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Maternal Predictors for Quality of Life during the Postpartum in Brazilian Mothers

Health 2015年第3期7卷 371-380页

作者： Mirna Fontenele de Oliveira Leslie Parker Hyochol Ahn Hellen Lívia Oliveira Catunda Elizian Braga Rodrigues Bernardo Mara Fontenele de Oliveira samila gomes ribeiro Cinthia Gondim Pereira Calou Franz Janco Antezana Paulo César Almeida Régia Christina Moura Barbosa Castro Priscila de Souza Aquino Ana Karina Bezerra Pinheiro College of Nursing University of Florida Gainesville USA Department of Nursing Federal University of Ceará Fortaleza Brazil

Introduction: The postpartum period can have a significant physical, emotional, and social impact on the quality of a woman’s life. Most postpartum research has focused on physical complications and only a few studies have specifically investigated quality of life. The purpose of this study was to explore predictors affecting the quality of life of postpartum Brazilian mothers. Study Design and Methods: A cross-sectional Quality of Life survey was performed in 210 Brazilian mothers during the early postpartum period. Data were collected using an interview technique and two instruments: 1) a maternal questionnaire and the 2) Maternal Postpartum Quality of Life tool/Brazilian version. The association between maternal characteristics and quality of life in the post-partum period was investigated with bivariate and multivariable analyses. Results: Mothers who had the best Quality of Life were white, registered students, 30 - 40 years of age, who were married or living with a partner, and without physical complaints;in addition, they had at least an 8th grade education, more than 4 children, and had attended more than 8 prenatal visits with a nurse. The stepwise model indicated that white race (p < 0.05) and married or living with a partner (p < 0.05) were the best predictors of Quality of Life in postpartum women. Conclusions and Clinical Implications: Marital status and race conditions may predict quality of life in postpartum Brazilian mothers. In addition, improved knowledge concerning the postpartum, maternal experience may help develop health interventions to enhance the quality of life of this population.

关键词： Mothers Postpartum Quality of Life Predictors

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Family Organization in the Care of Pediatric Heart Transplant Patients:The Genogram as an Investigative Tool

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Health 2015年第11期7卷 1409-1418页

作者： Silvania Braga ribeiro Angela Maria Alves e Souza Ana Ruth Macedo Monteiro Kiarelle Lourenco Penaforte Sarah Maria de Sousa Feitoza Virna ribeiro Feitosa Cestari Flávia Paula Magalhaes Monteiro Maria Gyslane Vasconcelos Sobral samila Torquato Araújo Máguida gomes da Silva Mona Lisa Menezes Bruno Islene Victor Barbosa Isabelle Barbosa Pontes Department of Nursing Universidade de FortalezaFortalezaBrazil

This study aimed to describe structure, functionality and development of pediatric heart transplant families, from the understanding of the experienced chronic condition. A descriptive, exploratory study using a qualitative approach was developed in a hospital situated in a city of Northeast Brazil, in 2012. The study was conducted with three families, using the Calgary Family Assessment Model (CFAM). In addition to the genogram, an analysis of the children’s/adolescents’ family members was conducted at the time of interview. Two families were binuclear families and one was mononuclear. From the evaluation, it was possible to determine the care and support network of children and adolescents with heart transplants, as well as some difficulties faced by the investigated families. Nurses are important in this family context since the visualization of the family genogram can generate a change in the nursing care to each family.

关键词： Chronic Disease Heart Transplant Child Family Nursing Assessment

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