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1.
Rev. enferm. UERJ ; 28: e48578, jan.-dez. 2020.
Artículo en Inglés, Portugués | LILACS, BDENF - Enfermería | ID: biblio-1116102

RESUMEN

Objetivo: conhecer a experiência dos pais como estratégia de avaliação da qualidade da assistência de enfermagem. Método: pesquisa descritiva com abordagem qualitativa, desenvolvida na Unidade Neonatal de um Hospital do sul do Brasil. A coleta de dados foi realizada através de entrevistas, utilizando a técnica do incidente crítico (TIC), com 18 pais que estavam com seus filhos internados por 20 dias ou mais e que tinham previsão e plano de alta hospitalar. Após, os dados foram submetidos à análise de conteúdo. Resultados: a análise revelou fragilidades no cuidado prestado pela equipe de enfermagem em relação à administração de medicamentos, ao uso de equipamentos, à monitorização e ao posicionamento dos bebês, aos cuidados com a pele e à higiene de mãos. Conclusão: a experiência dos pais revelou elementos que integram a avaliação da assistência em enfermagem, destacando-os como pilares para a segurança do paciente.


Objective: to learn the parents' experience as a strategy for assessing the quality of nursing care. Method: in this qualitative, descriptive study at the Neonatal Unit of a hospital in southern Brazil, data were collected by critical incident (CI) interviews of 18 parents whose children had been hospitalized for 20 days or more, and whose discharge was scheduled and planned for. The data subsequently underwent content analysis. Results: data analysis revealed weaknesses in the care provided by the nursing staff as regards administration of medication, use of equipment, monitoring and positioning of babies, skin care and hand hygiene. Conclusion: The parents' experience revealed elements that enter into evaluation of nursing care, revealing parents to be mainstays of patient safety.


Objetivo: conocer la experiencia de los padres como estrategia para evaluar la calidad de la atención de enfermería. Método: en este estudio cualitativo y descriptivo en la Unidad Neonatal de un hospital en el sur de Brasil, los datos fueron recolectados por entrevistas de incidentes críticos (IC) de 18 padres cuyos hijos habían estado hospitalizados durante 20 días o más, y cuyo alta fue programada y planificada para. Los datos posteriormente se sometieron a análisis de contenido. Resultados: el análisis de datos reveló debilidades en la atención brindada por el personal de enfermería en lo que respecta a la administración de medicamentos, uso de equipos, monitoreo y posicionamiento de bebés, cuidado de la piel e higiene de manos. Conclusión: la experiencia de los padres reveló elementos que entran en la evaluación de la atención de enfermería, revelando que los padres son pilares de la seguridad del paciente.


Asunto(s)
Humanos , Masculino , Femenino , Recién Nacido , Adulto , Padres , Calidad de la Atención de Salud , Unidades de Cuidado Intensivo Neonatal/normas , Seguridad del Paciente , Grupo de Enfermería/normas , Análisis y Desempeño de Tareas , Brasil , Cuidado Intensivo Neonatal , Investigación Cualitativa , Daño del Paciente/prevención & control
2.
Texto & contexto enferm ; 29: e20190033, Jan.-Dec. 2020.
Artículo en Inglés | LILACS, BDENF - Enfermería | ID: biblio-1094552

RESUMEN

ABSTRACT Objective: to apprehend the paternal experiences related to the care provided to the preterm child at home by comparing the parents participating or not in the care protocol. Method: a qualitative research, conducted from July to October 2017, with 24 parents of preterm infants after discharge from a teaching hospital in the state of Paraná, Brazil, who participated or not in a care protocol during the period of hospitalization. The analysis was performed through the Collective Subject Discourse. Results: the parents who had the opportunity to participate in the protocol at the hospital reported that this care was important so that they could help their partners with their children at home. However, the parents participating or not in the protocol realize that the mother has a greater bond because of the possibility of greater time availability and because they are the nursing mothers and refer to work as a barrier to child care. Conclusion: the parents participating in the protocol report that it had a positive impact on their child care at home, in contrast, non-participating parents reported that having been included or not in the protocol did not interfere with their conduct at home. However, both groups agree that cultural factors and work are barriers to child care.


