Receiving Family Support Research Articles

Patients’ experiences in receiving family support for type-2 diabetes mellitus: A scoping review

The aim of the study was to determine how patients’ experiences in receiving family support for type-2 diabetes mellitus. We conducted scoping review using the Joanna briggs institute guidelines and Levac, Colquhoun and O’Brien. Five electronic databases including PubMed, Scopus, ScienceDirect, ProQuest and Sage Pub were systematically searched by keywords for literature published between 2013 to 2023. Ten articles were used to final review. Analysis revealed that family support is an important factor to improve diabetes self-management behaviour for patients with type-2 diabetes mellitus. The availability of family support primarily comes from their spouses and children. Some obstacles, such as the emotional distance between patients and their families, can be overcome by improving shared knowledge and skills in self-management. Family support also has a positive impact on behavioural control and health outcomes for patients with type 2 diabetes mellitus.

Factors Associated with the Recovery of Tuberculosis Patients at the Padang City Health Center

Tuberculosis is a disease whose control is one of the global commitments in the Sustainable Development Goals. The tuberculosis cure rate in Padang City is 50.5%, which is far from the national target (85%). This low cure rate is caused by several factors. This study aims to determine the factors associated with the recovery of TB patients at the Padang City Health Center. This study is a quantitative study, with a cross sectional study design. The sample in this study were pulmonary TB patients at the Padang City Health Center, as many as 67 people selected by systematic random sampling. The results showed 53.7% of respondents had high education, 77.6% had high knowledge, 64.2% had low social status, 71.6% had affordable access, and 73.1% had good family support. There was a relationship between family support (p=0.002) and pulmonary TB cure. There was no relationship between education level (p=0.956), knowledge (p=0.774), social status (p=0.098), access to services (0.328) with pulmonary TB cure. Family support variable was the most influential variable on patient recovery (p=0.004). The results showed that patients who received family support had a chance to recover by 6 times compared to patients who did not receive family support after controlling for socioeconomic variables, attitudes, and treatment compliance. TB program holders need to improve socialization and education of patients and their families who play a role in supervising and providing support to patients. Keywords: Recovery; Patient; Tuberculosis

Demographic Factors and Perceived Social Support as Predictors of Burden of Care among Family Caregivers of Children Living With HIV in Akwa Ibom State

The burden of care among caregivers has emerged as a significant public health concern. This study investigated demographic factors and perceived social support as predictors of the burden of care among family caregivers of children living with HIV (CLHIV) in Akwa Ibom State. Fifty-seven participants, comprising 6 males (10.53%) and 51 females (89.47%), were purposively selected from rural family caregivers receiving family support services from selected Non-Governmental Organisations (NGOs) in Akwa Ibom State. A cross-sectional survey design was employed, utilizing the Perceived Social Support Scale and the Burden of Care Scale for data collection. Descriptive statistics and multiple regression were used for data analysis. Results indicated that age significantly predicted the burden of care among family caregivers of CLHIV (β = .322; t = 2.50, P < .05). However, caregivers' education (β = .031; t = .235; P > .05) and relationship with the care recipient (β = -.077; t = -0.58; P > .05) did not predict the burden of care. Notably, perceived social support independently predicted the burden of care (β = .292; t = 2.29; P < .05). Furthermore, a significant joint prediction of demographic factors and perceived social support on the burden of care of family caregivers of CLHIV was found (F = (6,56) = 2.82; P < .05). The findings highlight the need for targeted interventions and support programs that address caregivers' needs, particularly in terms of social support networks, to alleviate the burden associated with caring for children living with HIV.

Abstract PO5-10-09: Capturing Experiences: Navigating Breast Cancer Treatment of Nigerian Patients and Healthcare Providers Using Qualitative Interviews

