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The burden and psychosocial impact on immediate caregivers of patients with spinal cord injury in a tertiary health facility,Edo State,Nigeria

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Journal of Integrative Nursing 2024年第2期6卷 103-110页

作者： Timothy Aghoghko EHWARIEME Uzezi JOSIAH Auwuli EMINA Department of Nursing Science School of Basic Medical SciencesUniversity of BeninBenin CityEdo StateNigeria Department of Nursing Science Delta State University AbrakaDelta StateNigeria Department of Nursing Science Faculty of Basic Medical and Health SciencesBenson Idahosa UniversityBenin CityEdo StateNigeria

Objective:This study aimed to assess the burden and psychosocial impact of spinal cord injury on the immediate caregivers at a tertiary health facility in Benin City,Edo State.Materials and Methods:A descriptive cross-sectional survey design was adopted among 73 family caregivers in the neurological ward of a tertiary health facility using a structured questionnaire as instrument of data collection.Data collected were analyzed using descriptive statistics and multiple logistic regression.Results:Findings revealed that an overall mean of 2.73 indicates that the burden on the caregivers was moderate with a moderate psychological impact(m=2.88)and a high sociological impact(m=3.12).Factors affecting the caregiving provided by immediate caregivers include social and household responsibilities(94.5%),financial situation(89.0%),family support(83.6%),and health status of the caregiver(80.8%).Age(odds ratio[OR]=5.67,95%confidence interval[CI]:1.23-27.17,P=0.027),education(OR=3.75,95%CI:1.05-13.39,P=0.041),and“others”(spouses,siblings,friends,or extended family members)(OR=3.167,95%CI:1.583-6.337,P=0.001)were predictors for high psychological impact while education(OR=0.074;95%CI:0.015-0.370,P=0.001)and caregiving role(OR=3.167;95%CI:0.1.583-6.337,P=0.001)high sociological impact.Conclusion:Majority of the caregivers experience moderate burden,moderate psychological impact,and high sociological impact.Understanding these factors is essential for developing targeted interventions and support services to address the unique needs of caregivers and mitigate the burden of caregiving on their psychosocial health.

关键词： Burden caregivers predictors of psychosocial impact psychological impact sociological impact spinal cord injury

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Community caregivers’ Experiences and Programmatic Strategies to Improve Active Case Finding in Community Tuberculosis Care in Botswana 2016-2021

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Journal of Tuberculosis Research 2024年第2期12卷 105-118页

作者： Unami Modongo-Mathebula Mary Moleki Tefera Agizew Faculty of Health Sciences University of South Africa Pretoria South Africa Department of Family Medicine and Public Health Faculty of Medicine University of Botswana Gaborone Botswana

Background: The community tuberculosis care program was started to reduce the impact of TB and increase successful treatment outcomes, thus contributing to meeting WHO targets on TB. According to the Botswana Ministry of Health, community tuberculosis care was introduced with the main goal of reducing tuberculosis-related morbidity and mortality among communities through the expansion of direct observed therapy and community involvement to community settings. The community caregivers were to support tuberculosis patients throughout their treatment period until they were cured or had completed their treatment. Settings: Two major cities of Botswana, Francistown and Gaborone, with more than twenty-two health clinics offering tuberculosis care. Objective: To investigate community caregivers’ experiences and identify programmatic strategies to improve active TB case findings under the community TB care (CTBC) program in Botswana during 2016-2021. Methods: We adopted a descriptive qualitative research design, followed by convenience purposive sampling. We obtained consent and interviewed 40 participants who met the inclusion criteria, 16 out of 73 in Gaborone and 24 out of 38 from Francistown. Results: We interviewed 40 caregivers with a mean age of 43.4 years. Accepting the caregiving role was identified as the main experience by more than two thirds of the caregivers. While at least more than two-fifth felt obligated to care for the patient at home due to personal relations. More than half of the respondents found caregiving difficult or frustrating due to some challenges encountered during the caregiving role. Behavioral modifications were suggested under different subthemes as strategies to improve active case finding. [-rId13-]Conclusion: Acceptance was the major experience in CTBC. Intensification of known programmatic strategies was suggested by caregivers to improve tuberculosis active case finding in CTBC.