RESUMEN Objetivo: conocer acerca de la experiencia de los padres en los cuidados prestados a hijos prematuros en el domicilio, comparando a padres que participaron en el protocolo de cuidados con aquellos que no participaron del mismo. Método: investigación cualitativa, realizada entre julio y octubre de 2017, con 24 padres de bebés prematuros después del alta hospitalar, en un hospital escuela del Estado de Paraná, Brasil, con padres que hubiesen o no participado en el protocolo de cuidados durante el período de internación. El análisis se realizó por medio del Discurso del Sujeto Colectivo. Resultados: los padres que tuvieron la oportunidad del participar en el protocolo en el hospital, advirtieron que esos cuidados fueron importantes a los efectos de poder ayudar a sus compañeras en el domicilio. Sin embargo, tanto los padres que habían participado del protocolo como aquellos que no lo habían hecho, coinciden en que la madre posee um vínculo más intenso debido a la posibilidad de disponer de más tiempo y al hecho de ser ellas quienes alimentan a sus hijos, reconociendo que el trabajo opera como barrera en lo que respecta al cuidado de su hijo. Conclusión: los padres que participaron en el protocolo refieren que el mismo repercutió favorablemente en los cuidados con el hijo en el domicilio. En contrapartida, los padres que no participaron refirieron que el hecho de haber participado o no en el protocolo, no incidió en su conducta en el domicilio. Por otra parte, los dos grupos concuerdan en que los factores culturales y el trabajo operan como barreras en el cuidado a sus hijos.


RESUMO Objetivo: apreender as vivências paternas referente aos cuidados prestados ao filho pré-termo no domicílio comparando os pais participantes ou não do protocolo de cuidados. Método: pesquisa qualitativa, realizada no período de julho a outubro de 2017, com 24 pais de bebês pré-termos após a alta hospitalar de um hospital escola do estado Paraná, Brasil. Os quais participaram ou não de um protocolo de cuidados durante o período de internação. A análise foi realizada por meio do Discurso do Sujeito Coletivo. Resultados: os pais que tiveram oportunidade de participar do protocolo no hospital referiram que estes cuidados foram importantes para que pudessem ajudar suas companheiras com seus filhos no domicílio. Contudo, os pais participantes ou não do protocolo percebem que a mãe possui maior vinculo devido à possibilidade de maior disponibilidade de tempo e por serem as nutrizes dos filhos e referem o trabalho como uma barreira para o cuidado com o filho. Conclusão: os pais participantes do protocolo referem que o mesmo repercutiu positivamente nos cuidados com o filho no domicilio, em contrapartida os pais não participantes referem que terem ou não realizado o protocolo não interferiu em suas condutas no domicilio, No entanto, ambos concordam que fatores culturais e o trabalho são barreiras para o cuidado ao filho.


Asunto(s)
Humanos , Recién Nacido , Padres , Recien Nacido Prematuro , Unidades de Cuidado Intensivo Neonatal , Cuidado del Niño , Enfermería Neonatal
3.
Rev. SPAGESP ; 21(2): 126-138, jul.-dez. 2020. tab
Artículo en Portugués | LILACS, Index Psicología - Revistas técnico-científicas | ID: biblio-1125736

RESUMEN

O artigo relata uma prática psicológica com um grupo de pais de crianças diagnosticadas com Transtorno de Déficit de Atenção/Hiperatividade (TDAH), no Centro de Referência Especializado de Assistência Social (CRAS) em um município situado ao noroeste do estado do Rio Grande do Sul (RS). Foram realizados seis encontros semanais, com duas horas e meia de duração e participação de treze pais que integraram o grupo. A estrutura dos encontros consistiu no oferecimento do espaço de escuta para as principais queixas dos pais em relação aos aspectos do TDAH apresentados pelos filhos e psicoeducar sobre os sintomas, curso do transtorno e intervenções para execução no manejo de problemas com os filhos. Como resultado da intervenção, os pais relataram ter melhorado a capacidade de compreender as situações relacionadas ao transtorno dos seus filhos e encontrar soluções assertivas. A intervenção grupal com pais de crianças com TDAH contribuiu como dispositivo para melhorar a qualidade de vida das famílias que vivenciam dificuldades relacionadas aos aspectos do transtorno dos seus filhos.


