جستجوی مقالات مرتبط با کلیدواژه « family support » در نشریات گروه « پزشکی »

Uterine and Cervical cancer survivors face challenges like the disruption of emotionaland sexual relationships, struggle to maintain sexual life and intimacy, and the possibility ofdivorce. The study aimed to determine the effect of group counseling based on couples’ constructivecommunication on perceived spousal support in uterine and cervical cancer survivors. A randomized controlled trial on 40 women who survived uterine and cervical cancer wererecruited using convenience sampling and then randomly allocated to a couple-based constructivecommunication intervention group and a routine cancer center care control group from June 2019 toMarch 2020 in Motahhari and Imam Khomeini hospitals in Urmia. The intervention group was involvedin a group counseling session weekly for 5 weeks, regarding constructive couple communication skills.Perceived spouse support was assessed using the sources of social support scale which has 4 subscalesinformational, instrumental, emotional, and negative support before and one week after the end of theintervention in both groups. Data analysis was performed using SPSS version 24 through Independentand paired t-tests, Mann-Whitney U test, Wilcoxon, chi-square, and ANCOVA. P value<0.05 wasconsidered statistically significant. The effect of the intervention was statistically significant in reducing negative support inthe intervention group (2.70±0.80) in comparison with the control group (3.40±1.04) (P=0.03). It wasalso statistically significant in increasing informational support (3.45±0.71 vs. 2.15±0.80, P<0.001),instrumental support (3.15±0.58 vs. 2.85±0.74, P<0.001), and emotional support (19.40±1.60 vs.16.10±2.10, P<0.001). Group counseling based on couple constructive communication increased perceivedspousal support in uterine and cervical cancer survivorsTrial Registration Number: IRCT20150125020778N22.

This review aimed to synthesize intervention models involving the role of adolescent and family support as part of comprehensive care to improve self-efficacy and self-management among adolescents with Diabetes Mellitus (DM).

A review was conducted to conform to Preferred Reporting Items for Systematic Reviews and Meta- Analyses Extension for Scoping Reviews (PRISMA-ScR) standards. We searched PubMed, Research Gate, Science Direct, Cochrane Library databases, and grey literature. We included articles exploring family intervention models on improving self-efficacy and self-management among adolescents with DM, published from January 1, 2009, to June 30, 2022, and in English. Articles were declared eligible, reviewed critically, and then synthesized narratively.

We identified 487 abstracts and title records from the initial search and excluded 409 irrelevant studies. Sixty-six full-text articles were screened, and nine were included in the synthesis. Five articles presented findings from using models focusing on child and adolescent intervention, while in the remaining four articles, the intervention models involved adolescents and their caregivers or parents. Only two models provide comprehensive care that requires collaboration among healthcare providers, patients, and families. Adolescent self-efficacy and self-management schemes as intermediary variables are closely related to everything that can influence health behavior, metabolic control, and quality of life for adolescents, which requires support from a multidisciplinary collaborative team.

Excellent comprehensive care team collaboration involving family support is essential to increase the self-efficacy and self-management of adolescents with DM.

Diabetes foot is a complication of diabetes mellitus that can be avoided by practicing proper foot care. This behavior is influenced by factors such as self-efficacy and family support. The presence of communication and language barriers between healthcare providers and patients with diabetes mellitus leads to difficulties in understanding diabetes education, which ultimately hinders self-care. This study aimed to evaluate the impact of a community health worker intervention program on the self-efficacy and family support of patients with diabetes regarding foot care.
Materials &

This quasi-experimental study with pre-test and post-test design with a control group was conducted on 72 diabetes mellitus patients who were in the working area of the Lempake Primary Health Care Center, Samarinda City. The respondents were selected by purposive sampling method and divided into two groups, including the intervention group (n=36) and the control group (n=36). Data were collected using Foot Care Confident Scale and Family Support Questionnaire and were analyzed by Statistical tests.

There was a significant difference in the mean score of family support in the intervention group compared to the control group (p=0.01). Meanwhile, for self-efficacy, there was no significant difference between the two groups (p=0.48). However, significant differences were observed in self-efficacy and family support before and after the intervention (p<0.05). Whereas in the control group, there was no significant difference in self-efficacy and family support (p>0.05).

Community health worker intervention programs can increase family support and self-efficacy of diabetes mellitus patients in foot care.

The family is a support system in the service system for schizophrenia patients. Family-based psychological training for people suffering from auditory hallucinations has not yet been implemented, and no attention has been paid to auditory hallucination nursing. This study aimed to determine the effect of psycho-education enrichment on the family's ability to control hallucinations in Schizophrenia patients.
Materials &

This study is a pre-experimental study with a one-group pre-test and post-test design. From a total of 1343 families of people suffering from auditory hallucinations, 30 people were selected by simple random sampling from Jambi Mental Hospital. The psycho-educational activity was conducted for three sessions of 90-120 minutes. All collected data were analyzed using the Wilcoxon test.

The mean age of the study participants was 45.2±13.6 years. After the intervention, the mean scores of knowledge (p<0.001), attitude (p<0.010), and skill (p<0.001) of participants significantly increased in the post-test compared to the pre-test.

