Perceptions of Nurses at Ndola Teaching Hospital towards Sexual Health Needs of People with Mental Health Problems

Sexual and reproductive health (SRH) is among the fundamental packages of health care, which all clients seeking health care should receive. However, it is unclear how healthcare providers, in particular, nurses perceive the issue of people with mental problems having sexual health needs. The aim of this study was to explore perceptions of nurses at Ndola Teaching Hospital towards sexual health needs of people with mental health problems. A general descriptive qualitative study design was utilized and data were collected using three focus group discussions (FGDs) that were recorded and later transcribed verbatim. Purposive sampling was used to select 21 nurses who participated in the study. Nine were male, while 12 were female. Each FGD comprised seven participants. Thematic analysis was used to analyze the data, and six major themes: 1) physiological interplay among different body systems, 2) disease process and effects of psychotropic, 3) participant differences in age, gender, educational level, and cultural backgrounds, 4) staff shortages in mental health units, 5) deficient record keeping, and 6) Social stereotypes and labelling theories emerged. Despite acknowledging the existence of sexual activity among people with mental health problems;participants had both positive and negative perceptions. It is, therefore, recommended that interventions aimed at strengthening implementation of SRH guidelines among nurses caring for people with mental health problems should be put in place.

Perfectionism and mental health problems:Limitations and directions for future research

Research has indicated that perfectionism is prevalent among adolescents and may be harmful in terms of its association with mental health problems.This letter aims to create a paradigm for future studies of the perfectionism.Specifically,we suggest gaps and implications that must be considered at perfectionism future research in terms of assessments,interventions,settings,potential treatments,gender,and social media.

Healing in Rwanda,Understanding and Naming Mental Health Problems:Translating Kinyarwanda Into a Clinically Applicable Language

Before the 1994 Genocide against Tutsi,reported rates of mental health disorders in Rwanda were low;Rwandan society and traditional healers had their own strategies to diagnose and address different mental health issues.Following the genocide against Tutsi in 1994,reports of psychological and mental health issues―including post traumatic stress disorders(PTSD),substance abuse and depression―increased significantly.To tackle these challenges,mental health specialists were trained―mainly in English and French―with key mental health concepts and disorders defined and elaborated in these languages.Consequently,specialists adopted Western ways of defining mental disorders and primarily referenced DSM-IV and V criteria for diagnosis.For example,most research names mental health problems that people experience as related to genocide and other events as“trauma”and“associated co morbidities”.From the research conducted by the Rwandan Biomedical Centre(RBC)on situational analysis for development of a model for management of trauma cases during the commemoration period of the genocide against Tutsi in Rwanda through Ubuzima Burambye project named problems that people suffered from as trauma,some concepts(such as“Ihungabana”,“Ihahamuka”,and“Ibikomere”)have been used to name trauma.But mental health professionals still prefer to name them as emotional,traumatic,collective,and/or collective traumatic crises.However,this use of primarily Western terms is a challenge for many Rwandan psychologists,as counselling sessions and other therapeutic interventions are conducted in Kinyarwanda.Such names might simplify concepts,as they are unable to fully translate the nuances within Kinyarwanda.To further study this linguistic issue,this current study investigated how people in Rwanda contextualise,name and give representations to the mental health problems they suffer from.It combined clinical and participatory action 88research,which started in February 2019.Participants were young survivors of genocide,people addicted to drugs from WAWA Rehabilitation Centre,as well as people who were received in the clinic/Uyisenga Ni Imanzi.Responses from the participants were classified according to their life experience on mental health pains.Twenty-nine percent of names of mental health problems from the participants were reflected on darkness,25%of them have named as emptiness,11%of participants have named their problems as heaviness,while rejection,bondage,physical pain each represent 8%,addictiveness or deviance is at 5%whereas dirtiness and judgement each has 3%.Different mental health symptoms―such as guilt,pessimism,anxiety,loneliness,depression and panic attacks―were identified to assess the respondents’mental health.The data collected from this group showed that guilt among respondents takes a higher number of 22%of names for mental health related to pains,compared to the other symptoms.On other side,pessimism is ranked at 19%,anxiety at 18%,loneliness at 17%expressivity at 16%and panic attacks is ranked at 8%.Looking at the effect of mental health pains on different aspect of life,data represented that the most affected aspect of life is the human mind at 52%,social problems and emotions at 18%each,human body at 9%and relations among people are affected at 4%.Human senses(e.g.,touch,taste,smell,hearing,sight)were used to identify and describe mental health pains.Results show that 62%of the identified unique names of the problems were found to belong to what people can feel,followed by sight(37%),touch(15%),hearing(13%),and smell(1%).However,there was no name for mental health pains related to taste.Clearly identifying and describing mental health issues in participants’local language is an essential step towards finding effective solutions.Naming a problem helps practitioners and patients develop a shared understanding of the issue at hand and what can be jointly done to address it.Conversely,the inability to name the actual disorder leaves patients in a state of confusion,unable to progress with their treatment despite the availability of professional assistance.

