Health Family Support Research Articles

PEMBERDAYAAN KADER MELALUI PELATIHAN PIJAT OKSITOSIN UNTUK PENCEGAHAN MASTITIS

Oxytocin massage has proven effective in reducing the risk of mastitis in breastfeeding mothers by helping the breasts to relax and improving milk flow, thereby reducing swelling and milk duct blockages. Education on proper breastfeeding techniques is crucial to prevent worsening conditions and increasing the risk of mastitis. This community service activity aims to provide education and oxytocin massage training to posyandu cadres in the Puskesmas Pancana Makassar area. The community service method involves direct guidance from trained facilitators to the cadres, which includes proper and safe massage techniques as well as understanding the benefits for breastfeeding mothers, while cadre participation is documented and analyzed to evaluate the impact of the training on increasing knowledge and skills in oxytocin massage techniques and mastitis prevention. The results of this activity show that oxytocin massage training effectively enhances the practical skills of posyandu cadres, with 80% of cadres achieving good skills after the training compared to only 10% before the training, thus contributing to the prevention of mastitis and improving the quality of health services at posyandu. Integrating oxytocin massage into posyandu cadre training programs is crucial in preventing mastitis, enhancing maternal mental health, and strengthening the emotional bond between mother and baby. Therefore, this training not only improves the practical knowledge of cadres but also has a significant positive impact on supporting family health and well-being at the community level.

Acculturation Among Chinese Married Immigrant Women in South Korea: A Structural Equation Modeling Analysis.

The purpose of this study was to determine acculturation and the associated factors among Chinese immigrant married women in South Korea. Data collected from 220 participants through an online survey at four health family support centers in South Korea were analyzed in an acculturation model, which included family environment, ego-resilience, acculturative stress, stress-coping style, and acculturation. The fit indices of the modified model satisfied the recommended levels. Among the variables, ego-resilience (β = 0.34, p < .001) and acculturative stress (β = -0.65, p < .001) directly affected acculturation. Family environment (β = 0. 35, p = .001) indirectly influenced acculturation through acculturative stress and stress-coping style. The explanatory power of the variables was 80.7%. The results confirmed the usefulness of the acculturation model that provides a theoretical basis for improving acculturation in married immigrant women.

신고의무자의 노인학대 예방교육 참여경험에 대한 질적 연구

The purpose of this study was to identify paths towards developing elder abuse prevention, through an in-depth exploration of the experiences of persons engaged in statutory compulsory education. Seven working-level workers, including elderly welfare facilities, long-term care institutions, and multicultural health family support centers, were recruited considering areas with a high reporting rate as well as a low participation rate in prevention education among 17 job groups obligated to report. Data were collected through unstructured in-depth interviews and analyzed, using constant comparative methods as the qualitative data analysis methods. As a result, five topics and 24 subtopics were derived, as the basis for meaningful statements. The five topics were ① the perception of elder abuse prevention education, ② effectiveness of elder abuse prevention education, ③ an education method with clear advantages and disadvantages, ④ obstacles to activating prevention education, and ⑤ paths towards improving effectiveness. Based on the results derived, an activation plan to increase the effectiveness of elder abuse prevention education is suggested.

Pelatihan Pembuatan Kecambah Kacang Hijau (Tauge) Dengan Media Pasir Sungai Untuk Masyarakat Dusun Banopo, Kabupaten Timor Tengah Utara

The people of Dusun Banopo mostly work as farmers who produce a variety of agricultural products. One of the products produced is mung beans. The yield of bean sprouts is very good and plentiful, however the utilization of this product is still very low, especially in supporting family health and increasing family income. Most of the produce is sold immediately and a quarter of the harvested are usually left at home to be cooked with corn. Mung bean seeds can be germinated into bean sprouts which have a higher nutritional content and can be used as marketed products. This service activity was well received by the community, especially the women from the Women Farmers Group. This group gains knowledge and skills in making bean sprouts with media that can be taken from the surrounding environment. Besides being able to be used as a nutritious vegetable in improving family health, it can also marketed to increase family income.

