parental, pessoa idosa, em estado de fragilidade por queda no ambiente domiciliar; e, verificar o grau de conhecimento da família sobre o processo de cuidar da pessoa idosa fragilizada por quedas. Como método: pesquisa de perspectiva crítico-interpretativo, no enlace da pesquisa-ação, realizada entre set./2013 e abr./2014. Os participantes foram três idosos e três cuidadores familiares. Como resultados, acena-se para o olhar atencioso às atividades instrumentais da vida diária pós-queda da dinâmica familiar, no que concerne à remodelação dos modos de vida para vencer o medo de um novo episódio de queda, e ao cuidado da família em sua globalidade para evitar desvio de saúde. Conclui-se que medidas promotoras para um envelhecer saudável e mais seguro sejam de compartilhamento sociocultural à qualidade de saúde e vida das pessoas.

Objective: to know how the family is reorganized for the process of caring for and living with an elderly in a state of fragility by fall in the household environment; and to verify the degree of knowledge of the family on the process of caring for the dependent elderly from falls. Methods: A critical interpretive research in the field of action research, conducted between September/2013 to April/2014. The participants were three old and three-family caregivers. The Results induced to the watchful eye of the instrumental activities of daily living post-collapse of family dynamics, which refers to the remodeling of lifestyles to overcome the fear of a new episode of falling and caring for the family as a whole, in order to prevent the deviation of health. We conclude that measures promoting a safety and healthy aging must be shared, in order to improve the quality of health and life of people.

Objetivo: conocer como la familia se reorganiza para el proceso de cuidar y vivir con un anciano en estado de fragilidad por caída en el ambiente domiciliario; y verificar el grado de conocimiento de la familia sobre el proceso de cuidar del anciano fragilizado por caídas. Métodos: Investigación crítico-interpretativa, en el ámbito de la investigación-acción, realizada entre septiembre/2013-abril/2014. Los participantes fueron tres ancianos y tres cuidadores-familiares. Los Resultados inducen para la mirada atenta a las actividades instrumentales de la vida diaria post-caída de la dinámica familiar, en lo que se refiere a la remodelación de los modos de vida para vencer el miedo de un nuevo episodio de caída y al cuidado de la familia en su globalidad para evitar el desvío de la salud. Se concluye que medidas promotoras para un envejecimiento saludable y seguro sean compartidas para mejorar la calidad de salud y de vida de las personas.

A Booklet for Families of Children Dying with Incurable Cancer: Development and Feasibility Study by Opinions of Pediatric Oncology Specialists

The purpose of this study was to clarify feasibility of a booklet for families of children dying with incurable cancer. Of 267 pediatric oncology specialists, 76 (28%) participated in this cross-sectional survey. Ninety-three percent of participants answered that they were “likely to use” the booklet, and 86% percent answered that they believed the booklet was “helpful” for families. Some participants described various advantages of its use as follows: “able to communicate something that is difficult to put into words,” “easy to understand for families,” “families can read whenever they choose to,” and “able to grasp the direction of dying.” In contrast, other participants described points of attention of use as follows: “optimal timing to bring out,” “acceptance of families,” “direction as interdisciplinary team,” “confidential relationship between families and interdisciplinary team,” “disinclination among health care providers,” and “information volume of the booklet.” Thus, our results validated feasibility of the booklet. In conclusion, pediatric oncology specialists should provide their support of utilizing the booklet for families and assessing each family condition and advantage/attention of using the booklet.

Diálise peritoneal: cuidado familiar ao cliente renal crônico em tratamento no domicílio / Diálisis peritoneal: cuidado familiar al paciente renal crónico en tratamiento domiciliario / Peritoneal dialysis: family care for chronic kidney disease patients in home-based treatment

RESUMO Objetivo: propor um modelo de cuidado familiar ao cliente renal crônico em tratamento com a Diálise Peritoneal a partir das evidências apontadas pelos familiares. Método: estudo descritivo com abordagem qualitativa, tendo como método a Pesquisa Convergente Assistencial. O cenário foi um hospital estadual do Rio de Janeiro, onde foram realizadas as técnicas de entrevista individual gravada e de um grupo de encontro com 19 participantes da pesquisa. Os dados foram analisados de acordo com as etapas propostas pelo método, emergindo uma categoria sobre a questão cultural como base para o cuidado: uma proposta de cuidado familiar no domicílio. Resultados: o modelo de cuidado proposto contempla o diálogo e a reflexão, no sentido de compartilhar os saberes dos sistemas "profissional" e "popular", visando à melhoria da qualidade de vida dos clientes. Conclusão: os familiares conseguiram realizar a preservação, acomodação e repadronização cultural do cuidado propostas pelo modelo Sunrise de Leininger.