Ecological Momentary Assessment with smartphones for measuring mental health problems in adolescents

AIM To analyze the viability of Ecological Momentary Assessment(EMA) for measuring the mental states associated with psychopathological problems in adolescents.METHODS In a sample of 110 adolescents,a sociodemographic data survey and an EMA Smartphone application over a oneweek period(five times each day),was developed to explore symptom profiles,everyday problems,coping strategies,and the contexts in which the events take place.RESULTS The positive response was 68.6%.Over 2250 prompts about mental states were recorded.In 53% of situations the smartphone was answered at home,25.5% of casesthey were with their parents or with peers(20.3%).Associations were found with attention,affective and anxiety problems(P < 0.001) in the participants who took longer to respond to the EMA app.Anxious and depressive states were highly interrelated(rho = 0.51,P < 0.001),as well as oppositional defiant problems and conduct problems(rho = 0.56,P < 0.001).Only in 6.2% of the situations the subjects perceived they had problems,mainly associated with inter-relational aspects with family,peers,boyfriends or girlfriends(31.2%).We also found moderate-high reliability on scales of satisfaction level on the context,on positive emotionality,and on the discomfort index associated with mental health problems.CONCLUSION EMA methodology using smartphones is a useful tool for understanding adolescents' daily dynamics.It achieved moderate-high reliability and accurately identified psychopathological manifestations experienced by community adolescents in their natural context.

The Role of Moral Intelligence and Identity Styles in Prediction of Mental Health Problems in Healthcare Students

Background: Assessment of healthcare students’ mental health problems is an important aspect of health promotion. This study examined the roles of moral intelligence (MI) and identity styles in prediction of mental health problems in healthcare students. Methods: In a correlation study, two hundred healthcare students (100 girls, 100 boys) of Medicine, Density, and Paramedicine Colleges of Bobol University of Medical Sciences were selected. The subjects filled out three questionnaires;General Health Questionnaire (GHQ-28), Moral Competency Inventory (MCI), and Identity Style Inventory (ISI), and General Health Questionnaire (GHQ-28). Pearson correlation, multivariate analysis variance model (MANOVA), and multivariate regression used to analyze the data. Results: Boys and girls did not have a meaningful difference in the mean of total GHQ, MCI, normative and informational identity. Girls had significantly higher mean level of diffused-avoidant identity than boys. There was a positive and significant relationship between moral intelligence, normative identity and mental health problems of students. Also, there was a negative relationship (p < 0.05) between diffused-avoidant identity and mental health problems of students. Moral intelligence, informational and normative identity predicted 25.8% of the variance in mental health problems for girls’ students. Normative and diffused-avoidant identity predicted 21.6% of the variance in mental health problems for girls’ students. Conclusions: This study demonstrated that moral intelligence and identity status contributed to the mental health problems of healthcare students. University administrators should adopt strategies that strengthen the moral intelligence and identity maturity associated with university students’ mental health.

