Результаты поиска

Grieving the wanted child: ramifications of abortion after prenatal diagnosis of abnormality.

Prenatal diagnosis is increasingly common. Whereas amniocentesis is typically performed in the second trimester, chorionic villus sampling (CVS) is a first-trimester procedure, which makes an earlier, safer abortion possible. However, CVS carries a slightly higher risk of miscarriage and other complications. In choosing a procedure, couples (with the aid of genetic counseling) must weigh the risks of miscarriage against the odds and implications of an abnormal diagnosis. Interviews with women who decided on abortions after amniocentesis or CVS and meetings with genetic counselors indicate that

Home care during the aftermath of Hurricane Hugo.

During the course of field observations for an ethnographic study of home care nurses' job stress, Hurricane Hugo struck the community, causing extensive damage. The nurses' office building was heavily damaged by wind and water, and their office was not habitable for almost a week. The author had observed the nurses' work practices over 10 weeks before the hurricane. In the aftermath of the storm, the nurses were simultaneously disaster victims and caregivers for other victims. They experienced grief, anger, and frustration about their losses, as well as conflict between their family- and work

Helping them cope.

1. Self-help groups for individuals with sarcoidosis (a noncontagious multisystem disorder characterized by granulomas in many organs) are rare despite the physical and emotional problems associated with this disease. 2. The stimulus for the development of the group arose when staff in a pulmonary clinic identified that sarcoidosis patients were helping each other cope with problems and concerns related to their disease and feelings of isolation. 3. Nurses play a significant role in creating vehicles of help and service to facilitate and support patients experiencing fear and anxiety about the

Elder-family caregiver relationships. Determining appropriate nursing interventions.

Providing excellent care to elders involves more than the nurse's ability to minister to them; it is dependent on nurses' focusing assessment and intervention on the elder-caregiver dyad. Only by planning nursing care within the context of the dyad and considering the needs of the elder, the caregiver, and the unit, is it possible for nursing to realize its potential for improving the care of all elderly clients.

An explanatory model of recovery from disaster loss.

The development and testing of an explanatory model of recovery from disaster loss are described. The sample consisted of 155 persons at Tim … magnitude of loss, mass media coverage, negative rating of change, change in income, self-efficacy, social support, satisfaction with financial settlement, and mental distress. Path analysis was selected to estimate the magnitude of hypothesized direct and indirect linkages between variables presumed as causes of variables treated as effects. Results showed an i …

Work-related therapy for the injured reduces return-to-work barriers.

A work hardening program such as the one Mary experienced is designed to assist with case resolution and maximum rehabilitation as expediently and cost effectively as possible. For the worker who cannot successfully return to work due to injury or illness, work hardening is a means of determining what the barriers are to returning to work. As case history showed these barriers often are much more than physical. However, this does not mean that the worker has deep rooted psychological problems. Most of the time, the worker is demonstrating a normal situational reaction to the injury, and once i

Parents in Prison: a child abuse and neglect prevention strategy.

Parents in Prison is an innovative family support service housed at the Tennessee State Prison for Men. Developed in response to inmates' recognition of the need for child abuse and neglect prevention services relevant to men who are in prison, the program model has potential for becoming a major service delivery strategy. Leadership for Parents in Prison is provided by an inmate committee which receives consultation and assistance from a community advisory board and an institutional sponsor. Program components--correspondence and classroom courses, monthly events featuring community guest spe

Patient Perspectives on Social and Identity Factors Affecting Multiple Myeloma Care: Barriers and Opportunities.

Patients living with multiple myeloma (MM) have a substantial disease burden and face multiple barriers to care. Building upon our previous research using mixed methods, this focus group research aimed to identify patients' priorities regarding specific social and identity-related needs, map these prioritized needs to the disease journey, and describe patient-generated ideas to improve patient support. Participants noted that patients with MM need a range of emotional, social, and financial support throughout the disease journey. They identified initial MM diagnosis and treatment adherence as

Совпадение в полном тексте источника
… Treatment Goals Participants noted that treatment goals can be negatively impacted by a lack of social support, age, and disability status. … Treatment Adherence Participants reported that lack of social support and transportation as well as disability status can negatively impact treatment adherence. Participants shared examples related to how lack of social support had impacted their adherence. …

[Current status of oral health literacy and its influencing factors among adult orthodontic patients].

PURPOSE: To investigate the current status of oral health literacy among adult orthodontic patients and analyze its influencing factors. METHODS: Totally 163 adult orthodontic patients were recruited by convenience sampling method from November 2021 to February 2022 at the Department of Oral and Craniomaxillofacial Surgery, Center of Craniofacial Orthodontics in Shanghai Ninth People's Hospital. General information questionnaire, Chinese version of Health Literacy in Dentistry (HeLD-14), Chinese version of Self-Efficacy Scale for Self-care (SESS) and Social Support Rating Scale (SSRS) were ap…

Psychological support for adolescents with type 1 diabetes provided by adolescents with type 1 diabetes: The chat line experience.

BACKGROUND: Age-specific preventive interventions by exploiting age-appropriate means are needed to effectively support adolescents with type 1 diabetes in facing illness and developmental-related difficulties. The provision of social support through a content analysis of messages posted on online conversations was examined. METHODS: Participants and moderators' messages posted to an Italian online chat group for adolescents with type 1 diabetes were content analyzed using a social support behavior coding system. RESULTS: Of 250 adolescents approached (aged 12-18), 161 (64.4%) agreed to part…

Mutual support groups to reduce alcohol consumption by pregnant women: marketing implications.

