scholarly journals Factors that affecting the behavior of adolescents during delivery

2008 ◽  
Vol 2 (1) ◽  
pp. 73
Author(s):  
Danielle Araújo Albuquerque ◽  
Ednaldo Cavalcante de Araújo ◽  
Ana Catarina Torres de Lacerda

ABSTRACTDescriptive exploratory study, from quantitative approach, aiming at investigating factors that affecting on the behavior of adolescents during childbirth. It was conducted at maternity reference in gestation high risk at Recife - Pernambuco (PE), Brazil, whose sample from 41 adolescents in labor answered a questionnaire, implemented from January to March 2007. The data were grouped into tables and pictures, analyzed and discussed according to literature. Among the main results, it was revealed that 48,8% of adolescents in childbirth were in the age group from 16 to 17 years; 56,1% were from Recife; 56,1% were with the fundamental teaching incomplete; 53,0% had partners/husbands; 65,9% without the family support; 58,5% had family income from one to two minimum salaries; 88,0% were the first pregnancy, 58,5% with presence of obstetric events, 93,0% no cases of abortions and 58,5% with unwanted pregnancy; 97,6% participated in the pre-natal, however, 61,0% were not informed about the labor. Given these results, the following conclusions were made: that the socio-demographic data and the first pregnancy may have implication with the timing of the childbirth; the gestation desire, the partner participation and family support contributed in a positive or negative way during the gestation cycle and childbirth, the problems prevalent was the preeclampsis; is in the prenatal that pregnant should be prepared for pregnancy and labor, childbirth, know where the major changes occurring in their bodies and the strategies used in development of childbirth, also. But mostly, the teenagers were not informed by health professionals, as one of the main contributing factors that affecting during childbirth. Descriptors: adolescent; childbirth; factors; knowledge.RESUMOTrata-se de um estudo descritivo exploratório, de natureza quantitativa, que objetivou avaliar os fatores que influenciam no comportamento das adolescentes durante a parturição. Realizou-se em uma maternidade de referência em gestação de alto risco em Recife - Pernambuco (PE), Brasil, com 41 parturientes adolescentes, que responderam um questionário auto-aplicável, entre maio e julho de 2007. Os dados foram agrupados em tabelas e figuras, analisados e discutidos de acordo com a literatura. Dentre os principais resultados, evidenciou-se que 48,8% das parturientes adolescentes estavam na faixa etária entre os 16 aos 17 anos; 56,1% eram provenientes do Recife; 56,1% estavam com o ensino fundamental incompleto; 53,0% tinham parceiros/maridos; 65,9% sem o apoio familiar; 58,5% tinham a renda familiar de um a dois salários mínimos; 88,0% eram primigestas, 58,5% com presença de intercorrências obstétricas, 93,0% sem casos de abortamentos e 58,5% com gestação indesejada; 97,6% participaram do pré-natal, entretanto, 61,0% não foram informadas sobre o trabalho de parto. Diante desses resultados, considerou-se que os dados sócio-demográficos e a primigestação podem ter relação direta com o momento do trabalho de parto; o desejo da gestação, a participação do parceiro e o apoio familiar contribuíram de maneira positiva ou negativa durante o ciclo gestatório e o trabalho de parto; a intercorrência prevalente foi a pré-eclâmpsia; é no pré-natal que a gestante deve ser preparada para a gestação e o trabalho de parto, onde conhecem as principais modificações que ocorrem em seu corpo e as estratégias utilizadas na evolução do trabalho de parto, inclusive. No entanto, em sua maioria, as adolescentes não foram informadas pelos profissionais da saúde, contribuindo como um dos principais fatores que influenciam durante a parturição. Descritores: adolescente; parturição; fatores; conhecimento.RESUMENEstudio descriptivo exploratório, de enfoque cuantitativo, con el fin de evaluar los factores que influyen sobre el comportamiento de las adolescentes durante el parto. El mismo se realizó en una maternidad de referencia en la gestación de alto riesgo en Recife - Pernambuco (PE), el Brasil, cuya muestra de 41 adolescentes parturientas, respondieron a un cuestionario autoplicado, entre enero y marzo de 2007. Los datos se agruparon en cuadros y figuras, analizados y discutidos de acuerdo a la literatura. Entre los principales resultados, se revelaron que el 48,8% de las adolescentes estaban en el grupo de edad de 16 a 17 años; el 56,1% tenían enseñanza fundamental (primaria) incompleta; 56,1% eran de Recife; 53,0% tenía pareja/marido; 65,9% no tenía el apoyo de la família; 58,5% tenía ingresos econômicos en la familia de uno a dos salarios mínimos; 88% eran primigesta; el 58,5% con la presencia de eventos obstétricos; 93,0% sin abortos y el 58,5% eran embarazos no deseados; 97,6% participó en la atención prenatal, sin embargo, 61,0% no fueron informadas sobre el parto. De acuerdo a estos resultados, se se considera que los datos sociodemográficos y el primer embarazo pueden tener relación directa con elmomento del trabajo de parto; el deseo de gestación, la participación de la pareja y el apoyo de la familia contribuirían de manera positiva o negativa en el ciclo de gestación y el parto; el problema prevalente fue de preeclampsia; en el prenatal es que la embarazada debe ser preparada para el embarazo y el parto, donde conocem lãs principales modificaciones que se producen en su cuerpo, inclusive las estrategias utilizadas en el desarrollo del parto. Por lo tanto, las adolescentes no fueron informadas por los profesionales de la salud, contribuyendo con uno de los principales factores que influyen durante el parto. Descriptores: adolescente; parto; factores; conocimiento. 