Mental Health Problems Experienced by HIV Positive Adolescents;A Case of Choma District, Zambia

Several scholars have reported high mental health problems among adolescents with Human Immunodeficiency Virus (HIV) globally. However, little is known about the mental health of this peculiar group of young people in Choma district. This study aimed to determine the mental health problems experienced by HIV positive adolescents in Choma District. Using the Strengths and Difficulties Questionnaire (SDQ), data were obtained from 103 HIV positive adolescents receiving treatment at Choma General Hospital plus a corresponding number of parents/care givers. Information about mental health services was obtained qualitatively from 10 nurses working in the mental health unit and the Antiretroviral (ART) clinic. The results showed that more than three quarters of the adolescents had mental health problems. Of this number, 57.3 percent had multiple mental health problems: predominantly emotional and peer problems. The study also found a statistically significant relationship between level of stigma and presence of mental health problems (X2 = 1.123, P = 0.003). In conclusion, the study demonstrated that multiple mental health problems particularly emotional and peer problems are prevalent among adolescents with HIV/AIDS yet are most often undiagnosed. In addition, adolescents with high levels of internalized stigma are more likely to have multiple mental health problems. The findings suggest the need to integrate psychiatric services into routine care of HIV infected adolescents, routine screening for mental health problems and provision of continued professional development among nurses managing these patients.

How Are Minor Mental Health Problems Perceived by Traditional Chinese Medicine?

The purpose of this study was to reach a better understanding of how minor mental health problems (MMP) are perceived in China by professionals practicing Traditional Chinese Medicine (TCM) and by well-educated people living in three urban locations. The results derive from interviews with three TCM doctors, three TCM students and eight other students. Psychological problems are separated into two different categories: “serious” and “not serious”. MMP are labelled not as disorders or illnesses but looked upon as ordinary problems in daily living or as “heart problems”. MMP seem to have less serious consequences according to the Chinese than from a modern Western perspective. “Problems of life” rather than sickness was the category that best summarized perceptions of MMP. TCM professionals’ advice to change lifestyle and most Chinese regulate by themselves less serious mental problems. Both lay people and TCM professionals associate serious problems with pathological mental function in a disease perspective. Some reasons for and consequences of these comprehensions are discussed.

Effects of Health Education with Problem-Based Learning Approaches on the Knowledge, Attitude, Practice and Coping Skills of Women with High-Risk Pregnancies in Plateau Areas

Objective: Given the unique cultural background, way of life, and physical environment of the Tibetan Plateau, this study aims to investigate the effects of health education using problem-based learning (PBL) approaches on the knowledge, attitude, practice, and coping skills of women with high-risk pregnancies in this region. Methods: 76 high-risk pregnancy cases were enrolled at Tibet’s Linzhi People’s Hospital between September 2023 and April 2024. 30 patients admitted between September 2023 and December 2023 were selected as the control group and were performed with regular patient education. 46 patients admitted between January 2024 and April 2024 were selected as the observation group and were performed regular patient education with problem-based learning approaches. Two groups’ performance on their health knowledge, attitude, practice and coping skills before and after interventions were evaluated, and patient satisfaction were measured at the end of the study. Results: There was no statistical significance (P P P Conclusions: Health education with problem-based learning approaches is worth promoting as it can help high-risk pregnant women in plateau areas develop better health knowledge, attitude and practice and healthier coping skills. Also, it can improve patient sanctification.

Parental Educational Expectations,Academic Pressure,and Adolescent Mental Health:An Empirical Study Based on CEPS Survey Data

Background:This study aimed to investigate the relationship between parental educational expectations and adolescent mental health problems,with academic pressure as a moderating variable.Methods:This study was based on the baseline data of the China Education Panel Survey,which was collected within one school year during 2013–2014.It included 19,958 samples from seventh and ninth graders,who ranged from 11 to 18 years old.After removing missing values and conducting relevant data processing,the effective sample size for analysis was 16344.The OLS(Ordinary Least Squares)multiple linear regression analysis was used to examine the relationship between parental educational expectations,academic pressure,and adolescents’mental health problems.In addition,we established an interaction term between parents’educational expectations and academic pressure to investigate the moderating effect of academic stress.Results:The study found that adolescents whose parents had high educational expectations reported less mental health problems.(β=−0.195;p<0.001).Additionally,adolescents who had high academic pressure reported more mental health problems.(β=0.649;p<0.001).Furthermore,the study found that academic pressure had a significant moderating effect on the relationship between parental educational expectations and adolescents’mental health problems(β=0.082;p<0.001).Conclusion:Parental educational expectations had a close relationship with adolescents’mental health problems,and academic pressure moderated this relationship.For those adolescents with high levels of academic pressure,the association between high parental educational expectations and mental health problems became stronger.On the contrary,for those adolescents with low levels of academic pressure,the association between high parental educational expectations and mental health problems became weaker.These findings shed new light on how parental educational expectations affected adolescent mental health problems and had significant implications for their healthy development.