Abstract Introduction A notable shift has occurred in medical relationships, placing greater emphasis on the role of patients within the healthcare system. A nascent body of literature in the US captures the experiences of patients following a diagnosis, but this is lacking in Nigeria. We used Systems Engineering Initiative for Patient Safety (SEIPS 2.0) as a theoretical framework from the discipline of human factors that serves as a guide for characterizing complex sociotechnical systems comprised of factors, work processes, and outcomes - with the patient and clinicians at the center. We specifically focused on the patient work network, which refers to individuals and communities that play role in supporting patient work. The objective of this study was to elicit the experiences of Nigerian breast cancer patients and healthcare providers by qualitative interviews and characterize productive and counterproductive activities of the patient work network. Methods The study was approved by the IRB. We used snowball sampling and social media to recruit Nigerian breast cancer patients and health care providers with experience treating breast cancer. One researcher conducted interviews that lasted 30–60 min using teleconferencing technology and an interview guide developed for this study. Questions for both patients and healthcare providers covered topics such as patient response to diagnosis, barriers and facilitators to care including people and communities within the patient’s network. We calculated descriptive statistics for demographics. Using thematic analysis, we carried out the analysis in the following stages: data review, category coding and data extraction, and synthesis and integration of findings. Results We interviewed 18 female patients (29-67 yrs old) and 6 healthcare providers (31-42 yrs old; 3 males). Twelve patients received treatment in urban areas and 6 in rural. Four patients had a bachelor's degree. Healthcare providers included primary, specialty, palliative, treatment, diagnostic care. We highlight a subset of the dataset with focus on productive versus unproductive work conducted by family and by religious community, with unproductive defined as potentially having negative impact on the patient and their experience (Table 1). Providers stated that patients who receive family support exhibit better health outcomes compared to those who do not. Providers shared that religious community can perpetuate patient denial in their diagnosis. Both patients and providers discussed an inclination towards seeking traditional care. Despite recognizing the challenges and pressures faced by patients, providers lacked in-depth understanding of the specific experiences patients encountered. Conclusion Our findings highlight the role of family and religious community in conducting activities that are both productive and unproductive facilitating productive activities and its influence on the decision-making process of patients. Alternatively, both family and religious community engage in activities counterproductive to the patient and their illness. Findings emphasize the importance of comprehensive support systems, education, and targeted interventions to improve the experiences and outcomes of Nigerian breast cancer patients. Effective strategies should address cultural beliefs, empower patients to make informed decisions, and enhance provider knowledge regarding the unique challenges faced by patients within the identified barriers. Table. Productive versus unproductive work conducted by family and by religious community Citation Format: Blessing Nwachukwu, Elizabeth Papautsky. Capturing Experiences: Navigating Breast Cancer Treatment of Nigerian Patients and Healthcare Providers Using Qualitative Interviews [abstract]. In: Proceedings of the 2023 San Antonio Breast Cancer Symposium; 2023 Dec 5-9; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2024;84(9 Suppl):Abstract nr PO5-10-09.

Prevalence of suicidal behavior in bipolar type 1 patients

IntroductionThe prevalence of suicidal behavior in individuals diagnosed with Bipolar Disorder Type 1 is a topic of great concern within the field of psychiatry and mental health research. Bipolar Disorder Type 1 is characterized by extreme mood fluctuations that can contribute to a heightened risk of suicidal ideation, attempts, and completions in affected individuals.Objectives-To examine the socio-demographic and clinical profiles of Bipolar Type 1 patients admitted to the “C” psychiatry department at Hedi Chaker Hospital in Sfax, Tunisia.-To identify and understand the factors associated with suicidal behavior in this population. MethodsWe conducted a retrospective descriptive and analytic study of hospitalized patients suffering from bipolar disorder type 1 in the psychiatry department “C”, Hedi Chaker Hospital, Sfax Tunisia from 2021 to 2023. Socioeconomic data and clinical profiles of patients were collected from archived files.Results The total number of patients was 98, with an average age of 36.74 ± 12.3 years. The majority were single (67%), living with their families (76.5%), jobless (45.9%), and receiving family support (94.9%). In terms of psychoactive substance use, 81.6% have used tobacco, 46.9% have used alcohol, and 34.7% have used cannabis.Concerning family history, 55% of patients had at least one family member being treated for a mood disorder. Among them, 7.1% had attempted suicide, and 6.1% had died by suicide.Concerning the clinical profile of the study population, 28.6% had a personal somatic history. The diagnosis of bipolar disorder was made at the age of 27.52±8.6 years. 11.2% had a comorbid personality disorder with bipolar disorder.The majority of patients were on antipsychotics (95.9%), 84.7% were using mood stabilizers, 33.7% were prescribed anxiolytics, and only 4.1% were on antidepressants. Treatment compliance was poor in 61.2% of cases and 63.3% of patients had a poor insight.Ten percent of these patients had attempted suicide, 50% during a depressive episode, 50% occurring during a depressive episode, 30% during a manic episode, and 40% of attempts were related to discontinuation of treatment. 3.1% had used hanging, and 3.1% had engaged in voluntary drug ingestion as a method of self-harm. None of the suicide attempts necessitated intensive care hospitalization, but 60% of the individuals were admitted to psychiatric care. There was a statistically significant correlation between suicide attempts and a family history of suicide (p=0.049).ConclusionsBipolar patients face a heightened risk of suicide, which is closely tied to the distinctive attributes of the disorder, including biological factors, thymic decompensation, and psychological aspects. Consequently, managing their condition necessitates a tailored approach, demanding ongoing vigilance for individuals diagnosed with bipolar disorder.Disclosure of InterestNone Declared

