scholarly journals The person-environment relationship in the process of finitude

2020 ◽  
Vol 17 (1) ◽  
pp. 131-148
Author(s):  
Myrlanne Alves da Costa ◽  
Renata Bezerra de Holanda ◽  
Cynthia De Freitas Melo ◽  
Karla Patrícia Martins Ferreira ◽  
Ana Cristina Eberhardt Lins

Objective: To understand the relationship between caregivers and patients who are undergoing the process of finitude with the environment where they are during this process. Method: This is a qualitative, exploratory and descriptive research. According to the saturation criterion, there were 19 participants: 10 patients (5 in palliative care at home and 5 in curative care in Intensive Care Units - ICU) and 9 relatives of the respective patients. They responded to a narrative interview, which is characterized as an instrument that makes it possible to understand how the participant perceives and experiences the environment around her/him. For the analysis of the material, the interview was interpreted through textual analysis using the Iramuteq software. Results: The results indicated great adversities in the process of finitude in both environments: ICU and home; however, the family environment is seen as promoting quality of life and of death with dignity by patients, due to the support network offered by family and friends. Conclusion: the person-environment relationship in the process of finitude is characterized by affections and meanings, and needs to be taken into account as a facilitator of quality of life.

2020 ◽  
Vol 2 (2) ◽  
pp. 52-59
Author(s):  
Saiful Batubara ◽  
Adhi Marfitra

The damage to the immune system in people with HIV infection resulted in them being easily attacked by other diseases, especially the decrease in the quality of life of HIV-AIDS sufferers. Therefore, the purpose of this research is to know the relationship between compliance with antiretroviral use and family support in improving the quality of life of people with HIV-AIDS. For that, quantitative descriptive research with the population is the entire patient with HIV-AIDS. They undergo medical checkup at Budi Kemuliaan hospital-Batam aged between 20-35 years which amounted to 76 people and samples as many as 60 people selected using the Purposive sampling method. The results showed a significant link between compliance with the use of antiretroviral and quality of life and the relationship between the quality of life with the support of the family in HIV/AIDS patients at the Budi Kemuliaan hospital-Batam.  


2021 ◽  
Vol 28 (3) ◽  
pp. 384-394
Author(s):  
Kawoun Seo

Purpose: This study was done to investigate the mediating effects of acceptance action on the relationship between diabetes self-stigma and quality of life in diabetes patients.Methods: For this study a descriptive research approach was used. Patients (237) with a diagnosis of diabetes mellitus from a doctor of endocrinology were included. Data collection was done from March 26, to March 28, 2020. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson’s correlation coefficient analysis, and hierarchecal multiple regression.Results: The mean scores for diabetes self-stigma, acceptance action and quality of life were 2.67±0.71, 4.12±0.38, and 3.26±0.48, respectively. Acceptance action was found to partial mediate the relationship between diabetes self-stigma and quality of life (z=-4.20, p<.001), and its explanatory power was 17.6%.Conclusion: To improve the quality of life among patients with diabetes in diabetes self-stigma situations, it is necessary to improve their acceptance action and develop step-by-step and differentiated acceptance action enhancement programs through multidisciplinary collaboration.


2007 ◽  
Vol 29 (6) ◽  
pp. 828-848 ◽  
Author(s):  
Richard A. Wise ◽  
Alan R. King

Family environment appears to be an important determinant of friendship quality. Despite this apparent link, few studies have explored how family environment relates to friendship, especially among college students. The present study examined the relationship between family environment and best friendships, by administering the Family Environment Scale (FES) and the Acquaintance Description Form—Revised (ADF-F2) to 408 college students. Family environment was a better predictor of friendship quality for female college students than for male college students. For the women, a total of 13% of the FES and ADF-F2 correlations were significant at the p < .01 level. The best predictors of friendship quality for the women were the FES active recreational and intellectual—cultural dimensions. Gender differences were also evident in students' perceptions of their families' environments and their views of the quality of their best friendships. Implications of the present study for college adjustment and retention are discussed.


2019 ◽  
Author(s):  
Petra ◽  
John S. Ogrodniczuk ◽  
Joanna Cheek ◽  
David Kealy ◽  
Ingrid Sochting

Background: Despite much attention in the clinical literature, research on alexithymia in the treatment setting has only recently gained traction. While several reports indicate limited benefit from therapy amongst patients with high alexithymia, this seems to be less so in the context of group therapy. This study considers a specific aspect of the group therapy process - family re-enactment - infacilitating improvement in overall quality of life for patients with high levels of alexithymia.Subjects and methods: Family re-enactment was examined as a potential mediator of the relationship between alexithymia and change in quality of life among 50 patients who completed treatment in an intensive, integrative group therapy programme. Patients completed three self-report measures: Toronto Alexithymia Scale-20 (baseline), Quality of Life Inventory (baseline, post-therapy), and Therapeutic Factors Inventory-Short Form (week 8). Regression with mediation analysis was employed using the change scorefor the QOLI as the dependent variable, alexithymia scores as the independent variable, and the family re-enactment score as the mediator; baseline quality of life was included in the model as a control variable.Results: Family re-enactment emerged as a significant mediator of the relationship between alexithymia and treatment outcome, implicating it as a contributing mechanism of change for alexithymic patients who participate in group therapy.Conclusion: Patients with higher levels of alexithymia (in particular, difficulty identifying and describing feelings) were more likely to positively endorse aspects of family re-enactment during group therapy, which in turn were significantly associated with greater improvement in patients’ overall quality of life.


