Quality Of Family Support Research Articles

The Impact Of The Family Support Network On Adherence And Continuity Of Treatment For Women With Breast Cancer

Background: Breast cancer is the second most common type of cancer in women in Brazil. If diagnosed and treated early, there is a significant increase in favorable prognoses and chances of cure. However, the stigma of the disease and the difficulties resulting from treatment directly impact all aspects of a woman's life. In this context, the family support network can be an essential factor for treatment adherence and continuity. The objective of this study was to investigate the influence of the family support network on treatment adherence in women diagnosed with breast cancer. Materials and Methods: This is an integrative literature review in which the search for articles was conducted in the PubMed and Virtual Health Library (VHL) databases between July and August 2023, using the combination of descriptors "breast neoplasm", "treatment", "treatment adherence", "breast cancer", "family", and "family support". The inclusion criteria were: articles published in the last five years, in Portuguese or English, focusing on women with breast cancer. After several filtering stages, 334 article titles and abstracts were reviewed, of which 24 articles were selected for full reading, and 10 were included in this review. Results: The analysis of the articles indicated that family support plays an essential role in breast cancer treatment adherence, particularly with regard to emotional support, but it also impacts other aspects of the patients' lives. Additionally, the results showed that a lack of adequate communication between patients, family members, and healthcare professionals can hinder coping with the diagnosis and treatment. Family support not only helps to alleviate emotional distress but also influences the continuity of treatment. Conclusion: Further studies are needed to better understand the relationship between the quality of family support and breast cancer treatment adherence.

To Assess the Impact of the Quality and Level of Family Support to Pregnant Women on Maternal and Fetal Outcomes

Abstract Background: Throughout pregnancy, women need support from the family to gain better maternal and fetal outcomes. Emotional distress in women during pregnancy is known to increase the risk of adverse outcomes in women and newborns. Increasing family support can improve birth outcomes and maternal wellbeing and can reduce complications in mother and increased neonatal birth weight. Aim and Objective: This study aims to evaluate the influence of the level and quality of family support during pregnancy on maternal and fetal outcomes and to identify any association between sociodemographic variables and the impact of the level and quality of family support during the third trimester. Materials and Methods: This study used a quantitative approach combined with a survey research design. Data were collected from four primary health centers (Rethare, Vadgaon, Kale, and Supane) at Karad, Maharashtra, India. A consecutive sampling technique was used to select the 344 subjects from the Rethare, Vadgaon, Kale, and Supane areas of Karad Taluka. Data were collected before the completion of the first trimester, then during the second trimester, and post-delivery. Upon evaluation, the tool was validated by experts representing the fields of community health nursing, mental health nursing, obstetric gynecology, and pediatric care. A pilot study was conducted on 30 samples. The data collected were analyzed by using descriptive and inferential statistics. Result: Findings regarding level of family support show that 133 women (38.7%) received good total support, 164 (47.7%) received moderate support, and 47 (13.7%) received poor family support during the third trimester. Results regarding maternal outcomes show that there was a significant association found between type of delivery and family support received after delivery with maternal outcomes and total support during the third trimester (P < 0.05). It means that physical, emotional, and psychosocial support (total support) received by women would prevent complications during delivery, i.e., prevent Cesarean sections, results in the mother giving normal birth to baby. Hence, the mother needs total support during the third trimester. Conclusion: Total family support is needed by pregnant women during the third trimester to achieve maternal and fetal outcomes.

Family Support to Women During Pregnancy and Its Impact on Maternal and Fetal Outcomes.

Family support is one of the determinants of lifestyle habits and relevant health behavior for pregnancy outcomes. In India, the joint family system is still practiced. Due to education, urbanization, and industrialization, the family institution continues to play a central role in people's lives.Pregnancy is a crucial period in women's lives. Good care during pregnancy is important for the health of the mother and the newborn baby. During this period, hormonal changes are complex and involve multiple hormones working together to support the developing fetus and prepare the mother's body for labor, delivery, and breastfeeding. To avoid maternal and fetal complications, she needs support from her family throughout pregnancy and the postnatal period. This study aims to evaluate the influence of the level and quality of family support during pregnancy on maternal and fetal outcomes and to identify any association between the sociodemographic variables and the impact of the level and quality of family support during the first trimester. This study used a quantitative approach with a survey research design. Data were collected from four Primary Health Centers at Karad, Maharashtra, India, i.e., Rethare, Vadgaon, Kale, and Supane. A consecutive sampling technique was used to select the 344 subjects from the Rethare, Vadgaon, Kale, and Supane areas of Karad Taluka. Data were collected before the completion of the first three months of pregnancy, then during the second trimester and after delivery. Upon evaluation, the tool was validated by experts representing a range of specialties, including community health nursing, mental health nursing, obstetric gynecology, and pediatric care. A pilot study was conducted on 30 samples. The data collected were analyzed by using descriptive and inferential statistics. The findings of the study show a significant association between the psychosocial support received in the first trimester and the total gestational weeks completed at the time of delivery (p < 0.05). The study suggests the need for psychosocial support during the first trimester for better maternal and fetal outcomes. Psychosocial family support is needed by pregnant women during the first trimester to achieve maternal and fetal outcomes.

