Healing of Venous Leg Ulcers Influenced by Individual Aspects: Cluster Analysis in a Specialist Wound Management Clinic.

INTRODUCTION/OBJECTIVE: Venous Leg Ulcers (VLU) present a challenging healing process. Attaining healing is a primary treatment objective, commonly pursued in Primary Health Care (PHC) or Specialist Wound Management Clinics. Our objective was to examine the association and interplay between sociodemographic, health, clinical, and care factors with the outcomes of VLU treatment in patients undergoing care at a Specialist Wound Management Clinic. METHODS: Longitudinal, observational study took place in a center for the treatment of chronic injuries linked to PHC. The sociodemographic aspects, health status and habits, clinical and care aspects of patients with VLU were scrutinized over a 1-year period. RESULTS: The sample comprised 103 participants, with some still under treatment (Treatment Group-TG/ n = 60) and others having achieved VLU healing (Healing Group-HG/ n = 43). An association between sociodemographic, health, clinical, and care factors and the healing outcome (HG) was identified. A moderate correlation was observed between factors predisposing to healing in the sociodemographic group and health habits. Notably, among sociodemographic factors, the older age group and improvements in health, particularly the reduced use of alcohol/smoking, appeared to exert the most significant influence on healing. Additionally, specialized service monitoring and the application of compression therapy were contributory factors. CONCLUSIONS: These findings substantiate the hypothesis that sociodemographic, health, clinical, and care-related aspects are intertwined with VLU healing. Protective factors associated with healing interacted synergistically, fostering a positive outcome over one year of treatment.

Influence of pain on the quality of life in patients with venous ulcers: Cross-sectional association and correlation study in a brazilian primary health care lesions treatment center.

We aimed to verify the association and correlation between pain and QoL in people with VU treated in a Brazilian Primary Health Care (PHC) lesions treatment center. This is an observational, cross-sectional study with a quantitative approach, carried out in a service specialized in the treatment of chronic injuries, linked to 29 PHC units. Sociodemographic and health characterization instruments were used. The Short Form Health Survey-36 (SF-36) and Visual Analogue Pain Scale (VAPS) also were used. The Kruskal-Wallis test verified the association between the scalar variables of QoL and pain intensity. With Spearman's correlation test, we verified the level of correlation between the scales applied. A total of 103 patients participated in the study. Higher QoL scores associated with moderate pain were found, especially in the Physical role functioning, Physical functioning, and Vitality domains. Correlation analysis showed its greatest (moderate) strength in the interaction between the highest scores in the Physical role functioning and Emotional role functioning domains with the lowest pain levels.

Covid-19 e o uso de tecnologias informacionais e de comunicação por pessoas idosas: revisão integrativa / Covid-19 and the use of information and communication technologies by older people: integrative review / Covid-19 y el uso de tecnologías de la información y la comunicación por parte de las personas mayores: revisión integradora

Acrise sanitária ocasionada pela COVID-19 fomentou o desenvolvimento e uso das plataformas digitais e, consequentemente, a população idosa precisou se adaptar ao uso desses recursos. Objetivo:Investigar o uso das tecnologias digitais pela população idosa durante o contexto da pandemia da COVID-19. Metodologia:Revisão integrativa realizada entre os meses de janeiro a março de 2022, de artigos publicados na íntegra em português e inglês, disponíveis na Literatura Latino Americana e do Caribe em Ciências da Saúde (LILACS), National Library of Medicine (NLM-PubMed) e PubMed. Foram utilizados os descritores "aged/elderly" AND "covid-19/sars-cov-2/coronavírus" AND "information and communication technology", sendo selecionados e analisados nove estudos. Resultados:a população idosa utilizou diversos recursos tecnológicos durante a pandemia, com intuito de auxiliar o processo de comunicação, proporcionar distração e lazer, e obter auxílio e atendimento de saúde. Conclusões:Durante o isolamento social, o uso de tecnologias pela população idosa possibilitou interação social e acesso aos mais diversos recursos para busca de informações, além de amenizar a solidão e reduzir a exposição ao risco de infecção pelo vírus SARS-CoV-2 (AU).

The health crisis brought about by COVID-19 prompted the development and use of digital platforms and, consequently, theneed for theelderly population to adapt to the use of these resources. Objective:to investigate the use of digital technologies by older peopleduring the context of the COVID-19 pandemic. Method:This is an integrative review carried out between January and March 2022 of articles published in Portuguese and English, available in full in the Latin American and Caribbean Health Sciences Literature (LILACS), National Library of Medicine (NLM-PubMed) and PubMed. The descriptors "aged/elderly" AND "covid-19/sars-cov-2/coronavirus" AND "information and communication technology" were used, and nine studies were selected and analyzed. Results:The elderly population used various technological resources during the pandemic to assist in theircommunication process, provide distraction and leisure, and get help and health care. Conclusion:During social distancing, the use of technologies by the elderly population allowed social interaction and access to the most diverse resources for searching for information, in addition to alleviating loneliness and reducing exposure to the risk of infection by the SARS-CoV-2 virus (AU).