The article reports a psychological practice with a group of parents of children diagnosed with Attention-Deficit/Hyperactivity Disorder (ADHD), at the Centro de Referência Especializado de Assistência Social (CRAS) in a city located in the northwest of the state of Rio Grande do Sul. Six weekly meetings were held, lasting two and a half hours, and with the participation of thirteen parents who were part of the group. The structure of the meetings consisted of offering the space for listening to the main complaints of parents regarding aspects of ADHD presented by their children and psychoeducation about the symptoms, course of the disorder, and interventions for execution in the management of problems with their children. As a result of the intervention, parents reported having improved their ability to understand the situations related to their children's disorder and to find assertive solutions. The group intervention with parents of children with ADHD contributed as a device to improve the quality of life of families that experience difficulties related to the aspects of their children's disorder.


El artículo relata una práctica psicológica con un grupo de padres de niños diagnosticados con el Trastorno por Déficit de Atención e Hiperactividad (TDAH), en el Centro de Referencia Especializado de Asistencia Social (CRAS) de una ciudad situada en el noroeste del estado de Rio Grande do Sul. Se realizaron seis reuniones semanales, de dos horas y media de duración, en las que participaron trece padres que formaban parte del grupo. La estructura de las reuniones consistió en ofrecer un espacio para escuchar las principales quejas sobre los aspectos del TDAH que presentan sus hijos y psicoeducar sobre los síntomas, el curso del trastorno y las intervenciones de ejecución en el manejo de los problemas con sus hijos. Como resultado de la intervención, los padres informaron que habían mejorado su capacidad para comprender las situaciones relacionadas con el trastorno de sus hijos y para encontrar soluciones asertivas. La intervención grupal con padres de niños con TDAH contribuyó como un dispositivo para mejorar la calidad de vida de las familias que experimentan dificultades relacionadas con los aspectos del trastorno de sus hijos.


Asunto(s)
Humanos , Masculino , Femenino , Niño , Adolescente , Padres , Práctica Psicológica , Psicología Clínica , Calidad de Vida , Trastorno por Déficit de Atención con Hiperactividad , Familia
4.
Artículo en Ruso | MEDLINE | ID: mdl-33161667

RESUMEN

Every year number of eye diseases among children and adolescents is steadily increasing. The most possible causes of this process are sedentary life-style, computerization of society and school curriculum characteristics. The survey of 209 parents of children and adolescents was organized and carried out. The study established that modern children spend much more time at screens than it is recommended by regulatory documents. The pathology of eye was diagnosed in 46.9% of children, 39.2% of children are regularly observed by ophthalmologist. 53.6% of children are regularly observed by an ophthalmologist. Among parents whose children are monitored by ophthalmologist, 55.3% mentioned inaccessibility of medical appointments, that makes impossible regular corresponding medical check-ups and results in progressing of diseases present and development of new ones. The ophthalmologist plays key role in maintaining visual analyzer health. To effectively prevent visual organ pathology, it is necessary to achieve comprehensive interaction of ophthalmologist, teachers (preschool teachers), parents and children themselves.


Asunto(s)
Pacientes Ambulatorios , Maestros , Adolescente , Niño , Preescolar , Humanos , Padres , Instituciones Académicas , Encuestas y Cuestionarios
5.
Rev. bioét. derecho ; (50): 167-188, nov. 2020. graf
Artículo en Español | IBECS | ID: ibc-191352

RESUMEN

La llegada de la pandemia por coronavirus SARS-CoV-2 (la enfermedad de la COVID-19) a España también ha repercutido en el acceso parental a las Unidades de Cuidados Intensivos Neonatales (UCIN). Al comienzo de la pandemia se tomaron las medidas que, fundamentadas en criterios de salud pública, se consideraron necesarias. A medida que avanzaba el conocimiento científico sobre la COVID-19, y en base a los nuevos datos obtenidos, se comenzaron a adaptar las medidas inicialmente establecidas. Sin embargo, creemos que la adaptación de alguno de estos protocolos, en concreto el del acceso parental a las UCIN, no ha sido la idónea desde el punto de vista bioético y del interés superior del menor. A lo largo de este artículo exponemos esas insuficiencias