Analysis of Postpartum Blues In Partworld Mothers In The Working Area of The Kedaung Barat Health Center, Tangerang District, 2023

Postpartum Blues is influenced by age, education, parity, type of delivery, physical fatigue, husband's support, and family support. This research aims to determine the factors associated with the incidence of postpartum blues in the Kedaung Barat Health Center Working Area, Tangerang Regency in 2023. This research design uses a cross-sectional quantitative descriptive approach. Research respondents The population in this study was parturient mothers in the West Kedaung Health Center Working Area, Tangerang Regency, in October-December 2023, totaling 183 people. The sampling technique used is proportional sampling. The results of the research showed that the frequency distribution of postpartum blues was 20%, the age of postpartum mothers who were not at risk was 20-35 years, 65.7%, mothers with low education were 77.1%, multiparous mothers were 57.1%, and the type of birth was normal. 82.9%, 61.4% of postpartum mothers experienced physical fatigue, 57.1% of mothers did not receive husband support, and 58.6% of mothers did not receive family support. Postpartum mothers need to know information about postpartum blues so that mothers can prevent or overcome the occurrence of postpartum blues.

Health-related Quality of Life of Omani Adult Patients with β-Thalassemia Major at Sultan Qaboos University Hospital.

The impact of beta-thalassemia major (β-TM) on health-related quality of life (HRQoL) in Oman is not yet known. Affected individuals suffer from a wide range of physical, mental, and social consequences due to the need for regular hospital visits for blood transfusions and complications related to iron overload. This study aimed to assess the HRQoL of adult patients with β-TM attending a single tertiary care center in Muscat, Oman, to identify factors influencing Omani patients' QoL for improved management and counseling. A cross-sectional study was conducted among adult patients (≥ 18 years) with β-TM at Sultan Qaboos University Hospital between September and November 2022. A validated Arabic version of the self-reported 36-item short-form health survey was used to determine HRQoL. A total of 78 patients with β-TM were enrolled in the study; 53.8% were male and the mean age was 26.0±0.8 years, ranging from 21-53 years. Most patients were from Al Batinah North governorate (n = 21; 26.9%) and Muscat (n = 20; 25.6%), unmarried (n = 44; 56.4%), did not have university-level education (n = 45; 57.7%), and were unemployed (n = 44; 56.4%). The HRQoL domain with the highest score was role limitations due to emotional problems (median score = 100), while general health and vitality received the lowest scores (mean scores were 60.2±15.9 and 59.1±20.5, respectively). Several variables were associated with better HRQoL in certain domains, including being married, having a high level of education, being employed, exercising regularly, and receiving family support (p < 0.05). However, iron overload and having ≥ 3 β-TM-related disease complications were associated with poorer general health scores (p = 0.031 and 0.038, respectively), while a history of mental issues was associated with poorer scores in six out of eight HRQoL domains (p < 0.05). Moreover, negative perceptions regarding the social impact of the disease including delayed marriage, workplace difficulties, and reduced academic achievement were associated with poorer HRQoL in various domains (p < 0.05). Although the studied sample reported generally good QoL, several factors were found to affect HRQoL in various domains. Healthcare providers should prioritize maintaining acceptable iron overload levels in Omani patients with β-TM to help avoid the development of disease-related complications, thereby ensuring better control of their clinical conditions and consequently improving their HRQoL.

The Lived Experience of Family Support Among Women During and After Childbirth in Jordan: A Phenomenological Study.