La crisis sanitaria provocada por el COVID-19 fomentó el desarrollo y uso de plataformas digitales y, en consecuencia, la población anciana necesitó adaptarse al uso de estos recursos. Objetivo:Investigar el uso de las tecnologías digitales por parte delas personas mayores durante el contexto de la pandemia de COVID-19. Metodología:Revisión integradora realizada entre enero y marzo de 2022 de artículos publicados en portugués e inglés, disponibles íntegramente en la Literatura Latinoamericana y del Caribe en Ciencias de la Salud (LILACS), Biblioteca Nacional de Medicina (NLM-PubMed) y PubMed. Se utilizaron los descriptores "aged/elderly" AND "covid-19/sars-cov-2/coronavírus" AND "information and communication technology", y se seleccionaron y analizaron nueve estudios. Resultados:Se identificó el uso de diversos recursos tecnológicos en la vida cotidiana de los ancianos, especialmente para ayudar en el proceso de comunicación, proporcionar distracción y ocio, así como para obtener asistencia y cuidadossanitarios. Conclusiones: Durante el aislamiento social, el uso de la tecnología por las personas mayorespermitió la interacción social y el acceso a una amplia gama de recursos de búsqueda de información, además de aliviar la soledad sin favorecer la exposición al riesgo de infección por SARS-CoV-2 (AU).

Determinants of socioeconomic factors for quality of life and depressive symptoms in community-dwelling older people: A cross-sectional study in Brazil and Portugal.

Our aim was to analyze the association between socioeconomic status and quality of life (QoL) among older people with depressive symptoms treated through the Primary Health Care (PHC) system in Brazil and Portugal. This was a comparative cross-sectional study with a nonprobability sample of older people in the PHC in Brazil and Portugal conducted between 2017 and 2018. To evaluate the variables of interest, the socioeconomic data questionnaire, the Geriatric Depression Scale and the Medical Outcomes Short-Form Health Survey were used. Descriptive and multivariate analyses were performed to test the study hypothesis. The sample consisted of n = 150 participants (Brazil n = 100 and Portugal n = 50). There was a predominance of woman (76.0%, p = 0.224) and individuals between 65 and 80 years (88.0%, p = 0.594). The multivariate association analysis showed that in the presence of depressive symptoms, the QoL mental health domain was most associated with the socioeconomic variables. Among the prominent variables, woman group (p = 0.027), age group 65-80 years (p = 0.042), marital status "without a partner" (p = 0.029), education up to 5 years (p = 0.011) and earning up to 1 minimum wage (p = 0.037) exhibited higher scores among brazilian participants. The portuguese participants showed an association between the general health status domain and woman group (p = 0.042) and education up to 5 years (p = 0.045). The physical functioning domain was associated with income of up to 1 minimum wage (p = 0.037). In these domains, the portuguese participants exhibited higher scores than the brazilian participants. We verified the association between socioeconomic profile and QoL in the presence of depressive symptoms, which occurred mainly among woman, participants with low levels of education and low income, with QoL aspects related to mental, physical and social health and self-perceived health. The group from Brazil had higher QoL scores than the group from Portugal.

Offer of integrative and complementary health practices for the elderly in health services: A protocol for systematic review and meta analysis.

INTRODUCTION: Integrative and complementary health practices (ICHP) question the hegemony of the biomedical, technical and hospital paradigm, as they are an important axis in the process of redefining the health care model. Understanding how ICHP are offered to the elderly population can help to improve the production of changes in care and in the daily life of health services. OBJECTIVE: To identify and summarize the scientific evidence on the provision of ICHP for the elderly in health services. METHODS: This is a research protocol for a scoping review following the recommendations of the Extension for Scoping Reviews method proposed by the Joanna Briggs Institute. Studies will be collected in the following databases, Latin American and Caribbean Health Sciences Literature, Web of Science, Scopus, Scielo, Online System for Searching and Analyzing Medical Literature (MEDLINE), Embase, Virtual Library in Health and gray literature. Two independent reviewers will perform screening, data extraction, and risk of bias assessment using the Joanna Briggs Institute Critical Assessment Checklist. For the quality of evidence, the Grading of Recommendations, Assessment, Development and Evaluation analysis will be used. RESULTS: This review will provide information on the provision of ICHP for the elderly population in health services. CONCLUSIONS: This scoping review will provide evidence to help health professionals, managers and users to recognize more effective therapeutic inventions for promoting, preventing and protecting comprehensive health at different levels of care.