The arrival of the SARS-CoV-2 coronavirus pandemic (COVID-19 disease) in Spain has also had an impact on parental access to Neonatal Intensive Care Units (NICU). At the beginning of the pandemic, measures were taken that, based on public health criteria, and were considered necessary. As scientific knowledge about COVID-19 advanced, and based on the new data obtained, the measures initially established began to be adapted. However, we believe that the adaptation of some of these protocols, specifically that of parental access to NICU, has not been the ideal one from the bioethical point of view and in the best interest of the minor. Throughout this article we expose these insufficiencies


L'arribada de la pandèmia per coronavirus SARS-CoV-2 (la malaltia de la COVID-19) a Espanya també ha repercutit en l'accés parental a les Unitats de Cures Intensives Neonatals (UCIN). A l'inici de la pandèmia es van prendre les mesures que, fonamentades en criteris de salut pública, es van considerar necessàries. A mesura que avançava el coneixement científic sobre la COVID-19, I en base a les noves dades obtingudes, es van començar a adaptar, les mesures inicialment establertes. No obstant això, creiem que l'adaptació d'algun d'aquests protocols, en concret el de l'accés parental a les UCIN, no ha estat la idònia des del punt de vista bioètic I de l'interès superior del menor. Al llarg d'aquest article exposem aquestes insuficiències


Asunto(s)
Humanos , Masculino , Femenino , Embarazo , Recién Nacido , Cuidado Intensivo Neonatal/ética , Infecciones por Coronavirus/terapia , Neumonía Viral/terapia , Pandemias , Padres , Aislamiento de Pacientes , Chaperones Médicos/ética , Chaperones Médicos/legislación & jurisprudencia , Humanización de la Atención
6.
Prax Kinderpsychol Kinderpsychiatr ; 69(7): 625-642, 2020 Oct.
Artículo en Alemán | MEDLINE | ID: mdl-33146086

RESUMEN

Parental Resolution of the Child's Disability Diagnosis in the Reaction to Diagnosis Interview (RDI) and Effects on the Play Interaction with the Child Examining 37 qualitative interviews with mothers and fathers of a child with intellectual disability it was observed that the emotions and traumatic experiences, associated with the child's diagnosis, still burden the relationship with the child even after several years, so that many affected cannot come to resolution. On the other hand, resolution of the diagnosis was indicated for 65 % of the parents, enabling them to reclaim lost space for building a relationship with their child. While these parents significantly more often report purposeless and responsive play interaction with their children, non-resolved parents still seem to be driven to counteract the disability by playing educational games or playing games, which promote the development. In a parallel music therapeutic study, the effects of parental resolution also are monitored in children's free play interaction: Children of resolved parents interact more often in a dialogic relationship, whereas children of non-resolved parents are less able to balance dyadic turn-taking and interaction control in free music play.


Asunto(s)
Niños con Discapacidad/psicología , Relaciones Padres-Hijo , Padres/psicología , Juego e Implementos de Juego/psicología , Niño , Emociones , Padre/psicología , Femenino , Humanos , Masculino , Madres/psicología
10.
Epilepsy Behav ; 112: 107493, 2020 11.
Artículo en Inglés | MEDLINE | ID: mdl-33181913

RESUMEN

OBJECTIVE: The purpose of this study was to assess parent satisfaction with the management of ketogenic diet therapies (KDTs) through telemedicine using WhatsApp as the main tool. METHODS: Parent satisfaction was longitudinally evaluated through questionnaires. The survey was developed with Google Questionnaire forms and sent via WhatsApp. The questionnaire consisted of 13 items concerning the management of KDTs using telemedicine in the context of the coronavirus disease 2019 (COVID-19) pandemic. Our population of patients has limited financial resources and low levels of education. Given that many families did not have either computers or WIFI, or any other access to information or communication technology, WhatsApp was chosen as a tool as it was available on the cell phones of all families and the professionals. RESULTS: Our survey showed that 96.3% of the parents were satisfied with the management of KDTs through telemedicine. The main benefits observed were the possibility of continuing treatment during the COVID-19 pandemic and the ease of accessing the professional team from the comfort of their home. Overall, 72.2% of the families would recommend using telemedicine for KDTs in any situation regardless of the pandemic. None of the families reported that they would recommend against treatment by telemedicine. The availability of a social support network (parents WhatsApp group) coordinated by professionals from the KDT team was considered to be useful by most respondents (90%). CONCLUSIONS: Our study suggests that management of children with DRE on KDTs through telemedicine is feasible, well accepted by the families, and probably as safe as conventional medicine. WhatsApp may be an interesting telemedicine tool to start and maintain KDTs.