RESUMEN Objetivo: proponer un modelo de cuidado familiar al paciente renal crónico en tratamiento con Diálisis Peritoneal partiendo de las evidencias informadas por familiares. Método: estudio descriptivo, con abordaje cualitativo, usando como método la Investigación Convergente Asistencial, realizado en hospital estatal de Rio de Janeiro, donde fueron realizadas las técnicas de entrevista individual grabada y un grupo de encuentro con 19 participantes de la investigación. Datos analizados según las etapas propuestas por el método, emergiendo una categoría sobre la cuestión cultural como base para el cuidado: una propuesta de cuidado familiar domiciliario. Resultados: el modelo de cuidado propuesto contempla el diálogo y la reflexión, apuntando a compartir los saberes de los sistemas "profesional" y "popular", con objetivo de mejorar la calidad de vida del paciente. Conclusión: los familiares consiguieron realizar la preservación, acomodación y reestandarización cultural del cuidado propuestas por el modelo Sunrise de Leininger.

ABSTRACT Objective: to propose a family care model for patients with chronic kidney disease in peritoneal dialysis based on evidence indicated by family members. Method: this was a qualitative descriptive study that used the Convergent Care Research method. It was conducted at a state hospital in Rio de Janeiro, including techniques for recording individual interviews and consisted of a group of 19 study participants. Data were analyzed according to the stages proposed by the method, generating a category that used a cultural question as the basis for patient care resulting in a proposal for home-based family care. Results: the patient care model proposed includes dialogue and reflection in sharing the knowledge of "professional" and "popular" systems, aiming to improve the patient's quality of life. Conclusion: family members were able to promote care based on cultural preservation, accommodation and repatterning, as proposed by Leininger's Sunrise Model.

Tipos de apoyo a las familias con hijos con discapacidad y su influencia en la calidad de vida familiar / Types of support to families of children with disabilities and their influence on family quality of life

Resumen Entre los aspectos que contribuyen a la calidad de vida familiar están los diferentes apoyos a las familias. Este estudio tiene como objetivo identificar el tipo de apoyos que consideran relevantes las familias de niños con discapacidad usuarios de servicios de fisioterapia en atención temprana y en qué manera la administración pública influencia la calidad de esos apoyos. Se trata de un estudio cualitativo fundamentado en un paradigma crítico social. Los participantes han sido 16 madres y 4 padres que han sido entrevistados, y sus aportaciones se analizaron con análisis de discurso. Entre las aportaciones se destaca la importancia de los apoyos familiares y de las redes de padres de niños con discapacidad. También se destaca el papel de los apoyos profesionales y por lo tanto cómo los recortes en servicios públicos de tipo sanitario y social han agudizado una inequidad en salud en relación a las familias que pueden o no disponer de servicios adicionales. Se sugieren otros enfoques en los servicios que pueden apoyar a las familias.

Abstract Different types of supports to families are among the aspects that contribute to family quality of life. This study aims to identify the types of supports that families of children with disabilities, users of early intervention services, consider relevant and how public administration influences the quality of this support. This is a qualitative study based on a critical social paradigm. Sixteen mothers and four fathers were interviewed and their contributions were analyzed using discourse analysis. The importance of family support and networks of parents of children with disabilities were highlighted. The role of the supports by health professionals is also crucial and, therefore, cuts in public health and social services have exacerbated the inequity in health. In practice this is highlighted in relation to those who can and the ones who cannot afford additional services. Other approaches in the support to families are suggested.

¿Negociaciones o decisiones colectivas? Las dinámicas familiares tras la llegada de un bebé

En las décadas precedentes, la participación de la mujer en el mercado de trabajo en Latinoamérica ha dado cuenta de un crecimiento sostenido. Este fenómeno ha planteado la necesidad de comprender cómo aquellos involucrados en estos procesos organizan sus rutinas y relaciones de cara a los nuevos escenarios de movilidad, segmentación y resignificación de lo laboral y lo familiar En dicho marco, este trabajo analiza cómo los miembros de hogares de sectores medios profesionales de la Ciudad de Buenos Aires conforman sus arreglos familiares luego del nacimiento de un hijo. La hipótesis central del mismo es que el modo en que las personas involucradas respondieron a dichos cambios y reorganizaron sus espacios cotidianos no se ajustó primariamente a las lógicas de la negociación intrahogar sino que por el contrario el mismo puede ser descrito de modo más adecuado por procesos de decisión colectiva, acontecidos dentro y fuera de los hogares.

In previous decades, the participation of women in the labor market in Latin America has steadily grown. Consequently the need to understand how are organized the routines and the relationships of those who are involved in these processes -facing new mobility scenarios, segmentation and redefinition of the labor and the family- has emerged. In this context, this paper analyzes how members of professional middle class households in the City of Buenos Aires make their family arrangements after the birth of a child. The main hypothesis is that the way the people involved responded to these changes and reorganized their everyday spaces are not primarily adjusted to the logic of intra-household negotiations, but instead it can be more adequatdy described by processes of collective decision occurred inside and outside the households.

