Mediating role of family function between coping strategies and emotional behavior in children with chronic superficial gastritis / 四川精神卫生

BackgroundChronic superficial gastritis （CSG） is a common clinical disease in children. The emotional behavior of CSG children is susceptible due to them suffering from such disease at young age. ObjectiveTo explore the impact of coping strategies on emotional behavior and the effect of family function in children with CSG， and to provide references for clinical intervention in CSG children with emotional behavior problems. MethodsA total of 177 children with CSG admitted to Anhui Children's Hospital from June 2019 to January 2023 were selected as the research subjects. Investigation on family function， emotional and behavioral problems and coping strategies of children was conducted by employing the Family APGAR index （APGAR）， the Strengths and Difficulties Questionnaire （SDQ） and Coping Strategies Questionnaire （CSQ）. The structural equation model was used to test the mediating effect of family function between coping strategies and emotional behaviors. ResultsThe APGAR score was negatively correlated with both SDQ score and negative coping strategies score （r=-0.507， -0.551， P<0.01）， but was positively correlated with positive coping strategy score （r=0.579， P<0.01）. The positive coping strategy score was negatively correlated with SDQ score （r=-0.539， P<0.01）， while the negative coping strategy score was positively correlated with SDQ score （r=0.543， P<0.01）. The result showed that family function played a partial mediating role between positive coping strategies and emotional behavior ［indirect effect was -0.133 （95% CI： -0.256~-0.079， P<0.01）， accounting for 29.40% of the total effect］. The same mediating effect happened between negative coping strategies and emotional behavior ［indirect effect was 0.093 （95% CI： 0.198~0.045， P<0.01）， accounting for 28.50% of the total effect］. ConclusionCoping strategies of CSG children can affect emotional behavior directly and indirectly with family function playing a partial intermediary effect.

Effect of family management intervention on disease management ability of parents and family function with coronary artery lesions in Kawasaki disease / 中国实用护理杂志

Objective:To investigate the intervention effects and influencing factors of family management intervention on parents' disease management ability, family function of children with coronary artery lesions in Kawasaki disease.Methods:This was a quasi experimental study. Conveniently, 88 parents of children with Kawasaki disease coronary artery lesions from the Children's Hospital of Chongqing Medical University from March 2020 to June 2021 were selected for the study, and they were divided into the control group and the intervention group according to the order of the first consultation with 44 cases in each group. In the control group, conventional care and health education were used, while in the intervention group, a 6-month family management intervention was implemented on the basis of the control group. Family Management Measure (FaMM), Family Assessment Device (FAD) were used to assess the parents' disease management ability, family function before and after the intervention, respectively.Results:A total of 88 study subjects completed the pre-intervention survey in this study, and a total of 79 study subjects were surveyed when they returned to the hospital for review at the end of 6 months of intervention, including 40 in the intervention group and 39 in the control group, with a missed rate of 10.23% (9/88). There was no significant difference in the score of FAD, FaMM, Kawasaki disease knowledge questionnaire before the intervention between the two groups ( P>0.05). The scores of FAD in the intervention group was (21.58 ± 4.60) points, which was lower than that in the control group (24.62 ± 5.28) points, and the difference was statistically significant ( t=2.73, P <0.05). The scores of FaMM in the intervention group was (46.83 ± 6.02) points, which was higher than that in the control group (42.72 ± 6.09) points, and the differences was statistically significant ( t=-3.01, P <0.05). The age of the child, and whether the child was an only child were the influencing factors of the difference in disease management ability, and the difference in the family function of the parents of the child, respectively (all P<0.05). Conclusions:Family management intervention can improve the disease management ability of the parents of children with coronary artery lesion, improve family function. In the future, targeted interventions can be conducted according to different ages of children, and different family members' composition in order to obtain better intervention effects.