关键词： Community Experiences caregivers Active Case Finding Tuberculosis Community Tuberculosis Care

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Progress in Investigating the Current Mental Health Status Among caregivers for Surgical Oncology Patients

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Proceedings of Anticancer Research 2024年第1期8卷 10-16页

作者： Xuefei Li Li Wang Lian Xue Jian Yang Shanshan Cui Shanshan Tang Cong Fu Affiliated Hospital of Hebei University Baoding 071000China

This article aims to discuss the current state and research progress concerning the mental health of caregivers for surgical oncology patients.The goal is to offer insights that can serve as a reference for further enhancements in caregivers’mental well-being.This article conducts a comprehensive review and analysis of recent studies on the mental health of caregivers for patients undergoing oncologic surgery.These studies reveal that caregivers commonly grapple with mental health issues,including anxiety,depression,and stress.These problems are closely linked to the stress of the patient’s condition and treatment,the caregiver’s own mental strain,and a lack of social support.In addition,the mental health status of caregivers significantly influences the patient’s treatment and recovery process.Implementing various interventions,such as mental health education,services,the establishment of mental health support teams,and engagement in mental health promotion activities,can contribute to the improvement of caregivers’mental well-being.This,in turn,has the potential to enhance treatment outcomes and the overall quality of life for patients.

关键词： Tumor patients caregivers Mental health

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Altered gut microbiota composition in children and their caregivers infected with the SARS‑CoV‑2 Omicron variant

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World Journal of Pediatrics 2023年第5期19卷 478-488页

作者： Yi‑Zhong Wang Jian‑Guo Zhou Yan‑Ming Lu Hui Hu Fang‑Fei Xiao Ting Ge Xing Wang Lu Zheng Lian‑Hu Yu Jun Le Hui Yu Guang‑Jun Yu Qiang Xia Ting Zhang Wen‑Hao Zhou Department of Gastroenterology Hepatologyand NutritionShanghai Children’s HospitalSchool of MedicineShanghai Jiao Tong University355 Luding RoadShanghai 200062China Gut Microbiota and Metabolic Research Center Institute of Pediatric InfectionImmunity and Critical Care MedicineSchool of MedicineShanghai Jiao Tong UniversityShanghaiChina Department of Neonatology Children’s Hospital of Fudan UniversityShanghaiChina Department of Pediatrics Renji HospitalSchool of MedicineShanghai Jiao Tong UniversityShanghaiChina Department of Infectious Diseases Children’s Hospital of Fudan UniversityShanghaiChina Department of Liver Surgery Renji HospitalSchool of MedicineShanghai Jiao Tong UniversityShanghaiChina Shanghai Key Laboratory of Birth Defects Department of NeonatologyMolecular Medical CenterChildren’s Hospital of Fudan University399 Wanyuan RoadShanghai 201101China

Background Gut microbiota alterations have been implicated in the pathogenesis of coronavirus disease 2019(COVID-19).This study aimed to explore gut microbiota changes in a prospective cohort of COVID-19 children and their asymptomatic caregivers infected with the severe acute respiratory syndrome coronavirus type 2(SARS-CoV-2)Omicron variant.Methods A total of 186 participants,including 59 COVID-19 children,50 asymptomatic adult caregivers,52 healthy children(HC),and 25 healthy adults(HA),were recruited between 15 April and 31 May 2022.The gut microbiota composition was determined by 16S rRNA gene sequencing in fecal samples collected from the participants.Gut microbiota functional profling was performed by using Phylogenetic Investigation of Communities by Reconstruction of Unobserved States(PICRUSt)software.Results The gut microbiota analysis of beta diversity revealed that the fecal microbial community of COVID-19 children remained far distantly related to HC.The relative abundances of the phyla Actinobacteria and Firmicutes were decreased,whereas Bacteroidetes,Proteobacteria,and Verrucomicrobiota were increased in COVID-19 children.Feces from COVID-19 children exhibited notably lower abundances of the genera Blautia,Bifdobacterium,Fusicatenibacter,Streptococcus,and Romboutsia and higher abundances of the genera Prevotella,Lachnoclostridium,Escherichia-Shigella,and Bacteroides than those from HC.The enterotype distributions of COVID-19 children were characterized by a high prevalence of enterotype Bacteroides.Similar changes in gut microbiota compositions were observed in asymptomatic caregivers.Furthermore,the microbial metabolic activities of KEGG(Kyoto Encyclopedia of Genes and Genomes)and COG(cluster of orthologous groups of proteins)pathways were perturbed in feces from subjects infected with the SARS-CoV-2 Omicron variant.Conclusion Our data reveal altered gut microbiota compositions in both COVID-19 children and their asymptomatic caregivers infected with the SARS-CoV-2 Omicron variant,which further im

关键词： caregivers Children Coronavirus disease 2019(COVID-19) Gut microbiota Severe acute respiratory syndrome coronavirus type 2(SARS-CoV-2)

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Assessing Barriers to Mental Healthcare Interventions for Deaf People in Ghana

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Journal of Biosciences and Medicines 2024年第1期12卷 29-51页

