Association of social and clinical conditions to the quality of life of patients with heart failure. / Associação das condições sociais e clínicas à qualidade de vida de pacientes com insuficiência cardíaca.

OBJECTIVE: To analyze the association between sociodemographic and clinical conditions with the quality of life related to health of heart failure patients. METHOD: Cross-sectional study with a non-random sample of 84 outpatients with heart failure, performed in the city of João Pessoa, PB, Brazil, in the period from January to July 2015. The questionnaire by name Minnesota Living with Heart Questionnaire was used The following tests were applied in data analysis: t-Student, ANOVA and Pearson's Correlation, com a 5% significance level. RESULTS: The average scores of the Minnesota Living with Heart Failure Questionnaire showed a good quality of life in the group under study. There was a significant negative association between quality of life and age: thus the lower the age, the worse the quality of life. CONCLUSION: Health promotion actions become necessary to improve the coping capacity of this disease, especially for younger patients.

[Knowledge, attitude and practice of condom use by women of an impoverished urban area]. / Conhecimento, atitude e prática de mulheres de umaglomerado subnormal sobre preservatives.

OBJECTIVE: Assessing the adequacy of knowledge, attitude and practice of women regarding male and female condoms as STI/HIV preventive measures. METHOD: An evaluative Knowledge, Attitude and Practice (KAP) household survey with a quantitative approach, involving 300 women. Data collection took place between June and August 2013, in an informal urban settlement within the municipality of João Pessoa, Paraiba, Northeast Brazil. RESULTS: Regarding the male condom, most women showed inadequate knowledge and practice, and an adequate attitude. Regarding the female condom, knowledge, attitude and practice variables were unsatisfactory. Significant associations between knowledge/religious orientation and attitude/education regarding the male condom were observed. CONCLUSION: A multidisciplinary team should be committed to the development of educational practices as care promotion tools in order to improve adherence of condom use.

Contribution of informal caregivers to self-care in individuals with heart failure.

OBJECTIVES: to evaluate the contribution of informal caregivers to the self-care of individuals with heart failure. METHODS: a cross-sectional study was conducted with 87 caregivers from March to October 2022 in the city of João Pessoa/PB. The caregivers' contribution was assessed using the Caregiver Contribution to Self-Care of Heart Failure Index instrument. Scores ≥ 70 points indicate adequate contribution. Data were analyzed using descriptive statistics and Spearman's correlation. RESULTS: the sample consisted of 81.6% female caregivers. Median scores obtained for the self-care contribution scales were: 63.3 for maintenance; 55.5 for management; and 66.6 for confidence. Caregivers never or rarely recommended monitoring body weight, regular physical exercise, extra use of diuretics, and fluid restriction. CONCLUSIONS: informal caregivers showed inadequate contribution in the areas of maintenance, management, and confidence in self-care of individuals with heart failure.

Evaluation of the usability of the Quali+ mobile application for people with high blood pressure.

OBJECTIVE: To evaluate the usability of the "Quali+" mobile application prototype for people with high blood pressure. METHOD: Descriptive, cross-sectional study of heuristic evaluation of a mobile application prototype carried out between June and July 2021, in a university hospital. Participants were 22 people with arterial hypertension in the city of Campina Grande, PB, Brazil. To measure usability, the Smartphone Usability questionnaiRE instrument was applied. Levels (70 points have good usability. Descriptive statistics were used. RESULTS: The overall usability average was 105.8(7.44 points, with the lowest score being 83 and the highest being 113. Usability was at the highest level(80 points). CONCLUSION: The usability evaluation showed that, although it is a prototype, the application has good usability and can be considered for routine use in health self-management. Future research is needed to verify its effectiveness.

Effects of the Quality of Life on the Adaptation of People With An Intestinal Stoma.