Asunto(s)
Dieta Cetogénica/métodos , Epilepsia Refractaria/dietoterapia , Padres/psicología , Telemedicina , Adolescente , Adulto , Argentina , Betacoronavirus , Niño , Preescolar , Coronavirus , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/prevención & control , Prestación de Atención de Salud , Epilepsia Refractaria/epidemiología , Femenino , Humanos , Lactante , Masculino , Pandemias , Satisfacción Personal , Neumonía Viral/epidemiología , Neumonía Viral/prevención & control , Evaluación de Programas y Proyectos de Salud , Medios de Comunicación Sociales , Encuestas y Cuestionarios
11.
Artículo en Inglés | MEDLINE | ID: mdl-33182661

RESUMEN

The novel coronavirus (COVID-19) outbreak has forced parents and children to adopt significant changes in their daily routine, which has been a big challenge for families, with important implications for family stress. In this study, we aimed to analyze the potential risk and protective factors for parents' and children's well-being during a potentially traumatic event such as the COVID-19 quarantine. Specifically, we investigated parents' and children's well-being, parental stress, and children's resilience. The study involved 463 Italian parents of children aged 5-17. All participants completed an online survey consisting of the Psychological General Well Being Index (PGWB) to assess parental well-being, the Strengths and Difficulties Questionnaire (SDQ) to measure children's well-being, the Parent Stress Scale (PSS) to investigate parental stress, and the Child and Youth Resilience Measure (CYRM-R) to measure children's resilience. The results show that confinement measures and changes in daily routine negatively affect parents' psychological dimensions, thus exposing children to a significant risk for their well-being. Our results also detect some risk factors for psychological maladjustments, such as parental stress, lower levels of resilience in children, changes in working conditions, and parental psychological, physical, or genetic problems. In this study, we attempted to identify the personal and contextual variables involved in the psychological adjustment to the COVID-19 quarantine to identify families at risk for maladjustment and pave the way for ad hoc intervention programs intended to support them. Our data show promising results for the early detection of the determinants of families' psychological health. It is important to focus attention on the needs of families and children-including their mental health-to mitigate the health and economic implications of the COVID-19 pandemic.


Asunto(s)
Infecciones por Coronavirus/psicología , Padres/psicología , Neumonía Viral/psicología , Cuarentena/psicología , Resiliencia Psicológica , Estrés Psicológico/epidemiología , Adolescente , Betacoronavirus , Niño , Preescolar , Infecciones por Coronavirus/epidemiología , Humanos , Italia/epidemiología , Pandemias , Neumonía Viral/epidemiología , Encuestas y Cuestionarios
12.
PLoS One ; 15(10): e0229316, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33006966

RESUMEN

The prevalence of criticism in everyday social situations, and its empirically demonstrated association with psychopathology, highlight the importance of understanding neural mechanisms underlying the perception and response of individuals to criticism. However, neuroimaging studies to date have been limited largely to maternal criticism. The present study aims to investigate neural responses to observing criticism occurring in the context of three different relationship types: romantic partners, friends, and parents-from a third-party perspective. 49 participants were recruited and asked to rate the perceived criticism for these relationships. Functional near-infrared spectroscopy was used to measure changes in oxygenated haemoglobin levels in the prefrontal cortex when participants read vignettes describing three different scenarios of criticism. Participants were randomly assigned to 3 groups where the given description of the relationship of the protagonist to the source of criticism for each vignette was randomised. A significant interaction between relationship type and perceived criticism ratings for mothers was found in the dorsolateral prefrontal cortex. Compared to low perceived criticism, high perceived criticism individuals showed increased activation reading vignettes describing criticism from romantic partners and parents but decreased activation for those from friends. Findings contribute to understanding neural responses to criticism as observed from a third-party perspective. Future studies can look into differentiating neural responses of personalised experiences of criticism and third-party observations.