Analysis of influencing factors of caregiver preparedness at discharge of patients with chronic heart failure based on the individual and family self-management theory / 中国实用护理杂志

Objective:A structural equation model of the influencing factors on caregiver preparedness at discharge of patients with chronic heart failure was constructed based on the individual and family self-management theory, and the main paths influencing caregiver preparedness were explored.Methods:This study was a cross-sectional survey. A total of 345 caregivers of patients with chronic heart failure who were hospitalized in the Fourth Affiliated Hospital of China Medical University from October 2020 to August 2021 were selected as research objects by convenience sampling method, and they were investigated by Caregiver Preparedness Scale, Family APGAR Index, Herth Hope Index, Social Support-Rating Scale, Simplified Coping Style Questionnaire. The influencing factors on caregiver preparedness at discharge of patients with chronic heart failure were analyzed.Results:The total score of Caregiver Preparedness Scale, Family APGAR Index, Herth Hope Index, Social Support-Rating Scale, and Positive and Negative Coping Subscale of Simplified Coping Style Questionnaire in patients with chronic heart failure was (20.79 ± 4.92), (8.05 ± 1.43), (35.34 ± 4.47), (43.89 ± 6.56), (24.38 ± 5.21), (11.21 ± 4.26) points. Caregiver preparedness in patients with chronic heart failure was positively correlated with family function, hope, positive coping and social support ( r values were 0.213-0.383, all P<0.01), and negatively correlated with negative coping ( r=-0.546, P<0.01). Family function and social support in patients with chronic heart failure could directly or indirectly affect caregiver preparedness (total effect value: 0.380, 0.212), hope and negative coping directly affected caregiver preparedness (total effect value: 0.200, -0.433), and could account for 39% of the total variation in caregiver preparedness. Conclusions:Caregiver preparedness of patients with chronic heart failure needs further improvement. The effective ways to improve caregiver preparedness are to pay attention to family function, improve hope level, increase social support and reduce negative coping.

Correlation analysis between family function and disease benefit in patients with chronic obstructive pulmonary disease / 中国实用护理杂志

Objective:To investigate and analyze the correlation between family function and disease benefit perception among patients with chronic obstructive pulmonary disease (COPD).Methods:A cross-sectional study, convenient sampling method, family function Assessment Scale (APGAR) and disease benefit scale were used to investigate the family function assessment and disease benefit of 172 COPD patients in the respiratory department of Yinchuan First People ′s Hospital from January to April 2021. Results:The total score of family function in COPD patients was (7.74 ± 2.50) points, and the total score of disease benefit was (53.24 ± 7.03) points. There was a positive correlation between family function and disease benefit in COPD patients ( r values were 0.041-0.275, P<0.05). Conclusions:The disease benefit of COPD patients was closely related to family function, and improving the level of family function support can improve the disease benefit of COPD patients.

Correlation between family function and quality of life in patients with atrial fibrillation / 中南大学学报(医学版)

OBJECTIVES@#Many studies have shown that the quality of life for patients with atrial fibrillation (AF) is significantly impaired, but the impact on family function is still unclear. This study aims to evaluate the family function and quality of life in patients with AF using scales, to analyze the correlation between family function and quality of life, and to predict the influencing factors of quality of life.@*METHODS@#A total of 223 patients with AF who were admitted to the Department of Cardiology and General Medicine of the Lanzhou University Second Hospital from January 1, 2021 to May 1, 2022, were selected as research subjects, the general information of patients with AF were collected via a questionnaire, the family function and quality of life were assessed by the Family Assessment Device (FAD) and Atrial Fibrillation Effect on Quality-of-Life (AFEQT) scale. The patients were divided into a non-family functional disorder group and a family functional disorder group on the basis of their FAD scores. The above data were analyzed using SPSS 26.0 statistical software.@*RESULTS@#Among the 223 patients, 64 (28.70%) were in the non-family functional disorder group, and 159 (71.30%) were in the family functional disorder group. The total score of FAD and scores of all dimensions in the family functional disorder group were higher than those in the non-family functional disorder group (all P<0.01). AFEQT total score and symptoms, treatment concerns and daily activities in the non-family functional disorder group were significantly higher than those in the family functional disorder group (all P<0.01). The Pearson linear analysis showed that there was a linear negative correlation between the total score and each dimension of FAD with the total score and each dimension of AFEQT (all P<0.01). The variables with statistical significance in the univariate analysis were included in the multiple linear regression analysis, and the result showed that female, and the problem solving, role, affective involvement, and general functioning dimensions of family function had an impact on the quality of life (all P<0.01).@*CONCLUSIONS@#Most patients with AF have different degrees of family dysfunction. The quality of life in patients with family functional disorder group is generally low. Female, and the problem solving, role, affective involvement, and general functioning of family function have a significant impact on the quality of life in patients with AF. In clinical treatment of AF, attention should be paid to the family function of patients, and family members can be involved in clinical intervention to improve family function and improve the quality of life.

