Journal of Womens Health Care最新文献

英文中文

Cross-Sectional Study of the Influence of Gestational Hyperglycemia Associated With Urinary Incontinence on Quality Of Life 妊娠期高血糖伴尿失禁对生活质量影响的横断面研究

Journal of Womens Health Care

Pub Date : 2014-12-29 DOI: 10.4172/2167-0420.1000214

A. Santini, A. P. Barbosa, Vanessa Sousa, L. C. Assis, L. S. Vianna, I. Calderon, Adriano Dias

Introduction: During pregnancy, the prevalence of Urinary Incontinence (UI) is higher adversely impacting quality of life. Both Gestational Diabetes (GDM) and mild hyperglycemia have been associated with increased risk of UI. However, UI influence on quality of life is still poorly understood. The objective of this study was to assess the impact of UI on the quality of life of women with GDM. Method: Cross-sectional study including pregnant women allocated into 2 groups: Normoglycemic (NG) or Hyperglycemic/GDM (HG). All women classified as incontinent were asked to respond to the King’s Health Questionnaire (KHQ). Results: Of the 102 pregnant women enrolled, 69 were NG (67.6%) and 33 were HG (32.4%). UI prevalence was 55.9%. HG scores were lower for all KHQ domains with significant differences between groups regarding the scores for KHQ domains general health perception, UI impact, personal relationships emotions, and sleep/energy (p<0.05). Conclusions: UI impact was higher on pregnant women with hyperglycemia and GDM.

导读:在怀孕期间，尿失禁(UI)的患病率较高，对生活质量产生不利影响。妊娠期糖尿病(GDM)和轻度高血糖都与尿失禁的风险增加有关。然而，UI对生活质量的影响仍然知之甚少。本研究的目的是评估尿失禁对GDM女性生活质量的影响。方法:横断面研究，将孕妇分为两组:正常血糖(NG)组和高血糖/GDM (HG)组。所有被归类为大小便失禁的妇女都被要求回答国王健康问卷(KHQ)。结果:纳入的102名孕妇中，69名为NG(67.6%)， 33名为HG(32.4%)。尿失禁患病率为55.9%。所有KHQ域的HG得分均较低，在一般健康感知、UI影响、个人关系情绪和睡眠/能量方面，组间差异显著(p<0.05)。结论:伴有高血糖和GDM的孕妇尿失禁的影响更大。

引用次数: 3

Current State of College Women's Coping behaviors against Peri-menstrual Symptoms and Educational Challenges in Thailand 泰国女大学生经期症状应对行为现状及教育挑战

Journal of Womens Health Care

Pub Date : 2014-12-27 DOI: 10.4172/2167-0420.1000218

A. Yoshimitsu, Punpilai Sriareporn, Suthatip Upalabut, Prueksalada Khiaokham, H. Matsuo

Backgrounds: Many women suffer from peri-menstrual symptoms. This study focused on the acceptance of menstruation and assessed coping methods from both the physical and mental aspects. Methods: Female college students (n=122) were recruited from the Faculty of Nursing, Chiang Mai University. Subjects responded to a survey consisting of questionnaires about their menstruation, peri-menstrual symptoms, and coping behaviors (examples, satisfaction), and three psychometric measurements (State Trait Anxiety Inventory (STAI), Generalized Self-Efficacy Scale, and the Tri-Axial Coping Scale). Also, 25 subjects suffering from premenstrual syndrome (PMS) and 25 non-PMS subjects were investigated in terms of the activity of the autonomic nervous system (ANS) using heart rate variability and the cold pressor test. These surveys were conducted twice: once before and once after ovulation. Results: The subjects who had severe menstrual problem showed significantly low satisfaction with their coping behaviors. About half of the subjects were not satisfied with their coping behaviors because they need more practical information about methods of coping. In the secretory phase, there was no significant difference in levels of coping satisfaction. However, Low satisfied group showed a relatively high STAI score and a low Self-Efficacy score. Additionally, the activated sympathetic nerves appeared to become dominant over the parasympathetic nerves in the secretory phase. Conclusion: The severity of menstruation was correlated to low satisfaction with coping behaviors. This severity was affected by the cyclic change of menstruation and activity of the ANS. This study suggests providing more practical education for young women.