Representation of Specific Diagnosis for Low Back Pain Using the 11^(th) Revision of International Classification of Diseases and Related Health Problems: Perspectives of Conventional Medicine and Traditional Medicine

Background:The 11th revision of the International Classification of Diseases and Related Health Problems(ICD-11)was released on June 18,2018,by the World Health Organization and will come into effect on January 1,2022.Apart from the chapters on the classification of diseases in the conventional medicine(CM),a new chapter,traditional medicine(TM)conditions–Module 1,was added.Low back pain(LBP)is one of the common reasons for the physician visits.The classification codes for LBP in the ICD-11 are vital to documenting accurate clinical diagnoses.Methods:The qualitative case study method was adopted.The secondary use data for 100 patients were randomly selected using the ICD-11 online interface to find the classification codes for both the CM section and the TM Conditions–Module 1(TM1)section for LBP diagnosis.Results:Of the 27 codes obtained from the CM section,six codes were not relevant to LBP,whereas the other 21 codes represented diagnoses of LBP and its related diseases or syndromes.In the TM1 section,six codes for different patterns and disorders represented the diagnoses for LBP from the TM perspective.Conclusion:This study indicates that specific diagnoses of LBP can be represented by the combination of CM classification codes and TM1 classification codes in the ICD-11;the CM codes represent specific and accurate clinical diagnoses for LBP,whereas the TM1 codes add more accuracy to the diagnoses of different patterns from the TM perspective.

Territorial Analysis of Medical-geographycal Conditions and the Problems of Health of the Population of the Republic of Uzbekistan

The Republic of Uzbekistan differs amongst other countries of the Central Asia by its peculiar medical-geographical conditions. Uzbekistan has dry, roast summer and cool winter which is uncharacteristic to subtropical climate. These factors have certain influence on health of the population. The meteorological conditions of each season promote the activations or decrease of various diseases in the Republic. The growth of the diseases of digestive organs, respiratory apparatus and cardiovascular diseases cause the special anxiety in the country. The analysis shows that from 1999 to 2009 nosogeographical situation is mostly worsened in Navaiy region. On the contrary, in the regions of Dzhizak, Samarkand and Khorezm common sickness rate of the population is decreased slightly.

New Health Problem Looms

A new type of illness rears its head among office workers Chen Hong, a 37-year-old woman, works in an office in Beijing. She undergoes two physical examinations every year. Before a recent one, Chen

Legal Problems Concerning Health Discrimination in Employment

Year 2003 was regarded by the Chinese media as a year of antidiscrimination by hepatitis virus B (HVB) carriers. The series of events that happened in the year aroused the attention of the whole society to show concern for discrimination against HVB carriers. On April 3, a murder case occurred in Zhejiang Province; on November 20, 1,611 citizens put their signatures to a proposals, demanding review of the provisions on public servant recruitment that bar HVB carriers in 31 provinces and cities and calling for laws to protect HVB carriers. The signed proposal was delivered to the Standing Committee of the National People’s Congress, the Ministry of Health and the Legislative Affairs Office of the State Council. In December, the people’s court in Xinwu District of Wuhu City in Anhui officially accepted the case of the first HVB carrier against the personnel bureau of

Self-esteem enhancement as a strategy for promoting the mental health and averting the occupational problems of nurses

In recent years, shortage of nurses, high turnover rate, low self-worth, and team instability have become increasingly serious. With the development of positive psychology, more and more nursing managers have begun to attach great importance to the mental health of nurses. Self-esteem, as one of the core indicators of individual mental health, has received extensive attention from researchers in different fields since its inception. This paper reviews and summarizes the research status and development trends of nurses' selfesteem considering the aspects of self-esteem as a concept, assessment tools, significance, and intervention methods. At the same time, it also puts forward problems that need to be solved by undertaking research into nurses' self-esteem, in order to provide a reference for further studies on nurses' self-esteem.