作者： Wisdom Kwadwo Mprah Juventus Duorinaah Lyla Adwan-Kamara Rebecca Tawiah Department of Health Promotion and Disability Studies Kwame Nkrumah University of Science and Technology Kumasi Ghana Ghana National Association of the Deaf Accra Ghana Ghana Somubi Dwumadie (Ghana Participation programme) Accra Ghana

While mental health issues are increasingly gaining attention in Ghana, little is known about the situation among deaf people. This study assessed the mental health care needs of deaf people in Ghana. A descriptive design, consisting of interviews and focus group discussions, was used to collect data from 97 participants. Findings indicated that participants had limited knowledge on mental health issues. Mental health stigma, inaccessible mental health information and exclusion from mental health programmes were the major barriers hindering access to mental health care services. This study bridges the knowledge gap and provides evidence for the implementation of deaf-friendly services.

关键词： Access Barriers Deaf People Mental Health caregivers Civil Society Organizations

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Perception and Management of Hemorroid Disease at the CSREF of the Commune Bamako Mali

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Surgical Science 2024年第2期15卷 89-97页

作者： Tounkara Cheickna Diarra Mohamed Hassimy Diarra Issaka Sanogo Keita Bakary Dembele Bakary Tientigui Traore Alhassane Togo Pierre Adégné Lassana Kante Department of General Surgery The Cs Ref of Commune I of Bamako Bamako Mali Department of General Surgery The Gabriel TOURE University Hospital in Bamako Bamako Mali

This work was a prospective transversal study over 6 (six) months from May 2 to December 31, 2017 at the Reference Health Center of Commune I and the Chérif la Confessional Health Center in Bamako. The aim was to study the knowledge, attitudes and behavioral practices linked to hemorrhoids in Commune I of the Bamako district, to evaluate the frequency of hemorrhoidal disease, to determine the knowledge, attitudes and behavioral practices linked to hemorrhoids among patients, their companions and traditional therapists in Commune I of the district of Bamako and the factors which influence the motivations and decisions to resort to medical-surgical care and traditional medicine in patients suffering from hemorrhoids in order to analyze the results of the management of hemorrhoidal disease at Cs Ref CI. We collected 36 patients with hemorrhoidal disease, 25 caregivers and 15 traditional hemorrhoidal disease therapists. The sex ratio was 1.25 for patients;6.5 for traditional therapists and 1.5 for accompanying people. The average age of the patients was 32.75 years;49 years for traditional therapists and 28.76 years for those accompanying them. 55.6% of patients claim to know about hemorrhoidal disease;100% of traditional therapists and 80% of accompanying people. The dietary factor of hemorrhoidal disease was mentioned by 90% of patients;66.7% of traditional therapists and 100% of caregivers. Most patients initially resorted to traditional treatment out of fear of surgery and its after-effects. The patients were treated medically and surgically.

关键词： Hemorrhoidal Disease caregivers Traditional Therapists Patients Surgery CS Ref CI

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Determinants of State of Mental Health among caregivers of Children with Disabilities

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International Journal of Mental Health Promotion 2023年第6期25卷 721-734页

作者： Paul Timileyin Kehinde Olufemi Timothy Adigun Gideon Kwesi Obosu Thanduxolo Peace Mngomezulu Department of Psychology University of IbadanIbadan200005Nigeria Department of Educational Foundations National University of LesothoMaseru100Lesotho Open and Distance Education Research Unit College of EducationUniversity of South AfricaPretoria0001South Africa Department of Education and Psychology University of Cape CoastCape Coast03321Ghana Department of Educational Psychology and Special Education University of ZululandKwaDlangezwa3886South Africa

This study aimed to determine the association and predictive capacities of job satisfaction,workplace stress,work motivation,and self-esteem on state of mental health of caregivers of children with disabilities in South-West Nigeria.The self-determination theory provided a theoretical framework for the study.A closed-ended paper-pencil questionnaire tagged‘Mental Healthiness Scale for caregivers’was used for data collection from 241 care-givers of children with disabilities.Data collected was analyzed using descriptive of frequency count,simple per-centage and mean as well as inferential statistics involving Pearson product moment correlation and Binary Logistic Regression at 95%confidence interval.Findings revealed a significant but inverse association between self-esteem,workplace stress and mental health.Work motivation had a direct association with mental health while job satisfaction had no significant association with mental health of caregivers of children with disabilities.caregivers(18–40 years)had the highest odds for mental health concerns.Lowered self-esteem and workplace stress increased mental health concerns while job satisfaction significantly predicted a higher likelihood for posi-tive state of mental health among caregivers of children with disabilities.