Many studies highlight the importance of family support in enhancing the experience of childbirth among women. This qualitative study aimed to describe the lived experience of family support from the perspective of women during and after childbirth in the Jordanian context. A qualitative descriptive phenomenological approach was used to explore the experiences of women's family support in the context of their childbirth experiences. A total of 11 Jordanian women participated in the study. Face-to-face semi-structured interviews were conducted to collect data. Four major themes emerged from the data describing family support provided to women during and after childbirth. These themes were family support during childbirth, family support in the postpartum period, importance of family support during and after childbirth, and challenges related to receiving family support. Supportive family members primarily included the husband, the woman's family, and the family-in-law, according to the traditions inherited in the Jordanian context and culture. The study findings could help maternal health professionals screen pregnant women who are at risk of receiving low family support, contribute to developing effective interventions regarding family-centered care, and enhance the overall childbirth experience for women in Jordanian cultural contexts.

Positive Correlation of Family Support and Level of Anxiety in Facing Labor

Anxiety that occurs in pregnant women can be reduced in various ways, one of which is with family support. Family support can provide peace, calm, and comfort for pregnant women in undergoing pregnancy in the first, second and third trimesters. The purpose of this study was to determine the correlation between family support and the anxiety level of third trimester pregnant women. This study used a quantitative method with a cross-sectional study design. The population in this study were third trimester pregnant women with purposive sampling technique. The sample in this research is 30 respondents. Data was collected using a questionnaire. The results showed that 22 respondents (73.3%) who received family support did not experience anxiety, 8 respondents did not receive family support, namely 7 respondents (23.3%) experienced mild anxiety and 1 respondent (3.3%) experienced severe anxiety . The results of the Chi Square test showed a p value (0.000 &lt;0.05), it could be concluded that there was a correlation between family support and the level of anxiety in in facing labor in third trimester pregnant women at the Ernita Midwife Independent Practice

Study Of Selection Of Delivery Assistance By Tbas In Materials In Masadian Village, Menui Sub-District, Menui Islands, Morowali District

Backgroud: Nationally, indicators regarding the coverage of delivery services at health facilities have succeeded in achieving the objectives of the 2017 strategic plan, but in several provinces in Indonesia there are still significant differences regarding the coverage of delivery services, for example, Jakarta has the highest coverage at 102%, then Bali at 97.73 %. Meanwhile, Central Sulawesi Province only had an achievement of 76.18%. Objective: This study aims to find out the description of the selection of birth attendants by dukuns for mothers giving birth in Masadian Village, Menui District, Archipelago District, Morowali Regency. Method: This research has a type of quantitative design with a descriptive approach. The population in this study were all birth mothers assisted by traditional birth attendants in 2022, totaling 40 people. the sample in this study was a portion of mothers who were assisted by traditional birth attendants in 2020 as many as 29 respondents. The sampling technique in this study was purposive sampling. The research data was processed using descriptive statistical tests. Result: The results showed that 69% of the respondents had low education and 31% had higher education, 62.1% less knowledge of respondents and 37.9% good category, most of the respondents' economic status was 72.4% low economic and 27 high economic .6%, access to health services 100% access is not affordable, and husband/family support 51.7% do not receive family support and 48.3% receive family support. It is suggested to the puskesmas to provide education to the community which aims to increase the knowledge of mothers, husbands and other families so that they are ready and willing to give birth in midwivesKeywords: birth attendant, traditional birth attendant, knowledge, access, family support

Pengaruh Konsep Diri dan Dukungan Keluarga terhadap Kematangan Karir Siswa

Career maturity includes things that cannot be separated in the development stage. students who do not have career maturity will cause obstacles in the development process. Low career maturity results in doubts in determining a career, including both in determining employment and education. Students with a healthy self-concept will have career maturity or career goals. Students who receive family support will have positive thoughts even in difficult situations until they reach career maturity. The family has an important role in providing support for family members, including in terms of increasing understanding of their careers. This study aims to analyze the relationship between self-concept and family support on students' career maturity. The type of research used is library research, collecting data using books, journals and research sources related to the relationship between self-concept and family support on student career maturity. In order for students to achieve career maturity, the counseling teacher or counselor has the role of providing counseling service assistance that suits the needs of students.