0074 Neighborhood-Level Sleep Health and Childhood Opportunity Index at the Census Tract Level: Comparison to Other Health Indicators

Abstract Introduction Promoting sleep health at the neighborhood level may be an efficient way to promote overall health and well-being. This study examined the relative contribution of sleep health, versus other regional health metrics. Methods Neighborhood sleep health values were obtained from the “500 Cities” data collected by the CDC, which includes census tract and proportion that report values associated with health. Data include the population of each census tract as well as census-estimated proportion of the population in each census tract that report obtaining at least 7 hours of sleep. Other health indicators evaluated included access to health insurance, past-year routine medical or dental checkup, older adult preventive care, leisure-time activity, mammography, pap testing, and prevalence of arthritis, binge drinking, hypertension, antihypertensive use, cancer, asthma, coronary disease, cholesterol screening, colon screening, COPD, smoking, diabetes, hypercholesterolemia, kidney disease, poor mental and physical health, obesity, stroke, and teeth lost. The Child Opportunity Index (COI) is a publicly-available index (DiversityDataKids.org) reported at the census tract level. It provides indices for “Education,” “Health and Environment,” and “Social and Economic” domains, as well as a global score. The present analysis merged the 500 Cities data with the COI data, using census tract as the matching variable. When data were merged, 27,130 census tracts were included. Results In stepwise analyses adjusted for population size, with global COI as the dependent variable, sleep health emerged as the strongest predictor, accounting for 57.2% of the variance of global COI (p&amp;lt;0.0001). When all other health predictors were included in the model, the next largest contributors were teeth lost (additional 15.5%), health insurance (additional 3.0%), and asthma (additional 1.4%). Similarly, when stepwise analyses examined each component of COI as dependent variable, sleep health consistently emerged as the most substantial predictor, accounting for 41.2%, 24.3%, and 56.4% of the variance of “Education,” “Health and Environment,” and “Social and Economic” scores, respectively (all p&amp;lt;0.0001). Conclusion Sleep health is more strongly associated with overall COI (and all its components) than any other regional health metric. Public health efforts targeting sleep health may have disproportionately beneficial impact on factors that support family health and well-being. Support (If Any)

Intergenerational Transmission of Trauma: The Mediating Effects of Family Health.

Family health is important to the well-being of individual family members and the collective family unit, and as such, may serve as a mediator for the intergenerational transmission of trauma (ITT). This study aimed to understand the intergenerational impact of parent’s adverse and positive childhood experiences (ACEs and PCEs) on their children’s adverse family experiences (AFEs) and how family health mediated those relationships. The sample consisted of 482 heterosexual married or cohabiting couples (dyads) in the United States who had a child between the ages of 3 and 13 years old. Each member of the dyad completed a survey, and data were analyzed using structural equation modeling. Parental ACEs were associated with more AFEs. The fathers’, but not the mothers’, ACEs were associated with worse family health. Parental PCEs were associated with better family health, and family health was associated with lower AFE scores. Indirect effects indicated that parental PCEs decreased AFEs through their impact on family health. Family health also mediated the relationship between the father’s ACEs and the child’s AFEs. Interventions designed to support family health may help decrease child AFEs.

Factors Influencing Quality of Care Service of Caregivers for Preschoolers.

The number of households that have benefited from childcare support services has steadily increased, while the number of caregivers has also climbed. Studies on the care service of childcare providers are needed. This study was to examine and identify the factors influencing the degree of quality of care service for preschoolers among caregivers. A cross-sectional descriptive design was employed. Samples included 138 caregivers for preschoolers in health family support centers, Gyeonggi-do, South Korea. Data included the general characteristics of study participants, quality of care service for preschoolers, childcare efficacy, job satisfaction, and caregiver–child interaction. Data were collected from June to August 2019. The factors influencing the quality of care service for preschoolers among caregivers were caregiver–child interaction. The explanatory power of the final regression model was 37%. This study suggests that the caregiver–child interaction should be improved to improve the quality of care service for preschoolers among caregivers, and health professionals need to pay attention to this issue in community fields. The findings from this study can be implied on health policy for childcare support service.

