scholarly journals Perimenopausal Stress Reactions: A Qualitative Study on the Awareness of Spouses

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Ammu G Nair ◽  
Sonia George

Menopause is the complete cessation of the mentstrual cycle, which is caused by loss in the ovarian follicular activity. Women reach their non-reproductive years when they reach menopause. But the journey towards it is not that easy as it sounds. The transition period may take less or long time depending on individuals.The menopausal transition can be a period of stress, even lead to trauma if left unnoticed or unsupported. The menopausal transition period is called the perimenopausal period. Perimenopause is considered to be the period (3-8 years) before and after the final menstrual cycle. It is a phase in a woman's life that needs immense support and care from the spouse. But still, researchers are skeptical about the information men have regarding the period. Even though many studies highlight the physiological changes that happen during the perimenopausal or menopausal transition period, there is still a lack in the number of studies that emphasize the psychological difficulties women face in the perimenopausal period. Emotional support from the husband is of significance amid many such difficulties. For assisting, the spouse should be completely aware of what his wife is going through. The significance of the study lies here, as it focuses on the awareness of the spouses about the perimenopausal period. The study intends to investigate the level of awareness men have about the perimenopausal period.The study also attempts to find out how  the spouses perceive themselves to have supported their wives during the perimenopausal period. The study followed a qualitative approach in data collection and analysis. The data was collected using a semi-structured interview. 34 men (spouses of perimenopausal women) from Thiruvananthapuram, Ernakulam, and Thrissur districts of Kerala, India were selected using purposive sampling. The method of thematic analysis was used to analyze the data. For the analysis, the software NVivo was used. The final themes extracted were, unawareness, attitude, regret, and techniques to be adopted. The results revealed the unawareness majority of the participants had about the phase and throws light on the need to create awareness among men to help women cope better with the phase. Participants also reported the reasons they felt which led to this level of unawareness and how they felt there is a need to adopt many techniques which may help their wives cope better with the phase. The major reasons, the partcipants noted as reasons for their unawareness were, lack of information from the family, lack of communication from their spouses, which led to major confusions in them. From the results it could be understood that there is high level of unawareness among the participants regarding the perimenopausal period. There is a need to create awareness among men to understand the phase better to help their spouses cope better with the perimenopausal period. 

2015 ◽  
Vol 6 (4) ◽  
pp. 97-104
Author(s):  
Arina Yurevna Malenova ◽  
Irina Gennadevna Kytkova

Research objective - studying of features of the relation to pregnancy, the child, motherhood of women in IVF situation. Selection: 100 married pregnant women aged from 28 till 42 years (the first pregnancy of the first trimester, complications in the anamnesis isn't present) representing two groups on 50 people: 1) after artificial insemination (empirical group); 2) in a situation natural pregnancy (control group). The leading motives of pregnancy, types of the attitude towards themselves, pregnancies, to the child, people around, the prevailing installations in the sphere of the family relations, features of representation of future mothers about themselves and "the ideal parent" are defined by testing. Distinctions in all respects with women from control group are found. It is established that in vitro fertilisation the high level of readiness for motherhood according to its motivational characteristics is observed. Prevalence of constructive motives of pregnancy against concern in the health and aspirations to meet social expectations is revealed. The leading types of a gestational dominant are optimum and euphoric, the hypertrophied positive emotional background of pregnancy is observed. In the future of a bike probability the dependent relations with the child, preference of the sponsoring or authoritative style of family education. Revaluation of own parental qualities when comparing with image of ideal mother is observed. Results allow to carry women to the group of risk demanding psychological maintenance before and after the childbirth.