背景:许多女性都有月经前后的症状。本研究的重点是月经的接受程度，并从生理和心理两个方面评估应对方法。方法:选取清迈大学护理学院女大学生122名。调查内容包括月经、月经前后症状、应对行为(例题、满意度)、状态-特质焦虑量表(STAI)、广义自我效能量表和三轴应对量表。采用心率变异性和冷压试验对25例经前综合征(PMS)和25例非经前综合征患者的自主神经系统(ANS)活性进行了研究。这些调查进行了两次:一次在排卵前，一次在排卵后。结果:有严重月经问题的被试对其应对行为的满意度明显较低。大约一半的被试对他们的应对行为不满意，因为他们需要更多关于应对方法的实用信息。在分泌期，两组应对满意度无显著差异。而低满意度组的自我效能感得分相对较高，自我效能感得分较低。此外，激活的交感神经在分泌期似乎比副交感神经占优势。结论:月经严重程度与应对行为满意度低有关。这种严重程度受月经周期变化和ANS活动的影响。本研究建议对年轻女性进行更实用的教育。

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引用次数: 5

Use of Arts among Single Mothers in Taiwan: A Hermeneutic Phenomenological Research Study 台湾单身母亲对艺术的运用:解释学现象学研究

Journal of Womens Health Care

Pub Date : 2014-12-27 DOI: 10.4172/2167-0420.1000216

R. Hong, Su-Er Guo, A. Welch

Use of art-painting, literary works, poetry, music and film–as expressions of life have the potential to explain the everyday world of human beings. The aim of this hermeneutic phenomenological study was to explore the lived world of 15 single mothers in Taiwan through the processes of in-depth semi-structured interviews and the use of art work. Van Manen (1997)’s analysis was used for data analysis. In addition to using interviews as the traditional method of data gathering, we also included art work as representations of participants’ lived experience of the phenomenon. The inclusion of art work provided a rich repository of information that not only complemented the interview data (by adding a different dimension to the participants’ experiences of the phenomenon of being a single mother in Taiwan), but also lent support for the use of art work in human science research.

使用艺术绘画、文学作品、诗歌、音乐和电影作为生活的表达有可能解释人类的日常世界。本研究以解释学现象学研究为目的，透过半结构化访谈及艺术作品的运用，探讨台湾15位单亲母亲的生活世界。数据分析采用Van Manen(1997)的分析方法。除了使用访谈作为传统的数据收集方法外，我们还将艺术作品作为参与者对该现象的生活经验的表征。艺术作品的加入提供了一个丰富的信息库，不仅补充了访谈数据(通过增加参与者对台湾单亲母亲现象的不同体验)，而且为艺术作品在人类科学研究中的应用提供了支持。

引用次数: 5

Why Unmet Need for Family Planning Remains High in Bangladesh: A Community Level Analysis 为什么未满足的计划生育需求在孟加拉国仍然很高:社区层面的分析

Journal of Womens Health Care

Pub Date : 2014-12-24 DOI: 10.4172/2167-0420.1000290

H. Pradhan, Rinshu Dwivedi

Background: Improving Reproductive health (RH) is widely recognized as a key component of social and economic development. Interaction of different factors such as individual, household and community level covariates plays an important role in determining the level of unmet need for family planning. Objectives: The objective of the study is to examine the association between individual, household and community level covariates with the level of unmet need for family planning in Bangladesh. Methodology: For the core, analysis data has been extracted from Bangladesh Demographic Health Survey (BDHS), 2011. Multilevel regression analyses have been employed to explore the relative effects of community, household level and individual level factors on unmet need for family planning among currently married women. Results: Results shows that unmet need for contraception marginally declined from 16.8% in 2007 to 13.5% in 2011. Surprisingly the impact of education and wealth index is marginal in determining the level of unmet need. On the other hand, three community level variables (% women exposed to family planning, % women with ideal number of children and % women with primary and higher education) significantly associated with the level of unmet need for family planning in Bangladesh. Conclusion: Since unmet needs for family planning has multiple advantages for both the individual and society, it is necessary for the governments to come up with strategies, which can reduce unmet needs.