Knowledge, beliefs and perceptions of religious leaders on modern contraceptive use in Burkina Faso: a qualitative study.

Introductionin Burkina Faso, despite the strategies implemented to increase the use of contraceptives, the prevalence rate of modern contraceptives remains low. Religion is an important part of the socio-cultural fabric of many communities. Besides, religious leaders play an essential role in adopting and using contraceptive methods to support family health. The study objective was to explore the knowledge, beliefs and perceptions of religious leaders about modern contraceptives among women of childbearing age.Methodsdata were collected in September 2018 from twenty-one religious' leaders of the urban municipality of Dori. Study participants were selected based on reasoned sampling with maximum variation (sex, religion, age, residence and level of education). We conducted semi-structured individual interviews, non-participant observations and documentary review.Resultsreligious leaders have a good knowledge of modern contraceptive methods, but they prefer traditional contraceptive methods and abstinence. They consider modern contraception as abortion and female sterilization and emphasize birth spacing. Furthermore, religious leaders lack training on contraception and have no real links and exchanges with sexual and reproductive health services. As a result, their assessment of the quality of these services is very mixed.Conclusionreligious leaders play a crucial role in improving modern contraceptive methods in Burkina Faso. Close collaboration with family planning services should, at all times, be maintained. The implementation of training and educational activities for religious leaders could help raise modern contraceptive use in Burkina Faso.

Social-economic impact of chicken production on resource-constrained communities in Dodoma, Tanzania

Chickens, in many households, are kept by women and the youths, providing employment and means of increasing family economic gains. However, little information on the social-economic contribution of chickens' production in Dodoma is available. This study examined the potential of chickens' production in Kongwa district and Dodoma municipality in Tanzania. A cross-sectional questionnaire survey (with Likert scaling) was conducted, and in-depth interviews were used to gather information from the local livestock keepers. A total of 200 were interviewed, and of these, 33.93% were male and 66.07% were female. The entire family was responsible for chicken management in 66.07% of the households, whereby, in 25% of the households, only women were involved, and in 7.01% of the households, only men were involved in rearing chickens. Chicken production contributed socially and economically through meat, manure, offerings, source of income, aesthetic value (beauty), provision of school fees, and source of employment. The contribution of chicken production socially and economically among these categories varied significantly (Kruskal-Wallis statistical test = 33.36, P < 0.001). The potential customers for the chicken and their products were nearby shops (60.71%), individuals (retails) (85.71%), animal market place (Mnadani) (62.5%), travelers (55.35%), and restaurants (61.71%). The average selling price for the chicken was 12,500 Tanzanian Shilling (Tsh), whereas, for cocks, it was 13000 Tsh, and hens were sold at 10,000 Tsh. Chicken keeping is a very important sector in resource-constrained families as it provides for family proteins and income which support family health care, education, and other social needs. However, the productivity is not encouraging, so more education and support on chicken keeping is essential to enhance a positive economic impact on the local communities.

Correlação entre obesidade geral e abdominal em mulheres ativas diabéticas e/ou hipertensas