Author(s):  
Azaruddin Awang ◽  
Khadijah Mohd Khambali @ Hambali

Pemelukan agama Islam merupakan satu fenomena sosial yang sering berlaku dalam kehidupan masyarakat majmuk di Malaysia. Perihal yang sama terjadi dalam kehidupan komuniti minoriti Cina di negeri Terengganu. Hubungan etnik berbeza agama yang sekian lama terjalin sedikit banyak mendorong komuniti Cina memeluk agama Islam. Objektif kajian ini ialah melihat faktor yang mendorong kepada pemelukan agama Islam dalam kalangan masyarakat Cina yang membabitkan diri dalam kegiatan di Kompleks Darul Hidayah. Kajian deskriptif ini dilakukan menggunakan metodologi kualitatif, iaitu menerusi temu bual terhadap 20 orang Saudara Muslim Cina yang telah memeluk agama Islam di kompleks Darul Hidayah. Hasil kajian mendapati komuniti Cina Muslim di Kompleks ini memeluk agama Islam kerana faktor pergaulan dengan rakan Muslim, perkahwinan, kajian tentang Islam, mendapat hidayah dari Ilahi dan dorongan daripada keluarga yang telah memeluk agama Islam. Hasil dapatan berupaya membantu badan-badan dakwah dan masyarakat Muslim setempat agar peka terhadap isu-isu yang berlaku dalam kehidupan saudara Muslim pada tempoh sebelum dan selepas pemelukan agama Islam.   The conversion is the change of belief which is a social phenomenon that occurs in the multiethnic society of Malaysia. The same situation happens in the life of the Chinese community in Terengganu. The ethnic relationship within interreligious community that had existed for a long time influenced the Chinese community to convert to Islam. The objective of this study is to determine factors that lead to the conversion to Islam among the members of the Chinese community who are involved in activities at Darul Hidayah. This descriptive study used a qualitative method by interviewing 20 Chinese Muslim converts at the complex of Darul Hidayah. In addition, interviews were also conducted with three important figures who were directly involved in the welfare of the new Chinese converts in Terengganu. The study found that the contributing factors to the Chinese community conversion to Islam in Complex Darul Hidayah Islam are related with Muslim friends, marriage with a Muslim, research about Islam, divine guidance and encouragement from the family who have converted to Islam. The findings could help the missionary bodies and the local Muslim community to be more sensitive to the issues that occur in the life of Muslim Converts before and after conversion. 


2009 ◽  
Vol 17 (6) ◽  
pp. 995-1000 ◽  
Author(s):  
Marciana Fernandes Moll ◽  
Toyoko Saeki

This qualitative research aimed to investigate the social life of patients with a diagnosis of schizophrenia at a Psychosocial Care Center (CAPS), and identify how the therapeutic process offered by the CAPS has contributed to their social lives. The subjects of the study were patients with schizophrenia, between eighteen and forty years of age and registered at the CAPS in Uberaba, Brazil. The data were collected through a semi-structured interview. Three categories were identified: the patients' life before and after the illness, their everyday life outside CAPS and CAPS care contributing to their social life and stabilization of symptoms. The results showed that the CAPS regimen enhances treatment compliance and decreases hospitalization. However, social functioning for schizophrenic patients occurs within the family and treatment contexts. This reality evidences the need for a partnership with the Family Health Strategy and the community to improve socialization.


2007 ◽  
pp. 106-107
Author(s):  
B. K. Gannibal

Leonid Efimovich Rodin (1907-1990) was a graduate of Leningrad state University. To him, the future is known geobotanica, happened to a course in Botanical geography is still at the N. A. Bush. His teachers were also A. P. Shennikov and A. A. Korchagin, who subsequently headed related Department of geobotany and Botanical geography of Leningrad state University. This was the first school scientist. And since the beginning of the 30s of XX century and until the end of life L. E. was an employee of the Department of geobotany of the Komarov Botanical Institute (RAS), where long time worked together with E. M. Lavrenko, V. B. Sochava, B. A. Tikhomirov, V. D. Alexandrova and many other high-level professionals, first continuing to learn and gain experience, then defining the direction of development of geobotany in the Institute and the country as a whole.


Author(s):  
Yuqian Wang ◽  
Mingyan Jiang ◽  
Yinshu Huang ◽  
Zhiyi Sheng ◽  
Xiao Huang ◽  
...  

