Applying psychological intervention of husband and wife for the center to patients with in vitro fertilization and embryo transfer / 中国实用护理杂志

Objective To evaluate the application effect of psychological intervention of husband and wife for the center to patients with in vitro fertilization and embryo transfer. Methods Eighty infertile couples with in vitro fertilization and embryo transfer were selected and divided into intervention group and control group with 40 cases in each group according to the document order numbers, the two groups were given conventional health education of in vitro fertilization and embryo transfer, in addition,the patients in the intervention group received psychological intervention of husband and wife for the center, the intervention time was 5 weeks. Questionnaire investigation about Self- rating Depression Scale (SDS), Self- rating Anxiety Scale (SAS),Coping Style Scale and Subjective Feeling of Marriage Scale were conducted before and after the intervention. Results The scores of SDS and SAS were (30.43±8.92), (33.48±9.92) points after the intervention in the intervention group, and (40.26±9.54), (41.51±7.24) points in the control group,and there were significant differences (t=7.611, 6.245, P<0.01).The scores of help seeking, self- accusation, fantasy, wince and rationalization in Coping Style Scale were (0.63±0.19), (0.25±0.21), (0.41±0.22), (0.43±0.24), (0.42±0.21) points after the intervention in the intervention group, and (0.51±0.21), (0.38±0.22), (0.51±0.19), (0.55±0.23), (0.55±0.22) points in the control group, and there were significant differences(t=3.008-3.668, P < 0.05). The scores of subjective feelings of marriage and family relationship were (64.79±9.75), (34.37±5.12) points after inntervention in the intervention group, and (58.09±11.42), (29.23±4.97) points in the control group, and there were significant differences (t=7.212, 3.463, 15.234, P < 0.05). Conclusions Applying psychological intervention of husband and wife for the center to patients with in vitro fertilization and embryo transfer can improve the psychological state, reduce depression and anxiety, adopt positive coping style, increase the quality of marriage.

Violencia de pareja en el Departamento del Quindío, Colombia / Intimate partner violence in the Quindio, Department of Colombia

Objetivo Identificar los factores de riesgo para violencia de pareja mediante análisis de los datos del sistema de vigilancia epidemiológica para violencia intrafamiliar (SIVIF) en el Quindío del año 2009. Materiales y Métodos Se realizó un estudio descriptivo de corte transversal, sobre 1.906 notificaciones del (SIVIF) del departamento del Quindío, Colombia, del año 2009, donde 583 (n=583) corresponden a casos donde el agredido y agresor eran parejas. Resultados Los principales municipios generaron la mayoría de los casos. Las mujeres, las más agredidas. Son frecuentes la violencia física, múltiple y sexual; la agresión con el propio cuerpo; la influencia de la ira, consumo de alcohol y drogas, celos, y problemas emocionales y psicológicos; agredidos y agresores ≤35 años; las mujeres agredidas amas de casa e informales; violencia psicológica, verbal o grave negligencia y las mujeres ≥35 años agredidas de forma reiterativa, y que no convivían en la misma residencia ni tampoco estaban casadas. Conclusiones No existen muchos estudios ni antecedentes acerca del tema, es una necesidad regional imperiosa, contar con ulteriores estudios, pues éste es un fenómeno social urbano y repetitivo marcado por la violencia física, sexual o múltiple, con víctimas mujeres jóvenes, más frecuente en personas con educación superior.(AU)

Objective Identify risk factors for intimate partner violence by analyzing data from the surveillance system to domestic violence (SIVIF) in Quindio, 2009. Materials and Methods We conducted a cross- sectional descriptive study, about 1,906 notifications SIVIF database in the department of Quindío, Colombia, in 2009, of which 583 (n=583) correspond to cases where the independent of marital relationship between the victim-offender was married, a number that was taken as sample size, analyzing 100 % of such cases as to the origin, receipt of notification, type of coexistence of the couple, circumstances through aggression also features assaulted/aggressor. Results The two main municipalities generated most cases. Women, the most abused. More common types of physical violence, multiple sexual aggression with the body of the offender, the influence of anger, alcohol and drugs, jealousy, and emotional and psychological problems, the people attacked and attackers ≤ 35 years; battered women housewives and informal psychological violence, verbal or gross negligence and women ≥35 years so repeatedly assaulted, and who were not living in the same residence nor were married. Conclusions There are many studies on the subject, even unprecedented in the region and in the national literature. It is imperative for the department of Quindio, further studies have to extend the present. Dating violence in Quindio, is a purely social phenomenon with chronicity of the city, marked by physical, sexual or multiple, with victims young women, more common in people with higher education, although the elderly were more often victimized so psychological, verbal and gross negligence.(AU)

A case of battered wife.