Psycho-education interventions can improve the ability of families to control auditory hallucinations in family members with schizophrenia as part of nursing interventions.

Hepatitis C virus (HCV) infection reduces its victims' quality of life (QoL). Generally, hepatitis-C patients seem to face decreased social, family, and friends support and a social phobia that lowers their QoL and emotional state. There is a need to pay special attention to hepatitis-C patients' emotional and social needs.

This study aimed to investigate the impact of social support, family, and education on the quality of life of hepatitis drug users.

This quasi-experimental study was conducted on 144 male drug users (72 people in each intervention and control group) with hepatitis C referring to two Drop-in Centers covered by the Welfare Organization in Isfahan, Iran, in 2017 - 2018. Convenience sampling was used in this study, and the sample size was determined to be 72 subjects in both groups, and through tossing a coin, drop-in-center no. 1 was selected as the intervention group and the drop-in-center no. 2 as the control group. Those in the intervention group were divided into six 12-person groups and were invited to participate in a supportive-educational program with a family member. A self-administered questionnaire measuring demographic characteristics, high-risk behaviors, the status of hepatitis C, and SF-36 for determining the QoL was completed by participants in both intervention and control groups before and after the intervention.

The mean QoL score and changes in this score during the three times of measurements were significantly different between the two groups. However, after the intervention, the mean total QoL score in the intervention group (71.32 (16.15)) was significantly higher than the control group (48.22 (25.81)) (P < 0.05).

Educational programs with a strong emphasis on family support and companionship can improve some dimensions of the QoL in patients with HCV.

Hypertension is a major global health problem and a risk factor for cardiovascular disease. An unhealthy lifestyle can increase the risk of hypertension and psychological disorders, thereby heightening the risk of cardiovascular disease.

The study aimed to evaluate the effects of lifestyle education on depression, anxiety, stress, and perceived family support among hypertensive patients undergoing coronary angioplasty.

This randomized clinical trial recruited 60 hypertensive patients undergoing angioplasty at the coronary care units of an educational hospital in Isfahan, Iran, in 2015. Then, 30 subjects were randomly allocated to each intervention and control group. The patients in the intervention group and their family members were provided with group lifestyle education in six sessions held in three successive weeks, accompanied by one-month follow-up telephone contacts. Data were collected before, immediately after, and one month after the intervention using a demographic questionnaire, the 21-item Depression, Anxiety, and Stress Scale with Cronbach’s alpha values of 0.80, 0.83, and 0.87, and a researcher-made family support questionnaire. Data analysis was done using the paired-sample t, independent-sample t, chi-square, Mann-Whitney U, and repeated-measures analysis of variance tests.

The study groups did not significantly differ respecting demographic characteristics, and the pretest mean scores of depression, anxiety, stress, and perceived family support (P > 0.05). However, significant between-group differences were observed at both posttests, respecting the mean scores of depression, anxiety, stress, and perceived family support (P < 0.05). Moreover, while these mean scores did not significantly change in the control group (P > 0.05), the mean scores of depression, anxiety, and stress significantly decreased, and the mean score of perceived family support significantly increased in the intervention group across the three measurements (P < 0.05).

Lifestyle education effectively reduced depression, anxiety, and stress and improved perceived family support among patients with hypertension and angioplasty. Nurses can use such interventions to improve patient outcomes.

Aims Covid-19 infected patients are necessarily treated under isolation procedure in health facilities. However, those who have clinically mild symptomps are recommended to self-isolate. This study aims to explore the experiences of Covid-19 survivors who underwent self-isolation from the beginning of infection until declared cured. Participant and Method Phenomenological design study was used in this qualitative research to describe the experiences of Covid-19 survivors who were under self-isolation in Semarang, from the beginning of infection until declared cured. Data was collected using semi-structured in-depth interviews through offline and online methods. Findings   Positive thinking and the support of family and companion motivated them to survive in self-isolation condition. Environmental stigma was the most undesirable obstacle felt by the Covid-19 survivors during self-isolation at home. Covid-19 survivors experiencing clinically mild symptoms tended to distrust the media because the media provides frightening information about Covid-19. Conclusion Positive thinking and family support are the successful key of self-isolation. Media can be used responsibly to reduce stigma and to support Covid-19 sufferers who are undergoing self-isolation.

Population aging refers to the increase in number and percentage of older population aged 60 yr and above, and at the same time, decreasing in number and percentage of the young population aged 15 yr old and below. Starting in developed countries, population aging has now become a distinctive demographic phenomenon in developing countries. Nowadays developing countries have become the home to the largest proportion of older people in the world. This paper aimed to analyze the impact of population aging in Malaysia.

We employed a secondary data analysis related to the impact of population aging in Malaysia. In analyzing the data, the paper detailed, segmented, coded and, formulated the text into themes through a thematic approach. The themes that emerged from the data were family changes, migration of youth, support and care, health problems, financial security as well as housing problems. These emerged themes mapped the shared patterns of the impacts of the population aging.