This study illustrated the physiological and psychological effects of watching videos of different durations showing bamboo forests with varied structures. Physiological indicators, including EEG (electroencephalogram), blood pressure, skin conductance, and pulse, were monitored in 180 Chinese university students (mean age: 20.72 ± 2.56 years) while they were watching bamboo videos. Before and after watching the videos, their psychological indicators, including positive and negative moods, were measured using the Profile of Mood States questionnaire. After watching the bamboo videos of different durations, all of the physiological indicators responded to the stimulation after only 1 min. The indicators showed different trends at 1, 3 and 5 min. EEG decreased and then was maintained at a stable level after 1 min, and the high β, low β, and α waves had no significant differences between 1, 3 and 5 min. Blood pressure dropped to a stable state after 3 min, and the decline was significantly different greater after 3 min than after 1 min. Skin conductance increased for 1 to 5 min, and it did not stabilize after a long time (5 min). Pulse decreased after 1 min but increased after 5 min. After watching the videos with bamboo of varying structures, the physiological and psychological indicators showed significantly different changes. Skin conductance significantly increased (mean value: 6.78%), and the amount of sweat was more effectively reduced, thereby reducing tension, when the students viewed videos of sympodial bamboo forests compared with monopodial bamboo forests. Bamboo forests with a higher canopy density (0.83–0.85) could significantly decrease α waves (mean value: 1.50 Hz), relaxing the human body. High β and low β waves showed greater decreases, with tension reduced more effectively, when bamboo forests with a low tilt ratio (< 1.5%) were viewed. Bamboo forests with neat undergrowth could have more beneficial physiological and psychological effects on the human body.


2021 ◽  
Vol 12 ◽  
pp. 204062232110052
Author(s):  
Jeremy Chambord ◽  
Lionel Couzi ◽  
Pierre Merville ◽  
Karine Moreau ◽  
Fabien Xuereb ◽  
...  

Aims: To assess the effect of a pharmacist-led intervention, using Barrows cards method, during the first year after renal transplantation, on patient knowledge about their treatment, medication adherence and exposure to treatment in a French cohort. Methods: We conducted a before-and-after comparative study between two groups of patients: those who benefited from a complementary pharmacist-led intervention [intervention group (IG), n = 44] versus those who did not [control group (CG), n = 48]. The pharmacist-led intervention consisted of a behavioral and educational interview at the first visit (visit 1). The intervention was assessed 4 months later at the second visit (visit 2), using the following endpoints: treatment knowledge, medication adherence [proportion of days covered (PDC) by immunosuppressive therapy] and tacrolimus exposure. Results: At visit 2, IG patients achieved a significantly higher knowledge score than CG patients (83.3% versus 72.2%, p = 0.001). We did not find any differences in treatment exposure or medication adherence; however, the intervention tended to reduce the proportion of non-adherent patients with low knowledge scores. Using the PDC by immunosuppressive therapy, we identified 10 non-adherent patients (10.9%) at visit 1 and six at visit 2. Conclusions: Our intervention showed a positive effect on patient knowledge about their treatment. However, our results did not show any improvement in overall medication adherence, which was likely to be because of the initially high level of adherence in our study population. Nevertheless, the intervention appears to have improved adherence in non-adherent patients with low knowledge scores.


Author(s):  
Catharina Zehetmair ◽  
Valentina Zeyher ◽  
Anna Cranz ◽  
Beate Ditzen ◽  
Sabine C. Herpertz ◽  
...  

Providing refugees with psychosocial support is particularly important considering the high level of mental health problems prevalent in this population. A psychosocial walk-in clinic operating within a state reception and registration center in Germany has been supporting mentally burdened refugees since 2016. This study focused on patients’ perspectives on their mental health burden, the psychosocial walk-in clinic, and future help seeking. We conducted interviews with n = 22 refugees attending the walk-in clinic from March to May 2019. Qualitative analysis focused on the following four topics: (1) mental burden from the patients’ perspective, (2) access to the psychosocial walk-in clinic, (3) perception of counseling sessions, and (4) perception of follow-up treatment. The results show that the majority of interviewees were burdened by psychological and somatic complaints, mostly attributed to past experiences and post-migratory stress. Therapeutic counseling and psychiatric medication were found to be particularly helpful. Most of the participants felt motivated to seek further psychosocial support. Key barriers to seeking psychosocial help included shame, fear of stigma, and lack of information. Overall, the psychosocial walk-in clinic is a highly valued support service for newly arrived refugees with mental health issues.


2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 566.1-566
Author(s):  
S. Afilal ◽  
H. Rkain ◽  
B. Berchane ◽  
J. Moulay Berkchi ◽  
S. Fellous ◽  
...  