Asunto(s)
Emociones/fisiología , Amigos/psicología , Padres/psicología , Corteza Prefrontal/fisiología , Parejas Sexuales/psicología , Adolescente , Adulto , Femenino , Hemoglobinas/metabolismo , Humanos , Relaciones Interpersonales , Masculino , Neuroimagen , Distribución Aleatoria , Adulto Joven
13.
PLoS One ; 15(10): e0234693, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33091021

RESUMEN

BACKGROUND: The pathogenic and oncogenic roles of papillomavirus (HPV) infections have been documented and shown to occur in women as well as in men. While other countries have already extended their vaccination guidelines to include boys, in 2019 the French National Authority for Health validated implementation of HPV vaccination in the 2020 vaccination schedule. There is, however, a climate of distrust in regard to vaccination in France, and there have been few studies to date regarding the acceptability of HPV vaccination in boys in France. The aim of this study was, therefore, to evaluate the acceptability of extending the recommendations for HPV vaccination in men, among middle and high school students and their parents. METHODS: Our study (HPVac) was a prospective, multicenter, departmental, and descriptive survey applied to a sample of male middle and high school students attending schools in the Loire-Atlantique department and their parents. It took place from January 2017 to January 2018. RESULTS: We analyzed the information obtained from 127 parent questionnaires and 145 children questionnaires. In terms of acceptability, 36.6% (n = 53) of the children and 37.8% (n = 48) of the parents were in favour of being vaccinated or of having their children vaccinated against HPV (51.7% (n = 75) and 50.4% (n = 64), respectively, were undecided). The perception of a risk stemming from HPV infection was positively associated with acceptability of the HPV vaccine. Being against vaccines in general, being discouraged by their parents, parents thinking that their child is not at risk, and the belief that the vaccine is not mandatory were arguments cited and significantly associated with a willingness to be vaccinated. CONCLUSION: This study revealed a lack of information among boys and their parents about HPV and its vaccination. It also clearly showed that taking time to discuss the consequences of an infection and the merits of being vaccinated can help parents overcome their reluctance. The children then generally go along with their parent's choice.


Asunto(s)
Papillomaviridae/inmunología , Infecciones por Papillomavirus/prevención & control , Vacunas contra Papillomavirus/administración & dosificación , Padres/psicología , Aceptación de la Atención de Salud , Estudiantes/psicología , Vacunación/psicología , Adolescente , Adulto , Niño , Femenino , Estudios de Seguimiento , Francia/epidemiología , Conocimientos, Actitudes y Práctica en Salud , Humanos , Masculino , Persona de Mediana Edad , Infecciones por Papillomavirus/epidemiología , Infecciones por Papillomavirus/virología , Pronóstico , Estudios Prospectivos , Instituciones Académicas , Encuestas y Cuestionarios , Adulto Joven
14.
Curr Med Sci ; 40(5): 817-821, 2020 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-33123896

RESUMEN

In the period of regular epidemic prevention and control of Coronavirus disease 2019 (COVID-19) in our country, work resumption has been fully advanced. But there are still new sporadic local cases and imported cases across the country. In this situation, whether kindergartens reopening will increase the risk of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) spread still remains uncertain. We reviewed two pediatric patients with moderate COVID-19, collected the epidemiologic information and monitored the cycle threshold value of rectal specimen and the viral loads, and discussed the transmission of SARS-CoV-2 in pediatric patients and the virulence of feces in children with moderate COVID-19, in order to analyze the risk of kindergartens reopening.