Em décadas anteriores, a participação das mulheres no mercado de trabalho na América Latina se deu conta de um crescimento sustentado. Isso tem levantado a necessidade de entender como as pessoas envolvidas nestes processos organizar suas rotinas e relacionamentos em face de novos cenários de mobilidade, segmentação e redefinição do trabalho e familiar Neste quadro, o presente artigo analisa como os membros das famílias de mídia sectores profissionais da Cidade de Buenos Aires fazer seus arranjos familiares após o nascimento de uma criança. A hipótese central é que a maneira como as pessoas envolvidas respondeu a estas mudanças e reorganizou seus espaços comuns não são ajustadas principalmente para a lógica da negociação intra-familiar, mas, pelo contrário, pode ser descrito de forma mais adequada por processos de decisão coletiva, ocorreu dentro e fora casas.

Dimensiones del cuidado en familias urbanas mexicanas / Care dimensions among mexican urban families / Dimensões do cuidado em famílias urbanas mexicanas

La familia es el grupo donde se provee la atención a sus integrantes tanto para la preservación de la salud como para su desarrollo. Los profesionales de la salud para una práctica asertiva deben contemplar a la familia como una persona con sus propios procesos de cuidado que son válidos y validados por sus integrantes. El cuidado familiar debe ser explorado como un proceso donde interactúan dimensiones que le dan sentido al hacer, deber hacer y al ser en acción del grupo. El objetivo del estudio fue explorar el cuidado familiar en población mexicana desde las dimensiones que le subyacen. Métodos: El estudio fue cualitativo, exploratorio, descriptivo. Resultados: El cuidado en familias mexicanas expone tres dimensiones del cuidado: la ética en donde los hábitos y actitudes virtuosas del cotidiano vivir impulsan el deber hacer; la estética en donde el hacer del cuidado emerge de los sentimientos para con el otro y la ontológica, que apunta a rescatar el estar ahí y la alteridad del cuidado en la familia. Conclusiones: El cuidado familiar tiene tres dimensiones: ética, estética y ontológica que interactúan entre sí; la primera recupera el sentido virtuoso de las actitudes, hábitos, esperanzas, obligaciones que impulsan el deber hacer de la familia, la segunda pondera los sentimientos como parte del arte del cuidado familiar para precipitar el hacer del cuidado y la tercera moviliza el ser-familia para expresar el cuidado del grupo a través de las resonancias del mismo.

The family provides support to its members in areas such as development and health maintenance. In order to provide assertive practices, health professionals should treat families as entities whose care processes are validated by their own members. Family care should be explored as a process where, the to do, the ought to do, and the being dimensions interact. The objective of the study was to explore the family care in the mexican population from its underlying dimensions. Methods: This was a qualitative, exploratory, and descriptive study. Results: Care in mexican families exposes three dimensions of care: the ethics in which the habits and virtuous attitudes of daily living propel the ought to do; the aesthetics in where the to do of care emerges from the sentiments towards the other, and ontology, which aims to rescue the being in the family care. Conclusions: The family care has three dimensions which interact among each other: ethics, aesthetics, and ontology; the first recovers the virtuous sense of attitudes, habits, hopes, obligations which propel the ought to do of the family, the second weights the feelings as part of the family care to convey the to do of care, and the third mobilizes the being of the family to express the care of the group through its resonances.

A família é o grupo onde se fornece a atenção aos seus integrantes tanto para a preservação da saúde como para o desenvolvimento. Os profissionais da saúde para uma prática assertiva devem contemplar à família como uma pessoa com seus próprios processos de cuidado que são válidos e validados pelos seus integrantes. O cuidado familiar deve ser explorado como um processo onde interagem dimensões que lhe dão sentido ao fazer, dever fazer e ao ser em ação do grupo. O objetivo do estudo foi explorar o cuidado familiar na população mexicana desde as dimensões que lhe integram. Métodos: O estudo foi qualitativo, exploratório, descritivo. Resultados: O cuidado em famílias mexicanas expõe três dimensões do cuidado: a ética onde os hábitos e atitudes virtuosas do cotidiano viver, impulsionam o dever fazer, a estética onde o fazer do cuidado emerge dos sentimentos para os outros e a ontológica, que atinge a resgatar o estar ali e a alteridade do cuidado no familiar. Conclusões: O cuidado familiar tem três dimensões: ética, estética e ontológica que interagem entre si, a primeira recupera o sentido virtuoso das atitudes, hábitos, esperanças, obrigações que impulsionam o dever fazer da família, a segunda considera os sentimentos como parte da arte do cuidado familiar para precipitar o fazer do cuidado e a terceira movimenta o ser-família para expressar o cuidado do grupo a través das ressonâncias do mesmo.