Correlation between family function and self-concealment in patients after hysterectomy / 中国实用护理杂志

Objective:To investigate the status of family function of patients after hysterectomy, explore the effect of self-concealment on family function.Methods:From January to November 2021,the 177 patients after hysterectomy in Guangdong Provincial People ′s Hospital were investigated by General Data Questionnaire, Family APGAR Indexand Self-Concealment Scale (SCS), and the influencing factors of family function were analyzed by univariate analysis and binary logistic regression. Results:The total score of APGAR and SCS was 9.00 (6.50, 10.00) and 24.00 (17.00, 33.00) after hysterectomy. Univariate analysis showed that marital status, working conditions and tendency of self-concealment were the influencing factors of family function. In the regression analysis of binary Logistic, tendency of self-concealment( P<0.01) and marital status ( P<0.01) entered the regression equation. Conclusions:The family function of patients after hysterectomy is generally good, and self-concealment is a risk factor. It is suggested that in clinical work, attention should be paid to the tendency of self-concealment in patients after hysterectomy, and targeted intervention measures should be taken to improve their family function.

Correlation analysis of family function and neurodevelopment of preterm infants in NICU / 中国实用护理杂志

Objective:To explore the relationship between family function and neurodevelopment of preterm infants in the NICU.Methods:A total of 195 preterm infants in the NICU and their parents were selected from January to August 2020 in Children′s Hospital of Soochow University by convenience sampling method. A questionnaire survey was conducted using the general information questionnaire and Family Assessment Device. 0 to 6-year-old Children′s Neuropsychological Development Checklist were used to assess neurodevelopmental status of preterm infants in the third month after their discharge.Results:The development quotient of preterm infants in the NICU in the third month after discharge was 76.00(73.00, 81.00) points. The family function score was 146.00(131.00, 161.00) points. The total score of family function and item score were negatively correlated with development quotient ( r values were -0.646 to -0.505, all P<0.05). Hierarchical regression analysis showed that communication, problem solving, and behavior control accounted for 21.9% of neurodevelopmental variability in preterm infants. Conclusions:Nurses should promote the family function of preterm infants by improving family communication, problem solving and behavior control, thereby enhancing their neural development level.

Family function and fear of missing out among college students: the chain mediating effect of relatedness need-frustration and self-control / 中华行为医学与脑科学杂志

Objective:To explore the chain mediating effect of relatedness need-frustration and self-control between family function and fear of missing out (FoMO) in college students.Methods:A sample of 409 college students from five universities in Guangdong province was surveyed with family assessment device (FAD), relatedness need-satisfaction and frustration scale, self-control scale (SCS), and fear of missing out scale.Common method bias test, Pearson correlation analysis and Hierarchical regression analysis were conducted to analyze the data using SPSS 26.0 software, and PROCESS V3.5 macro program was used to test the mediating effect.Results:(1) The total scores of family function, relatedness need-frustration, self-control and FoMO were(166.01±16.08), (9.39±2.51), (37.88±6.27)and(56.38±6.59), respectively. (2) Family function was negatively correlated with relatedness need-frustration ( r =-0.43, P<0.01), positively correlated with self-control( r =0.43, P<0.01), and negatively correlated with FoMO ( r =-0.39, P<0.01). Relatedness need-frustration was negatively correlated with self-control ( r =-0.37, P<0.01), and positively correlated with FoMO( r =0.38, P<0.01). Self-control was negatively correlated with FoMO( r =-0.42, P<0.01). (3)The direct effect of family function on FoMO was -0.17(95% CI =-0.27--0.07). Family function affected FoMO through three paths. The separate mediation effect of relatedness need-frustration was -0.09(95% CI =-0.14--0.05), the separate mediation effect of self-control was -0.09(95% CI =-0.14--0.05), and the chain mediation effect of relatedness need-frustration and self-control was -0.03(95% CI =-0.04--0.01). Conclusion:Family function not only directly affects FoMO, but also indirectly affects FoMO through relatedness need-frustration and self-control.