背景:改善生殖健康(RH)被广泛认为是社会和经济发展的关键组成部分。个体、家庭和社区等协变量的相互作用是决定计划生育需求未满足程度的重要因素。目的:本研究的目的是检查个人、家庭和社区水平的协变量与孟加拉国未满足的计划生育需求水平之间的关系。方法:核心分析数据取自2011年孟加拉国人口健康调查(BDHS)。采用多水平回归分析探讨了社区、家庭和个人因素对已婚妇女未满足计划生育需求的相对影响。结果:未满足避孕需求的比例由2007年的16.8%小幅下降至2011年的13.5%。令人惊讶的是，教育和财富指数在决定未满足需求水平方面的影响是微乎其微的。另一方面，三个社区层面的变量(接受计划生育的妇女百分比、拥有理想子女数量的妇女百分比和接受过初等和高等教育的妇女百分比)与孟加拉国计划生育需求未得到满足的程度显著相关。结论:未满足的计划生育需求对个人和社会都有多重好处，政府有必要制定相应的策略来减少未满足的需求。

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引用次数: 15

Targeting the Psychosexual Challenges Faced by Couples with Breast Cancer: Can Couples Group Psychotherapy Help? 针对乳腺癌夫妇面临的性心理挑战:夫妻团体心理治疗有帮助吗?

Journal of Womens Health Care

Pub Date : 2014-11-01 Epub Date: 2014-11-17 DOI: 10.4172/2167-0420.1000205

Luciana Lagana, Patricia Fobair, David Spiegel

The need for the psychosexual rehabilitation of breast cancer survivors and their intimate partners is underscored by the high prevalence of multiple psychosexual difficulties encountered by this patient population. Concerns about health, sexuality, and emotional distress are common among women with breast cancer and are often related to the side effects of cancer treatment. Additionally, both intimate relationship problems and partners' distress are likely to influence patients' psychosexual health. A clearer understanding of these complex clinical issues is needed in order to implement effective psychosexual rehabilitation interventions. In this article, we extended the use of the manualized and empirically validated Supportive-Expressive Group Therapy (SEGT) model to target the specific psychosexual needs of couples with breast (as well as other types of) cancer. In view of the pertinent literature in this area and based on our clinical experience utilizing this group therapy model with different patient populations, we have discussed how clinicians involved in the psychosexual care of oncology patients could apply such a model within a couples group therapy format.

乳腺癌幸存者及其亲密伴侣的性心理康复的必要性被这一患者群体所遇到的多重性心理困难的高患病率所强调。对健康、性行为和情绪困扰的担忧在乳腺癌女性中很常见，通常与癌症治疗的副作用有关。此外，亲密关系问题和伴侣痛苦都可能影响患者的性心理健康。为了实施有效的性心理康复干预，需要对这些复杂的临床问题有更清晰的认识。在这篇文章中，我们扩展了人工操作和经验验证的支持表达团体治疗(SEGT)模型的使用，以针对患有乳腺癌(以及其他类型)癌症的夫妇的特定性心理需求。鉴于该领域的相关文献，并基于我们对不同患者群体使用这种群体治疗模式的临床经验，我们讨论了参与肿瘤患者性心理治疗的临床医生如何在夫妻群体治疗形式中应用这种模式。

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引用次数: 6

Physician and Family Recommendations to Obtain a Mammogram and Mammography Intentions: The Moderating Effects of Perceived Seriousness and Risk of Breast Cancer. 医生和家庭建议获得乳房x光检查和乳房x光检查意图:感知乳腺癌严重性和风险的调节作用。

Journal of Womens Health Care

Pub Date : 2014-11-01 DOI: 10.4172/2167-0420.1000199

Yamile Molina, Beti Thompson, Rachel M Ceballos

A growing body of literature has demonstrated psychosocial factors enable mammography intentions and usage among Latinas. Although these factors (e.g., family recommendations, breast cancer perceptions) likely influence one another, little research has examined interactive effects. The current study assessed the moderating effect of perceived breast cancer seriousness and risk on associations between recommendations to obtain mammography and mammography intentions. This sample included 97 Latinas in rural Eastern Washington State. After adjusting for age, two significant interactions emerged: perceived seriousness × physician recommendation and perceived risk × family recommendation. This exploratory study provides important directions for future communication research and planning to improve screening disparities.