Background:Methotrexate is a gold standard for treatment of RA. In our context, RA patients prefer to be injected by paramedics rather than self-injecting. This can be explained by patients’ bad perceptions of self-injection or lack of information. Appropriate self-injection education can therefore be an important element in overcoming these obstacles and improving disease self-management.Objectives:Compare the RA patients’ perceptions on methotrexate self-injection before and after a patient education session.Methods:Prospective pilot study that included 27 consecutive patients (81.5% female, mean age 44.4 years, illiteracy rate 40.7%) with RA (median duration of progression of 4 years, mean delay in referral for specialist of 6 months, median duration of methotrexate use of 1 year). The patients benefited from an individual patient education session to learn how to self-inject with methotrexate subcutaneously. The patient education session was supervised by a nurse and a rheumatologist with a control a week later. Perceptions of the reluctance to self-inject and the difficulties encountered by patients were assessed before the patient education session, after the 1st and 2nd self-injection of methotrexate using a 10 mm visual analog scale. Patients also reported their level of satisfaction (10 mm VAS) after the 1st and 2nd self-injection.Results:The mean duration of patient education session is 13 min.Table I compares the evolution of the degrees of reluctance to self-injection, the difficulties encountered, and the satisfaction experienced by the patients.Table 1.Evolution of RA patients’ perceptions on the methotrexate self-injection. (N = 27)BeforeAfter the 1stself-injectionAfter the 2end self-injectionpVAS reluctance (0-10mm)6,5 ± 3,62,2 ± 2,91,0 ± 2,3<0,0001VAS difficulty (0-10mm)7,5 ± 2,62,5 ± 2,71,0 ± 1,9<0,0001VAS satisfaction (0-10mm)-8,9 ± 1,89,5 ± 1,50,002Conclusion:This study suggests the effectiveness of a methotrexate self-injection patient education session in RA patients. It also highlights the value of patient education in rheumatologic care. A large-scale study is necessary to better interpret and complete these preliminary results from this pilot study.Disclosure of Interests:None declared


Author(s):  
Francisco Pradas ◽  
Alejandro García-Giménez ◽  
Víctor Toro-Román ◽  
Nicolae Ochiana ◽  
Carlos Castellar

Research on the acute physiological response to a padel match is limited. The present study aimed to: (a) evaluate neuromuscular, urinary, and hematological responses after simulated padel competition (SC) and (b) analyze possible gender differences. In this study, 28 high-level padel players participated (men = 13, age = 26.83 ± 6.57 years; women = 15, age = 30.07 ± 4.36 years). The following parameters were analyzed before and after SC: neuromuscular (hand grip strength, squat jump (SJ), countermovement jump (CMJ), and Abalakov jump (ABK)), hematological (red blood cells, hemoglobin, and hematocrit), and urinary (pH, specific gravity, microalbuminuria, and red blood cells). Significant gender differences were found in neuromuscular and hematological responses, with men obtaining higher values (p < 0.05). For the SC influence, changes were noted in ABK and microalbuminuria (p < 0.05). The percentages of change in hand grip strength, SJ (height and watts), CMJ (height), and ABK (height) were higher for men than women (p < 0.05). SC negatively influenced the neuromuscular parameters to a greater extent in women. Our results could be related to gender differences in game actions, the temporal structure, and anthropometric and physiological characteristics. Game dynamics and a different organic response between male and female padel playing were confirmed.


2020 ◽  
Vol 11 (04) ◽  
pp. 640-642
Author(s):  
Halil Onder

AbstractGait disorders are common in the elderly as there are various causes of neurological and non-neurological conditions. On the other hand, most of the gait parameters do change with advancing age which is identified as age-related physiological changes in gait. At this point, the discrimination between age-related physiological changes and gait disorders may be strictly challenging. After identifying gait as an abnormal pattern, classification of it and making the responsible pathophysiology also require high-level expertise in this regard. Herein, we present a rare patient with corticobasal degeneration (CBD) who had admitted initially due to complaints of gait problems. Over a long time, the patient had received the misdiagnosis of gait abnormality due to musculoskeletal problems by multiple physicians. However, the detailed neurological exam showed a higher level gait disorder (HLGD). Further investigations at this point yielded the diagnosis of CBD.


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