2008 ◽  
Vol 2 (1) ◽  
pp. 48
Author(s):  
Kelly Cristina Gomes de Lima ◽  
Ednaldo Cavalcante de Araújo ◽  
Ana Catarina Torres de Lacerda

ABSTRACTTo identify the pregnant teenagers' knowledge about labor premature birth and the risks for the fetus health, at a maternity of Recife, Pernambuco (PE) - Brazil, was conducted this descriptive exploratory study, from quantitative nature. The data were collected through a questionnaire with 18 pregnant, analyzed and discussed according to the literature, showing that 78% were in the age group of 16 to 19 years old, 72% carried the metropolitan Recife area, 78% lived in consensual union; 72% looked to the fundamental teaching incomplete; 55% had family income from one to two minimum wages; 88% done prenatal, 61% were primiparous, 61% of the pregnancies were not planned; 27% said be aware that the pain in the lower belly, 20% the contractions, 14% to back pain and 14% losses vaginal symptoms were of labor premature birth, 32% indicated as a result of the labor premature birth to the fetus, the prematurity fetal; 28% to infection and neonatal mortality, 44% said the doctor as the professional who informed about his health condition, 6% were for nurses, and 44% do not have any information. Finally, must offer better quality service and the guidance for pregnant adolescents, which in most cases, are not ready for a risk gestation, both for lack of knowledge for themselves as to the fetus on the diseases that affect them. Descriptors: knowledge; pregnant teenager; labor premature birth.RESUMOCom o objetivo de identificar o conhecimento das gestantes adolescentes sobre o trabalho de parto prematuro e os riscos à saúde do feto, em uma maternidade de Recife, Pernambuco (PE) - Brasil, foi realizado este estudo descritivo exploratório, de natureza quantitativa. Os dados foram coletados por meio de um questionário com 18 gestantes, analisados e discutidos de acordo com a literatura, evidenciando que 78% estavam na faixa etária de 16 a 19 anos de idade; 72% procederam da região metropolitana de Recife; 78% viviam em união consensual; 72% estudaram até o ensino fundamental incompleto; 55% tinham renda familiar de um a dois salários mínimos; 88% realizaram pré-natal; 61% eram primíparas; 61% das gestações não foram planejadas; 27% referiram ter conhecimento de que a dor em baixo ventre, 20% as contrações,14% a dor lombar e 14% as perdas vaginais, eram sintomas do trabalho de parto prematuro; 32% apontaram como conseqüência do trabalho de parto prematuro para o feto, a prematuridade fetal; 28% a infecção e a mortalidade neonatal; 44% apontaram o médico como o profissional que informou sobre sua patologia, 6% foram por enfermeiras e 44% não obtiveram nenhuma informação. Por fim, urge oferecer melhor qualidade no atendimento e na orientação para gestantes adolescentes, que nas mais das vezes, estão despreparadas para uma gestação de risco, tanto por falta de conhecimento para si quanto para o feto sobre as patologias que lhes acometem. Descritores: conhecimento; gestante adolescente; trabalho de parto prematuro.RESUMENCon el objetivo de identificar el conocimiento de las adolescentes embarazadas sobre el trabajo de parto prematuro y de los riesgos para la salud del feto, en una maternidad de Recife, Pernambuco (PE) - Brasil, se llevó a cabo este estudio descriptivo exploratorio, de naturaleza cuantitativa. Los datos fueron recolectados a través de un cuestionario con 18 embarazadas, analizado y discutido de acuerdo con la literatura. Los resultados muestran que el78% estaban en el grupo de edad de 16 a 19 años de edad; el 72% procedían de la zona metropolitana de Recife; el 78% vivía en unión consensual; 72% tenía enseñanza fundamental incompleta; 55% tenía de uno a dos salarios mínimos; 88% realizaron control prenatal; 61% fueron primíparas; 61% de los embarazos no son planificados; 27% dicen tener conocimiento del dolor bajo vientre; el 20% de las contracciones, 14% de dolor de espalda y para el 14% las pérdidas vaginales son síntomas del trabajo de parto prematuro; 32% indicó como resultado del trabajo de parto prematuro para al feto, la prematurez fetal; 28% a la infección neonatal y la mortalidad; el 44% dijo que el médico fue el profesional que informa sobre su condición de salud, 6% fueron las enfermeras, y 44% no tiene ninguna información. Por último, urge ofrecer una mejor calidad de servicio y orientación para las adolescentes embarazadas, que en la mayoría de los casos, no están preparadas para una gestación de riesgo, tanto por falta de conocimiento de sí mismas como para el feto en las enfermedades que les afectan. Descriptores: conocimiento; adolescente embarazada; trabajo de parto prematuro. 


