scholarly journals The Viewpoints of the Families of Patients with Bipolar I Disorder about the Nature of Disorder and treatment non-compliance: A Qualitative Study

2020 ◽  
Author(s):  
Nasim Mousavi ◽  
marzieh norozpour ◽  
Zahra Taherifar ◽  
Morteza naserbakht ◽  
Amir Shabani

Abstract Background: Bipolar disorder is a common psychiatric disorder with a great psychological and social burden. Research indicates that therapeutic adherence in these patients is low. On the other hand, family knowledge about the disorder is one of the basic principles of treating this disorder. The purpose of the present study was to investigate the knowledge of family members of patients with bipolar I disorder and the reasons for treatment non-compliance in Iran.Methods: This study was conducted by qualitative content analysis method. In-depth interviews were categorized by open coded inductive method based on common meanings and continuous comparisons into subcategories and main subcategories.Results: The findings of this study indicated that the components of the viewpoints of the families of patients with bipolar I disorder, consisted of five themes: a) information about the disorder, b) information about the medications, c) information about the treatment and the role of the family in it, d) causes of patient’s medication non-compliance, and e) family guidelines for patient’s medication compliance.Conclusions: This study showed that family members did not have enough information about the nature of bipolar I disorder and related this to the lack of education. They did not know what causes the recurrence of the disorder and did not have sufficient knowledge about the prescribed drugs and treatment. Also, most families did not know the etiology of the disorder. Lack of knowledge among families can have a significant impact on relapse and therapeutic non-compliance of patients. It seems that these points need to be further emphasized in the education of families. The results of this study will be used to design guidelines and protocols for relapse prevention and family education and reduce the costs.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nasim Mousavi ◽  
Marzieh Norozpour ◽  
Zahra Taherifar ◽  
Morteza Naserbakht ◽  
Amir Shabani

Abstract Background Bipolar disorder is a common psychiatric disorder with a massive psychological and social burden. Research indicates that treatment adherence is not good in these patients. The families’ knowledge about the disorder is fundamental for managing their patients’ disorder. The purpose of the present study was to investigate the knowledge of the family members of a sample of Iranian patients with bipolar I disorder (BD-I) and to explore the potential reasons for treatment non-adherence. Methods This study was conducted by qualitative content analysis. In-depth interviews were held and open-coding inductive analysis was performed. A thematic content analysis was used for the qualitative data analysis. Results The viewpoints of the family members of the patients were categorized in five themes, including knowledge about the disorder, information about the medications, information about the treatment and the respective role of the family, reasons for pharmacological treatment non-adherence, and strategies applied by families to enhance treatment adherence in the patients. The research findings showed that the family members did not have enough information about the nature of BD-I, which they attributed to their lack of training on the disorder. The families did not know what caused the recurrence of the disorder and did not have sufficient knowledge about its prescribed medications and treatments. Also, most families did not know about the etiology of the disorder. Conclusion The lack of knowledge among the family members of patients with BD-I can have a significant impact on relapse and treatment non-adherence. These issues need to be further emphasized in the training of patients’ families. The present findings can be used to re-design the guidelines and protocols in a way to improve treatment adherence and avoid the relapse of BD-I symptoms.


2021 ◽  
Vol 15 (9) ◽  
pp. 2979-2983
Author(s):  
Stephanie Hurado Hinojoza ◽  
Doris Ortiz Morales ◽  
Maria Olalla Garcia

Introduction: Currently the responsibilities and role of each nursing professional has been put to the test with the need to care for thousands of Covid-19 patients, whose demands for technical, cognitive and personal care have exceeded the capacities of many healthcare professionals. Aims & Objective: To know the perspectives of nursing professionals regarding the care of patients diagnosed with Covid-19. Material & Method: the qualitative method was applied with a phenomenological approach, with the consensual participation of 10 HANM professionals, for convenience. The information was collected through in-depth interviews and analyzed in the atlas ti software. V9, using 6 core categories and 11 subcategories with which the hermeneutical unit was built. Results: Nursing care in the time of Covid-19 has faced uncertainty and fear, not knowing accurately the procedures and treatments due to the lack of information in this regard, despite this they maintain the humanization in the treatment of the patient and the Family members, through emotional intelligence, manage their feelings and fears to provide support to their patients. Conclusions: Despite the limited accessibility to protection barriers and biosafety standards, mechanisms were established to provide comprehensive care, considering the needs of the patient and their families, and accompanying them throughout the disease process. The greatest impact for nursing professionals has been to be in constant contact with death, increasing their fear of catching it and bringing the disease to their family members. Keywords: Covid-19, nursing, care, patients.