Health education actions on male breast cancer: A protocol for systematic review and meta analysis.

BACKGROUND: Although rare, the rates of diagnosis of male breast cancer (MBC) have been increasing over the years, and it can be quite aggressive in the male organism. Some strategies such as health education disseminating knowledge about MBC can be essential for early discovery and finding better prognosis. OBJECTIVE: Protocol to map the available evidence of health education approaches on MBC. METHODS: A scoping review on health education on MBC will be carried out in Latin American and Caribbean Literature on Health Sciences (LILACS), Web of Science, Scopus, Scielo, Online System of Literature Search and Analysis Medical (MEDLINE), Embase, Virtual Health Library (VHL). Two independent reviewers will perform screening, data extraction, and risk of bias assessment through the Joanna Briggs Institute (JBI) Critical Assessment Checklist. For the quality of evidence, the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) Analysis will be used. RESULTS: The results of this review will be published in a peer-reviewed journal. CONCLUSIONS: This scoping review will provide evidence of how health education on MBC is being addressed in health systems. Evidence can help healthcare professionals and patients recognize the most effective educational inventions in disseminating knowledge and preventing MBC.

Quality of Life in Community-Dwelling Older People with Functional and Nutritional Impairment and Depressive Symptoms: A Comparative Cross-Sectional Study in Brazil and Portugal.

BACKGROUND: The interaction of quality of life (QoL) with functionality, nutrition and depression has been studied, but few studies have compared different realities. Our objective was to compare the associations of QoL with impaired functionality, nutritional status and depressive symptoms among older people patients treated in primary health care (PHC) in Brazil and Portugal. METHODS: Cross-sectional, comparative study was conducted with primary data from PHC services in Brazil and Portugal with users over 65 years old. Participants' scores were classified as "impaired" and "preserved" for QoL, functional decline, nutrition and depression. We used Pearson's chi-square test, Fisher's exact test and the Mann-Whitney U test. RESULTS: Our sample had a total of 150 PHC users. We found lower QoL scores in Brazil, which were associated with the risk of functional decline for the domains Physical Functioning, General Health Perceptions, Mental Health dimensions and Physical Health. Nutritional impairment in the group from Portugal included the domains of Vitality and Social Role Functioning. For depressive impairment, Portugal showed an association with the domains Mental Health, Vitality and Social Role Functioning. CONCLUSIONS: QoL was associated with functional and nutritional impairment and depressive symptoms, highlighting physical, mental and social characteristics related to the perception of well-being.

Influência de indicadores sociais na incidência e mortalidade da COVID-19 no Brasil em junho de 2020 / Influence of social indicators on the occurrence and mortality of COVID-19 in Brazil in june 2020

O estudo tem por objetivo analisar a influência de indicadores sociais das regiões e verificar sua correlação com a incidência e mortalidade causada pela COVID-19 no Brasil no período de junho de 2020. Trata-se de um estudo observacional, ecológico e analítico na qual foram incluídas nas análises todas Unidades Federativas brasileiras de 10/06/2020 à 13/06/2020. Considerou-se como variáveis relacionadas à COVID-19: taxa de incidência e mortalidade acumulada por 100 mil habitantes e taxa de letalidade acumulada. Como variáveis independentes, determinou-se: índice de desenvolvimento humano, percentual de pobreza e renda per capita. Verificou-se que regiões mais pobres (Norte e Nordeste) possuem maior incidência, mortalidade e letalidade por COVID-19 se comparado com as regiões mais ricas do (Sudeste, Sul e Centro-oeste). Esses resultados demonstram que os indicadores sociais possuem influência nas taxas de incidência e óbitos por 100 mil habitantes devido a COVID-19, além de apresentar correlações significativas entre si. Os achados do estudo podem ser usados para embasar e dar direcionamento a ações de combate ao COVID-19 no país, levando à criação de políticas públicas bem estruturadas e garantindo eficácia para o enfrentamento da doença em áreas com vulnerabilidade.

Current paper analyzes the influence of social indicators in Brazilian regions and verifies their correlation with the occurrence and mortality caused by COVID-19 in Brazil. All the Brazilian Federative States were included in current observational, ecological and analytical study from 06/10/2020 to 06/13/2020. Variables were related to COVID-19´s occurrence rate, lethality and accumulated mortality per 100,000 inhabitants. Independent variables comprised human development index, poverty percentage and per capita income. Results show that poorer regions have higher incidence, mortality and lethality by COVID-19 when compared to richer ones. These results demonstrate that social indicators influence the incidence and death rates per 100,000 inhabitants due to COVID-19, in addition to showing significant correlations with each other. The study findings may be used to support and guide actions to combat COVID-19 in the country.