The use of corrective force against the wife is still rife in all cultures and even socially acceptable in some culture. Domestic violence is still common in our society. We report a case of 20 years old woman who admitted into OCC of DMCH through emergency department owing to be assaulted by her husband. This case is exceptional one because the injuries inflicted upon her were over the middle of the forehead and clean cut in nature, though non fatal. Awareness and education is needed to stop this social stigma.

Effect of psychological and behavioral intervention on pregnancy outcome and negative mood for high-risk pregnant women / 中华行为医学与脑科学杂志

ObjectiveTo investigate the husband and wife psychological and behavioral intervention on high-risk pregnant women,pregnancy outcome and negative emotions.Methodsin line with the number of highrisk pregnancy diagnostic criteria for pregnant women into the group of order packets were completed by the clinical observation of high-risk pregnant women in the intervention group (A) 31 cases,32 cases of high-risk pregnant women in the control group (group B),spouses of pregnant women in the intervention group (Group C) 31 spouses of pregnant women in the control group ( group D).Pregnant women in group A and group B underwent outpatient conventional high-risk pregnancy management,group A,group C received 16 weeks of husband and wife jointly participate in the key psychological problems,negative emotion coping skills to learn,couples communication skills,learning,family and social support operations,rehabilitation and faith strengthening and other intervention as the core content.Quality delivery of newborns,asphyxia,anxiety and depression in pregnant women and their spouses before and after intervention the overall incidence of anxiety and self-assessment scale(SAS) score,the score of the Self-Rating Depression Scale (SDS),the Family APGAR Index Questionnaire score (observation of high-risk pregnancy APGAR) and other changes.ResultsThe average body weight of newborns:the intervention group A (3.12 ± 0.69) kg,than in group B (2.29 ± 0.78) kg,a statistically significant difference ( t =2.3148,P =0.024) ;asphyxia:group A was 12.9％ and 34.4％ in group B,the difference was statistically significant (x2 =4.0018,P=0.0455) ;natural birth rate:58.1％ in group A,group B 25％,a statistically significant difference (x2 =7.1023,P=0.0077) ;the rate of cesarean section:29.0％ in group A,group B,59.4％,a statistically significant difference ( x2 =5.8713,P =0.0154 ) ; anxiety and depression in pregnant women:the total incidence after the intervention group A was 19.4％,46.9％ in Group B,the difference was significant (x2 =5.3664,P=0.0205) ;maternal spouse anxiety and depression:in the overall incidence of A group of 9.7％ after the intervention group B 31.2％,the difference was statistically significant (x2 =4.4745,P =0.0344 ) ;APGAR score:after the intervention of high-risk pregnant women in group A (9.42 ± 1.53),Group B (7.71 ± 1.56),group A better than group B,the difference was statistically significant ( t =4.3910,P =0.000),intimacy,emotional degree,the growth degree,cooperation degree,adapt to the degree of five factor scores in group A than group B,a statistically significant difference (P ＜ 0.05,P ＜ 0.01 ).ConclusionHigh-risk pregnant women and their spouses have a severe negative emotional reaction,the husband and wife psychological and behavioral intervention on the improvement of high-risk pregnant women,pregnancy outcome and negative emotions have an important role.

Lived Experience of IVF-ET Program / 여성건강간호학회지

PURPOSE: This study was to identify what experience meant for the wives that attempted IVF-ET(In Vitro Fertilization-Embryo Transfer) program due to the spouse's infertility and provide fundamental materials to improve nursing interventions. METHOD: Giorgi's phenomenological method was employed, the subjects were five wives who had ever attempted IVF-ET program due to the infertility of their spouses. In-depth interview and observation method were utilized to gather information from April to December 2003. RESULT: The significant results from analyzing the interviews can be grouped into 34 themes, 8 categories. The essential themes for the experiences of the wives were 'shocked by the unbelievable reality', 'can't give up the connection to the blood', 'Lack of social education on pregnancy, and childbirth', 'self-pity', 'feelings of both families', 'Being afraid of the unexpected result', 'physical and mental agony', 'Positively coping with the reality. CONCLUSION: The results show that infertility is not a mere personal matter, and infertile people, their families and society should team up with in tackling it. The physical, psychological and social problems triggered by infertility could be ironed out by making both personal and collaborative approaches to that.