Asunto(s)
Betacoronavirus/aislamiento & purificación , Infecciones por Coronavirus/prevención & control , Heces/virología , Pandemias/prevención & control , Neumonía Viral/prevención & control , Betacoronavirus/genética , Betacoronavirus/patogenicidad , Preescolar , China/epidemiología , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/transmisión , Femenino , Humanos , Pandemias/estadística & datos numéricos , Padres , Neumonía Viral/epidemiología , Neumonía Viral/transmisión , Instituciones Académicas , Carga Viral , Esparcimiento de Virus
15.
Zhonghua Liu Xing Bing Xue Za Zhi ; 41(9): 1527-1530, 2020 Sep 10.
Artículo en Chino | MEDLINE | ID: mdl-33076612

RESUMEN

Objective: To evaluate the association between parental alcohol use and alcohol use in children and adolescents in China and provide scientific evidence for the prevention and control of alcohol use in children and adolescents. Methods: A total of 2 785 children and adolescents aged 8-17 years selected through convenient cluster sampling from urban area of Ji'nan, Shandong province were recruited. A standardized questionnaire was used to collect information about alcohol use from the participants and their parents. Multivariable logistic regression model was used to analyze the association between parental alcohol use and alcohol use in children and adolescents. Results: The prevalence of alcohol use in children and adolescents, fathers and mothers were 11.2% (n=311), 58.6%(n=1 633), and 7.3%(n=204), respectively. Compared with children and adolescents with fathers who did not drink, those with fathers who drunk frequently (OR=1.36, 95%CI: 1.03-1.80) and abused alcohol (OR=2.09, 95%CI: 1.44-3.05) were more likely to drink alcohol. Compared with children and adolescents with mothers who did not drink, those with mothers who drunk frequently were also more likely to drink alcohol (OR=2.72, 95%CI: 1.89-3.91). Compared with children and adolescents with parents who did not drink, those with either of parents who drunk frequently (OR=1.58, 95%CI: 1.20-2.09), or with both parents who drunk frequently (OR=4.12, 95%CI: 2.73-6.20) were more likely to use alcohol. In subgroup analyses by sex and age, the results in boys and adolescents aged 13-17 years were similar with the overall results. However, father's alcohol abuse or frequent drinking of both father and mother was associated with alcohol use in girls and children aged 8-12 years. Conclusions: Parental alcohol use might be one important influencing factor of alcohol use in children and adolescents. Parental alcohol use should be considered in the establishment of the strategies for prevention and control alcohol use in children and adolescents.


Asunto(s)
Consumo de Bebidas Alcohólicas , Padres , Adolescente , Consumo de Bebidas Alcohólicas/epidemiología , Niño , China/epidemiología , Padre , Femenino , Humanos , Masculino , Madres
16.
PLoS One ; 15(10): e0240962, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33064778

RESUMEN

Due to the COVID- 19 outbreak in the Netherlands (March 2020) and the associated social distancing measures, families were enforced to stay at home as much as possible. Adolescents and their families may be particularly affected by this enforced proximity, as adolescents strive to become more independent. Yet, whether these measures impact emotional well-being in families with adolescents has not been examined. In this ecological momentary assessment study, we investigated if the COVID-19 pandemic affected positive and negative affect of parents and adolescents and parenting behaviors (warmth and criticism). Additionally, we examined possible explanations for the hypothesized changes in affect and parenting. To do so, we compared daily reports on affect and parenting that were gathered during two periods of 14 consecutive days, once before the COVID-19 pandemic (2018-2019) and once during the COVID-19 pandemic. Multilevel analyses showed that only parents' negative affect increased as compared to the period before the pandemic, whereas this was not the case for adolescents' negative affect, positive affect and parenting behaviors (from both the adolescent and parent perspective). In general, intolerance of uncertainty was linked to adolescents' and parents' negative affect and adolescents' positive affect. However, Intolerance of uncertainty, nor any pandemic related characteristics (i.e. living surface, income, relatives with COVID-19, hours of working at home, helping children with school and contact with COVID-19 patients at work) were linked to the increase of parents' negative affect during COVID-19. It can be concluded that on average, our sample (consisting of relatively healthy parents and adolescents) seems to deal fairly well with the circumstances. The substantial heterogeneity in the data however, also suggest that whether or not parents and adolescents experience (emotional) problems can vary from household to household. Implications for researchers, mental health care professionals and policy makers are discussed.