Family support in chronic kidney failure patients with hemodialysis

Introduction: Hemodialysis is one of the treatments for kidney failure patients, although it is not always effective and has a tendency to make the patient's health worse. One such effect is a rise in interdialytic weight. In this study, patients with chronic kidney failure receiving hemodialysis at the Islamic Hospital A. yani Surabaya were examined to establish the association between family support and weight growth. Method: a cross-sectional research strategy for analysis. 70 respondents made up the population of all hemodialysis patients with chronic renal failure, and 60 respondents made up the purposive sampling sample size. The unrestricted factor is family support. The weight gain between dialysis sessions was the dependent variable. A questionnaire and an observation sheet were used as instruments. The Spearman Rank test was utilized in data analysis. Results: According to the findings, out of the 60 respondents, the majority's (70%) family support was excellent, and the majority (76.7%) of those who had dialysis saw modest weight gain. According to statistical analysis, the p value was 0.001, which indicates that among hemodialysis patients with chronic renal failure who receive family support, there is a relationship between weight gain. Conclusion: In patients with chronic renal failure receiving hemodialysis, the more well-controlled the interdialytic weight increase, the better the family support. The requirement for support and assistance for dialysis patients so they can follow the recommended course of treatment.

HUBUNGAN ANTARA DUKUNGAN KELUARGA, SIKAP DAN MOTIVASI IBU TERHADAP KETEPATAN PEMBERIAN MP-ASI PADA BAYI USIA 6-23 BULAN DI PUSKESMAS CISAUK TAHUN 2022

Early breastfeeding is one of the causes of the high infant mortality rate in Indonesia. The Cisauk District Health Center in 2021 achieved the target of exclusive breastfeeding in accordance with the target of the Tangerang District Health Office, which was 60%. This study aims to determine the relationship between family support, attitudes and mother's motivation to the accuracy of complementary feeding for breastfeeding aged 6-23 months at the Puskesmas Cisauk District, Tangerang Regency in 2022. The research design used a cross sectional. The sample is 80 respondents using probability sampling technique. The research instrument used a questionnaire. Data analysis used univariate and bivariate. The results showed that 27.5% of respondents did not provide complementary feeding, 39% of respondents did not receive family support, 35% of respondents had a negative attitude, 28% of respondents were not motivated. There is a significant relationship between family support (p =0,037), attitude (p =0,001) and motivation (p = 0.004) on the accuracy of giving complementary feeding aged 6-23 months at the Cisauk Public Health Center, Tangerang Regency in 2022. The accuracy of giving complementary feeding influenced by family support, mother's attitude and motivation, It is hoped that mothers will pay more attention to when the right time is in giving complementary feeding, starting from the age of 6-23 months, mothers can be motivated in giving complementary feeding such as seeking more information from health workers , the internet as well as family and closest people, get maximum support from every family member as well as a positive mother's attitude about giving the right and proper complementary feeding. It is hoped that mothers can increase motivation related to accuracy in giving MP-ASI for infants aged 6-23 months by increasing knowledge and understanding about the importance of giving MP-ASI.

성인 발달장애인의 직업생활 경험 탐구 -지적장애인을 중심으로-

The purpose of this study is to contribute to improving the employment problem of the adult intellectually disabled by revealing the professional life experiences of the intellectually disabled. The research method was analyzed by conducting in-depth interviews for 2 hours each as a phenomenological research method of qualitative research for 7 intellectually disabled people in employment. As a result of the study, the Study participants had “special family love” as “professionals who work hard” through their work life, and had “dreams as proud members of society” even in “unusual professional lives.” Participants in the study were striving to keep hard-employed jobs and to become recognized professionals. In addition, They were satisfied with the role of supporting the family beyond receiving family support. Although They had anxiety about various difficulties in their professional life, They wanted to achieve self-realization and fulfill their dream as a social worker through their professional life. Therefore, it was suggested that customized educational programs and the need for employment stability and development of various occupations to be supported by four major insurances so that people with intellectual disabilities can live independently and economically happily while working.