The study aimed to examine the effects of the quality of life on the adaptation of people with an intestinal stoma. Cross-sectional study with 152 people with an ostomy. Three instruments were used: the sociodemographic and clinical characterization, Scale for the Level of Adaptation of Ostomy Patients, and City of Hope Quality of Life - Ostomy Questionnaire. The multiple linear regression model, multivariate technique, and cluster were used. The determination coefficient showed that 94.1% of the variability of the Adaptation scores is explained by the dimensions of quality of life. It can be seen that the highest standardized coefficients are the psychological dimension (ß = .386) and the social dimension (ß = .365), in which they produce the greatest changes in the average adaptation scores. The psychological and social well-being dimensions are the ones that most contribute to raising the levels of adaptation.

Pressure injury prevention in older people: construction and validation of an instrument for caregivers.

OBJECTIVES: to construct and validate an instrument to assess the knowledge, attitudes, and practices related to pressure injury prevention among caregivers of institutionalized older people. METHODS: this is a three-stage methodological study that consisted of instrument construction, analysis by experts, and semantic and appearance analysis, with 78 participants, observing the validation process steps for psychometric instruments in the criteria of clarity and relevance. RESULTS: in the Delphi I round, the validity index of the general content in the clarity criterion was 0.66, in relevance 0.85, and the Kappa value was >0.76. In Delphi II, clarity was 0.95, relevance 1.00, and the Kappa value was >0.97. CONCLUSIONS: this is a valid instrument in terms of content and appearance, which allows further analysis of its reliability for the measurement of the constructs for which it is intended. Therefore, it can be considered a tool for care management in pressure injury prevention.

Knowledge and attitude about disabilities in leprosy: Effects of an intervention grounded on the Meaningful Learning Theory.

OBJECTIVE: To analyze the effects of an educational intervention in the light of the Meaningful Learning Theory on the knowledge and attitude of Primary Health Care physicians and nurses in the assessment of the degree of physical disability in leprosy. METHOD: An intervention study of the before-and-after type, conducted with 122 professionals (84 nurses and 38 physicians) from the Primary Health Care of João Pessoa, Paraíba, in a training course on the assessment of the degree of physical disability in leprosy. The data were collected with the research's own instrument validated and analyzed by the chi-square adherence and proportion test, with a 5% significance level. RESULTS: There was an increase in the scores of all items of the instrument, with a statistically significant difference (p < 0.05) in 20 of the 32 items, with emphasis on those related to the professional's technical ability to conduct the stages of anamnesis, palpation of peripheral nerves, sensory and motor evaluation. It is also noteworthy that, after the intervention, 5 items obtained 100% of correct answers. CONCLUSION: The educational intervention grounded on the Meaningful Learning Theory improved the health professionals' knowledge and attitude in the assessment of the degree of physical disability in people with leprosy.

Psychosocial factors related to the behavioral intention of people with type 2 diabetes using insulin.

OBJECTIVES: to analyze the psychosocial factors correlated with the behavioral intention of people with Type 2 Diabetes Mellitus (T2DM) towards insulin use. METHODS: a cross-sectional study; a validated instrument based on the Theory of Planned Behavior was used to identify the direct measures (attitude, subjective norm and perceived control), indirect measures (behavioral, normative and control beliefs) and behavioral intention for the use of insulin. Descriptive analysis and Spearman's correlation were performed for data analysis. RESULTS: a total of 211 individuals participated in the study, with a positive median of behavioral intention. Attitude, normative and behavioral beliefs were the psychosocial factors that presented a significant correlation (r=0.16, r=-0,15 and r=0.25, respectively; p<0.05) with the intention. CONCLUSIONS: there is a positive behavioral intention in the use of insulin by people with T2DM. Attitude, normative beliefs and behavioral beliefs have a low magnitude correlation with the intention of people with T2DM to use insulin.

Development and validation of a mobile application for heart failure patients self-care.