Effect of Canine-assisted Therapy on Family Function of Autism Spectrum Disorder / 中国康复理论与实践

Objective:To evaluate the effect of canine-assisted therapy on family function of autism spectrum disorder. Methods:The randomized controlled trials (RCT) about the effect of canine-assisted therapy on family function of autism spectrum disorder were retrieved from the Cochrane Library, PubMed, Web of Science, CNKI, CBM, VIP, and Wanfang Data from establishment to February, 2021. Brief Family Assessment Measure-III-General Scale (FAM-III-GS) was used to access the family function, and Children's Depression Inventory-Second Edition (CDI-2) and Spence Children's Anxiety Scale (SCAS) were used to access the psychological behavior. The quality of included studies was evaluated according to the method recommended by the Cochrane Collaboration and Joanna Briggs Institute Reviewers' manual. RevMan 5.4 software was used for meta-analysis. Results:Finally, four RCTs involving 190 patients were included. There were too less RCTs to do a meta-analysis. Two RCTs showed that the score of FAM-III-GS improved in the experimental group than in the control group. Conclusion:Canine-assisted therapy might improve the family function of patients with autism spectrum disorder.

The Effect of Psychological Status and Family Function in Breast Cancer Patients on Their Children’s Quality of Life (Effect of Family Function in Breast Cancer Patients on Children)

Objective: The influence of depression, anxiety, and family function in breast cancer patients on the quality of life of their children was investigated from the perspective of the participants’ demographic characteristics after controlling for their attributes. Methods: The demographic characteristics and confounding factors were divided into two subgroups, and two-factor analysis of variance was conducted with depression, anxiety, and family function as the independent variables, and the children’s quality of life scores as the dependent variable. Results: The quality of life of children in each characteristic demographic-subgroup was significantly lower when their mother had high depressed. Moreover, the quality of life in children of the subgroup with mothers receiving chemotherapy varied according to the quality of family function regardless of having siblings. Conclusion: It is necessary to focus on the conditions of children in addition to the psychological status of breast cancer patients. This investigation suggested that understanding mothers’ psychological status helps to identify children’s psychosocial problems. Moreover, it is suggested that the demographic characteristics of families with breast cancer patients should be considered when approaching mothers’ psychological status and family function.

Correlation of family function and the quality of life of young adults with chronically-ill siblings / The Health Sciences Journal

INTRODUCTION@#Chronically-ill patients are known to pose an impact on the family function (FF) and quality of life (QoL) of their family caregivers and pediatric siblings. However, there is limited literature on the relationship between FF and QoL. This study aimed to determine the correlation of FF and QoL among healthy young adults with siblings with chronic diseases. @*METHODS@#This was an analytical cross-sectional study among young adults, selected by purposive sampling, with chronically-ill siblings. The CAPGAR and WHOQOL-BREF questionnaires were used for data collection. Spearman’s correlation coefficient r was used to determine the correlation between FF and QoL.@*RESULTS@#More than half (53.9%) of the respondents had highly functional families. Majority of the participants (66.5%) had fair QoL. There was a weak but significant positive correlation (r = 0.27, p < 0.001) between FF and QoL.@*CONCLUSION@#There is a weak but significant positive correlation between family function and quality of life among healthy young adults with a sibling suffering from a chronic debilitating illness.

Depression and its association with family function among patients undergoing Hemodialysis in Southern Philippines Medical Center

Background@#Depression is the most common psychiatric pathology among patients on hemodialysis. The psychosocial characteristics of patients on hemodialysis have not been explored as possible contributory factors to the occurrence of depression. Assessment of family function and utilization of family resources to meet crisis could possibly be correlated with the said psychiatric condition.@*Objective@#This study aimed to assess depression and identification of risk factors including the family functions and utilization of resources would most likely contribute to the management of depression.@*Methodology@#This is a cross-sectional study assessing depression among patients undergoing hemodialysis enrolled at Southern Philippines Medical Center –Mindanao Dialysis Center. Various instruments were used for data collection including Patient Health Questionnaire-9, Family APGAR, and Family SCREEM-RES.@*Results@#Among 135 respondents, 53.33% have no depression, 37.78% mild depression and 8.89% moderate depression. Mean Family APGAR score of patients without depression (9.18 ± 1.43) was significantly higher than those patients with depression (7.83 ± 2.37, p=0.0042). Family resources were adequate for the majority of respondents who have no depression (84.55%). Furthermore, the mean SCREEM-RES score was also significantly higher (14.29 ± 1.97) compared to patients with depression (13.08 ± 2.11, p=0.0460). Multivariate regression analysis showed that those who are in indigenous group, without a caregiver, haemoglobin level < 135g/L, dysfunctional family and inadequate family resources had a higher risk of having a depression. Of these factors, persons belonging to an indigenous group and and those dysfunctional family were found to have 7.9 (95% CI = 1.4186 – 44.3460, p = 0.0184) and 5 (95% CI = 1.0065 – 25.1343, p= 0.0491) times higher risk of depression, respectively@*Conclusion@#Factors significantly associated with depression among patients undergoing hemodialysis in Southern Philippines Medical Center were those who belong to indigenous group and dysfunctional family