Problems Related to Divers Health and Comfort in Hyperbaric He-O_2 Environment

The Diver Gas Recovery System(DGRS)is an important accessory equipment of the 300m Saturation Dive System. The system facilitates the recycling of the breathing gases for divers,therefore,it has great economic benefits. In April 1995, a 300 m unmanned test and a 100 m manned test on the HY2031 DGRSwere carried out successively.Ten months later,another manned test on the HY2032 DGRS

Common Preventable Health and Social Problems Encountered by Elderly in Shinyanga Region in the Northern Part of Tanzania

Background: In Tanzania elders are respected as repositories of inherited wisdom, experienced and principal decision makers in the community. However, evidence shows that such repositories are no longer considered important in most societies. As a result elders are neglected with some mistreatment in terms of provision of health and social services for instance;at times they get denied and ignored of their obvious rights, ignoring their retirement benefits and the rights onto free social services as per the Tanzania National Ageing Policy of 2003. Elders are therefore faced with physical, psychological and geriatric social suffering. It is on this basis that this study tries to explore the common preventable health and social problems encountered by elderly in Shinyanga Region in northern part of Tanzania. Methods: Across sectional community based study of 465 subjects randomly selected was done in three wards of Kahama District. The district was selected randomly out of 8 districts of Shinyanga Region, structured questionnaires with both closed and opened endower used;the information was collected from house to house and other information collected from health facilities within the wards as every ward had one public health facility;subjects (respondents) were obtained using purposive sampling technique aiming at elderly with 60 years of age and above. Results: Kahama district has a population of approximately 36,014 of which 1500 (4%) are in the elderly age group of 60 years and above. The study population was 465 which is 30% (465/1500) of the geriatric population of Kahama. Among this group 5% were female while 41% were male and 53% (248/465) were married. 64% (297/465) were taking care of themselves, 32% (150/465) cared by relatives and 4% (18/465) cared by the community. Among the respondents, 40% (185/465) were affected by HIV/AIDs in one way or another either living with orphans whose parents died of HIV/AIDS or asking care of the infected patients within the family. It was also found that 73% of the geriatrics were not exempted from medical treatment fees so they had to pay for their medical care. However, only 32% were aware of getting free treatment and 61% of the study populations were not satisfied with the medical care provided at the public health facilities. The common diseases affecting this age group are: Eye problem 59% (273/465);Arthritis 52% (241/465);Dental problems 27% (124/465);Hypertension 23% (107/465);Backache 22% (105/465);Malaria 28% (132/465);Hearing problems 26% (121/645);Urinary tract Infection 35% (165/465);Depression 8% (36/465). Dementia was also a problem though we had no tools to confirm the diagnosis;some of the geriatrics had more than two diseases. Conclusion: The majority of the elderly age group in Kahama District are not aware of their rights that they deserve free treatment according to Tanzania policy, furthermore for assessment and screening of health problems. A majority of the elderly die prematurely due to preventable diseases and more than half of the diseases affecting geriatrics are preventable.

心理健康问题的当代诠释:学理与系统视角

在百年未有之大变局下,心理健康问题需要从多维的系统角度重新诠释。就心理健康问题的性质而言,要反对诊断主义、还原主义、教育万能论等“本本主义”倾向;就心理健康问题的特点而言,它是一个连续性与阶段性统一的发展系统;就心理健康问题的影响因素而言,它是人与环境相互作用的一个生态系统;就心理健康问题的作用机制而言,它是一个集文化潮流、时代变迁等社会心理因素叠加的复杂系统。因此,心理健康教育不能“就事论事”,心理健康问题更不能“头痛医头,脚痛医脚”,它应该是一个有章可循的系统工程,需要创新系统思维,以学校教育、卫生健康、社会建设三个领域为横坐标,以个体、人际、群体、社会和环境五个维度为纵坐标,纵横交错、抓住结点,“综合治理、网格化治理”。