THE RELATIONSHIP BETWEEN KNOWLEDGE AND FAMILY SUPPORT WITH ANXIETY IN PREMENOPAUSAL WOMEN AT PEKIK NYARING COMMUNITY HEALTH CENTRE CARE, CENTRAL BENGKULU REGENCY, IN 2022

The percentage of the incidence of anxiety experienced by premenopausal women worldwide is still relatively high (77%). About 25% of anxiety occurs during menopause, with various symptoms caused by individuals, depending on psychological and emotional. This study aimed to determine the relationship between knowledge and family support with anxiety incidence in premenopausal women at the Pekik Nyaring Community Health Centre, Central Bengkulu Regency, in 2022. The research design used a cross-sectional approach. The population in this study were all women aged 45-55 years in 12 Integrated Post for Non-Communicable Diseases or Pos Pelayanan Terpadu Penyakit Tidak Menular (Posbindu PTM ) Pekik Nyaring Community Health Centre, totalling 981 people. The sample in this study was 78 respondents taken by purposive sampling, and the number of samples distributed in each Posbindu was not equal. Data analysis using univariate and bivariate analysis using Chi-Square. The results showed that 78 premenopausal women (53.8%) experienced moderate and severe anxiety, (59%) had poor knowledge, and (65.4%) had poor family support. There was a relationship between knowledge and anxiety in premenopausal women with p=0.002 &lt; 0.05 and OR = 5.0. It means that premenopausal women with poor knowledge were 5 times more likely to experience moderate and severe anxiety. There was a relationship between family support and premenopausal women's anxiety, p=0.000 &lt; 0.05 and OR = 8.4. It means that premenopausal women who receive family support were at least 8 times more likely to experience moderate and severe anxiety. Suggestions for the Community Health Centre, in this case, the Head of the Community Health Centre, can optimise health workers to create innovative programs related to women's preparation for menopause&#x0D; &#x0D;

Impact of Instrumental Support from Family on Medication Adherence among Tuberculosis Patients: A Cross-Sectional Study

Instrumental support is concrete and tangible, for instance, helping to provide food or accompanying patients to health care facilities. However, its impact on medication adherence among tuberculosis patients in Indonesia needs to be explored. This study aimed to examine the impact of instrumental support from family on tuberculosis patients’ adherence to medication in Bogor City, West Java Province, Indonesia. A cross-sectional study involving 106 participants with an age average of 39.7 (SD = 14.9) was conducted in 12 primary health care (PHC). The independent variables (age, sex, education, employment status, wealth index, and the distance between home and PHC) of instrumental support from family was assessed using MMAS-8. In contrast, the dependent variable of medication adherence was assessed using a self-reported instrument. Multivariate binary logistic regression was used in the analysis and indicated that participants receiving family support were more likely to adhere to medication protocol (95% CI = 1.1–6.3; p-value = 0.029). Instrumental support from family was associated with medication adherence among tuberculosis patients in Bogor City, West Java Province, Indonesia. It is necessary to design further comprehensive interventions in the community setting to encourage the family to support tuberculosis patients following medication protocol.

Factors Related To The Compliance Of Pregnant Mothers In Consuming Fe Tablets At Bpm Vera Year 2021

Family support is the closest and inseparable part of the sufferer because with this support it will raise his confidence to face or manage the problems he faces better, as well as people who must obey the suggestions given by the family to support the management of the problem. faced. This study aims to determine the factors related to the compliance of pregnant women in consuming Fe tablets at BPM Vera in 2021. This type of research is an analytical survey research with a cross sectional method approach. The population is all pregnant women at BPM Vera, totaling 36 pregnant women. The number of samples used were 36 people obtained by using total sampling technique. Data analysis technique using chi square. The results obtained in this study were from 36 pregnant women who received family support in compliance with consuming Fe tablets as many as 7 people (19.4%) and 29 people did not receive family support (80.6%), there is a relationship between family support and compliance of pregnant women in consuming Fe tablets with p value = 0.012 &lt;0.05. there is a relationship between age and adherence to consuming Fe tablets, there is a relationship between education and adherence to consuming Fe tablets, there is a relationship between work and adherence to consuming Fe tablets, there is a relationship between family support and adherence to consuming Fe tablets. It is recommended for health workers to increase family support for pregnant women in consuming Fe tablets.

Influencing factors of loneliness among older adults in China: a systematic review and meta-analysis.