Influencia de la familia sobre la resiliencia en personas con discapacidad física y sensorial de Arequipa, Perú / Influence of Family over the Resilience of People with Physical and Sensory Disabilities from Arequipa, Peru

Resumen Introducción: El objetivo de la presente investigación fue determinar la influencia que ejercía la familia a través de su estructura y funcionalidad, en la resiliencia de personas con discapacidad física y sensorial de la ciudad de Arequipa (Perú). Método: Se trabajó con 240 personas con discapacidad física y sensorial, con una edad entre 12 y 61 años. Se aplicó un cuestionario ad-hoc de estructura familiar y datos sociodemográficos, la Escala de Clima Social Familiar (FES), la Escala de Evaluación del Sistema Familiar (FACES III), y la Escala de Resiliencia de Wagnild y Young. El método utilizado fue cuantitativo, no experimental de tipo predictivo. Resultados: Entre los resultados encontramos que variables de funcionamiento familiar (cohesión y adaptabilidad), además de contar con apoyo económico y trabajo propio, son factores predictores de niveles de resiliencia más altos. Mientras que factores como el sexo, causa de discapacidad, problemas sociodemográficos y estructura familiar no repercuten en los niveles de resiliencia de la persona con discapacidad física y sensorial. Conclusión: Se concluye que la familia y las variables sociolaborales tienen impacto significativo en los niveles de resiliencia de las personas con discapacidad física y sensorial.

Introduction: The objective of this research was to determine the influence of family structure and function on the resilience of people with physical and sensory disabilities in the city of Arequipa (Peru). Method: We assessed 240 people with physical and sensory disabilities; their age was between 12 and 61 years. The Family Social Climate Scale (FES), the Family System Assessment Scale (FACES III), and the Wagnild and Young Resilience Scale, an ad-hoc family structure and a sociodemographic data questionnaire were applied. The method used was quantitative, not experimental and predictive. Results: We found that family functioning variables such as cohesion and adaptability; in addition to having economic support and own work are predictive factors of higher levels of resilience. While factors such as sex, cause of disability, sociodemographic problems and family structure do not affect the levels of resilience of the person with physical and sensory disability. Conclusion: We conclude that family and socio-labor variables have a significant impact on the levels of resilience of people with physical and sensorial disabilities.

Effect of a home-based, nurse-led health program on quality of life and family function for postoperative patients with early-stage breast cancer / 中国实用护理杂志

Objective To explore the effect of a home-based, nurse-led health program on quality of life and family function for postoperative patients with early-stage breast cancer. Methods A total of 140 early-stage breast cancer patients, from Union Hospital of Tongji Medical College Huazhong University of Science and Technology between August 2016 and August 2017, were divided into intervention group and control group by random digits table method. Patients in control group only received conventional nursing education. Patients in intervention group received an individual home-based, nurse-led health program, in addition to conventional nursing education. After six months of intervention, the family function was assessed by using Familiy Adaptability and Cohesion Scale, quality of life was assessed by using Functional Assessment of Cancer Therapy for Breast Cancer. Results In this study,13 patients were excluded in 140 patients, 65 cases in intervention group and 62 cases in control group. After six months of intervention, cohesion and adaptability scores in intervention group were (71.52±8.76), (52.09±5.97), respectively. Cohesion and adaptability scores in control group were (65.90± 7.72), (46.59±6.98), the difference was statistically significant (t=3.838, 4.786, P<0.05). After three and six months of intervention, social/familial and total scores in intervention group were (16.75±3.28), (17.90± 4.05) and (90.39 ± 9.07), (96.38 ± 8.86), respectively. While cohesion and adaptability scores in control group were (15.43±2.51), (15.02±4.02) and (85.93±8.57), (86.19±9.81), the scores mentioned above in intervention group were markedly higher than in control group, the difference was statistically significant (t=2.531-6.151, 4.786, P<0.05 or 0.01). In addition, after six months of intervention, emotional (17.60± 3.32), functional (14.69±3.85), breast cancer (25.32±4.70) scores were also higher than in control group (15.37 ± 3.28), (12.89 ± 4.00), (22.48 ± 3.94), the difference was statistically significant (t=3.805, 2.574, 3.681, P<0.01 or 0.05). Conclusions A home-based, nurse-led health promotion program improves the quality of life and family function in postoperative patients with early-stage breast cancer.