越来越多的文献表明，社会心理因素使乳房x光检查的意图和拉丁美洲人的使用。虽然这些因素(例如，家庭建议、乳腺癌认知)可能相互影响，但很少有研究考察相互作用。目前的研究评估了感知到的乳腺癌严重程度和风险对建议进行乳房x光检查和乳房x光检查意图之间的关联的调节作用。该样本包括华盛顿州东部农村地区的97名拉丁裔。在调整年龄后，出现了两个显著的相互作用:感知严重性×医生建议和感知风险×家庭建议。本探索性研究为未来传播学研究和规划改善筛查差异提供了重要方向。

引用次数: 13

Abstracts from the NIH Office of Research on Women's HealthEleventh Annual Interdisciplinary Women's Health Research SymposiumNovember 6, 2014 2014年11月6日，美国国立卫生研究院妇女健康研究办公室召开了第十一届跨学科妇女健康研究研讨会

Journal of Womens Health Care

Pub Date : 2014-10-16 DOI: 10.1089/jwh.2014.ab05.abstracts

NagelJoan Davis

引用次数: 0

The Effect of Integrating Family Planning with HIV and Aids Services on Contraceptives Uptake among HIV Positive Women 计划生育与艾滋病毒和艾滋病服务相结合对艾滋病毒阳性妇女避孕药具使用的影响

Journal of Womens Health Care

Pub Date : 2014-10-10 DOI: 10.4172/2167-0420.1000197

K. Lulu, T. Nigatu, M. Belachew, G. Kassie, E. Oliveras, Adugna Tamiru, A. Mekonnen, M. Fantahun, Amanuel Kidane, S. Hagos

Background: Integrating Family Planning (FP) into HIV services provides opportunity to increase access to contraception among clients. However, data on the effectiveness of FP/HIV integration on FP uptake is limited. Objective: Determine the effect of FP/HIV services integration, focusing on FP integration with Antiretroviral Therapy (ART) Methods: A cross-sectional comparative design was conducted in facilities with and without FP/ART integration in four major regions of Ethiopia. The study population included HIV positive women attending ART clinics. Data were collected using structured questionnaire from 843 and 691 HIV positive women in intervention and comparison facilities respectively from April 23 to May 2, 2012. Data entry and analysis was done using SPSS version 17.0 and proportions and relevant associations were computed. Results: Most of the women (94.7%) received one or more HIV services. In both groups, 736 (48.2%) women used any type of FP method; the majority (97%) used modern FP and 54.6% used injectables. Over all CPR was 48%; with higher CPR in intervention than comparison group (52.6 %versus 42.9%) [AOR (95%CI) =1.23, (1.23, 1.92). A higher proportion of women in intervention than comparison group used dual methods [AOR (95%CI) =1.50 (1.01, 2.2)]. Total unmet need for FP in the study was 16.2 percent. There was no significant difference in unmet need for FP between intervention and comparison groups (15.7% vs. 16.9% respectively) [(OR 0.94 95% CI (0.63, 1.39)]. Conclusion and Recommendation: FP/HIV integration improved CPR and use of dual methods showing the benefit of FP/HIV integration. However, there was no difference in unmet need for FP between the two groups calling the need for more research.

