No description available.

Diss. (sammanfattning) Umeå : Umeå universitet, 2006. / Härtill 4 uppsatser.

No description available.

Bakgrund: Oro och ångest är ett vanligt förekommande problem hos patienter som inväntar operation. Sjuksköterskan har till uppgift att uppmärksamma och identifiera patientens individuella behov preoperativt men ansvarar även för att stötta, lugna och trösta patienten utifrån hans eller hennes behov. Oro och ångest kan yttra sig fysiskt såväl som psykiskt och dessa oroskänslor orsakar ett lidande för patienten samtidigt som det ökar risken för ett sämre postoperativt förlopp. Syfte: Att belysa patienters värderingar av omvårdnadsåtgärder som kan lindra preoperativ oro och ångest som är relevanta för den grundutbildade sjuksköterskan att använda sig av. Metod: För att besvara valt syfte gjordes en litteraturstudie med kvantitativ ansats. Sökningarna genomfördes i PubMed och CINAHL. Resultatet baserades på tio kvantitativa vetenskapliga artiklar som belyste preoperativ oro och ångest inför ett elektivt kirurgiskt ingrepp. Resultat: Studierna i resultatet belyste ett antal olika patientperspektiv och värderingar på de omvårdnadsåtgärder som visat sig lindra preoperativ oro och ångest. Resultatet mynnade ut i tre huvudkategorier där olika värderingar belystes; patienters tillgång till information, användandet av musik och relationsfördjupning mellan vårdgivare och patient för att stärka patientens egenmakt pre- och postoperativt. I resultatet beskrivs även vilka åtgärder som inte haft någon effekt alternativt orsakat patienten oroskänslor preoperativt. Slutsats: Utökad information utformad på patientens villkor, användandet av musik preoperativt och att arbeta enligt Peplau’s relationsfördjupande modell är kliniskt tillämpbara verktyg som kan gynna patienten och lindra preoperativ oro och ångest. / Background: Preoperative anxiety is a common issue among patients undergoing surgery. The nurse has a responsibility to be attentive and identify the patient's individual needs before surgery. It is important that the patient is supported, reassured and comforted by the nurse based on his or her needs. Anxiety and worry can manifest themselves physically as well as mentally and these feelings cause suffering for the patient as well as an increased risk of a negative postoperative outcome. Purpose: The aim was to investigate the impact of different nursing measures on a patient’s preoperative anxiety and explain how patient values these measures. The measures are intended to be relevant and applicable to nurses. Method: The study was designed as a quantitative literature review. The search was conducted through the databases PubMed and CINAHL. The result is based on ten quantitative articles that include discussion of preoperative anxiety for patients undergoing an elective surgical procedure. Result: The nursing measures that were shown to reduce preoperative anxiety can be split into three categories; a patient’s access to information, the use of music, and a relationship development between the caregiver and patient in order to empower the patient both pre- and postoperatively. The measures were also examined to show which interventions didn’t have an effect or worse – caused the patient distress. Conclusion: Increased access to information on the patient’s terms, the use of pre-operative music, and working with Peplau’s relationship model are nursing measures which can be applied within the working environment in order to benefit patients in reducing preoperative worry and anxiety.

The purpose of this study was to specify and test a model detailing (a) gender, (b) previous elective music experience, (c) school, (d) music self-concept, and (e) music values as predictors of music enrollment and the initial juncture of school-sponsored elective music participation. In the event that a model with adequate fit was retained, a further purpose of this study was to calculate the direct, indirect, and total effects of each predictor, thereby determining each predictor's relative contribution towards explaining variance in elective music enrollment. Participants included fifth-grade students (N = 148) from two elementary schools. Data were gathered via administration of the Motivators of Elective Music Participation Questionnaire, and by accessing middle school elective enrollment records. The proposed expectancy-value model of elective music participation demonstrated excellent fit and was retained for interpretation. Overall, the model accounted for 34.4% of the variance in elective music participation. The greatest total predictor of elective music participation was previous elective music experience, followed closely by music values. Music self-concept, gender, and school played negligible roles in predicting whether students opted in or out of sixth-grade music electives.

Due to the nature of the condition, research into selective mutism has tended towards quantitative analyses or individual case studies. This study aimed to explore the personal experiences of adolescents with selective mutism whilst considering the threats to validity that exist in previous qualitative studies. In a series of case studies (n=6), methods of eliciting data derived from Personal Construct Psychology were employed. Experience Cycle Methodology was used to explore the process of construing, whilst the Repertory Grid Technique enabled an exploration of the structure of construing. It was hoped that these methods might identify obstacles to change and inform appropriate interventions. Results suggested that mutism may be ‘chosen’ because it may enable greater anticipation of their interpersonal relationships than does speaking. Furthermore, there were suggestions that selective mutism may be a way of avoiding possible invalidation. Further research into sociality and systemic discourse was proposed in order to understand this condition further.

Objectives. The purpose of this cross-sectional study was to evaluate whether certain maternal variables were associated with the performance of a primary cesarean delivery rather than a spontaneous vaginal delivery among apparently healthy pregnant women in the Commonwealth of Virginia.Methods. This study utilized the 2004 Virginia Statistics File for Live Births which contained 103,830 records. From this dataset, the following groups of women were excluded: multiparous women, women who had had a previous delivery by any method, women with medical and obstetric problems, women with any labor and delivery complications, women with premature births and women with multiple gestations. The resulting study population only included ostensibly healthy women who had no medical and/or obstetric indication for a primary cesarean delivery. The main outcome variable was the performance of a primary cesarean delivery and the independent variables included maternal race, age, location of residence in the state, educational level, method of payment, birth attendant and number of prenatal visits. Descriptive statistics were first calculated and subsequently univariate and multiple logistic regression analyses were performed to calculate crude and adjusted odds ratios for each variable. Results. The study population included 18,873 live births. The following maternal variables were statistically significantly associated with an increased likelihood of having a primary cesarean section: black race (adjusted odds ratio (OR) 1.58,95% confidence interval (CI) 1.42, 1.76, p-value Conclusions. Specific maternal variables are associated with an increased likelihood of having a primary cesarean section in the absence of an overt medical or obstetric indication (i.e. an elective cesarean section) among women in the Commonwealth of Virginia. These results have important public health implications for patients, obstetric care providers and the healthcare system. Pregnant women need to be fully informed about the risks and benefits of cesarean delivery. Furthermore, ethical issues regarding the provision of elective cesarean sections need to continue to be explored as should the monetary costs of this procedure to our healthcare system.

