Empowering Cancer Patients with Self-Care and Pain Management Skills: A Quasi-Experimental Study.

BACKGROUND: Cancer patients experience distress as a result of their health condition, which, in turn, contributes to the progression of the disease. Moreover, their daily activities, well-being, and health status are significantly impacted by pain and other symptoms. In this context, empowering these patients with self-care and pain management skills can greatly contribute to effective symptom control. AIM: To develop and implement an educational approach focused on empowering family caregivers and patients with advanced cancer in effectively managing pain at home. METHOD: An educational program, PECP/C-Pain Management, was developed to empower family caregivers and cancer patients to manage pain at home. A quasi-experimental study involving 52 participants with advanced cancer was conducted to test the program. Participants' skills, behaviors, and knowledge related to self-care and pain management were assessed before and after the intervention using an appropriate instrument, the Pain Management Knowledge and Behavior Scale. RESULTS: Pain was reported as the primary symptom, and following the educational program, participants were able to monitor pain and other symptoms and effectively self-manage their treatment. CONCLUSIONS: The findings suggest that the PECP/C-Pain Management intervention was effective in improving participants' knowledge and skills in managing pain, leading to better symptom control. In addition, the Pain Management Knowledge and Behavior Scale is a reliable tool for measuring the outcomes of this intervention.

Nomophobia and Phubbing Levels of Nursing Students: A Multicenter Study.

Today, with the enhancement in the usage of smartphones, the concepts of nomophobia and phubbing have emerged. Nomophobia refers to the fear of being deprived of smartphones/smart devices. Phubbing is the use of a person's smartphone in situations that are not appropriate for the situation, time, and place. Therefore, the study purposed to evaluate nursing students' nomophobia and phubbing scores in Turkey, Portugal, and the United States. The data were collected with the Personal Information Questionnaire, Nomophobia Scale, and Phubbing Scale from N = 446 nursing students. The mean age of the students was 22.04 ± 4.08 years, and 86.5% were women. It was found that the total nomophobia scores of the nursing students were 80.15 ± 21.96, 72.29 ± 28.09, and 99.65 ± 6.11, respectively in Turkey, Portugal, and the United States. When the countries' Nomophobia Scale total scores, "giving up convenience," "not being able to communicate," and "losing connectedness" scores were compared with each other, they were found to be statistically significant ( P < .05). When the countries' Phubbing Scale total scores and all subscale scores were compared with each other were found to be statistically significant ( P < .05). It is seen that nomophobia scores were moderate (60 ≤ NMP-Q nomophobia ≤ 99) and phubbing scores (<40) were below the level indicating addiction in all countries.

Conhecimentos da população sobre Acidente Vascular Cerebral - transeuntes da Praça do Giraldo em Évora / Population's knowledge about Cerebrovascular Accident (stroke) - passers of the Square Giraldo in Evora / Conocimientos de la población acerca del Accidente Cerebrovascular - transeúntes de la Plaza Giraldo en Évora

Objetivo: descrever o conhecimento da população sobre fatores de risco, sinais e sintomas de AVC. Metodologia: estudo quantitativo e transversal. Amostra de conveniência com 207 transeuntes com idades entre 16-86 anos (M=38,85; DP=18,93). Resultados: a patologia é conhecida, as fontes de informação mais referidas são a televisão e amigos. A hipercolesterolemia, doença cardíaca e tabagismo são os fatores de risco mais enunciadas. Os sinais mais conhecidos são a dormência, a fraqueza no hemicorpo e a disartria. Conclusão: há necessidade de reforçar o papel dos serviços de saúde na educação sobre o AVC. O conhecimento exibe fragilidades na valorização da idade avançada e diabetes. Destaca-se o reconhecimento do risco associado ao tabaco e a persistência no consumo.(AU)

Objective: describing the knowledge of the population about risk factors, signs and symptoms of stroke. Methodology: it is a quantitative and cross-sectional study. Convenience sample consisted of 207 passersby aged 16-86 years old (Average=38,85, SD=18,93). Results: the pathology is known; the most mentioned information sources are television and friends. The hypercholesterolemia, heart disease and smoking are the listed risk factors. The best-known signs are numbness, weakness in the hemi-body and dysarthria. Conclusion: there is the need to strengthen the role of health services in education about stroke. Knowledge shows weaknesses in the valuation of old age and diabetes. Significant is the recognition of the risk associated with tobacco and persistence in consumption.(AU)