Loss of Muscle Mass and Vulnerability in Institutionalized Older Adults.

This study aimed to evaluate the association between muscle mass and vulnerability in institutionalized older adults. A cross-sectional study was carried out in eight philanthropic Long-Term Care Facilities (LTCF) located in the metropolitan area of Natal, Rio Grande do Norte, Brazil. The participants were individuals aged 60 years or older who were present in the institutions at the time of data collection. To assess muscle mass, the calf circumference was categorized into loss of muscle mass (<31 cm) and preserved muscle mass (≥31 cm). The vulnerability was assessed by The Vulnerable Elders Survey (VES-13). Of the 250 older adults evaluated, 46.1% presented loss of muscle mass, which was associated with the presence of physical limitation, vulnerability, and age group (p < 0.05). The presence of vulnerability was the main factor contributing to loss of muscle mass (R2 = 8.8%; B = 0.781; 95% CI 0.690−0.884; p < 0.001). Loss of muscle mass is associated with disability in institutionalized older adults.

Pacientes atendidos com suspeita de acidente vascular encefálico: análise de associação entre diagnóstico e desfecho clínico / Patients treated with suspected stroke: analysis of the association between diagnosis and clinical outcome / Pacientes tratados con sospecha de accidente cerebrovascular: análisis de la asociación entre diagnóstico y evolución clínica

Objetivo: verificar a associação entre o diagnóstico e desfechos clínicos em casos suspeitos de Acidente Vascular Encefálico, atendidos no pronto-socorro de um hospital de alta complexidade. Método: estudo transversal e observacional, com dados secundários e abordagem quantitativa, realizado sobre atendimentos de pacientes com suspeita de Acidente Vascular Encefálico isquêmico ou hemorrágico durante seis meses. Resultados: do total de 50 atendimentos, observou-se que entre os diagnósticos de Acidente Vascular Encefálico, destacaram-se o isquêmico com 18 casos (36%) e o hemorrágico com cinco (10%), sendo que este representou a maior proporção de óbitos, com o total de três (6%). Dentro da amostra, 24 (48%) não tiveram confirmação de AVE, sem qualquer ocorrência de óbito (p-valor= 0,001). Conclusão: observou-se na amostra a associação entre o diagnóstico de Acidente Vascular Encefálico e seu desfecho clínico, com a alta hospitalar como principal desfecho, porém com um alto percentual de óbitos.

Objective: to verify the association between diagnosis and clinical outcomes in suspected cases of stroke treated in the emergency room of a high complexity hospital. Method: a cross-sectional and observational study, with secondary data and a quantitative approach, carried out on visits to patients with suspected ischemic or hemorrhagic stroke for six months. Results: from the total of 50 consultations, it was observed that among the diagnoses of stroke, the ischemic one with 18 cases (36%) and the hemorrhagic one with five (10%) stood out, and this represented the largest proportion of cases. deaths, with a total of three (6%). Within the sample, 24 (48%) had no confirmation of stroke, without any occurrence of death (p-value= 0.001). Conclusion: an association between the diagnosis of stroke and its clinical outcome was observed in the sample, with hospital discharge as the main outcome, but with a high percentage of deaths.

Objetivo: verificar la asociación entre el diagnóstico y los resultados clínicos en casos sospechosos de Accidente cerebrovascular atendidos en el servicio de urgencias de un hospital de alta complejidad. Método: estudio transversal y observacional, con datos secundarios y abordaje cuantitativo, realizado en visitas a pacientes con sospecha de ictus isquémico o hemorrágico durante seis meses. Resultados: del total de 50 consultas, se observó que entre los diagnósticos de Accidente cerebrovascular se destacó el isquémico con 18 casos (36%) y el hemorrágico con cinco (10%), representando la mayor proporción de casos defunciones, con un total de tres (6%). Dentro de la muestra, 24 (48%) no tuvieron confirmación de diagnóstico, sin ocurrencia de muerte (p-valor= 0,001). Conclusión: se observó en la muestra una asociación entre el diagnóstico de Accidente cerebrovascular y su desenlace clínico, siendo el alta hospitalaria el principal desenlace, pero con un alto porcentaje de óbitos.

Depression and quality of life in Brazilian and Portuguese older people communities: Analysis of association.