Falls of older people living in the community- A critical review / Las caídas de las personas mayores que viven en la comunidad: Una revisión crítica

Falls are the most prevalent and serious accident older people suffer in their homes and also, they are the main reason for their hospital admission. In a great part of the cases falls expose at risk elderly people’s well-being and quality of life. A critical narrative literature review was undertaken to inform research in the area of falls in older people living in the community. Articles were retrieved from Medline and Scopus data bases from November 2011 to January 2013. Citation searching was also used as a complement by hand searching of relevant journals. Additionally, an alert mechanism was established in Scopus for a period of one year to identify relevant studies or literature. Reviewed studies have provided valuable evidence about falls in older people and potential prevention strategies. However, evidence from relatives, caregivers and significant others is conspicuously absent. Falls in the community and falls prevention happen in social and family contexts that must be empirically studied and reported.

Las caídas son el accidente más serio y prevalente que los mayores sufren en sus domicilios y son la principal razón de ingreso hospitalario. Las caídas ponen en riesgo el bienestar y la calidad de vida de los mayores. Se llevó a cabo una revisión narrativa crítica de la bibliografía a fin de informar estudios de investigación en el área de las caídas de los mayores que viven en la comunidad. Se recuperaron estudios de las bases de datos Medline y Scopus de Noviembre 2012 a Enero 2013. Se usó también búsqueda de citaciones que se complementó con búsqueda manual en revistas relevantes. Se estableció un sistema de alertas en Scopus a lo largo de un año para identificar estudios relevantes o bibliografía. Los estudios revisados han proporcionado una evidencia valiosa sobre las caídas de las personas mayores y las estrategias potenciales de prevención. No obstante, evidencia proveniente de sus familiares, cuidadores y otros significativos esta notablemente ausente. Las caídas en la comunidad y su prevención suceden en contextos familiares y sociales que deben ser empíricamente estudiados y registrados.

Clinical Observation of Kneading Pull-turning Methods together with the Family Care and Treatment for Children Congenital Muscular ;Torticollis / 浙江中医药大学学报

Objective] To study the effect of kneading pull-turning methods together with the family care and treatment on children congenital muscular torticollis. [Methods] 60 cases of congenital muscular torticollis were randomly divided into kneading pull-turning methods together with the family care group(treatment group) and conventional massage group(control group) with symptoms, signs and evaluation of clinical curative effect between groups of children. [Results] The treatment group cure rate was 76.67%, control group cure rate was 43.33%, the curative effect of treatment group was obviously better than the control group(P<0.05). [Conclusion] Kneading pull-turning methods together with the family care in treatment of children with congenital muscular torticollis has the characteristics of high cure rate which is conducive to recovery of affected children.

Family experience and evaluation about caring the body of deceased patient in Japanese inpatient hospices: a content analysis of free comments in questionnaire survey

Objectives: Primary aim of this study was to clarify the experience and evaluation of families who about caring the body of the deceased patient by nurses at Japanese inpatient hospices and palliative care unit. Method: A mail survey was performed on 958 bereaved family members of 103 palliative care units. A total of 598 family members replied. This study was content analysis about free comments in the questionnaire. Result: A total of 301 comments from 162 questionnaires were identified as the subjects for content analysis. The family was experience satisfaction or dissatisfaction about the way caring the body of the deceased patient. The family felt hesitation and worries about caring the body of deceased patient. A content analysis revealed 3 underlying themes: the family evaluate as a good experience, the family evaluate as an unpleasant experience, the family evaluate as an experience of hesitation and worries. Conclusion: The family was satisfied about treating the patient in the same way before died, making patient face beautiful and calm, facilitates family’s preparation. When nurses recommend families to care the body of deceased patient, which become memorably experience, and they come to be get over sorrow after the bereavement. But they need to confirm the family’s preparation and choose what they can do.

Family evaluation about caring the body of deceased patient by nurses in Japanese inpatient hospices

<b>Objectives:</b> Primary aim of this study was to clarify the family evaluation about caring the body of the deceased patient by nurses at Japanese inpatient hospices and palliative care unit. <b>Method:</b> A mail survey was performed on 958 bereaved family members of 103 palliative care units in July, 2010.<b> Result:</b> A total of 597 family members replied（62％）. As a whole, 441（74％）families reported that they were satisfied with the way caring the body of the deceased patient by nurses. A multivariate analysis revealed three factors were significantly associated with the levels of satisfaction:the patient face became peaceful and calm, and nurses treated the patient in the same way before died, and patient age was over 70 years old. <b>Conclusion:</b> Making patient face peaceful and calm, and treating the patient in the same way before died is important in caring the body of the deceased.