Este estudo teve por objetivo investigar a correlação entre o índice de massa corporal e os indicadores antropométricos de obesidade abdominal em pacientes diabéticos e/ou hipertensos ativos assistidos pelo Núcleo de Apoio à Saúde da Família de Canindé, Ceará. Trata-se de uma pesquisa correlacional, transversal e de análise quantitativa. A amostra foi composta por 25 mulheres diabéticas e/ou hipertensas, ativas, com idade média de 63,64±10,25 anos. Foram coletadas as medidas de peso, altura e circunferências da cintura (CC). O índice de massa corporal (IMC) foi calculado para identificar obesidade geral e a obesidade abdominal foi identificada com base nos indicadores CC, Relação Cintura/Estatura (RCE) e Índice de Conicidade (IC). Os resultados apontaram pacientes com sobrepeso (IMC=28,3±4,0) e elevados índices antropométricos de obesidade abdominal (CC=100,1±8,7; RCE=66,4±5,1; IC=139,4±8,3). A CC (p&lt;0,01; r=0,826) e a RCE (p&lt;0,01; r=0,730) se mostraram correlacionadas com o IMC nas pacientes hipertensas. Não foram identificadas correlações significativas entre os indicadores antropométricos de obesidade geral e abdominal na amostra de pacientes diabéticos e hipertensos-diabéticos. Em conclusão, identificou-se uma amostra de mulheres diabéticas e/ou hipertensas com sobrepeso e com risco elevado de desenvolver doenças associadas à obesidade. O IMC das pacientes hipertensas apresentou positiva correlação com a CC e com a RCE, mas não com o IC. Não houve correlações significativas nas pacientes diabéticas.

Differences Between Mothers and Fathers of Young Children in Their Use of the Internet to Support Healthy Family Lifestyle Behaviors: Cross-Sectional Study.

BackgroundIn early life, both mothers and fathers are important influences on their children’s diet, active play, and obesity risk. Parents are increasingly relying on the internet and social media as a source of information on all aspects of parenting. However, little is known about the use of Web-based sources of information relevant to family lifestyle behaviors and, in particular, differences between mothers’ and fathers’ use and sociodemographic predictors.ObjectiveThe objective of this study was to examine if mothers and fathers differ in their use of the internet for information on their own health and their child’s health, feeding, and playing and to examine sociodemographic predictors of the use of the internet for information on these topics.MethodsWe conducted a secondary analysis on data collected from mothers (n=297) and fathers (n=207) participating in the extended Infant Feeding, Activity and Nutrition Trial (InFANT Extend) when their children were 36 months of age. The main outcome variables were the use of the internet for information gathering for parents’ own health and child health, feeding, and playing. Binary logistic regression was used to examine the sociodemographic predictors of outcomes.ResultsCompared with fathers (n=296), a higher proportion of mothers (n=198) used the internet for information on their own health (230, 78.5% vs 93, 46.5%), child health (226, 77.1% vs 84, 42.4%), child feeding (136, 46.3% vs 35, 17.5%), and child play (123, 42.1% vs 28, 14.0%) and intended to use Facebook to connect with other parents (200, 74.9% vs 43, 30.5%). Despite the high use of the internet to support family health behaviors, only 15.9% (47/296) of mothers reported consulting health practitioners for advice and help for their own or their child’s weight, diet, or physical activity. Sociodemographic predictors of internet use differed between mothers and fathers and explained only a small proportion of the variance in internet use to support healthy family lifestyle behaviors.ConclusionsOur findings support the use of the internet and Facebook as an important potential avenue for reaching mothers with information relevant to their own health, child health, child diet, and active play. However, further research is required to understand the best avenues for engaging fathers with information on healthy family lifestyle behaviors to support this important role in their child’s life.Trial RegistrationISRCTN Registry ISRCTN81847050; http://www.isrctn.com/ISRCTN81847050

Role of Religious Leaders in Promoting Contraceptive Use in Nigeria: Evidence From the Nigerian Urban Reproductive Health Initiative.