ABSTRACT: We aimed to compare the association of depression with aspects of quality of life (QoL) among older people users of primary health care (PHC) living in Brazil and Portugal.We carried out an observational, cross-sectional and comparative study with a quantitative approach in the PHC scope in Brazil and Portugal, where we obtained a nonrandom sample of 150 participants aged 65 years or older (100 Brazilians and 50 Portuguese). We used the socioeconomic and health data questionnaire, the Medical Outcomes Short-Form Health Survey QoL (SF-36) questionnaire and the Beck Inventory.Among the socioeconomic profiles, most were females aged between 65 and 80 years in both countries. There was a significant difference between groups in the income variable, with 100.0% of Portuguese people earning up to 1 minimum wage (P value <.001), and the presence of chronic diseases in 92.0% of respondents in Portugal (P value = .033). In the association analysis, most aspects of QoL had a higher median score (>50.0) within the categorical variables of "absent" and "mild" depression. The Emotional role functioning, Physical role functioning, Physical functioning, Mental health, Total score domains and the Mental health and Physical health summary measures stood out with this behavior in Brazil and in Portugal, where these latter 2 presented moderate to strong correlation values (ρ > 0.400) in Portugal. Greater associations of depression on QoL were revealed in Portugal than in Brazil. Among their most expressive associations, the Physical role functioning (odds ratio [OR] = 4.776; 95.0% confidence interval [CI]: 2.41-9.43), Physical functioning (OR = 3.037; 95.0% CI: 3.037), Vitality (OR = 6.000; 95.0% CI: 1.56-23.07) and Total score (OR = 3.727; 95.0% CI: 2.24-6.17) domains and the Mental health summary measure (OR = 3.870; 95.0% CI: 2.13-7.02) stood out.Aspects related to the emotional, physical, functional and mental health components stood out. The association and correlation with depression were more expressive in Portugal compared to Brazil. However, similar results were obtained in Brazil but with less relevance.

Prevalence of COVID-19 infection in black people in primary health care, hospital units and intensive care units: a protocol for a systematic review and meta-analysis.

INTRODUCTION: COVID-19 pandemic has affected people all over the world. In this context, health disparities are already evident in becoming ill and dying from this condition, further accentuating historical racial inequalities. METHODS AND ANALYSIS: This protocol will be developed based on the recommendations of Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols. For this, searches will be carried out in PubMed, Web of Science, Scopus, Lilacs and ScienceDirect databases searching for cross-sectional studies that assessed the prevalence of black people with COVID-19 at different levels of complexity. All cross-sectional studies that analysed the prevalence of COVID-19 in black people assisted in primary care, hospital wards and intensive care units will be included. The research will be carried out by two independent researchers who will identify the articles; they will exclude duplicate studies. Through blind evaluation, they will select the articles using the Rayyan QCRI application. The instrument proposed by Downs and Black will be used to assess the risk of bias. The meta-analyses will be performed according to the data conditions included. ETHICS AND DISSEMINATION: For this study's development, there is no need for an ethical appraisal considering that it is a systematic review that will use secondary studies. This study's findings will be disseminated through peer-reviewed publications, conference presentations and condensed summaries for main stakeholders and partners in the field. The database search is expected to begin on 1 February 2021. It is expected to complete the entire review process by 30 October 2021 TRIAL REGISTRATION NUMBER: CRD42020209079.

Health conditions of potential risk for severe Covid-19 in institutionalized elderly people.

The objective of this study was to identify the health conditions considered potential risk factors for severe Covid-19 and analyze its association with the BMI of elderly people living in Long-Term Care Facilities (LTCF). This is a descriptive and cross-sectional study, with a quantitative approach, carried out in eight LTCF in the Metropolitan Region of Natal, Rio Grande do Norte, with a population of 267 elderly people, between the months of February and December 2018. The Elderly Health Handbook was used to collect data on sociodemographic, health and risk factors. The Pearson's Chi-square test and odds ratio were used for the analysis. A higher frequency of low weight was observed in elderly people with cognitive impairment (24.6%), and overweight in those hypertensive (23.3%) and diabetics (12.9%). BMI was associated with the age group of 80 years or over, hypertension and diabetes (p = 0.013; p < 0.001; p = 0.001). Hypertensive elderly people were more likely to have low weight when compared to non-hypertensive individuals (RC = 3.6; 95% CI 1.5-8.6). The institutionalized elderly individuals present health conditions that may contribute to the occurrence of adverse outcomes in case of infection by Covid-19. The importance of protective measures for this population must be reinforced, in view of the devastating action of this disease in these institutions.

Knowledge of the care of wounded patients: evidence of validity of an instrument / Conocimiento acerca del cuidado de la persona com heridas: evidencias de validez del instrumento / Conhecimento no cuidado à pessoa com ferida: evidências de validade de instrumento

ABSTRACT Objective: to present evidence of validity of an instrument aimed at evaluating the knowledge of nursing students about the care of the wounded patient, according to the difficulty and discrimination indexes of the items. Method: methodological study conducted in a nursing higher education institution with 117 undergraduate students and 38 professionals from a research group with experience in the area of wounds. For data collection, a questionnaire with 10 multiple choice questions was applied before and after classes on wounds. Results: most of the questions presented low level of difficulty and inefficient discrimination index, requiring a revision of the instrument. After two review stages, the difficulty and discrimination indexes of the instruments improved. Conclusion: an instrument with better evidence of validity was obtained. However, it still requires refinement for later revalidation in the same population.