Asunto(s)
Conducta del Adolescente/psicología , Betacoronavirus , Bienestar del Niño/psicología , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/psicología , Conducta Materna/psicología , Responsabilidad Parental/psicología , Padres/psicología , Conducta Paterna/psicología , Neumonía Viral/epidemiología , Neumonía Viral/psicología , Adolescente , Adulto , Afecto , Infecciones por Coronavirus/virología , Femenino , Estudios de Seguimiento , Humanos , Estudios Longitudinales , Masculino , Salud Mental , Persona de Mediana Edad , Países Bajos/epidemiología , Pandemias , Neumonía Viral/virología , Encuestas y Cuestionarios , Incertidumbre
17.
PLoS One ; 15(10): e0239767, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33044968

RESUMEN

INTRODUCTION: HIV status disclosure in children is one of acontroversial issue in current health. Over 44,000 children in Ethiopia were living with HIV in the year 2019 with a variable level of disclosure, which ranges from 16.3% to 49%. Therefore, this study aimed to assess HIV-positive status disclosure and associated factors among HIV-infected children. METHODS: A cross-sectional study was conducted in ten public health facilities providing pediatric antiretroviral therapy services. Systematic random sampling was used to select 221 caregivers of children aged 6-15 years. Face-to-face interviews were employed to generate the data. Binary logistic regression was used to analyze the association between HIV-positive status disclosure to children and independent variables with statistical significance set at p-value <0.05. RESULTS: Out of the total, 134 (60.6%) of HIV-infected children knew about their HIV status. The mean age at disclosure was 10.71 years. Children aged older than 10 years [AOR = 22, 95% CI: 5.3-79.2], female children [AOR = 3; 95% CI = 1.2-8.7], children lost their family member by HIV [AOR = 3.5, 95% CI: 1.2-10], caregiver's perception of child did not get stigmatized [AOR = 4, 95% CI: 1.6-11], and children's responsible for anti-retroviral therapy [AOR = 16, 95% CI: 5-50] were significantly associated with HIV positive status disclosure compared to their counterpart respectively. Children who stayed on anti-retroviral for 10-15 years were [AOR = 7; 95% CI: 2-27] more likely to know their HIV positive status compared to those staying on anti-retroviral therapy for <6 years. CONCLUSION: The proportion of disclosure of HIV-positive status among HIV-infected children was low. Factors associated were the age of the child, sex, existence of parent, stigma, ART duration, and responsibility of the child for his/her drugs. HIV care providers should consider these factors while supporting disclosure.


Asunto(s)
Fármacos Anti-VIH/uso terapéutico , Revelación/estadística & datos numéricos , Infecciones por VIH/tratamiento farmacológico , Adolescente , Adulto , Cuidadores/estadística & datos numéricos , Niño , Estudios Transversales , Etiopía , Femenino , Instituciones de Salud/estadística & datos numéricos , Humanos , Modelos Logísticos , Masculino , Persona de Mediana Edad , Padres , Estigma Social , Adulto Joven
18.
Codas ; 32(5): e20190123, 2020.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-33053087

RESUMEN

PURPOSE: To elaborate and show an innovative speech and language guidance program for smartphones, tablets, and computers, with technological support. The program aims to help parents of children at risk for language disorder in order to minimize the consequences of a developmental language disorder (DLD). METHOD: An app was developed to provide a dynamic interaction between the researcher and the families for at a distance intervention, aiming to reach the greatest number of children to promote language development in a broad, low-cost and effective way. RESULTS: The content was organized in video-lessons (theoretical orientations were carried out in the form of video-lessons, taught by the researcher), videos (documentaries and videos from YouTube), reports (reports linked to sites specializing in child development), complementary content (cultural and leisure activities to be done in family) and activities (activities to stimulate the skills worked on in each week's video lesson proposed in the application). CONCLUSION: We created a remote orientation program proposing an innovative, technological, and motivating therapeutic environment compatible with the reality of today's families.


Asunto(s)
Trastornos del Desarrollo del Lenguaje , Logoterapia , Niño , Humanos , Desarrollo del Lenguaje , Padres , Habla
20.
Pediatrics ; 146(5)2020 11.
Artículo en Inglés | MEDLINE | ID: mdl-33127849
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