Despite the many supply- and demand-side interventions aimed at increasing contraceptive uptake, the modern contraceptive prevalence rate in Nigeria has remained very low (9.8%). Religion is an important part of the sociocultural fabric of many communities. As such, religious leaders have the power to inhibit or facilitate effective adoption of contraceptive methods to support family health. We assess the association of exposure to religious leaders' tailored scriptural family planning messages with contraceptive use in Nigeria. This cross-sectional study used data from a Measurement, Learning and Evaluation Project survey conducted in 2015 in 4 Nigerian states-Federal Capital Territory, Kaduna, Kwara, and Oyo. The final study sample was restricted to 9,725 non-pregnant women aged 15 to 49 years. Data analysis included descriptive statistics and binary logistic regression analysis to explore significant relationships between current use of a modern contraceptive method, exposure to family planning messages from religious leaders, and selected background characteristics. About 2 in 5 women reported being exposed to family planning messages from religious leaders in the past year. Bivariate results revealed a higher uptake of modern contraceptives among women with high exposure to different NURHI interventions (35.5%) compared with respondents in the low or medium exposure categories (14.5% and 24.5%, respectively). The multivariable analysis revealed significantly higher contraceptive uptake among women who had exposure to family planning messages from religious leaders relative to those with no exposure (odds ratio=1.70; 95% confidence interval, 1.54 to 1.87; P<.001). This association remained significant after adjustment for background characteristics and other selected variables. Interventions that engage clerics of different faiths as change agents for shaping norms and informing behaviors about family planning and contraceptive use are crucial for increasing contraceptive uptake in Nigeria.

Food Insecurity and Family Well-Being Outcomes among Households with Young Children

To investigate associations between household food insecurity and multiple family well-being variables in an effort to illuminate previously understudied, policy-amenable mechanisms through which food insecurity threatens healthy development. Data are drawn from the nationally representative Early Childhood Longitudinal Study-Birth Cohort. The Early Childhood Longitudinal Study-Birth Cohort contains longitudinal data on household food insecurity and several family well-being factors including maternal physical and mental health, positive parenting practices and disciplinary strategies, and frequency and severity of spousal conflict. We use regression models with lagged dependent variables to estimate associations between food insecurity and family well-being outcomes, on a subsample of low-income families (N ≈ 2100-4700). Household food insecurity was significantly associated with poorer maternal physical health; increased depressive symptoms and use of harsh discipline strategies; and greater frequency and negativity of conflict between parents. Associations were strongest and most consistent when children were preschool aged. Transitions into food insecurity between toddlerhood and preschool were also associated with significantly worse parental physical and mental health outcomes, and more family conflict, with similar though slightly weaker and less consistent associations for transitioning into food insecurity between infancy and toddlerhood. Food insecurity is associated with significant decreases in family health and well-being. Clinicians and other public health officials play a critical role in assessing risk for children and families, and linking families with supportive services. Screening families experiencing or at risk for food insecurity and connecting them with resources is an avenue through which public health practitioners can support family health.

A formação do profissional de Educação Física e o sistema único de saúde

Inserindo-se nos debates acerca da formação profissional para o campo da saúde este estudo teve como objetivo identificar o conhecimento dos estudantes de Educação Física de uma Instituição de Ensino Superior de Santa Catarina sobre a atuação deste profissional na Atenção Básica do Sistema Único de Saúde, por meio do Núcleo de Apoio à Saúde da Família. É uma pesquisa de cunho qualitativo e na produção dos dados foi utilizada uma entrevista semiestruturada. Identificou-se que os estudantes pesquisados tinham pouco ou nenhum conhecimento acerca do Sistema Único de Saúde, da Atenção Básica e dos Núcleos de Apoio à Saúde da Família, dificultando uma compreensão do fazer profissional da Educação Física nesse campo de atuação. Sugere-se que os princípios que regem o Sistema Único de Saúde, assim como, as estruturas que o compõem, sejam cada vez mais enfatizadas e reforçadas nos cursos de formação profissional em Educação Física.