2018 ◽  
Vol 3 (2) ◽  
pp. 121
Author(s):  
Mochammad Arief Wicaksono

The ideology of state-ibuism has always been interwoven with how the New Order regime until nowadays government constructing the “ideal” role of women in the family and community through the PKK (Pembinaan Kesejahteraan Keluarga) organization. However, in Cangkring Village, Indramayu, the ideology of ibuism works not because of the massive government regulating the role of women through the PKK organization, but it is possible because of the structure of the kampung community itself. Through involved observations and in-depth interviews about a kindergarten in the village, a group of housewives who dedicated themselves to teaching in kindergarten were met without getting paid high. From these socio-cultural phenomenons, this paper will describe descriptively and analytically that housewives in the Cangkring village are willing to become kindergarten teachers because of their moral burden as part of the warga kampung and also from community pressure from people who want their children to be able to read and write.


2020 ◽  
pp. 1-7
Author(s):  
Tara Sims

BACKGROUND: The impact of paediatric upper limb difference may extend beyond the child themselves to their parents and other family members. Previous research has found that feelings of shock, numbness and loss are common amongst parents and that peer support can be a buffer against stress. OBJECTIVE: The current study aimed to explore the experiences of parents of children with limb difference, and the role of services and prosthetic devices in these experiences. METHODS: Nine parents of children with limb difference participated in either a group (n= 2) or individual (n= 7) interview. RESULTS: Analysis of the interview transcripts revealed four themes – ‘grief and guilt’, ‘prosthesis as a tool for parental adjustment’, ‘support’ and ‘fun and humour’. CONCLUSIONS: Parents may employ coping strategies to help them adjust to their child’s limb difference, including use of a prosthesis, accessing support from statutory services and peers, and use of fun and humour within the family.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Claudia Benavides-Salazar ◽  
Cristina Iturrioz-Landart ◽  
Cristina Aragón-Amonarriz ◽  
Asunción Ibañez-Romero

Purpose This paper aims to investigate how entrepreneurial families (EFs) influence the development of entrepreneurial ecosystems (EEs) by using the family social capital (FSC) approach. Design/methodology/approach For this paper, the authors analyzed the Manizales EE as a case study. The authors used a variety of data collection procedures, including in-depth interviews with 26 entrepreneurs and mentors. Findings The authors established how EFs affect EE development, identifying how the FSC bridging mechanisms impact the EE’s social and cultural attributes, boosting entrepreneurial dynamics. Originality/value The results indicated the relevance of EFs’ embeddedness and the degree of the FSC institutionalization in promoting of entrepreneurship within the EEs.


Author(s):  
Vasileva E.A. ◽  
Kuyarov A.A. ◽  
Kuyarov A.V.

The pathogenesis of atopic dermatitis (AD) is complex, and at present a unified concept of the development of the disease has not been formed. At the heart of pathogenesis, there is a complex interaction of numerous factors, such as genetic predisposition, dysfunction of the autonomic nervous system and the epidermal barrier. Previously, it has been proven that a high microbial contamination of the affected areas helps to maintain inflammation and aggravates skin dysfunction as a result of chronic inflammation, and favorable factors appear for the attachment of a secondary infection. However, little attention has been paid to dysfunctions of the epidermal barrier, the role of violations of the quantitative and qualitative composition of the microbiota in the development of AD, and this issue remains relevant at the present time. The aim of this study was to assess the effect of the carrier of bacteria on the mucous membranes of the upper respiratory tract in family members on the course of atopic dermatitis in a child. A bacteriological examination of the mucous membranes of the nose and throat was carried out in 34 children with AD and members of their families (74 people). When examining the mucous membranes of the nose and throat in family members of children with AD, it was found that the microflora isolated from family members in more than half of the cases has an increased potential for pathogenicity with a high degree of contamination (CFU lg 3), which forms an increased bacteriological load on the child. The tendency of bacterial carriage was revealed, contributing to the formation in the family of a permanent persistence of microflora with a high potential for pathogenicity. Asymptomatic carriage of bacteria forms an additional epidemiological load on the child, affects the severity of AD and is a risk factor in the development of secondary infection of the skin.


