scholarly journals A study to explore living- in experiences of women with spontaneous abortion at selected hospital, Ambala, Haryana, India

2018 ◽  
Vol 7 (7) ◽  
pp. 2856
Author(s):  
Renu Kharb ◽  
Poonam Sheoran
Keyword(s):  
Spontaneous Abortion ◽  
Health Care Providers ◽  
Psychiatric Morbidity ◽  
Care Providers ◽  
Future Expectations ◽  
Physical Trauma ◽  
Perinatal Grief ◽  
Record Review ◽  
Experiences Of Women ◽  
Perinatal Grief Scale

Background: The purpose of this study was to explore living-in experiences of women with spontaneous abortion in terms of financial, social, psychological, physical trauma and any other aspect expressed by the women.Methods: Mixed Method approach with method triangulation research design (concurrent QUAN + QUAL) was used to assess the living- in experiences of 12 women with spontaneous abortion selected using criterion sampling. Data collected through clinical record review and interview technique by using sample characteristics Performa, Perinatal Grief Scale, and open ended interview guide. Audio recording of the interviews was done.Results: Mean score of Perinatal Grief scale was 100 and scores ranged from 79- 129. Most of the women (91.66%) indicated possible psychiatric morbidity. Findings revealed that the mean percentage was higher in the area of active grief (83.53%) and least was in the area of despair (48.18%). A total of 4 themes and were identified from the analysis of qualitative data, major themes emerged were pregnancy expectations and wishes, greater the joy, more painful the crash, after the blue, fear and future expectations, burden on family, and support: a helping hand.Conclusions: Women undergone spontaneous abortion was disheartened and grieving for the child as they considered their fetuses as a full grown child. In study none of the women blamed themselves for the loss and were in a need of support from family members and health care providers.

scholarly journals Psychological risk factors that characterize the trajectories of quality of life after a physical trauma: a longitudinal study using latent class analysis

2021 ◽  
Author(s):  
Eva Visser ◽  
Brenda Leontine Den Oudsten ◽  
Taco Gosens ◽  
Paul Lodder ◽  
Jolanda De Vries
Keyword(s):  
Quality Of Life ◽  
Latent Class Analysis ◽  
Health Care Providers ◽  
Psychological Health ◽  
Latent Class ◽  
Stress Disorder ◽  
Class Analysis ◽  
Care Providers ◽  
Physical Trauma

Abstract Background The course and corresponding characteristics of quality of life (QOL) domains in trauma population are unclear. Our aim was to identify longitudinal QOL trajectories and determine and predict the sociodemographic, clinical, and psychological characteristics of trajectory membership in physical trauma patients using a biopsychosocial approach. Methods Patients completed a questionnaire set after inclusion, and at 3, 6, 9, and 12 months follow-up. Trajectories were identified using repeated-measures latent class analysis. The trajectory characteristics were ranked using Cohen’s d effect size or phi coefficient. Results Altogether, 267 patients were included. The mean age was 54.1 (SD = 16.1), 62% were male, and the median injury severity score was 5.0 [2.0—9.0]. Four latent trajectories were found for psychological health and environment, five for physical health and social relationships, and seven trajectories were found for overall QOL and general health. The trajectories seemed to remain stable over time. For each QOL domain, the identified trajectories differed significantly in terms of anxiety, depressive symptoms, acute stress disorder, post-traumatic stress disorder, Neuroticism, trait anxiety, Extraversion, and Conscientiousness. Discussion Psychological factors characterized the trajectories during 12 months after trauma. Health care providers can use these findings to identify patients at risk for impaired QOL and offer patient-centered care to improve QOL.

scholarly journals Caregivers’ knowledge and perceptions are associated with children’s TB preventive treatment completion

2021 ◽  
Vol 11 (2) ◽  
pp. 85-90
Author(s):  
J. Zeladita-Huaman ◽  
C. M. Yuen ◽  
R. Zegarra-Chapoñan ◽  
M. Curisinche-Rojas ◽  
V. Egusquiza-Pozo
Keyword(s):  
Adverse Events ◽  
Interpersonal Relationships ◽  
Health Care Providers ◽  
Preventive Treatment ◽  
Preventive Therapy ◽  
Care Providers ◽  
Adjusted Risk ◽  
Factors Associated ◽  
Adjusted Risk Ratio ◽  
Record Review