Playwork in prison as a mechanism to support family health and well-being

Objective: The health of the prison population is of increasing concern, given the disproportionate rates of ill health in this population. Moreover, the challenges faced by prisoners’ families and their children are also becoming more apparent, with prisoners’ children being more likely than other children to experience mental and emotional health problems and more likely to go to prison themselves. Prison visits are an integral part of institutional structures and are a key way by which families stay in contact and mitigate against the negative effects of family separation. This paper focuses particularly on the impact of prison play visits as an alternative to ‘standard’ visiting procedures. Design: Cross-sectional qualitative study. Setting: A male prison in Northern England. Method: Telephone interviews with six prison visitors who had regularly participated in a play visit, plus a focus group with five prisoners. Results: The paper identifies play visits as a useful way to maintain family well-being as they ‘mimic’, albeit temporarily, domestic life. This is reported to be beneficial for future family outcomes and in enabling children to adjust to parental incarceration. Play visits improve levels of intimacy, which is beneficial for the mental and emotional health of both prisoners and their children. Conclusion: The paper argues for a more holistic notion of prisoner health that sees family connections as a key part of supporting health and well-being.

Field experts’ awareness of integrating Korean multicultural family policies: Focusing on how to integrate multicultural family support centers and health family support centers

Field experts’ awareness of integrating Korean multicultural family policies: Focusing on how to integrate multicultural family support centers and health family support centers

Difusão de inovação e atores-chave na ESF

Resumo Apresentamos o emprego da ARS como metodologia de investigação das relações infocomunicacionais entre os trabalhadores de saúde da Atenção Básica. O universo de atores pesquisados compreendeu três clínicas de família e um grupo do NASF a estas relacionado da área de planejamento AP5.2 do município do Rio de Janeiro, totalizando 150 profissionais da saúde, equipe técnica e agentes comunitários da saúde (ACS). Buscamos descrever como se dão as relações infocomunicacionais entre esses profissionais em geral e, em especial, sobre o cuidado aos usuários e suas necessidades de saúde. Este artigo traz os resultados referentes ao levantamento das diferentes lideranças e o possível papel que podem exercer na inovação de processos, e nas dinâmicas que envolvem o cuidado como escuta do outro. Os resultados apontam os atores com alto grau de centralidade – líderes de opinião, intermediação e capilaridade de informação – da Rede de Relações Informais que são adotantes precoces da noção de cuidado com acolhimento e escuta e permitem o emprego de estratégias de difusão desta inovação no segmento da Atenção Básica investigado.

ХАРАКТЕРИСТИКА КОМУНІКАТИВНИХ ПРОЦЕСІВ В РОДИНАХ ЖІНОК ІЗ ПОРУШЕННЯМ ЗДОРОВ’Я СІМ’Ї ТА РІЗНИМ АДИКТИВНИМ СТАТУСОМ

Метою роботи було дослідження стану комунікативних процесів у родинах жінок із порушенням здоров’я сім’ї та різним адиктивним статусом, для виявлення мішеней подальшої психокорекційної роботи. З використанням клініко-психологічного та психодіагностичного методів обстежено 371 подружню пару (ПП), яка звернулася за допомогою з приводу порушення сімейних стосунків, серед яких у 321 родині мали місце прояви адиктивної поведінки (АП) у жінок (ДГ1), а в інших 50 сімей – нормативні показники АП у жінки (ДГ2). В якості групи порівняння (ГП) обстежено 50 умовно гармонійних ПП. Серед загальної кількості обстежених ПП встановлено два можливих варіанти стану комунікаційних родинних процесів: адекватно-адаптивний, що характеризувався адекватною зрілою згуртованою родинною комунікацією за усіма її параметрами, характерний для ПП ГП, і дезадаптивний, притаманний ПП дослідницьких груп. У свою чергу, серед родин із викривленням внутрішньосімейної взаємодії, виявлена спільність комунікативних порушень за змістом та структурою, але, відмінність за виразністю, що мала прямий кореляційний зв’язок із рівнем подружньої конфліктності (чим вище рівень конфліктності, тим виразніші порушення комунікації). Крім того, з’ясовано, що наявність соціально-прийнятних видів АП у жінки зменшує виразність подружніх та комунікаційних порушень, корелюючи з помірним рівнем подружньої конфліктності та менш вираженими порушеннями комунікативних процесів у родині. Враховуючи наявність у ПП ДГ2 високого рівня подружньої конфліктності та низького рівню родинної комунікації, можна говорити про наявність у них тяжкого ступеня порушення сімейної взаємодії. Для подружжів ДГ1 були характерними помірний рівень подружньої конфліктності та низько-середній рівень родинних комунікаційних процесів, що, в цілому, формувало середній ступінь порушення сімейної взаємодії. Показовим виявився факт “буферизації” тяжкості проявів порушень сімейної взаємодії за умови наявності АП у дружини, як патологічного способу псевдокомпенсації та каналізації негативних ефектів викривлення родинних стосунків. Отримані дані були покладені нами в основу при розробці системи психологічної корекції та психопрофілактичної підтримки здоров’я сім’ї за наявності АП у жінок.