2009 ◽  
Vol 12 (2) ◽  
pp. 175-187 ◽  
Author(s):  
Karina Knight Sepulveda ◽  
Alicia Beltran ◽  
Kathy Watson ◽  
Tom Baranowski ◽  
Janice Baranowski ◽  
...  

AbstractObjectiveThis exploratory study assessed how 8–13-year-old children categorised and labelled fruit and vegetables (FaV), and how these were influenced by child characteristics, to specify second-level categories in a hierarchical food search system for a computerised 24 h dietary recall (hdr).DesignTwo sets of food cards, sixty-seven for fruit (F) and sixty-four for vegetables (V), with pictures and names of FaV from ten professionally defined food categories were sorted, separately, by each child into piles of similar foods. Demographic data, BMI and 6-n-propylthiouracil (PROP) taster status were obtained.SettingParticipants attended the Children’s Nutrition Research Center in the summer of 2006.SubjectsIn all, 152 8–13-year-old children, predominantly English-speaking, of whom sixteen were predominantly Spanish-speaking.ResultsChildren created an average of 8·5 (5·3) piles with 7·9 (11·4) cards per pile for the F, and an average of 10·1 (4·8) piles with 6·2 (7·9) cards per pile for the V. No substantial differences in Robinson clustering were detected across subcategories for each of the demographic characteristics, BMI or PROP sensitivity. Children provided clusters names that were mostly ‘Taxonomic – Professional’ labels, such as salads, berries, peppers, for both F (51·8 %) and V (52·1 %).ConclusionsThese categories should be tested to assess their ability to facilitate search of FaV items in a computerised 24 hdr for children in this age group.


2016 ◽  
Vol 3 (1) ◽  
pp. 141
Author(s):  
Fiqqi Anggun Lestari ◽  
Lely Ika Mariyati

The aim of this study was to describe the characteristics and resilience factors for mothers who have children experiencing Down Syndrome. That is factors that help mother finds the strength to face the problem. The method was a qualitative exploratory study using three subjects 30-45 years old mother who has a child with Down syndrome and has resilience. The determination of the subject used purposive sampling techniques and located in some places according to the agreement of subject and significant others. Data collection methods used were interviews equipped with general guidelines as well as the recording field. The results showed that each mother were different in terms of characteristics and resilience factors and differences in educational factors, economic and employment background. Factors that affected thesubject resilience also have differences. Some of the factors supporting emerging resilience, the family support factor was the support obtained by the subject. 