背景:将计划生育(FP)纳入艾滋病毒服务提供了增加客户获得避孕的机会。然而，关于计划生育/艾滋病毒整合对计划生育摄取有效性的数据是有限的。目的:确定计划生育/艾滋病毒服务整合的效果，重点是计划生育与抗逆转录病毒治疗(ART)方法的整合:在埃塞俄比亚四个主要地区的计划生育/抗逆转录病毒治疗整合和不整合的设施中进行了横断面比较设计。研究人群包括在抗逆转录病毒治疗诊所就诊的艾滋病毒阳性妇女。采用结构化问卷收集2012年4月23日至5月2日在干预机构和比较机构分别就诊的843名和691名HIV阳性妇女的数据。使用SPSS 17.0版本进行数据录入和分析，并计算比例和相关关联。结果:绝大多数妇女(94.7%)接受了一项或多项艾滋病毒服务。在两组中，736名(48.2%)妇女使用任何类型的计划生育方法;大多数(97%)使用现代计划生育，54.6%使用注射剂。总体而言，CPR为48%;干预组CPR高于对照组(52.6%比42.9%)[AOR (95%CI) =1.23，(1.23, 1.92)]。干预组妇女比例高于双方法对照组[AOR (95%CI) =1.50(1.01, 2.2)]。研究中未满足计划生育需求的总比例为16.2%。未满足的计划生育需求在干预组和对照组之间无显著差异(分别为15.7%和16.9%)[OR 0.94 95% CI(0.63, 1.39)]。结论和建议:计划生育/艾滋病毒整合改善了心肺复苏术，使用双重方法显示计划生育/艾滋病毒整合的好处。然而，在未满足的计划生育需求方面，两组之间没有差异，需要进行更多的研究。

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引用次数: 2

Applying the Social Ecological Model to Violence against Women with Disabilities 社会生态模型在残障妇女暴力中的应用

Journal of Womens Health Care

Pub Date : 2014-10-04 DOI: 10.4172/2167-0420.1000193

Mir, A. S. Terry

Violence against women (VAW) is a broad term used to capture aggressive acts committed toward women, which consists of numerous types of violence with the most commonly known types of abuse being emotional, sexual, and physical. One relatively invisible group, women with disabilities, not only experiences emotional, sexual, and physical abuse but also a unique type of disability-related abuse, which may increase their risk of experiencing acts of violence. The U.S. Congress passed two distinct yet not mutually exclusive policies into law to address violence against women and rights for individuals with disabilities: the Violence against Women Act and the Americans with Disabilities Act. This paper will discuss these policies with suggestions to increase protection for women with disabilities experiencing violence and the implications for these policy changes using the social ecological model.

对妇女的暴力(VAW)是一个广泛的术语，用于捕捉对妇女犯下的侵略行为，它包括许多类型的暴力，最常见的虐待类型是情感，性和身体。残疾妇女是一个相对不可见的群体，她们不仅遭受情感、性和身体虐待，而且还遭受一种独特的与残疾有关的虐待，这可能会增加她们遭受暴力行为的风险。美国国会通过了两项截然不同但并不相互排斥的政策，以解决针对妇女的暴力行为和残疾人的权利问题:《针对妇女的暴力行为法》和《美国残疾人法》。本文将讨论这些政策，并提出建议，以增加对遭受暴力的残疾妇女的保护，以及使用社会生态模型对这些政策变化的影响。

引用次数: 13

Management of the Sexually Assaulted Patient: Utilization of the Ã¢ÂÂForensicSurveyÃ¢ÂÂ 性侵患者的管理:Ã¢ÂÂForensicSurveyÃ¢ÂÂ的利用

Journal of Womens Health Care

Pub Date : 2014-10-03 DOI: 10.4172/2167-0420.1000194

E. Barefoot, Laura O'Donnell

Hospitals, doctor’s offices, and urgent care centers are often where sexual assault survivors find themselves when seeking medical services. Too often are these facilities ill-equipped to care for the unique needs these patients possess. As a greater number of victims surface in search of care, medical providers and facilities necessitate more preparedness to meet these client requirements. The sexually assaulted patient is a trauma patient and should be treated equally utilizing the well-accepted primary and secondary surveys as endorsed by the Emergency Nurses Association. Following the primary and secondary surveys, the forensic survey should also be considered by healthcare providers to ensure vigilant forensic considerations are made leading to both proper evidence collection and referrals to community resources.

医院、医生办公室和紧急护理中心通常是性侵犯幸存者寻求医疗服务的地方。这些设施往往设备不足，无法满足这些病人的独特需求。随着越来越多的受害者前来寻求治疗，医疗服务提供者和医疗设施必须做好更多准备，以满足这些客户的要求。性侵犯患者是一名创伤患者，应平等对待，利用急诊护士协会认可的公认的初级和二级调查。在初级和二级调查之后，医疗保健提供者也应该考虑法医调查，以确保警惕的法医考虑导致适当的证据收集和转介到社区资源。

引用次数: 0

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