Psychosocial factors related to postmastectomy pain syndrome among women with breast cancer: Cross-sectional study

Background@#An insight on the association of psychosocial factors with postmastectomy pain syndrome (PMPS) can help in the holistic management of patients with PMPS. @*Objective@#To determine the proportion of patients with PMPS among those who underwent mastectomy for breast cancer and identify factors associated with the syndrome. @*Design@#Cross-sectional study. @*Setting@#Outpatient Unit in Southern Philippines Medical Center. @*Participants@#45 women who had mastectomy for breast cancer. @*Main outcome measures@#Proportion of patients with PMPS; prevalence odds ratios (POR) of having PMPS for selected factors. @*Main results@#The patients had a mean age of 53.18 ± 8.09 years, mean BMI of 23.57 ± 2.65, and--on average--were 27.09 ± 35.76 months postmastectomy upon entry into the study. Of the 45 patients, 22 (48.89%) had PMPS. Univariate POR of having PMPS were significantly high for patients who: had distant metastasis (POR=5.56; 95% CI 1.27 to 24.29; p=0.0227), experienced premastectomy breast pain (POR=35.70; 95% CI 6.14 to 207.52; p<0.0001), were in late-stage family life cycle (POR=9.18; 95% CI 1.02 to 82.22; p=0.0476), and were in late-stage family illness trajectory (POR=4.96; 95% CI 1.39 to 17.70; p=0.0137). @*Conclusion@#In this study, 48.89% of patients had PMPS. Factors associated with PMPS include: having distant metastases, having premastectomy breast pain, being in late-stage family life cycle, and being in late-stage family illness trajectory.

The role of family and classroom and university environments in the level of academic achievement of students of the technical and vocational school of Iran / 国际药学研究杂志

The present study was conducted with the aim of investigating the effect of family function and university and classroom environments on students' academic achievement. The research method is descriptive survey. The statistical population includes all students of the technical and vocational college of Mazandaran province in the academic year of 2018-2019. The statistical sample of research includes 321 students who were selected using cluster random sampling method and were evaluated by Family Assessment Device (FAD), classroom and university environment questionnaire and grade point average. The data analysis was performed using LISREL ver.8 and SPSS ver.20 software. The findings of the research show that family function, the university and classroom environments have a significant effect on the academic achievement of students, so that, the effect of family function is 0.75, and the effect of university and classroom environments is 0.43. Also, considering the correlation coefficient level of P<0.05, the relationship between all components of family function, classroom and university environments and students' academic achievement is significant.

Effect of a home-based, nurse-led health program on quality of life and family function for postoperative patients with early-stage breast cancer / 中国实用护理杂志

Objective@#To explore the effect of a home-based, nurse-led health program on quality of life and family function for postoperative patients with early-stage breast cancer.@*Methods@#A total of 140 early-stage breast cancer patients, from Union Hospital of Tongji Medical College Huazhong University of Science and Technology between August 2016 and August 2017, were divided into intervention group and control group by random digits table method. Patients in control group only received conventional nursing education. Patients in intervention group received an individual home-based, nurse-led health program, in addition to conventional nursing education. After six months of intervention, the family function was assessed by using Familiy Adaptability and Cohesion Scale, quality of life was assessed by using Functional Assessment of Cancer Therapy for Breast Cancer.@*Results@#In this study,13 patients were excluded in 140 patients, 65 cases in intervention group and 62 cases in control group. After six months of intervention, cohesion and adaptability scores in intervention group were (71.52±8.76), (52.09±5.97), respectively. Cohesion and adaptability scores in control group were (65.90±7.72), (46.59±6.98), the difference was statistically significant (t=3.838, 4.786, P<0.05). After three and six months of intervention, social/familial and total scores in intervention group were (16.75±3.28), (17.90±4.05) and (90.39±9.07), (96.38±8.86), respectively. While cohesion and adaptability scores in control group were (15.43±2.51), (15.02±4.02) and (85.93±8.57), (86.19±9.81), the scores mentioned above in intervention group were markedly higher than in control group, the difference was statistically significant (t=2.531-6.151, 4.786, P<0.05 or 0.01). In addition, after six months of intervention, emotional (17.60±3.32), functional (14.69±3.85), breast cancer (25.32±4.70) scores were also higher than in control group (15.37±3.28), (12.89±4.00), (22.48±3.94), the difference was statistically significant (t=3.805, 2.574,3.681, P<0.01 or 0.05).@*Conclusions@#A home-based, nurse-led health promotion program improves the quality of life and family function in postoperative patients with early-stage breast cancer.