OBJECTIVE: To develop and verify content and face validity evidence of a mobile application prototype for heart failure patients self-care. METHOD: Study of technological development based on Contextualized Instructional Design. In the validation stage, six cardiology specialist nurses evaluated the content through the Suitability Assessment of Materials and 13 people with heart failure underwent face validity assessment, through content validity index. Data were analyzed using descriptive statistics. RESULTS: The prototype of the application, called "Tum Tum", has an interface and free navigation screens covering the concept of heart failure, its causes, symptoms and signs, diagnosis, and treatment. It has a mosaic with educational guidelines, resources for early recognition of signs of clinical decompensation, registration for body weight control, reminders for medication use, consultation and exam schedule. The technology proved to be adequate among specialists and the target audience. CONCLUSION: It was possible to develop and validate the content and face of the "Tum Tum" application prototype, which demonstrates the potential to promote self-care in people with heart failure.

[Construction and validation of an instrument on the intended use of condoms among socially vulnerable women]. / Construção e validação de instrumento sobre intenção de uso de preservativos entre mulheres de aglomerado subnormal.

The scope of this article is to build and validate an instrument to measure the intention to use condoms among women in a context of social vulnerability. It involved methodological research, the elaboration stage of which involved 111 women from a previous study, and the content validation stage had 166 participants, including female frequenters of a healthcare service, specialized referees and teachers. In the validation process, the Content Validity Index per Item, General Content Validity Index and Cronbach's Alpha were used. The instrument included 29 items and had a General Content Validity Index of 0.99. The semantic validation resulted in the insertion of pictorial signs in the response scales. The pilot study generated Cronbach's alpha of 0.61 (CI: 0.48-0.72). The validated instrument is a tool that can assist health workers and researchers in predicting condom use, providing input for preventive interventions towards safe sexual practices among women in situations of social vulnerability.

O objetivo deste artigo é construir e validar um instrumento de medida da intenção de uso de preservativos entre mulheres em contexto de vulnerabilidade social. Pesquisa metodológica cuja etapa de construção envolveu 111 mulheres em estudo prévio e a validação do conteúdo e face contou com 166 participantes, entre usuárias de um serviço de saúde, juízes especialistas e docentes. No processo de validação foram utilizados o Índice de Validade de Conteúdo por Item, Índice de Validade de Conteúdo Geral e Alfa de Cronbach. O instrumento constou de 29 itens, com Índice de Validade de Conteúdo Geral 0,99. A validação semântica resultou na inserção de sinais pictóricos nas escalas de resposta. O estudo piloto gerou Alfa de Cronbach 0,61 (IC: 0,48-0,72). O instrumento validado constitui-se ferramenta que pode auxiliar trabalhadores da saúde e pesquisadores na predição do uso de preservativos, guiando intervenções preventivas na direção de práticas sexuais seguras entre mulheres em situação de vulnerabilidade social.

Factors related to tissue complications resulting from insulin therapy: a cross-sectional study.

OBJECTIVE: To identify factors related to tissue complications resulting from insulin therapy. METHOD: This is a descriptive, cross-sectional study carried out in a capital of northeastern Brazil. A semi-structured form and an observation guide were applied to assess the performance of insulin preparation and administration techniques. Descriptive statistics, association test, and multivariate logistic regression were used for data analysis. RESULTS: Most participants were female (74.2%), aged between 51 and 70 years (50.0%), and had nine to eleven years of education (36.7%). The presence of some type of local complication in 73.5% of the participants and the failure to rotate the injection sites in 82.3% are highlighted. Being single/widowed and not rotating insulin application sites were related to local complications and increased the chances of their occurrence by 3.51 and 6.70 times, respectively. CONCLUSION: Marital status and nonrotation of injection site were related to the increased chances of tissue complications resulting from insulin therapy.

Anxiety and depression in mothers of newborns in intensive care units.