SETTING: Forty-six health centers in south Lima, Peru.OBJECTIVE: To assess the association between caregivers’ knowledge and perceptions around isoniazid preventive therapy (IPT) and whether their children complete IPT.DESIGN: We conducted a retrospective medical record review of children who initiated IPT during 2017–2018. We administered structured surveys to caregivers of the children about their knowledge about and perceptions of IPT. We used a modified Poisson regression to determine factors associated with IPT completion.RESULTS: We included 550 children, of whom 31% did not complete IPT. Independent factors associated with not completing IPT were low caregiver knowledge about TB and IPT (adjusted risk ratio [aRR] 1.41, 95% CI 1.06–1.78), low caregiver perception of the importance of IPT (aRR 1.76, 95% CI 1.30–2.39), low caregiver satisfaction with the health services (aRR 1.57, 95% CI 1.14–2.16), experience of adverse events (aRR 2.08, 95% CI 1.51–2.87), and living in a household with moderate or severe family dysfunction (aRR 1.53, 95% CI 1.07–2.19).CONCLUSION: IPT completion among children was associated with the knowledge and perceptions of their caregivers, as well as the experience of adverse events. To improve IPT completion among children, health care providers should prioritize education and counseling for caregivers, promote positive interpersonal relationships with them, and monitor adverse events.

Psychiatric morbidity and acute hospitalization in elderly people

2006 ◽  
Vol 18 (4) ◽  
pp. 701-711 ◽  
Author(s):  
Tze Pin Ng ◽  
Liang Feng ◽  
Peak Chiang Chiam ◽  
Ee Heok Kua
Keyword(s):  
Elderly People ◽  
Health Care Providers ◽  
Mental State ◽  
Medical Condition ◽  
Psychiatric Morbidity ◽  
Population Based ◽  
Care Providers ◽  
Acute Hospitalization ◽  
Fitness And Health ◽  
State Examination

Background: Few studies have investigated the association of psychiatric morbidity with acute hospitalization risk in elderly people.Method: We examined this association using population-based data for 1092 older adults aged ≥60 years in Singapore, including subjects who reported at least one acute hospitalization from any medical condition(s) in the 12 months prior to interview (N = 136). Psychiatric morbid/comorbid disorders were diagnosed using the Geriatric Mental State examination.Results: In a multivariate analysis, comorbid psychiatric disorders were inde-pendently associated with hospitalization [adjusted odds ratio 2.76, 95% confidence interval 1.20–6.33], after controlling for age, ethnicity, employment status, number of medical comorbidities, number of activities of daily living limitations, hearing and visual impairment, SF-12 Physical and Mental Component Summary scores, social, productive, fitness and health activities, and regular visits to health-care providers. Neither dementia diagnosis nor cognitive impairment measured by the Mini-mental State Examination was associated with increased hospitalization risk.Conclusion: Psychiatric morbidity in old age was significantly associated with increased hospitalization risk. This finding underlines the importance of treating psychiatric illness to reduce the risk of acute hospitalization in elderly patients.

Reproductive health and pregnancy experiences of women with spina bifida: A qualitative study

2021 ◽  
pp. 1-12
Author(s):  
Asia L. van Buuren ◽  
Susan E. O’rinn ◽  
Hayley Lipworth ◽  
Paige Church ◽  
Anne Berndl
Keyword(s):  
Health Care ◽  
Reproductive Health ◽  
Spina Bifida ◽  
Health Care Providers ◽  
Structured Interview ◽  
Reproductive Age ◽  
Care Providers ◽  
Care Needs ◽  
Health Experiences ◽  
Experiences Of Women

PURPOSE: Despite an increasing number of individuals with spina bifida reaching reproductive age, there has been a paucity of research into their reproductive health care needs. The objective of this study was to better understand the reproductive health experiences of self-identified women with spina bifida using qualitative methodology. METHODS: A phenomenological study design was used to address this objective. Women with spina bifida identified their interest in participating in a semi-structured interview after completing an online reproductive health survey. Interviews were recorded and transcribed verbatim. Qualitative analysis followed a phenomenological approach using Dedoose software. RESULTS: Twelve self-identified women with spina bifida participated. They described experiences in four domains: sexual education, pregnancy, labor and delivery, and postpartum. In addition, an intersecting domain of social justice and advocacy emerged. Numerous themes are described, including a lack of tailored sexual health information, impact of pregnancy on function, attitudes towards delivery method, and parenting challenges. CONCLUSION: This study explored the continuum of reproductive health experiences of women with spina bifida. They face unique reproductive health challenges that provide an opportunity for health care providers to offer more holistic care.

scholarly journals An ethnopsychological ABC framework of psychiatric morbidity to facilitate psychotherapeutic interventions in Nepal

2021 ◽  
Author(s):  
Dhirendra Paudel
Keyword(s):  
Mental Health ◽  
Health Care Providers ◽  
Psychiatric Morbidity ◽  
Psychosocial Distress ◽  
Care Providers ◽  
Psychotherapeutic Interventions ◽  
Fear And Anxiety ◽  
Attending Physician ◽  
The Impact ◽  
The Relationship