2020 ◽  
Vol 10 (3) ◽  
pp. 79-84
Author(s):  
Charles Kombi K ◽  
Jerome Mastaki K ◽  
Antoinette Tshefu K ◽  
Micheline Fatuma ◽  
Herve Nzereka K

Introduction: Suboptimal adherence to antiretroviral therapy (ART) is a major hinderance to achieving the 90 90 90 goals in limited resources settings. South Ubangi province in DR Congo faces countless challenges providing universal HIV care. However, the level of ART adherence and associated factors among people on HIV treatment in this province remains unknown. Using a quantitative method approach, this study aimed to know the extend of adherence and to identify the determinants of optimal and suboptimal adherence among study participants. Methods: A cross-sectional research design was used to survey patients on ART in Gemena Referral Hospital. Results: After a simple randomly sampling from a sampling frame of 503 patients on treatment and who met the inclusion criteria of been using HIV treatment for at least one year, 438 were selected taking the even numbers in three rounds, but only 398 patients consented to participate to the study. Logistic regression was run to explore determinants of the adherence. The participants’ mean age was 42 years old (range: 8-62 years old). 280 participants were Female (=70.4%) and 118 were male (29.6%) with a sex ratio Female-male of 2.4/1. Most of the participants were married 185(46.5%), 45 were divorced (=1.3%), 136 widow/widowers (34.2% made up of 116 widowers=29% and 20 widows=4.2%) and only 32 were unmarried (8%). Among the married, 117 had only one partner (29% of overall), 42 had more than one partner (11%) and 26 were in a mere cohabitation (6.5%). ART adherence was 77% in the study population, while it should reach the optimal level of 95%. Adherence was positively associated with age, but suboptimal adherence was significantly associated with forget to take the drugs, distance, the degree of contentment to the family support, and moving out of home. Adherence was likely associated with age, in fact, old participants(44-60 age group) had 8.3 times an increased probability of being adherent( 2.30-8.84, 95% CI, p-value=0.001) compared to 8-25 age group. Additionally, taking his pills on daily basis had 1.68 times an increased probability of optimal adherence (1.39-1.98, 95% CI, p-value<0.001), compared to those patients who sometimes forget to take their pills. Distance < or = 5 km also had 2.47 an increased probability of being adherent (2.06-2.87, p-value<0.001) compared to people who live beyond 5 km from the health facility. Participants who stated they had a high degree of contentment to family support presented 1.93 times an increased probability of being adherent (1.93-1.46, 95% CI, p-value=0.001) compared with those with low degree of contentment to the family support. Participants who were resident had 1.55 times an increased significant probability to be adherent (1.28-1.82, 95% CI, p-value<0.001), compared to those who temporarily/definitely moved out their home for any reason. Gender, marital status, and monthly income did not have a significant association with adherence to antiretroviral therapy among people surveyed in the study. Conclusion: Suboptimal adherence is still a serious issue among ARVs users in resource limited settings. Further strategies to boost adherence to the optimal level and beyond would imply to increase personal capacities to adhere to therapy instructions, lessen stigma and discrimination barriers by the proxy and within patients’ families and foster the implication of the family members and the community in therapy, promote drugs provisions at home and differentiated health care management, etc.


Author(s):  
Manjulika Gautam ◽  
Udai Pratap Singh ◽  
Rohini Khurana

The present paper is based upon the case studies which explore the psycho-social characteristics of Cervical Cancer (CaCx) patients being treated at RMLIMS, Lucknow. The beliefs and perceptions of the patients regarding causes, symptoms, treatment and its outcome, transmission, other’s perception, and recurrence have been analysed. The terms being used by the patients to refer to their disease, the symptoms they have experienced and the mechanism of disease manifestation according to them have also been presented. The demographic data of the patients (n=25) has been analysed and the relationship between age group, annual family income and education level of the patients and the beliefs has been studied. The correlation coefficient (r) and p-values thereof indicate that there is no significant relationship between the age group, annual family income and education of the patients with the beliefs they have. it can be concluded that there are certain other factors that influence the belief system of the Cervical Cancer (CaCx) patients.


2013 ◽  
Vol 21 (6) ◽  
pp. 1203-1211 ◽  
Author(s):  
Viviane Ferrari Gomes ◽  
Tatiana Longo Borges Miguel ◽  
Adriana Inocenti Miasso

OBJECTIVE: this study reports an association between Common Mental Disorders and the socio-demographic and pharmacotherapy profiles of 106 patients cared for by a Primary Health Care unit in the interior of São Paulo, Brazil. METHOD: this is a cross-sectional descriptive exploratory study with a quantitative approach. Structured interviews and validated instruments were used to collect data. The Statistical Package for Social Science was used for analysis. RESULTS: The prevalence of Common Mental Disorders was 50%. An association was found between Common Mental Disorders and the variables occupation, family income, number of prescribed medications and number of pills taken a day. Greater therapy non-adherence was observed among those who tested positive for Common Mental Disorders. CONCLUSION: this study's results show the importance of health professionals working in PHC to be able to detect needs of a psychological nature among their patients and to support the implementation of actions to prevent the worsening of Common Mental Disorders.