OBJECTIVE: To evaluate the classification and factors associated with anxiety and/or depression in mothers of newborns in a neonatal intensive care unit and elaborate the nursing process after psychological testing. METHOD: A study conducted with 91 mothers of newborns in intensive care of northeastern maternity, through a Beck anxiety and depression characterization and inventory form. RESULTS: Majority with severe anxiety (93.4%) and moderate depression (50.5%). There was statistical significance between anxiety with planned pregnancy (p=0.022) and vaginal delivery route (p=0.028), as well as depression with abortion (p=0.027) and mechanical ventilation (p=0.017). CONCLUSION: Route of delivery, unpaid occupation, income, kangaroo method adhering, supplementation, schooling, planned pregnancy, gestational age of birth and newborn weight impact emotional instability. Social support stands out as a protective factor for symptoms of anxiety and depression.

Knowledge of primary care nurses before and after educational intervention on diabetic foot.

OBJECTIVE: To compare the knowledge of the nurses about the diabetic foot before and after the educational intervention. METHOD: Quasi-experimental study, before-and-after type, carried out with 53 nurses, from March to June 2016, in the municipality of Campina Grande, Paraíba. The Questioning Methodology was used to develop the educational intervention. Knowledge was investigated using an instrument designed by the researchers. For data analysis before and after the intervention, the McNemar and Wilcoxon tests were performed. RESULTS: The knowledge of the nurses about the diabetic foot turned out to be deficient, with a mean of correct answers in the pre-test of 23.8 (SD±12.8) and after 41.9 (SD±9,2), with a statistically significant difference (p<0.01). CONCLUSION: It was verified a significant increase in the knowledge after the intervention, highlighting the items related to evaluate the loss of plantar protective sensitivity, essential for the prevention of diabetic foot.

Instrument to evaluate the behavioral intention of hypertensive people when taking anti-hypertensives.

OBJECTIVES: to build and analyze the validity of an instrument to assess the behavioral intention of individuals with hypertension to take antihypertensive pills. METHODS: methodological study based on the theory of planned behavior, developed in three stages: preparation of the instrument, validation of content and pre-test with the target audience. The content has been validated by six experts. The Content Validity Index was applied. RESULTS: five nurses and one psychologist participated, with experiences in systemic arterial hypertension and/or planned behavior theory. The first version of the instrument contained 40 items. After analysis, the second version originated, with 36 items. 100% agreement was obtained for the scope of the constructions. The pre-test showed clarity and understanding of the items by the target audience. CONCLUSIONS: the instrument is a reliable and innovative technological product for use in populations with systemic arterial hypertension and beliefs similar to those identified in the surveyed group.

Validation of persuasive audiovisual communication to reduce salt consumption by people with heart failure. / Validação de comunicação persuasiva audiovisual para redução do consumo de sal por pessoas com insuficiência cardíaca.

OBJECTIVE: To build and validate persuasive audiovisual communication content to reduce salt consumption in the diet of people with heart failure. METHOD: Methodological study, of a technological method, based on the Theory of Planned Behavior, in which the stages of pre-production, production and post-production were followed. Content validation was carried out with specialists in the field of health and communication. RESULTS: Based on the survey of beliefs related to salt reduction, the video contains 42 screens with three minutes and eleven seconds in duration and has animations and motivational arguments with the aim of positively influencing behavioral intention and modeling negative beliefs in positive ones. In content validation, the judges unanimously agreed with the evaluation criteria for the target audience, language, harmony, figures, narration and persuasion strategy. The Content Validity Index was satisfactory with a 97% agreement. CONCLUSION: Persuasive audiovisual communication was considered valid in terms of content, becoming a tool to enhance the reduction of salt consumption in the care of people with heart failure.

Disabilities in leprosy: construction and validation of instrument on knowledge and attitude of professionals.