СТАН СЕКСУАЛЬНОЇ ВЗАЄМОДІЇ В РОДИНАХ ЖІНОК З ПОРУШЕННЯМ ЗДОРОВ’Я СІМ’Ї ТА РІЗНИМ АДДИКТИВНИМ СТАТУСОМ

З використанням клініко-психологічного та психодіагностичного методів обстежено 371 подружню пару, які звернулися за допомогою з приводу порушення сімейних стосунків, серед яких в 321 родині мали місце прояви аддиктивної поведінки (АП) у жінок (ДГ1), а у інших 50 сімей – нормативні показники АП у жінки (ДГ2). В якості групи порівняння (ГП) обстежено 50 умовно гармонійних ПП. На відміну від жінок ГП, які характеризувались відсутністю ознак порушення сексуальної взаємодії, серед осіб ДГ1 і ДГ2 встановлені клінічно окреслені порушення сексуального здоров’я, що мали більшу представленість в і вираженість у подружжів ДГ2, в яких у дружин не було проявів АП. В ґенезі порушення сексуальної взаємодії, для родин, в яких у жінки встановлена АП, стрижневим виявилося ураження психологічного його компонента у обох з подружжя, а наявність проявів АП у дружини – лише патопластичним фактором (p˂0,05). В механізмах розвитку порушення сексуальної взаємодії у ДГ2, стрижневими були ураження психологічного та соціально-психологічного компонентів, інші мали патопластичний вплив на формування деформації сексуальної взаємодії (p˂0,05). Вираженість деструктивного впливу порушення психологічного компонента сексуальної взаємодії, як стрижневого ураження, мало більш виражений характер у подружжів ДГ2, ніж у ДГ1 (p˂0,05). Можна припустити, що АП, виявлена у жінок з помірною вираженістю порушення сексуальної взаємодії, ставала способом нівеляції психоемоційного напруження, що виникало внаслідок неотримання від родини відчуття психологічного притулку та підтримки, та знижувала рівень його вираженості. На відміну від них, жінки з нормативним адиктивним статусом, наявне негативне психоемоційне фрустраційне тло реалізовували в рамках сім'ї, створюючи тим самим високий рівень подружньої конфліктності і деформації сексуальної взаємодії. Отримані дані були покладені нами в основу при розробці системи психологічної корекції та психопрофілактичної підтримки здоровʼя сімʼї за наявності АП у жінок.

Saúde do idoso: reflexões acerca da integralidade do cuidado

Objective: The objective was to understand, on the professional point of view, the elderly care practice aiming completeness. Methods: The methodological approach was guided by qualitative research, with projective interview being used for data collection, having as a trigger the use of vignette. It was used as a methodological reference the content analysis, thematic modality. The subjects are 34 professionals of two family health units and their corresponding Support Family Health Centers. Results: The study shows that there is some progress in elderly care; however, it identifies the need to improve the work process among professionals because the treatment model is still hegemonic. Listening and bonding are identified as essential instrument for achieving completeness. Conclusion: In macro space, it was possible to identify the need for investment in professionals such as Continuing Education. It is also essential for managers to structure a care network that includes the elder.