The medicolegal understanding regarding sexual violence / 대한산부인과학회지

Sexual violence, by definition, means all kinds of the physical, emotional, or linguistic violence by means of sex on which one would never agree. In a broad sense, sexual violence could include sexual assault, molestation (also referred to as sexual abuse), and sexual harassment. Sexual assault is a substitute for rape used in media reports. Rape is an coerced sexual intercourse in which a man is putting his penis inside a woman's vagina by means of an act of violence and intimidation and a heinous crime which infringe on human rights of sexual self-determination, and freedom and tranquility of sexual life. Psychologically, it is important to be aware that rape is not a sexual behavior in common sense. It should be treated as an event in which one person violate another by means of sex. Many a serious rape is liable to be committed from the impure motive of sadistic ostentation of one' power and retributive exhibition of one's anger. The criminal object of rape is women and girls. Previously, as prescribed by law, interpretation of the law restricted the object of the crime to biological and genetical female who also is not rapist's wedded wife. But, the latest judicial precedent appreciated a person who is rapist's wedded wife as the object of the crime. Considering previous judicial precedents and the tendency of juridical interpretation on the minors of transgender, even a transgender female underwent sex exchange operation could be legally appreciated as the object of the crime. So, therefore, gynecologist who would initially confront rape victim in the field of medical practice should carry out one's medical and legal obligation, irrespective of whether or not the victim would be a biological and genetical female or a rapist's wedded wife or a transgender female underwent sex exchange operation. Especially, gynecologist should not judge whether rape is committed or not only by external wound. And, even if the victim and legal guardians would not want to accuse rapist on charges of rape at the moment, gynecologist should collect all the criminal evidences just in case an accusatorial procedure would be presented later on. Successful prosecution of rapist would be dependent upon the completion of the detailed forensic examination. Because of the legal ramifications of rape, consent should be obtained from the victim before taking the history, performing the physical examination, and collecting the criminal evidence. Many rape survivors would not inform their gynecologist of the assault voluntarily, unless they are directly asked. So, therefore, on getting a medical history, gynecologist should routinely ask their patients a question, "Has anyone ever coerced you to have sexual relations?". Actually, rape is severe and complex form of trauma which could bring about an excruciating damage on physical, psychological, and sexual health and, thereupon, might have an impact on the victim for the rest of one's days.

Knowledge, Attitude and Practice of Home Visitors in Public Health Centers toward Wife Abuse

PURPOSE: This study investigated knowledge and attitude of home visitors in public health centers toward wife abuse and the actual status of how they were detecting wife abuse and providing interventions. METHOD: Data were collected using questionnaires from October 2003 to December 2004. The subjects were 403 home visitors at Public Health Centers around Korea. The data were analyzed using SPSS program. RESULTS: The correction rate of knowledge related to wife abuse was 51.9%. The mean score of attitude toward wife abuse was 3.09 (SD=.40) out of 4, showing that their attitude is right. There was a significant difference in attitude according to age (F=3.27, p=.008). One hundred twenty six visitors (31.3%) detected wife abuses and each visitor confirmed 2.3 cases on the average. Forty eight respondents (38.1%) answered that they had provided interventions. CONCLUSION: This result implies that health visitors have difficulties in detecting wife abuse, and even for identified cases, the rate of providing interventions was low. It was because health visitors' educational experience in wife abuse is insufficient and they do not regard this work as their duty. These findings suggest the necessity for developing nursing in-service programs teaching health visitors their duties and knowledge related to wife abuse.

The Relationship Among Mother-Daughter Relationship, Husband-Wife Relationship and Prenatal Attachment according to Pregnant Women's Internal Working Model / 여성건강간호학회지

PURPOSE: The purpose of this study was to identify the relationship among mother-daughter relationship, husband-wife relationship, and prenatal attachment according to pregnant women's internal working model. METHOD: A convenience sample of 68 pregnant women was recruited from two OBGYN hospitals in M city. Data collection was conducted through the use of an Adult Attachment Interview and questionnaires. This study used a descriptive correlational design and the period of investigation was from July 3-20, 2002. 41 of the 68 women were in a secure pregnant women's internal working model and 27 of the 68 in insecure ones. The data were analyzed by Chi-square test, t-test, and Pearson Correlation Coefficient. RESULT: The results of this study were as follows: Mean score of the prenatal attachment of the secure pregnant women and mean score of the mother-daughter relationship of the secure pregnant women was significantly higher than that of insecure ones. 3) Prenatal attachment was negatively and significantly related to mother-daughter attachment and husband-wife attachment in the secure pregnant women's internal working model. However it was not significantly relationship in insecure pregnant women's internal working model. CONCLUSION: It is found in this study that there is an intergenerational attachment relationship during pregnancy. Further findings support the development of creative strategies to enhance positive attachment relationships for pregnant women. It is recommended to develop nursing education of attachment for the insecure pregnant women's internal working model.