OBJECTIVE: To develop and test the content validity of the "Knowledge and Attitudes on Assessing Degrees of Physical Disability in Leprosy" instrument. METHODS: Methodological study carried out between January and May 2019 in three stages: item generation, analysis of aggregated redundancy to the composition, and content validation, using the Delphi technique. RESULTS: In the first evaluation, a relevance of ≥ 0.80 stood out for all items, except for 2.8, which was excluded. To make the instrument clearer, the sequence was renumbered from one to 32; 2.6, 3.1, and 15 were reformulated, and the others underwent modifications, except for ten and 13. After the second evaluation, all items obtained Content Validity Index > 0.90 and Kappa = 1.00. CONCLUSION: The instrument has an excellent content validity; it is inferred that it is adequate to measure the knowledge and attitudes of professionals in the assessment of physical disabilities in leprosy.

Persuasive communication and the diminution of the salt intake in heart failure patients: a pilot study.

OBJECTIVES: to evaluate the effect of persuasive communication in the modulation of the behavioral intention of reducing the consumption of salt in heart failure patients. METHODS: pilot quasi-experimental study with one group, before and after the application of audiovisual persuasive communication, as guided by the Theory of Planned Behavior. This study used a form built and validated to measure behavioral variables (Beliefs, Attitude, Subjective Norm, and Perceived Behavioral Control). Wilcoxon's test and Spearman's correlation were applied. RESULTS: 82 heart failure patients who were being monitored in outpatient clinics participated. The medians of the behavioral variables increased significantly after the exposition to persuasive communication, showing a high level of intention to execute the behavior. CONCLUSIONS: persuasive communication positively contributed to influence the behavioral intention of reducing the consumption of salt in people with cardiac insufficiency.

Health education: a booklet for colostomized people in use of the plug.

OBJECTIVE: To develop and validate a booklet on the use of the colostomy plug as a technological support for educational intervention. METHODS: Methodological study focusing on the production of soft and hard technologies for colostomized people using a plug, developed in three stages: literature review; validation with 13 experts; and with seven colostomized persons. RESULTS: The content for the booklet was selected based on the analysis of the articles identified in Step 1. In Step 2, regarding the content, the number of pages and appearance obtained a Content Validity Index of 0.85 and 1.00 respectively. In Step 3, the minimum Content Validity Index was 0.71 in two items related to organization and 0.86 for the writing style. The other items obtained a Content Validity Index of 1.0. CONCLUSION: The booklet was validated among experts and colostomized persons, and the final version, containing 50 pages, was offered to health professionals and colostomized people in use of a plug.

[Use of collagen and Aloe vera in ischemic wound treatment: study case]. / Uso de cobertura com colágeno e aloe vera no tratamento de ferida isquêmica: estudo de caso.

The present study is a clinical case report of a patient with diabetes and hypertension, with an ischemic wound, treated with a non-conventional Aloe vera and collagen plastering. This study is part of an experimental research project, coordinated by professors and nurses that work together to discover new ways for wound treatment. This case was chosen among many patients. Data was collected through anamneses and physical examination of the patient's condition, the wound, and pictures were taken. The plastering was applied every day, and by the end of ten weeks, total healing was obtained. There was no discomfort or any other implication as a result of using the compound. In conclusion, the compound was well accepted and efficient in this particular case.

Beliefs related to insulin use in people with Type 2 Diabetes Mellitus.

OBJECTIVES: to identify the beliefs of people with Type 2 Diabetes Mellitus related to insulin use. METHODS: a descriptive, cross-sectional, quantitative-qualitative study based on Theory of Planned Behavior and performed with 32 participants using insulin. The data were analyzed and grouped into categories by beliefs similarity, counted from the frequencies. RESULTS: 118 behavioral, 60 normative and 97 control beliefs were issued. Among the behavioral beliefs, there was an advantage in keeping the diabetes under control and disadvantage, the pain of being pierced by the application of insulin. Regulations highlighted the children as referents who support the treatment. In control beliefs, it was observed that the application of insulin appears as easiness and difficulty to the treatment.Conclusions: the study will support the construction of a psychometric scale to measure the determinants of insulin use, revealing particularities for the structuring of educational interventions that contribute to adherence of the treatment verified in adequate glycemic control.