Use of Analogy by Public Health Nurses in Problem Solving for Individual Consultations in Japan: A Multiple Case Study

Aim: Nurses must develop good problem-solving skills (PSS) to work in the complex health care environment. This study explored PHNs’ use of analogy in PSS development. The purposes of the study were to clarify how PSS developed in one area (i.e., mental health) could be applied to another area (i.e., maternal health) and whether new PSS could develop in response to PSS gained in another area. Methods: A multiple case study was conducted using interviews. We interviewed 27 consultations from eight Japanese PHNs who consulted in mental health departments before transferring to maternal health departments. The data on how PHNs applied PSS in the selection, mapping, evaluation, and learning stages of the analogy process were extracted from transcribed interviewed data and compared. Results: PHNs provided 59 PSS used in 27 consultations. All PHNs applied past mental health PSS to solve new problems in maternal health. They tended to select past PSS based on structural similarity and to apply PSS via low-level abstraction in serious situations or preventively to avoid causing the current situation to worsen. Notably, PHNs developed maternal health PSS by using past mental health PSS;these new PSS were derived through analogy from various failures and successes. Conclusions: PSS developed in one area can be applied in another area, and new PSS can develop through applying these previous PSS. Identification of structural similarities and preventive analogies must be included in nursing education, especially for nurses working in public health fields.

中小学生心理健康问题家校协同预防的现状及对策

采用自编的《中小学生心理健康问题家校协同预防调查问卷》,对江苏省、河南省以及新疆维吾尔自治区41所中小学的3839名学生家长和1144名教师进行问卷调查,结果发现:家长和教师对学生心理健康问题家校协同预防责任的看法不够全面;家长和教师对学生心理健康问题家校协同预防方式比较单一;家长和教师参与学生心理健康问题家校协同预防程度不够;家长和教师对学生心理健康问题家校协同预防成效不够满意;影响学生心理健康问题家校协同预防成效的家长和教师因素是多方面的,能力有限是首选因素。提高中小学生心理健康问题家校协同预防成效,应形成家校协同预防共识,提升家校协同预防能力,强化家校协同预防保障机制。

Workplace harassment faced by female Nepalese migrants working aboard

Background:Nepal has a long history of labour migration over the years.Migrants can experience a range of problems in their destination countries,and women are more at risk than men.This paper is the first to explore the problems faced by Nepalese women migrants while working abroad.Methods:This study was conducted among 1,889 women who were registered as migrant returnees at an organisation called Pourakhi Nepal.The study extracted and analysed data from a non-governmental organisation that supports returning female migrant workers in Nepal.Results:Around half(43.1%)of the women were 35 or older,30.9%were illiterate,and 63.6%were in their first overseas job.More than one-third(38.5%)had self-reported workplace harassment.Physical violence was the most prevalent(68%),followed by verbal abuse(37.5%),mental stress(29.7%),and sexual abuse(14.1%).Women who were illiterate(adjusted odds ratio[AOR]1.25,95%confidence interval[CI):1.01 to 1.55),unmarried(AOR 1.27,95%CI:1.05 to 1.56),worked abroad twice or more(AOR 1.35,95%CI:1.10 to 1.66),changed their place of work(AOR 2.38,95%CI:1.42 to 4.01),lived without documents(AOR 1.24,95%CI:1.03 to 1.50),worked as domestics(AOR 3.56,95%CI:2.03 to 6.23),worked in other than Gulf Cooperation Council countries(AOR 1.45,95%CI:1.06 to 1.99),women who did not have a fixed salary(AOR 1.64,95%CI:1.28 to 2.10)and did not receive salary(AOR 3.71,95%CI:2.88 to 4.77)were more likely to be harassed at work.Conclusion:Our findings suggest that the host governments should introduce and enforce policies protecting women in the workplace.Migrant women should be provided with better information about health risks and hazards as well as how to improve preventive measures in destination countries to reduce workplace harassment.