RESUMEN Objetivo: identificar las evidencias de validez según los índices de dificultad y discriminación de los ítems de un instrumento con el fin de evaluar el conocimiento de académicos de enfermería en el cuidado de la persona lesionada. Método: se trata de un estudio metodológico desarrollado en una institución de enseñanza superior de enfermería realizado entre 117 estudiantes de graduación y 38 profesionales con experiencia en el área de heridas pertenecientes a un grupo de investigación. Se recogieron los datos mediante un cuestionario de 10 preguntas de opción múltiple, aplicado antes y después de las clases sobre heridas. Resultados: la mayoría de las cuestiones presentó un nivel bajo de dificultad y poder discriminativo ineficiente, haciéndose necesaria la revisión del instrumento. Tras dos etapas de revisión, el cuestionario demostró una mejoría de los índices de dificultad y discriminación. Conclusión: se logró un instrumento con mejor evidencia de validez, aunque tuvo que ser perfeccionado para su posterior revalidación en la misma población.

RESUMO Objetivo: Identificar as evidências de validade, segundo os índices de dificuldade e discriminação dos itens, de um instrumento para avaliação do conhecimento de acadêmicos de enfermagem no cuidado à pessoa com lesão. Método: Estudo metodológico desenvolvido em instituição de ensino superior de enfermagem com 117 estudantes de graduação e 38 profissionais componentes de grupo de pesquisa com experiência na área de feridas. Para coleta de dados, utilizou-se um questionário com 10 questões de múltipla escolha, aplicado antes e após as aulas de feridas. Resultados: A maioria das questões apresentou baixo nível de dificuldade e poder discriminativo ineficiente, sendo necessária a revisão do instrumento. Após duas etapas de revisão, o questionário apresentou melhora dos índices de dificuldade e discriminação. Conclusão: Obteve-se um instrumento com melhores evidências de validade, embora com necessidade de refinamento para posterior revalidação na mesma população.

Knowledge of the care of wounded patients: evidence of validity of an instrument.

OBJECTIVE: to present evidence of validity of an instrument aimed at evaluating the knowledge of nursing students about the care of the wounded patient, according to the difficulty and discrimination indexes of the items. METHOD: methodological study conducted in a nursing higher education institution with 117 undergraduate students and 38 professionals from a research group with experience in the area of wounds. For data collection, a questionnaire with 10 multiple choice questions was applied before and after classes on wounds. RESULTS: most of the questions presented low level of difficulty and inefficient discrimination index, requiring a revision of the instrument. After two review stages, the difficulty and discrimination indexes of the instruments improved. CONCLUSION: an instrument with better evidence of validity was obtained. However, it still requires refinement for later revalidation in the same population.

Hospital-Health Psychology, Human Development and Interdisciplinarity: Research in the interface between Psychology and Health / Psicologia da Saúde Hospitalar, Desenvolvimento Humano e Interdisciplinaridade: pesquisa na Interface entre Psicologia e Saúde / Psicología de la salud hospitalaria, Desarrollo Humano e Interdisciplinariedad: Práctica de la Investigación en la Interfaz Psicología y Salud

This theoretical article aims to characterize the interface between psychology and studies on the health-disease process, especially in the field of Health Psychology, with human development and interdisciplinarity as a background to these investigations. To that end, the study revisited the history of these two fields of psychology (health and human development), and the introduction of interdisciplinarity in human science research. Next, we present the main methods used in health psychology research. It is concluded that despite the various epistemological, methodological and paradigm shifts that coexist in the human sciences, much remains to be done to effectively implement a knowledge construction and research framework that addresses the complexity of the health-disease process.

Este artigo teórico pretende caracterizar a interface das pesquisas entre a psicologia e os estudos sobre o processo saúde-doença, notadamente, no campo da Psicologia da Saúde-Hospitalar, tendo como transfundo destas investigações o desenvolvimento humano e a interdisciplinaridade. Para tanto, o estudo revisitou a história destes dois campos da psicologia: da saúde hospitalar e do desenvolvimento humano, e a introdução do tema da interdisciplinaridade nas pesquisas em ciências humanas. Em seguida, apresentamos os principais métodos de investigação utilizados na pesquisa em psicologia da saúde-hospitalar. Conclui-se que apesar das diversas mudanças epistemológicas, metodológicas e paradigmáticas que coexistem nas ciências humanas, ainda há muito o que se construir para implementar efetivamente uma perspectiva de construção de conhecimento e de pesquisa que deem conta da complexidade do processo saúde-doença.