With the increasing of the older population in Malaysia, there are various impacts of population aging emerged, particularly in terms of family changes, youth migration to cities, support and care, health, financial security and housing. The discussion in this article is revolved around these impacts.

The growth of older people and the impact emerging from it has certain policy implications for the government of the country. Thus, the government needs to prepare for adequate policies and resources for future older people.

Breast cancer is the most common cancer and the 5th leading cause of death in Iranian women. Many of these women are at the age of fertility and have dependent children.

This study aimed to explore the experiences of mothers with breast cancer of the support they receive for playing and rebalancing their mothering role.

This qualitative content analysis study was conducted from 2018 to 2019. Participants were 22 mothers with breast cancer purposively recruited from Shahid Ghazi Tabatabaee Hospital in Tabriz, Iran. Data were collected through semi‑structured interviews and analyzed through a conventional content analysis method.

Participants’ experiences were categorized into three main categories, namely, perceived difficulties, being with and for mother, and rebalancing family functions. The four subcategories of the first category were the physical limitations in performing the mothering role, the psychological burden of the disease, role strain in playing the mothering role, and children’s social difficulties. The second category included five subcategories, namely, assistance with the mothering role, emotional attachment to the mother, provision of family expenses and medical costs, normalization of appearance following cancer‑induced changes, and social support resources. Finally, the third category included two subcategories, namely, the stability of the mother’s roles and promoting a health‑oriented perspective in the family.

Mothers with breast cancer face difficulties in performing their role as mothers. Identifying and providing supportive interventions for them by the health‑care providers not only can be effective in achieving role stability for the mother but also in rebalancing family functions.

To promote the treatment effects and self-management behaviors of the patients with type 2 diabetes mellitus (T2DM) during the COVID-19 pandemic, this study empirically investigated the relationship among family support (FMS), mental resilience (MR) and diabetic distress (DD) in patients with T2DM.

Overall, 256 patients with T2DM from the Department of Endocrinology, Jinhua People’s Hospital, ZheJiang, China were selected and measured for their perceptions of FMS, MR and DD from 2019-2020. Based on the measurements, the difference and correlation matrix under different background variables were studied by one-way variance and correlation analysis. A structural equation was used to analyze the causal path among the measurements.

Patients that differ in marital status, annual family income, medical insurance level, number of complications, and with/without insulin injection therapy were significantly different in their perception of FMS, MR and DD. FMS and MR had a significant negative correlation with DD. FMS used MR as an intermediary variable that affected DD.

Diabetes education, improved medical insurance levels, and targeted psychological consultation for patients could effectively improve their MR and alleviate DD.

Violence is recognized as a significant public health problem throughout the world. The present study aimed to evaluate the prevalence of violence-related behaviors and its relationship with other risky behaviors, family support, and religiosity among students in Bushehr.  

This cross-sectional study was conducted on a total of 977 students in Bushehr city, southern Iran, in 2016. Required data were collected using a self-administered questionnaire on violence-related behaviors and other risky behaviors. The validity of the questionnaire was measured by MPH students with a Cronbach’s alpha of 0.90. Additionally, family support scale and religious belief questionnaire were applied. Data analysis was performed using chi-square, t test, and logistic regression model in SPSS version 16.0.  

The overall prevalence rates of weapon carrying and physical fighting were reported to be 9.1% and 7.1%, respectively. The findings of this study revealed that hookah use (OR: 2.93), physical fight (OR: 5.64), and having unsafe sex (OR: 2.42) were associated with weapon carrying (P < 0.001). Moreover, male gender (OR: 3.36), illicit drug use (OR: 3.64), weapon carrying (OR: 5.24), and family support (OR: 0.97) were shown to be associated with physical fight (P < 0.001).  

The results of the present study suggested co-occurrence nature of risky behaviors. Given the high prevalence of violence-related behaviors, the implementation of preventive interventions for college students is of great importance.

 Non-suicidal self-injury (NSSI) is defined as inflicting damage to one’s own body. It begins in adolescence and tends to become chronic.

 Considering the high prevalence and chronicity of NSSI among girls, the present study aimed to investigate the factors affecting the prevalence of NSSI in female adolescents from their perspective.

 The participants consisted of 604 female high-school students in Saveh, aged 14 - 17 years (14.29 ± 1.11), who were selected via random cluster sampling from November 2018 to January 2019. They answered six questionnaires, including the Inventory of Statements About Self-injury (ISAS), Ways of Coping questionnaire (WCQ), Child Abuse Self-report scale (CASRS), Family Emotional Involvement and Criticism scale (FEICS), Emotion Reactivity scale (ERS), and Aggression questionnaire (AQ). Data were analyzed using logistic regression analysis.

 The predictor variables of child abuse, emotion reactivity, perceived parental criticism, family emotional involvement, and problem- and emotion-focused coping styles could successfully distinguish NSSI individuals from those without NSSI (P < 0.05). There were no significant differences between minor and moderate groups.

 Family emotional support is a protective factor, while criticism, child abuse, and emotion-focused coping style are risk factors for NSSI.