Objetivo: describir el conocimiento de la población acerca de los factores de riesgo, signos y síntomas de un derrame cerebral. Metodología: un estudio cuantitativo y transversal. Muestra de conveniencia con 207 transeúntes con edad 16-86 años (M=38,85, SD=18,93). Resultados: se conoce la patología; las fuentes de información más mencionadas son la televisión y los amigos. La hipercolesterolemia, enfermedad del corazón y el tabaquismo son los factores de riesgo más listados. Los signos más conocidos son entumecimiento, debilidad en el hemi-cuerpo y disartria. Conclusión: hay necesidad de fortalecer el papel de los servicios de salud en la educación acerca del accidente cerebrovascular. Su conocimiento muestra debilidades en la valoración de la vejez y el diabetes. Es de destacar el reconocimiento de los riesgos asociados con el tabaco y la persistencia en el consumo.(AU)

Protocolos clínicos relacionados a incontinência urinária pós acidente vascular cerebral: revisão da literatura / Clinical protocols related with urinary incontinence post stroke: a literature review / Protocolos clínicos relacionados con la incontinecia urinaria después del accidente cerebrovascular: revisión de la literatura

Objetivo: rever a literatura sobre protocolos clínicos focalizando as diferenças e semelhanças relacionadas com a incontinência urinária pós AVC. Metodologia: estudo exploratório caracterizado como pesquisa de revisão de literatura realizada por meio de revisão eletrônica nas bases de dados científicas da Biblioteca Virtual de Saúde Highwire Search,PubMed, Sielo e EBsco Host, realizada em Novembro e Dezembro de 2010. Foram encontrados 12 artigos completos sendo5 na Highwire Search 6 na EBsco Host e 1 no PubMed. Resultados: nos artigos analisados não foram encontrados protocolos que, de forma sistematizada orientem as práticas de avaliação, diagnóstico, intervenção e reavaliação dos cuidados ao doente com incontinência após AVC. Conclusão: apesar de os estudos tratarem de aspectos importantes da incontinência urinária do doente pós AVC, a avaliação e identificação de factores que potenciam a situação, podem dar um contributo importante na selecção das estratégias e na definição das intervenções com vista à recuperação da continência. A avaliação da incontinência e desses factores deve ser efectuada de forma sistemática e com recurso a instrumentos validados para esse fim.(AU)

Objective: to review the literature on clinical protocols focusing on the differences and similarities related to urinary incontinence after stroke. Methodology: an exploratory study characterized as a research of literature review conducted through electronic review in scientific databases in the Virtual Library for Health Highwire Search, PubMed, Sielo, EBsco Host, held in November and December 2010. Found 12 full papers, were 5 in Highwire Search, 6 in EBsco Host and 1 in PubMed. Results: in the articles analyzed were not found protocols that, in a systematic way, guide the practice of evaluation, diagnosis, intervention and reassessment of care to patients with incontinence after stroke. Conclusion: Although the studies addressing important aspects of the patient's urinary incontinence after stroke, evaluation and identification of factors that enhance the situation, can make an important contribution to the selection of strategies and the definition of assistance for the recovery of continence. The evaluation of incontinence and these factors must be done systematically and using validated instruments for this purpose.(AU)

Objetivo: revisar la literatura sobre los protocolos clínicos centrándose en las diferencias y similitudes en relación a la incontinencia urinaria después del accidente cerebrovascular. Metodología: un estudio exploratorio caracterizado como una investigación de la revisión de la literatura llevada a cabo mediante la revisión electrónica de bases de datos científicos en la Biblioteca Virtual de Salud HighWire Search, PubMed, Sielo y EBsco host, que tuvo lugar en noviembre y diciembre de 2010. Se han encontrado 12 artículos completos, siendo 5 en la HighWire Search y 6 en la EBsco Host, y PubMed uno. Resultados: en los artículos analizados no se encontraron protocolos que, en una manera sistemática guía la práctica de la evaluación, diagnóstico, intervención y reevaluación de la atención a pacientes con incontinencia urinaria después del accidente cerebrovascular. Conclusión: Aunque los estudios que abordan aspectos importantes de la incontinencia urinaria del paciente después del accidente cerebrovascular, la evaluación y la identificación de los factores que mejoran la situación, puede hacer una importante contribución a la selección de estrategias y la definición de la asistencia para la recuperación de la continencia. La evaluación de la incontinencia y estos factores se debe hacer de manera sistemática y utilizando instrumentos validados para este propósito.(AU)