Este artículo teórico tiene como objetivo caracterizar las interfaces de investigación entre la psicología y los estudios sobre o proceso salud-enfermedad, especialmente en el campo de la psicología de la salud, teniendo como antecedentes de estas investigaciones el desarrollo humano y la interdisciplinariedad. Para ello, el estudio revisó la historia de estos dos campos de la psicología: la salud y el desarrollo humano, y la introducción del tema de la interdisciplinariedad en la investigación en ciencias humanas. A continuación, presentamos los principales métodos de investigación utilizados en la investigación de la psicología de la salud. Se concluye que apesar de los diversos cambios epistemológicos, metodológicos y paradigmáticos que coexisten en las ciencias humanas, todavía hay mucho que construir para implementar efectivamente una perspectiva de construcción de conocimiento e investigación que explique la complejidad del proceso de salud-enfermedad.

[The influence of activities on the quality of life of the elderly: a systematic review]. / Influencia de las actividades en la calidad de vida de los ancianos: revisión sistemática.

The scope of this study was to identify which activities or interventions cause changes in the quality of life of the elderly. It involved a systematic review of the literature in the Scopus, ISI Web of Science, Scielo, Lilacs, BDenf and PubMed databases. The key word for the Medical Subject Heading (MeSH) used was "quality of life," in combination with the terms of greatest interest: "elderly, motor activity, education." The research was conducted between July and August 2015 and included original works published between 2010 and 2015 in English, Portuguese and Spanish. The Cochrane strategy was also adopted for the preparation of the review. Twenty-seven articles were studied that compared the quality of life of the elderly before and after performing a physical, educational or mixed-type intervention. The main result obtained was that the general health, social function, physical role and satisfaction with life are the most influenced domains, whereby group physical activities are practiced the most. The conclusion drawn is that when carrying out activities of any kind, preferably adapted for age, there are changes in the quality of life of the elderly in a general manner, notably with an improvement in functional, mental and social aspects.

El objetivo es identificar qué actividades o intervenciones ocasionan cambios en la calidad de vida de los ancianos. Revisión sistemática de la literatura en las bases de datos: Scopus, ISI Web of Science, Scielo, Lilacs, BDenf y PubMed. Cómo término principal Medical Subject Heading Terms (Mesh) se seleccionó "quality of life" en combianción con los términos de mayor interés:"elderly, motor activity, education". Búsqueda realizada entre Julio y Agosto de 2015 en la cual se incluyen trabajos originales publicados entre 2010 y 2015 en ingles, portugués y español. Además se siguió la estragégia Cocharne para la elaboración de la revisión. Se estudiaron 27 artículos que comparaban la calidad de vida del anciano antes y después de realizar una intervención de tipo física, educativa o mixta. Cómo principal resultado se obtiene que la salud general, fución social, rol físico y satisfacción con la vida són los dominios más influenciados, así como las actividades físicas en grupo són las más realizadas. Se concluye que al realizar actividades de cualquier índole, preferiblemente adaptadas, se producen cambios de forma notable en la calidad de vida del anciano a nivel general, observándose especialmente una mejoría en aspectos funcionales, mentales y sociales.

Avaliação de Resultados da Assistência em Saúde Mental por Usuários / Evaluation of Mental Health Care Results by Users

Objetivo: avaliar os resultados da assistência em saúde de um centro de atenção psicossocial (CAPS). Metodologia: estudo avaliativo, com delineamento não experimental, realizado num CAPS I do oeste potiguar, entre os meses de março e abril de 2014. Foram entrevistados 32 usuários do serviço, com aplicação de instrumento de pesquisa desenvolvido pelos autores, a partir de quatro domínios: autonomia, relacionamento, volição e crises. Dados analisados por meio de estatística descritiva. Resultados: Os usuários predominantes eram homens (56,3%), com idade entre 34 e 43 anos (40%), casados (87,5%), ensino fundamental I incompleto (50%), moradores da zona urbana (65%). O transtorno de humor e/ou afetivo foi o diagnóstico principal, sendo 57,1% entre as mulheres. Recebiam tratamento entre sete e oito anos no CAPS pesquisado (49,3%), compareciam ao serviço duas vezes por semana (46,5%). Referiram internamento hospitalar a menos de um ano (9,4%). Os domínios para avaliação dos resultados da assistência obtiveram melhoras após o tratamento no CAPS, com destaque para "Crises" (78,1%) e "Relacionamento" (71,9%). A avaliação de serviços de saúde mental por usuários é um mecanismo que pode contribuir para sua autonomia, gestão do cuidado e do serviço. Conclusão: Os resultados da assistência em saúde foram positivos em todos os domínios avaliados. O serviço pesquisado possui fragilidades no tocante ao fluxo de atendimento do usuário, participação familiar, condução da agenda terapêutica, implementação de projeto terapêutico singular e ampliação de atividades extramuros. (AU)