2019 ◽  
Vol 23 (1) ◽  
pp. 17-26
Author(s):  
Rista Fauziningtyas ◽  
Retno Indarwati ◽  
Delisa Alfriani ◽  
Joni Haryanto ◽  
Elida Ulfiana ◽  
...  

PurposeThe raising of grandchildren by grandparents is a global phenomenon, and it is common in Indonesia. This is because parents are often unable or unwilling to raise their own children. However, the debate around “grandparenting” is still limited in Indonesia. The purpose of this paper is to gain a better understanding of the experience and views of grandparents on “grandparenting.”Design/methodology/approachThe methodology employed was qualitative and informed by phenomenology. The authors conducted in-depth interviews with 13 grandparents who were raising their grandchildren who were under five years old. The data were analyzed using thematic content analysis.Findings5 main themes and 13 subthemes emerged from the analysis of the data. The themes were responses, strategies for overcoming negative responses, the grandparents’ role, the reason for raising grandchildren, and the cultural aspect of “grandparenting” in Java. All of the grandparents enjoyed their roles as grandparents. They felt that they helped fulfill their grandchildren’s physical and educational needs.Social implicationsThe experience of raising a grandchild can be both positive and negative, depending on the cultural aspects in the Java and the family as a whole system. Grandparents require healthcare and informal support to maintain their well-being.Originality/valueThis paper provides new insights into “grandparenting” closely related to social and cultural aspect within the community. Grandparents enjoy being a part of the Javanese tradition. The supportive role of grandparents in Indonesia is important. However, older adults need to balance the role of “grandparenting” and rest time so that they remain healthy and happy.


Author(s):  
Vimal Viswanathan ◽  
Shraddha Sangelkar

Multipurpose products are the artifacts with more than one intended or realized purposes. Abundance of multipurpose products in the market raises interesting questions about the desired customer preferences that lead to success or failure of such products in the market. This study aims to set the premise for developing design guidelines for multipurpose products. The study described in this paper is a qualitative content analysis of reviews of multi-purpose products available from online vendors. A traditional content analysis method is followed, where each sentence from the reviews is coded and categorized by three reviewers. Each category is then carefully analyzed and any redundancies are resolved. Finally, an interrater agreement is achieved between the three coders. The obtained categories shed light on customer expectations from multi-purpose products, their concerns, comments and experiences and their advice from the customer’s viewpoint for the design of such products. Each category identified here shows a potential research direction and a foundation for developing new guidelines for the development of such products.


2020 ◽  
Vol V (IV) ◽  
pp. 27-33
Author(s):  
Irem Sultana ◽  
Malik Adnan ◽  
Muhammad Imran Mehsud

This research paper inspected the role of Pakistani media to protect indigenous languages and culture in Pakistan. The study examined the situation; if Pakistani media outpours concern with the native languages or not. The article also checked the media landscape, its language-wise segregation and scenario of literacy in different areas of the country. The outcomes of the study showed that Pakistani media is neglecting the indigenous languages. The study results exhibited clearly that media houses’ focus on protecting native languages, is not profound. The findings also showed that foreign ownership of Media houses plays a role in neglecting indigenous language promotions. The current study presented that Pakistani mainstream media is damaging the local and native languages. The study was the outcome of qualitative content analysis and in-depth interviews of senior communication experts.


Although women’s participation in the workforce has increased remarkably in recent times but women are still lagging behind because of the traditional thinking and attitudes of their families in the context of Bangladesh. The purpose of the current study was to explore the role of the family in shaping women’s career development. The study was conducted in a qualitative approach and it was exploratory in nature. The study was conducted during November-December, 2019 in Khulna division, Bangladesh. The purposive sampling procedure was used to select the 25 respondents of the study. The respondents constituted of working women from different professions. Primary data was collected through semi-structured in-depth interviews extending from 35 to 45 minutes. The collected data were analyzed using thematic analysis method and nine themes emerged from the transcripts. The emerged themes were acceptance and aspiration from family, spousal support, being a mother, grown-up children as helping hands, family and work balance, family as a social network, family as a barrier, family as a lever, and gender inequality. This research highlighted the fact that women’s career practices and its development depended highly on familial roles. The family possesses the ability to affect women’s career success both positively and negatively. The study revealed that women who received positive support from their families were more motivated and achieved greater success in their professional life. Family can serve both as a lever as well as a barrier in shaping a woman’s career.


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