Author(s):  
Archana Mavoori ◽  
Deepthi Sriram ◽  
Sneha Pamar ◽  
Sudha Bala

<p class="abstract"><strong>Background:</strong> Various dermatoses like infections and infestations and other non-infective dermatoses like atopic eczema, pigmentary disorders, papulo-squamous disorders, hair disorders, genetic disorders, hemangiomas etc. affect children causing significant morbidity. The pattern of dermatoses varies from place to place due to differences in geography, climate, culture and socio-economic background. Prevalence of pediatric dermatoses in India are around 9% to 35%. This study is undertaken to know the pattern, incidence, prevalence, contributing factors and prognosis of dermatoses affecting paediatric age group attending Dermatology outpatient department in tertiary health teaching hospital in South India.</p><p class="abstract"><strong>Methods:</strong> This is a prospective study; various skin disorders were studied in 1360 paediatric patients up to 18 years of age were studied for a period of 12 months from September 2017 to October 2018. Demographic data, general, systemic and cutaneous examination findings were recorded in a proforma for analysis and interpretation of data.<strong></strong></p><p class="abstract"><strong>Results:</strong> There were 762 boys and 598 girls in total 1360 study population. The most common dermatoses were eczematous eruptions and dermatitis (22.57%), infections and infestations (20.8%%), infestations (18.96%), hypersensitivity disorders (6.91%). The study showed no statistical differences between sex and age.</p><p class="abstract"><strong>Conclusions:</strong> This study on epidemiological and clinical patterns emphasizes the need on training the management of common paediatric dermatoses to dermatologists, paediatricians for early treatment. Proper implementation of child health programmes and awareness programmes can be done based on such data or to treat them appropriately.</p><p class="abstract"> </p>


2020 ◽  
Vol 20 (1) ◽  
pp. 101-113
Author(s):  
Lilian Puglas da Silva ◽  
Laura Menezes da Silveira ◽  
Tatiane de Jesus Martins Mendes ◽  
Angelita Maria Stabile

Abstract Objectives: to identify the main complaints and problems presented by women in the puerperium during nursing consultations and create a care flow chart. Methods: descriptive, cross-sectional exploratory study with quantitative treatment of data conducted in a private hospital in Brazil, with a sample of 114 women. Results: of the puerperal women evaluated, 57.9% were primiparous and 66.7% reported not having received guidance about the puerperal period. Cesarean sections occurred in 89.5% of the sample, and 80.7% of the women presented difficulties inherent to the care given to the newborn or self-care. All mothers were breastfeeding and 42.1% of them reported difficulties in this process. Among breast complications, 30.7% corresponded to fissures. In view of the needs observed in the nursing consultation, women received guidelines from the nurses, and were referred for specialized evaluation when pertinent. Conclusions: it was observed that problems and complaints presented by women in the puerperium were related with care to the newborn, breastfeeding, emotional state and family support. Health professionals who give puerperal consultations should consider the sociocultural environment in which the puerperal woman is inserted in order to link their beliefs with science.


2010 ◽  
Vol 18 (3) ◽  
pp. 444-451 ◽  
Author(s):  
Tatiane Meda Vendrusculo ◽  
Carmem Roberta Baldin Balieiro ◽  
Maria Elena Echevarría-Guanilo ◽  
Jayme Adriano Farina Junior ◽  
Lídia Aparecida Rossi

This study characterizes burn accidents in the domestic environment and identifies the circumstances of accidents affecting children, adults or elderly people who need supervision or care. Demographic data and burn characteristics of 61 domestic environment burn victims were collected. The family members of 13 children and one aged adult, who needed supervision or special care, were selected to answer a semi-structured interview. Two thematic groups were identified: social and environmental factors that might have contributed to the burn accidents and circumstances involving the accidents. Risk factors were: low socioeconomic and educational levels of mothers and those responsible for the children at the moment of the accident, small houses considering the number of occupants and unsafe kitchen equipment. Although cases of domestic violence were not identified there was neglect from caregivers. Health professionals should be attentive and investigate the circumstances of accidents involving vulnerable individuals.


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