Objective: To evaluate the health care results of a psychosocial care center (CAPS). Methodology: It is an evaluative study, with a non-experimental design, which was performed in a unity of the CAPS I in the west region of Rio Grande do Norte, between March and April 2014. We conducted interviews with 32 users of this service by applying a research instrument developed by the authors, based on four domains: autonomy, relationship, volition and crises. Data were analyzed through descriptive statistics. Results: Users were predominantly male (56.3%), aged between 34 and 43 years (40%), married (87.5%), with incomplete elementary school I (50%) and lived in the urban area (65%). The mood and/or affective disorder was the main diagnosis, with 57.1% among female participants. They received treatment between seven and eight years in the CAPS (49.3%) and attended the service twice a week (46.5%). Only 9.4% mentioned admission less than a year ago (9.4%). The domains for evaluating the care results achieved improvements after the treatment in the CAPS, with emphasis being placed on the "Crises" (78.1%) and "Relationship" (71.9%) domains. The evaluation of mental health services by users is a mechanism that can contribute to their autonomy, as well as to the management of care and service. Conclusion: The health care results were positive in all evaluated domains. The surveyed service has weaknesses regarding the flow of user care, family involvement, conduction of the therapeutic program, implementation of a unique therapeutic project, and expansion of activities outside the walls. (AU)

Influencia de las actividades en la calidad de vida de los ancianos: revisión sistemática / The influence of activities on the quality of life of the elderly: a systematic review

Resumen El objetivo es identificar qué actividades o intervenciones ocasionan cambios en la calidad de vida de los ancianos. Revisión sistemática de la literatura en las bases de datos: Scopus, ISI Web of Science, Scielo, Lilacs, BDenf y PubMed. Cómo término principal Medical Subject Heading Terms (Mesh) se seleccionó "quality of life" en combianción con los términos de mayor interés:"elderly, motor activity, education". Búsqueda realizada entre Julio y Agosto de 2015 en la cual se incluyen trabajos originales publicados entre 2010 y 2015 en ingles, portugués y español. Además se siguió la estragégia Cocharne para la elaboración de la revisión. Se estudiaron 27 artículos que comparaban la calidad de vida del anciano antes y después de realizar una intervención de tipo física, educativa o mixta. Cómo principal resultado se obtiene que la salud general, fución social, rol físico y satisfacción con la vida són los dominios más influenciados, así como las actividades físicas en grupo són las más realizadas. Se concluye que al realizar actividades de cualquier índole, preferiblemente adaptadas, se producen cambios de forma notable en la calidad de vida del anciano a nivel general, observándose especialmente una mejoría en aspectos funcionales, mentales y sociales.

Abstract The scope of this study was to identify which activities or interventions cause changes in the quality of life of the elderly. It involved a systematic review of the literature in the Scopus, ISI Web of Science, Scielo, Lilacs, BDenf and PubMed databases. The key word for the Medical Subject Heading (MeSH) used was "quality of life," in combination with the terms of greatest interest: "elderly, motor activity, education." The research was conducted between July and August 2015 and included original works published between 2010 and 2015 in English, Portuguese and Spanish. The Cochrane strategy was also adopted for the preparation of the review. Twenty-seven articles were studied that compared the quality of life of the elderly before and after performing a physical, educational or mixed-type intervention. The main result obtained was that the general health, social function, physical role and satisfaction with life are the most influenced domains, whereby group physical activities are practiced the most. The conclusion drawn is that when carrying out activities of any kind, preferably adapted for age, there are changes in the quality of life of the elderly in a general manner, notably with an improvement in functional, mental and social aspects.

Construction and validation of a distance Basic Life Support Course.

OBJECTIVE: to describe the content construction and validation process of the Distance Education Basic Life Support Course. METHOD: methodological study, developed through literature review, outlined in the light of the Bloom's Taxonomy and Ausubel's Meaningful Learning Theory. For validation, the analysis was performed with judges, using a structured tool. RESULTS: the construction of the distance course was complex and challenging, since it was tried to develop it with logical-methodological coherence, considering the constructivist perspective, representing an advance in the process of dissemination of the Urgency and Emergency teaching culture. As for the content validation process, it was verified that of the 16 suggestions made by the judges, 14 were accepted and two rejected. CONCLUSION: the course had its contents validated by experts.