China has a large and rapidly growing older population. Loneliness is associated with a range of negative health outcomes in older adults. However, to date, there is still a lack of comprehensive and systematic evidence on the factors influencing loneliness among older adults in China. Nine Chinese and English databases were searched by computer from inception to March 2022: China Knowledge Network, WanFang Data, Chinese Scientific Journal Database, SinoMed, PubMed, Embase, Web of Science, PsycINFO, and Cochrane Library. Studies on factors influencing loneliness among older adults in China were included. Two reviewers independently completed the literature screening, quality evaluation, and data extraction, and statistical analyses were performed using Review Manager 5.4 software. A total of 15 studies were included in the review, with 47 066 participants in total. Fifty-nine influencing factors of loneliness in older Chinese were involved. Twenty factors with a total of 30 subfactors that were involved in two or more studies and with extractable data were included in the data synthesis. Eleven subfactors were not statistically significantly associated with loneliness, namely, male, female, lower age, higher education level, health status-fair, health status-poor, social support-none/low, no health insurance, smoking, alcohol consumption, and body mass index-overweight and above (all P> 0.05), while the remaining 19 subfactors (concerning 15 factors) were significantly associated with loneliness in older adults in China (all P < 0.05). This study suggested that age, education level, marital status, living arrangement, having (no) children, receiving family support, relationship with family members, being with or without chronic diseases, health status, activities of daily living, social support, social activities, financial status, satisfaction with housing conditions, and the decision-making right for major household expenditures were the main influencing factors of loneliness among older adults in China.

Barriers and strategies needed to improve maternal health services among pregnant adolescents in Uganda: a qualitative study

ABSTRACT Background In Uganda, the uptake of maternal health services is very low, with only 41.1% of pregnant adolescent girls attending the eight antenatal visits that are recommended by the World Health Organisation. Uptake of maternal health services is essential in reducing the current level of adolescent pregnancies as well as its adverse effects on adolescent mothers and their babies, such as preterm deliveries, prolonged labour, death during pregnancy, and childbirth. No previous study has described pregnant adolescents’ experiences with maternal health services in Uganda. Objective This study aimed to describe the barriers and strategies needed to improve maternal health services among pregnant adolescents in Uganda. Methods Data were collected in the Naguru Teenage Information and Health Centre in Uganda through individual interviews involving 31 pregnant adolescents. The transcribed interviews were inductively analysed through content analysis. Results The pregnant adolescents described difficulty in reaching, as well as lack of financial support to visit, the Naguru Teenage Information and Health Centre, which is a clinic providing youth friendly services. Feelings of being discriminated against and disrespected by health workers, and lack of privacy when receiving health services was major barriers that hindered their access to maternal health services. Pregnant adolescents’ access to these services can be enhanced by improving health workers’ working conditions, accelerating community and health worker awareness on ways to mitigate these barriers, and developing policies that encourage men’s involvement in maternal health services. Conclusion Adolescents in Uganda face considerable barriers to accessing improved and quality maternal health services. To mitigate these barriers, according to the adolescents, considerable efforts are required to tackle health workers’ working conditions and sensitise the community on the importance of, as well as securing the availability of, maternal health services for pregnant adolescents. Future research should focus on pregnant adolescents who receive family support.

Pengalaman Ibu Remaja Primipara Memperoleh Dukungan Keluarga Dalam Memberikan Asi Eksklusif

Background: The Infant Mortality Rate (IMR) in Indonesia is currently in the range of 30 per 1000 live births and about 5% of deaths are caused by infectious diseases associated with low immunity of infants due to lack of breast milk intake. The experience of primiparous adolescent mothers in obtaining family support in providing exclusive breastfeeding. Objective: This study aims to find out what are the experiences of primiparous adolescent mothers in exclusive breastfeeding and what are the obstacles and lack of family support. Methods: This research is a qualitative research with descriptive phenomenology, data obtained through in-depth interviews with five respondents who are primiparous adolescent mothers who have met the requirements or are said to be saturated. Data were collected in the form of interviews and field notes and analyzed by technique. Results: The experiences of primapara adolescent mothers in exclusive breastfeeding were pain in the breasts, sore nipples and swollen breasts. Teen mothers felt that there was a negative assessment of the social environment with their status as young mothers and some participants expressed their lack of understanding about breastfeeding. The obstacles to exclusive breastfeeding are the reasons for sore nipples, swollen breasts, psychological problems, and working mothers. Husbands do not provide support or motivation for their wives to give exclusive breastfeeding to their children, even their own biological mothers do not give directions to primiparous adolescent mothers to give exclusive breastfeeding. Conclusion: The experience of primiparous adolescent mothers during exclusive breastfeeding is highly dependent on family support, although adolescent mothers know that breastfeeding is important for children's health but the confidence and confidence of adolescent mothers in breastfeeding is still low. The five themes found in this study were able to describe the experiences of primiparous adolescent mothers while receiving family support in exclusive breastfeeding.