2018 ◽  
Vol 51 ◽  
pp. 03008
Author(s):  
Julija Cirule-Galuza ◽  
Strale Ilze ◽  
Solvita Jegorenko ◽  
Liga Priedena ◽  
Erika Gintere ◽  
...  

Down syndrome (DS) is a genetic disorder. From 1997 to 2015, 473 DS patients were born in Latvia. Prenatal diagnosis allows terminating pregnancies with high risk of DS. The aim of our research was to assess the impact of environmental quality (family and extra-familial care) on the child's development, range of services for DS patients, and to identify the optimal early support system. Families and specialists were interviewed to analyze differences between children in families and institutional care clients. State financial support for a DS child in the family is less than to a child in institutional care, and does not provide adequate rehabilitation services. Conclusion: the environment (family/institution, available resources, and rehabilitation services) where the child grows up after the birth, determines both their quality of life and level of independence development. If the somatic problem-solving path is clear, then social integration needs to be improved. Support of inter-professional teams for the families is necessary immediately after the diagnostic statement in order to ensure a more favourable family environment and to reduce the risk of institutionalization. Despite the potentially higher early intensive rehabilitation costs, in the course of time we can predict that it will provide an economic effect on the state and improve the patient and their family's quality of life.


1995 ◽  
Vol 76 (1) ◽  
pp. 227-236 ◽  
Author(s):  
Paula M. Trief ◽  
C. L. M. Carnrike ◽  
Owen Drudge

This study examined the relationship between social support and depression for 70 patients with chronic back pain. We also explored whether the family environments of these patients related to depression and whether the patients' depression predicted outcome subsequent to involvement in a functional restoration program. The patients completed a battery of psychological questionnaires to assess depression, social support, and family environment. Outcome of a rehabilitation program was measured in terms of physical gains, vocational gains, and progress made toward program goals. Analysis indicated that the 25 depressed and 23 nondepressed patients differed as to perceived social support and quality of family environment; however, no association was found between depression and rehabilitation outcome. Implications for family interventions are discussed.


2012 ◽  
Vol 51 (4) ◽  
pp. 557-569 ◽  
Author(s):  
Susana Santos ◽  
Carla Crespo ◽  
Neuza Silva ◽  
Maria Cristina Canavarro

2015 ◽  
Vol 5 (1) ◽  
pp. 27-38
Author(s):  
Dorota Strzelczyk

Abstract One of the actions that affect the quality of life of the family as a complex system of relationships is interpersonal communication that takes place between the members of the family. In line with the transactional analysis, the trend in psychology founded by E. Berne, relationships between individuals should be based on honest and open disclosure of one’s desires and attitudes, i.e. variety of transactions. Otherwise, there are specific game leading to maintain and increase the distance between family members, weaken the ties between them and leading to a reduction in the quality of interpersonal relationships. The paper below aims to make closer the problems of transactional analysis, beginning from the explanation of the structure of “Ego” according to Berne and the terms “transactions”, “reinforcement” and “life scripts”. There will be presented also games played in family environment and their consequences for the proper functioning of the family.


2017 ◽  
Vol 75 (5) ◽  
pp. 267-271 ◽  
Author(s):  
David Castro Costa ◽  
Maria José Sá ◽  
José Manuel Calheiros

ABSTRACT Objective To analyse the relationship between the social support network (SSN) and health related quality of life (HRQOL) in multiple sclerosis (MS) patients. Methods The sample comprised 150 consecutive MS patients attending our MS clinic. To assess the socio-demographic data, a specifically designed questionnaire was applied. The HRQOL dimensions were measured with the Short-Form Health Survey Questionnaire-SF36 and the SSN with the Medical Outcomes Study Social Support Survey. Spearman’s correlation was used to compare the magnitude of the relationship between the SSN and HRQOL. Results The mean patient age was 41.7 years (± 10.4; range: 18–70 yr); the mean Expanded Disability Status Score was 2.5 (±2.4; range: 0–9). There was a statistically significant correlation between the structure of the SSN and the HRQOL. Conclusion The composition of the SSN, social group membership and participation in voluntary work have an important role in the HRQOL of patients with MS.


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