An analytical study of the relationship between family function and health related quality of life among patients with pulmonary tuberculosis

Background@#Tuberculosis is a curable disease, however, there are added burden that patients carry than its clinical symptoms. Efforts were made to improve quality program although only few studies evaluate the impact of the disease to patients and gauge how their family coped@*Objectives@#To assess family function and health related quality of life among pulmonary tuberculosis patients and evaluates its relationship.@*Methods@#An analytical, cross-sectional study among all pulmonary tuberculosis patients enrolled in TB-DOTS facility in Perpetual Succour Hospital, Cebu City, Philippines for the months of August-October 2018. Consent was taken prior to the distribution of APGAR family assessment tool and WHOQOL-BREF questionnaire which was self-administered.@*Results@#A total of 61 patients were included in the study. Majority (72.10%) had high APGAR score and good general quality of life (50.8%). Only 36.1% were satisfied with their general health. Generally, all mean scores in the 4 domains were comparable though the distribution was wide. Only the environmental domain had a direct correlation with APGAR with a correlation coefficient of 0.253 and p-value of 0.049.@*Conclusion@#Family function has no direct correlation with overall health-related quality of life. Although majority of the population perceived to have a highly functional family with greater APGAR score and with a relatively good quality of life, there is no direct correlation between the APGAR and general quality of life and general health. Among the 4 domains, only the environment domain has significant correlation with APGAR or family function.

Laços sociais de amparo: parentalidades em foco / Social bonds of support: Focusing on Parenthood / Lazos sociales de ampa: Parentalidades en foco / Liens sociaux d'appui: parentalité en relief

Com base em sua experiência em grupos de roda de conversa, as autoras apresentam o trabalho desenvolvido em Porto Alegre com educadores, adolescentes e pais, focalizando a questão dos laços de amparo presentes nas relações entre indivíduos de comunidades vulneráveis. À luz da contribuição teórica de pensadores contemporâneos, propõem a extensão do conceito de parentalidade em sua função protetora, partindo da família nuclear convencional rumo a outras organizações da comunidade capazes de exercer a função família. Através do relato de duas situações de grupo, ilustram o efeito família exercido por outras fontes.

The authors and psychoanalysts present the work they developed in Porto Alegre with educators, adolescents, and their parents. This work was based in the authors' group experiences with “circle of conversation”. In this article, they emphasize the importance of classical concepts of Psychoanalysis. The authors deal with bonds of support that exist in the relationships between those who live in vulnerable communities. Based on the theoretical contribution of contemporary authors, the authors of this article propose the extension of the notion of parenthood in its protecting function, from the conventional nuclear family towards other ways of community organization, which can exercise the family function. The authors bring two group experiences of the partnership in order to illustrate the family effect of other sources.

A partir de una experiencia de trabajo en grupos de “ruedas de charla”, las autoras psicoanalistas presentan el trabajo desarrollado en Porto Alegre con educadores, adolescentes y sus padres. En este artículo, se resalta la importancia de presentar conceptos clásicos en psicoanálisis y confrontarlos a artículos contemporáneos. El grupo busca ampliar cuestiones teóricas, intentando amparar el pensamiento sobre los procesos vividos en este encuentro y la aceptación de la existencia de diferentes estructuras familiares y comunitarias. Los autores, a través del relato de dos situaciones registradas de la alianza pretenden continuar la reflexión sobre la importancia de esta experiencia de continuidad de este trabajo de gran riqueza, por su diversidad al englobar a personas, instituciones y grupos oriundos de áreas de alta vulnerabilidad social.