关键词： Mental health job satisfaction workplace stress work motivation self-esteem caregivers children with disabilities

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Effectiveness of family psychosocial intervention on mental health and family function of caregivers of children with cancer:a meta-analysis

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Frontiers of Nursing 2023年第2期10卷 135-144页

作者： Li-Ya Ren Yu-Xin Wang Hao Jiang Mei-Jia Chen Chao-Qun Dong School of Nursing Wenzhou Medical UniversityWenzhouZhejiang 325035China

Objective:To evaluate the effect of family psychosocial intervention on the mental health and family function of caregivers of children with cancer.Methods:A comprehensive literature search of CNKI,Wanfang,VIP,CMB,PubMed,Web of Science,MEDLINE,Embase,Cochrane Library,and PsycARTICLES was conducted to retrieve randomized controlled trials of family psychosocial intervention from database inception until 19 September 2021.RevMan(version 5.4.1)was used to analyze the data.Results:A total of 894 caregivers participated in 11 studies.The analysis showed that anxiety(standardized mean difference[SMD]=−0.22,95%confidence interval[CI]=−0.37 to−0.07,P=0.004)and depression(SMD=−0.33,95%CI=−0.57 to−0.08,P=0.01)were significantly reduced,while family function(SMD=−0.86,95%CI=−1.28 to−0.45,P1 month(SMD=−0.48,95%CI=0.68 to−0.27,Pcaregivers of children with cancer.

关键词： anxiety cancer caregivers depression family function family psychosocial intervention meta-analysis

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Analysis on nursing competence and training needs of dementia caregivers in long-term care institutions

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International Journal of Nursing Sciences 2020年第2期7卷 198-205页

作者： Yaxing Wang Yuqi Liu Junxiang Tian Mengya Jing Kesen Zhang School of Nursing Tianjin University of Traditional Chinese MedicineTianjinChina Tianjin Nursing Society TianjinChina

Objective:It is aimed to investigate the nursing competence and corresponding influence factors of dementia caregivers in long-term care institutions of Tianjin and identify the training needs of caregivers.Methods:In the cross-section survey of this study,246 dementia caregivers were selected from 6 long-term care institutions in Tianjin as objects of study through convenient sampling.Results:The scores for nursing competence of dementia caregivers were 140.28±7.73,at a moderate level.Study findings that nursing competence of dementia caregivers were positively associated with the work experience(β=0.115,P=0.005),educational level(β=0.333,Pcaregivers are inconsistent with the current situation in terms of content,methods and teachers.There are some problems in the training,such as unreasonable time,single mode and not deepening the understanding of the elderly with dementia.Conclusion:Long term care institutions shall arrange training no less than 12 times a year and evaluate training needs regularly to improve training effect.Providing online and offline training and adding more specialized contents like case analysis,employing experts in the field of dementia to teach courses.

关键词： caregivers Dementia Nursing homes Professional competence Training

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Coping strategies of family caregivers of patients with schizophrenia in Iran: A cross-sectional survey

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International Journal of Nursing Sciences 2019年第2期6卷 148-153页

作者： Farnaz Rahmani Fatemeh Ranjbar Mina Hosseinzadeh Seyed Sajjad Razavi Geoffrey L.Dickens Maryam Vahidi Research Center of Psychiatry and Behavioral Sciences Tabriz University of Medical SciencesTabrizIran Department of Health Nursing and Midwifery Faculty Tabriz University of Medical SciencesTabrizIran Department of Orthopedic Surgery Shohada Educational HospitalTabriz University of Medical SciencesTabrizIran Centre for Applied Nursing Research Western Sydney University and South Western Sydney Local Health DistrictIngham Institute for Medical ResearchSydneyAustralia Department of Psychiatric Nursing Nursing and Midwifery FacultyTabriz University of Medical SciencesTabrizIran

Objectives: This study aimed to identify coping strategies used by family caregivers of patients with schizophrenia and their determinants.Methods: This was a descriptive correlational study.Participants were 225 family caregivers of patients with schizophrenia who were referred to the psychiatric clinic at one large teaching referral hospital in Iran.They were selected through purposive sampling method.Data collection tools were demographic and clinical data form,the Zarit Burden Interview (ZBI) and the Family Coping Questionnaire (FCQ).Results: The score of caregiver burden was 65.14 ± 9.17.Of 225 family caregivers,23.11% used an avoiding coping strategy.There was a significant relationship between caregiver burden and coping strategies (P caregivers of patients with schizophrenia experience a high level of burden,which can put them at risk of using maladaptive coping strategies.Mental health professionals should plan programs that support both family caregivers and patients in clinical and community settings.

关键词： Adaptation Psychological caregivers Iran Schizophrenia

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