The coronavirus disease 2019 (COVID-19) pandemic can be overwhelming leading to strong emotions and distress. Most studies reported the impact on mental health due to uncertainty, fear, and anxiety about the pandemic and post pandemic states. The sufferers may present with a variety of symptoms of psychological distress. Failure to communicate this psychosocial distress between lay and health care providers may pose barriers to treatment and challenges for integration of mental health into primary health centers. There is a need for tools to screen and explain pandemic associated distress in a way that attending physician can communicate with laymen in a coherent way. The article introduces an ethnopsychologial ABC framework that individual in distress can better understand the nature of the illness. Rather than providing a diagnosis to inexperienced clients of psychiatric morbidity, this method promotes improved communication and bridge the observed gaps. Thus, it helps to raise awareness of the relationship between cultural, emotional, thought, behavior, and psychosocial distress. This article discussed the assessment of the ABC framework with ethnopsycholgical premises and psychotherapeutic intervention at different levels that can be applied.

scholarly journals A casualty psychiatric clinic at the Royal Liverpool Hospital

1988 ◽  
Vol 12 (8) ◽  
pp. 333-334
Author(s):  
Hadrian N. Ball ◽  
Michael I. Levi
Keyword(s):  
Health Care Providers ◽  
Emergency Departments ◽  
Psychiatric Morbidity ◽  
High Rate ◽  
Psychiatric Clinic ◽  
Care Providers ◽  
Inner Cities ◽  
Primary Health Care Providers ◽  
Accident And Emergency ◽  
Adequate Provision

Clinical experience suggests that accident and emergency departments are increasingly adopting the role of primary health care providers, particularly those departments situated within the inner cities. Previous studies have shown that there is a high rate of psychiatric morbidity contained within the group of patients attending accident and emergency departments. The question arises as to how adequate provision for serving such patients can be made. Traditionally these patients have been referred to a duty psychiatrist for assessment or have been discharged from the department without a specialist psychiatric opinion having been sought. This approach has its drawbacks as an inappropriate emergency referral creates unnecessary work for an already busy duty psychiatrist. On the other hand no referral at all may result in serious psychiatric disorder remaining undetected and untreated with possible tragic consequences.

scholarly journals The use of antenatal and postnatal care: perspectives and experiences of women and health care providers in rural southern Tanzania

2009 ◽  
Vol 9 (1) ◽  
Author(s):  
Mwifadhi Mrisho ◽  
Brigit Obrist ◽  
Joanna Armstrong Schellenberg ◽  
Rachel A Haws ◽  
Adiel K Mushi ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Postnatal Care ◽  
Care Providers ◽  
Experiences Of Women ◽  
Antenatal And Postnatal Care

scholarly journals Grief and Women: Stillbirth in the Social Context of India

2012 ◽  
Vol 2 (3) ◽  
pp. 187-198 ◽  
Author(s):  
Lisa R. Roberts ◽  
Barbara A. Anderson ◽  
Jerry W. Lee ◽  
Susanne B. Montgomery
Keyword(s):  
Health Care Providers ◽  
Indian Society ◽  
Western Society ◽  
Local Health ◽  
Care Providers ◽  
Indian Women ◽  
The Social ◽  
Key Informant ◽  
Local Health Care ◽  
Perinatal Grief

INTRODUCTION: Few in Western society would argue the potentially devastating impact of stillbirth related grief; but in many developing countries where stillbirth remains the highest in the world, perinatal grief is barely recognized as an issue. The purpose of this study was to explore how poor, rural central Indian women perceive and cope with stillbirths.METHODS: Seventeen key informant interviews and two focus groups (N = 33) with local health care providers, family members, and women who experienced stillbirth were conducted over a 1-month period in 2011 and then systematically coded for emerging themes using grounded theory methods to explore how women experienced stillbirth.RESULTS: Although usually never talked about and not recognized as an issue, perinatal grief emerged as a significant shared experience by all. The perceptions of stillbirth-related grief emerged in three major themes and bear evidence of gender and power issues and indicate that local social norms negatively factor heavily into their perinatal grief experiences.DISCUSSION: The findings in this richly textured study add to the limited literature regarding rural, central Indian women’s experiences with stillbirth and factors influencing their resulting perinatal grief. In light of the void of recognition of this phenomenon in Indian society, a better understanding of the context in which poor Indian women experience perinatal grief will be a first step toward developing much needed culturally rooted interventions to positively impact the women’s abilities to better cope with stillbirth in the context of their realities.

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