This paper reports on a study of social support and alcohol consumption of 153 women during pregnancy. The majority of women changed their alcohol intake patterns during pregnancy because of concern for the health of the fetus. Most women decreased the amount and frequency of drinking and changed their beverage of choice. Social support was found to be significantly related to reduction in alcohol use during pregnancy. Social support came from relationships with specific individuals and groups of individuals. Health care providers may be able to extend the range of their work by designing spec…

Beyond biomedical control: governance, social protection, and system gaps in tuberculosis control in Kazakhstan - a qualitative study of decision-makers.

BACKGROUND: Tuberculosis (TB) remains a major public health challenge globally and in Kazakhstan, despite progress in reducing incidence. In … each, rural access support, and intersectoral governance mechanisms. Strengthening patient-centered social support and coordination across clinical, social, and civil society sectors may help reduce perceived fragmentation and support more equitable TB control.

Depression, stigma and social isolation: the psychosocial trifecta of primary chronic cutaneous lupus erythematosus, a cross-sectional and path analysis.

OBJECTIVE: Depression is common in individuals with chronic cutaneous lupus erythematosus (CCLE). However, how CCLE may impact patients' psychological well-being is poorly understood, particularly among disproportionally affected populations. We examined the relationships between depression and psychosocial factors in a cohort of predominantly Black patients with primary CCLE (CCLE without systemic manifestations). METHODS: Cross-sectional assessment of individuals with dermatologist-validated diagnosis of primary CCLE. NIH-PROMIS short-forms were used to measure depression, disease-related s

Falls risk perception and its influencing factors in elderly patients with hip fracture: a cross-sectional study.

OBJECTIVES: To explore the status and influencing factors of fall risk perception in elderly hip fracture patients, and to inform clinical fall prevention strategies. METHODS: This cross‑sectional study enrolled 162 elderly patients with hip fracture from Mianyang Central Hospital. Data were collected using a general information questionnaire, the Fall Risk Perception Questionnaire (FRPQ), Perceived Social Support Scale (PSSS), a simplified anxiety‑depression scale, and the Fall Efficacy Scale. One‑way ANOVA, Pearson correlation, and multiple linear regression were used for analysis. RESULTS…

Breastfeeding Experiences, Challenges, and Barriers Among Mothers During Hot Weather in Türkiye: A Qualitative Study.

OBJECTIVES: This study aimed to explore mothers' breastfeeding experiences, challenges, and barriers during hot weather in Türkiye. METHODS … thers expressed the need for adequate fluid consumption, appropriate environmental adjustments, and social support; they also highlighted the need for support to cope with the stress and psychological challenges they experience during hot weather conditions. CONCLUSION FOR PRACTICE: This study shows that hot weather poses significant physical and emotional chal …

Psychosocial factors associated with spiritual needs among patients with colorectal cancer: A multicenter cross-sectional study using structural equation modeling in Guangdong Province, China.

Spiritual needs are increasingly recognized as part of supportive cancer care, but they remain underassessed in routine practice. This study examined spiritual needs and associated psychosocial factors among patients with colorectal cancer recruited from 5 hospitals in Guangdong Province, China. A multicenter cross-sectional survey was conducted between July 2024 and June 2025. Patients with colorectal cancer completed validated Chinese questionnaires assessing perceived social support, psychological resilience, anxiety, depression, spiritual well-being, and spiritual needs. Data were analyzed…

Caring for a child with cerebral palsy in rural Malawi: A mixed-methods study of caregiver experiences and support needs.

AIMS: To explore the emotional, physical, social, and economic demands experienced by caregivers of children with cerebral palsy in Mangochi District and identify coping mechanisms and sources of support. METHOD: A convergent, parallel, mixed-methods design was used. Six focus group discussions with primary caregivers (n = 42) were analysed with thematic analysis. A modified 9-item Burden Scale for Family Caregivers was administered to the same 42 caregivers and summarized using descriptive analysis. RESULTS: Caregivers were predominantly mothers or grandmothers. The Burden Scale for Family

Self-Care Processes as Predictors of Quality of Life in Adults With Moyamoya Disease: A Structural Equation Modeling Study.

Background: Moyamoya disease is a chronic cerebrovascular condition requiring ongoing self-management to prevent complications. Riegel's theory of self-care in chronic illness posits that factors such as disease knowledge, self-efficacy, social support, and access to care influence self-care maintenance, monitoring, and management, which in turn affect health outcomes and quality of life (QoL). Aim: To test a structural equation model of factors influencing self-care and outcomes in adults with moyamoya disease based on Riegel's self-care theory. Methods: A cross-sectional survey of 211 adults…

Social relationships promote access to food and information in wild jackdaws.

Many animals form differentiated social relationships that can influence fitness, but the mechanisms behind these benefits are often unclear … shorter dyadic arrival latencies. Bonded partners also showed higher social tolerance and possibly social support, with feeding individuals benefitting from a lower probability of being displaced when a partner was present. Queuing individuals accepted short-term time costs to remain with their social partners. For juveniles, following their parents probably pr …

An examination of syndromal validity and diagnostic subtypes in social phobia and panic disorder.

BACKGROUND: We investigated whether patients with DSM-III-R panic disorder and patients with social phobia could be distinguished on the basis of selected demographic variables and by several commonly used anxiety and phobia rating scales. METHOD: Sixty-six patients with social phobia and 60 patients with panic disorder (42 with and 18 without agoraphobia) were studied. Subjects completed a battery of self-report measures that assessed phobic fears, avoidance, and related problems. RESULTS: Social phobic patients showed an earlier age at onset than the panic disorder group, and there was a t