Forts de leur expérience dans les groupes “Roda de Conversa” - Cercle de conversation -, les auteurs présentent un travail développé à Porto Alegre, avec des éducateurs, des adolescents et leurs parents, en abordant dans le présent article, la question des liens d'appui qui se trouvent dans les rapports entre les individus des communautés vulnérables. À la lumière de l'apport théorique des auteurs contemporains, les auteurs proposent élargir le concept de parentalité dans sa fonction de protection, en partant de la famille nucléaire conventionnelle vers d'autres organisations de la communauté capables de remplir la fonction familiale. Au moyen du récit de deux situations de groupe, vécues par les partenaires, elles illustrent l'effet famille exercé par d'autres sources.

Abuelas universitarias: Roles y funciones en la vida profesional y familiar / University grandmothers: Professional roles and functions in the family

Se informa un estudio cualitativo, cuyo objetivo fue valorar la función de abuela universitaria y profesionista, en la dinámica familiar, desde la propia subjetivad de mujer y explorar la transformación de su identidad, configuraciones vinculares y el legado a las siguientes generaciones. Se hizo un estudio cualitativo exploratorio, transversal y no experimental en el que participaron 10 mujeres voluntarias, de 40 años o más, por inclusión continua por conveniencia, con entrevistas a profundidad y la aplicación del Cuestionario Mi Envejecer (CME). La mayoría de la producción académica en temática relacionada sobre vida académica de las mujeres y su relación con sus funciones en la familia apunta hacia estrés laboral y a la no inclusión en las tareas domésticas del varón, así como la superposición de la mujer en funciones y roles que la sobrepasan, tratando de cumplir perfecta y exitosamente con los deberes laborales, sin faltar a las demandas de la maternidad. Pero sobre mujeres adultas mayores profesionistas y activas laboralmente, no existen referencias de investigaciones. Por ello es de importancia abordar el tema de la abuelidad desde lo femenino, familia, identidades y las configuraciones vinculares nuevas o alternas a las tradicionales. Reconocer la actividad de las abuelas puede motivar en la mejora de la imagen social de las mujeres mayores, contrarrestando la cultura del viejismo.

The following work is the result of an investigation which by its extension - to be a qualitative study - was necessary to be exposed in two parts. This first part presents the theoretical aspects that support the research as well as the methodology used. The second part will present the results and their analysis, derived from the categories that emerged from the in-depth interviews. It should be mentioned that most of the academic production related to the academic life of women and their relation to their functions in the family - although with a broad reflection and sharp analysis with a gender perspective - points to work stress and non-inclusion in the domestic tasks of the male, as well as the overlapping of the woman in roles and roles that pass her, trying to perfectly and successfully fulfill the labor duties and without missing the demands of motherhood. As well an investigation of mature women in aging processes but in relation to the body exploring from perspectives of pathological aging or with dyes towards active and satisfactory aging, being proposals in which the value of doing over the Being of the woman is emphasized. However, it should be noted that there are no references to research on specific adult work in the labor market in different contexts, but on what has happened to the family relationship of the role of the grandmother who is also inserted in the public world, there are no references. The education of women in Mexico, from the time before the arrival of Spain and until the mid-twentieth century, was marked by education for domestic tasks: maternity, home care, child care, and other activities Home care, the history of women's college education contains elements of exclusion and inclusion. Those who at that time gained access to the university developed strategies to overcome these setbacks. For women to enter the university, many struggles had to happen between opposing forces that did not conceive that there were different alternatives for women and not just being a mother and a wife. The first university students entered in careers and placed themselves in professional environments, which did not represent strong confrontations with the conceptions of gender of the time. Thus, their professional and academic achievements reflected the interplay between their desires and what they were allowed according to their sociocultural context of the historical moment in which they lived. The education of women brought the discovery of their lives, questioning, reflecting, discussing and criticizing their status as women. However, a question arises: Does university life, the professionalization of women, have changed Roles that are played within the family? Are university grandmothers assuming themselves as women conscious of being grandmothers or mothers autonomously and independently of what society expects of them? It is therefore important to address the issues related to the grandparenthood from the feminine, family, identities and the new or alternate configurations to the traditional ones. Thus, the recognition of the activity of the grandmothers can motivate in the improvement of the social image of older women, against subtracting the culture of old. Thus, the purpose of this work was to evaluate the role of university and professional grandmother in family dynamics, from the subjectivity of women and explore the transformation of their identity, their configurations, and their legacy to the next generations. Through a qualitative exploratory, transverse and non-experimental study in which 10 volunteer women, aged 40 years and older, were evaluated by continuous inclusion for convenience, with in-depth interviews, and the age-old questionnaire (CME) was also applied.