THERAPEUTIC ADHERENCE IN A POPULATION OF PATIENTS TREATED FOR SCHIZOPHRENIA AT THE HOSPITAL FOR MENTAL HEALTH AND PSYCHIATRIC DISORDERS IN TANGIER

Introduction: Schizophrenia is a chronic psychosis requiring long-term, often lifelong, treatment and psychiatric follow-up. Adherence to treatment in this population is a prognostic factor for patients and a major challenge for practitioners, with multiple interfering factors and significant consequences. However, the relationship between depression and therapeutic adherence in schizophrenic patients remains underexplored. This study aims to evaluate the epidemiology of therapeutic adherence in our institution . Materials and Methods: This is a descriptive and analytical cross-sectional study conducted at the Mental Health and Psychiatric Diseases Hospital in Tanger over a two-month period (from October 1, 2022, to November 30, 2022). Data were collected using a hetero-questionnaire that included sociodemographic data, patient history, clinical characteristics, and therapeutic aspects. Therapeutic adherence, insight,, and psychotic symptoms were assessed using the MARS, Birchwood Q8, , respectively. Bivariate analysis using the Chi-square test, Students t-test, and Mann-Whitney U test, and multivariate analysis using binary logistic regression were performed. Data entry and analysis were carried out using SPSS version 21, with the significance threshold set at 0.05. Résults: The prevalence of poor therapeutic compliance in our study was 26,7% 72.2% of the patients had poor therapeutic adherence according to the MARS scale. A comparison between the non-adherent patient group and the adherent patient group (Table 2) showed that the latter were significantly more likely to be female (p=0.00) and have a good socioeconomic status (p=0.05). They were also more likely to live with their families (p=0.04) and be more aware of their condition compared to non-adherent patients (p=0.00). Regarding therapeutic characteristics, significant differences between the two groups included the type of antipsychotic medication (p=0.00), treatment supervision (p=0.00), quality of family support (p=0.03), and patients assessment of the treatment (p=0.00) Conclusion: Compliance is a complex and dynamic phenomenon whose definitions and evaluation methods are multiple and non-consensual and the factors are numerous, interacting with each other.

Development of the quality of life of family caregivers of advanced cancer patients scale in Japan: Psychometric properties

ObjectiveWe aimed to develop a new scale for use in Japan, called the “Quality of Life of Family Caregivers of Advanced Cancer Patients Scale (QFCS)” and to examine its psychometric properties. MethodsA draft scale was extracted based on qualitative inductive and deductive analyses, and its content validity and surface validity were investigated. Its psychometric properties were examined. ResultsThe QFCS consists of 30 items comprising four factors. Cronbach's α was 0.92 and the intraclass correlation coefficient was 0.90. Correlation coefficients between the total QFCS score and eight subscale scores of the revised Medical Outcomes Study 12-Item Short Form Survey Instrument were rs ​= ​0.22–0.65 (P ​< ​0.01–0.05). The Physical Component Summary was r ​= ​0.29 (P ​< ​0.01), and the Mental Component Summary was r ​= ​0.67 (P ​< ​0.01). Correlation coefficients between the QFCS total score and four subscale scores of the Caregiver Quality of Life Index-Cancer (CQOLC) were r ​= ​0.27–0.59 (P ​<0 ​.01) and the CQOLC total score was r ​= ​0.65 (P ​<0 ​.01). ConclusionsOur results suggest that the QFCS exhibited acceptable psychometric properties in measuring the quality of life of family caregivers of patients with advanced cancer. Future research is needed to evaluate the effectiveness and quality of family support using the QFCS.

Prévention des troubles psychiques après un accident de la voie publique

A psychological intervention programme, set up within a trauma centre, revealed common factors contributing to the emotional upheaval felt by road accident victims. These factors are linked to the event itself, its medical management, the quality of family support and the patient's history. Early psychotherapy, the awareness of the nursing teams and the involvement of the families are the key elements ensuring coherent and effective prevention.

Parent stress and satisfaction with early intervention services for children with disabilities – a longitudinal study from Germany

This study assessed parent–child and family-related stress at two points of time and analysed relationships between stress, child and family characteristics and parent satisfaction with early intervention services. In Germany, 125 parents of young children with intellectual disabilities, hearing impairment or visual impairment responded to a questionnaire. Eighty-seven parents agreed to participate in the second survey. Results indicated that (a) perceived parenting competence is associated with general self-efficacy and satisfaction with professional support, (b) parent–child interactional stress increased with time, specifically in families with children with intellectual disability or visual impairment, (c) the level of satisfaction with amount and quality of family support was low in a considerable subgroup of parents, (d) regression analyses support predictive relationships among parent–child stress, family-related stress, perceived parenting competence and satisfaction with early intervention services.

Residential schools for children with learning disabilities in England: recent research and issues for future provision

Approximately 3000 children and young people with learning disabilities attend residential schools or other residential placements. Many of these young people have complex needs, and their placement reflects a failure of local provision to support their families and provide inclusive local services. Such placements reduce family contact, increase young people's vulnerability and accentuate the difficulties of transition to local adult provision. We should reduce the need for residential school placements by substantially improving the quality of family support and the capacity and inclusiveness of local services. Returning young people to their local communities requires a significant improvement in local authority planning so that local capacity can be developed to meet their needs.

Postburn Psychologic Adaptation of Family Members of Patients With Burns

Although long-term followup studies have shown that the quality of family support is the most important factor influencing a patient's postburn adjustment, little has been published regarding the process of postburn adaptation of family members. This article describes a model of postburn adaptation that delineates the most common sequence of cognitive and emotional issues faced by autonomous, adult family members of burn survivors from the time of the patient's acute injury through completion of the patient's recovery and rehabilitation. In addition to focusing burn team attention on the needs of family members, this model includes descriptions of specific interventions burn staff can make with family members to resolve the issues faced and thus facilitate appropriate postburn adjustment.

Black Children's Adaptive Functioning and Maladaptive Behavior Associated With Quality of Family Support

The authors investigated differences in low‐income Black children's adaptive functioning and maladaptive behavior in association with their father‐figures' presence or absence, grade level, gender, and quality of family support as perceived by the children's caregivers.