Submitted by admin tede (tede@pucgoias.edu.br) on 2016-09-23T18:19:47Z No. of bitstreams: 1 Maria Fatima de Mesquita.pdf: 1174471 bytes, checksum: 319d7edbb4a07b3ee1345515f73c5d47 (MD5) / Made available in DSpace on 2016-09-23T18:19:47Z (GMT). No. of bitstreams: 1 Maria Fatima de Mesquita.pdf: 1174471 bytes, checksum: 319d7edbb4a07b3ee1345515f73c5d47 (MD5) Previous issue date: 2016-06-14 / This paper presents a study on the establishment of religious microcampo in Estrutural City / DF. For its realization were carried out socio-historical surveys of the city with its existing community resources, number of inhabitants, education and labor predominant occupation. The religious profile of the population and its regular practice was observed. In trying to understand the religious predominance, it is made a theoretical discussion from Elective Affinities of Max Weber and religious field of Pierre Bourdieu, intending to understand the local religious field, between the spiritual and the material. Finally, we present a descriptive account of socioeconomic precariousness as a religious instrument of social compensation. / O presente trabalho apresenta um Estudo sobre a constituição do microcampo religioso na Cidade Estrutural/DF. Para sua concretização foram realizados levantamentos sócio-histórico da Cidade com seus recursos comunitários existentes, número de habitantes, escolaridade e ocupação laboral predominante. Foi observado o perfil religioso da população e sua prática regular. Na tentativa de compreender a predominância religiosa, é feito uma discussão teórica a partir das Afinidades Eletivas de Max Weber e Campo religioso de Pierre Bourdieu, tencionando compreender o campo religioso local: entre o espiritual e o material. E por fim é apresentado um relato descritivo da precariedade socioeconômica como instrumento religioso de compensação social.

Cesarean section (CS) rates have generally increased across the world in the past decade. Reducing elective cesarean section (ECS) rates is imperative as many countries aim to maintain threshold CS rates at or below 15%, the level recommended by the United States' National Institutes of Health. Women are believed to consider ECS for various interconnected psychosocial reasons, but few quantitative studies have investigated these factors. This prospective cohort study was based on the social ecological model (SEM) and the theory of planned behavior (TPB) models, and identified the psychosocial predictors of ECS among 1,268 expectant women in 2 hospitals in Nairobi. Participants completed a structured questionnaire consisting of 10 validated psychosocial scales and were followed for actual mode of delivery (MoD) from hospital records and postnatal telephone interviews. The overall prevalence of CS and ECS were 16.0% and 6.4%, respectively; the CS rate was not statistically higher than the recommended 15% (p > 0.05). The combined CS incidence rate for these 2 hospitals was 83 per 1,000 births per month. Autonomy, fear of childbirth, pregnancy related anxiety, perceived social support from friends, and outcome expectancy for birth were statistically significant predictors of ECS, given the parity and age at first pregnancy, Ï?2(df = 19) = 77.735, p

Intimate partner violence (IPV) against women is a major public health issue worldwide. The purpose of this dissertation is to characterize violence perpetrated by an intimate partner against a "high-risk" group of pregnant women who sought elective abortion services at a family planning clinic. Analyses were based on the Iowa Women's Health Experience Survey (IWHES), a cross-sectional study of 519 abortion patients who completed an anonymous, self-administered questionnaire over a period of seven months. IWHES eligibility criteria were 'Seeking pregnancy termination'; 'Age ≥ 18 years'; 'Iowa resident' and 'Fluent in English or Spanish'. The survey instrument covered physical, sexual and psychological types of violence, health correlates of violence as well as demographic, socioeconomic and lifestyle characteristics of participating women and their current intimate partners. Aim I examined the prevalence of physical, sexual and/or psychological abuse by employment characteristics of elective abortion patients and their current intimate partners. Aim II examined associations of substance use, depression and social support with physical, sexual and/or psychological abuse perpetrated by current intimate partners against women seeking pregnancy termination. To achieve the analytic goals of Aims I and II, the study sample was restricted to women who had a current partner and valid IPV data. The overall prevalence of physical, sexual and/or psychological abuse perpetrated by a current partner was 12.3%, with some overlap between the different IPV sub-types. In general, the prevalence of IPV did not differ significantly by employment status or by broadly defined occupational groups of women and their partners. However, a trend was noted whereby a woman's employment and a partner's unemployment were associated with greater likelihood of IPV. Specifically, the prevalence of IPV was highest among couples where the woman was employed and the partner was unemployed. Consistently positive associations were noted between the partner's (but not the woman's) substance use indicators (alcohol intake, binge drinking, recreational drug use) and IPV. Higher levels of depressive symptoms and less perceived availability of social support were noted among women who had experienced IPV versus those who had not experienced IPV. The association between depressive symptoms and IPV was stronger for women who reported having children in their homes compared to those did not report having children in their homes. Implications for policy and future research are discussed.