Adaptation and validation of the Portuguese version of the provider attitudes towards planned home birth (PAPHB) Scale.

Maternity health care professionals' attitudes on the option of home birth can influence the choices and decisions women and their partners make about place of birth. Midwives are particularly influential in this space. The study outlined in this paper aimed to translate and validate the Provider Attitudes towards Planned Home Birth (PAPHB) scale questionnaire for use in the Portuguese maternity context. METHODS: A total of 118 Portuguese midwives were selected through intentional sampling. The procedure was divided into two phases. In the first phase, a triple translation from the original language into Portuguese and a cross-cultural adaptation of the Provider Attitudes towards Planned Home Birth (PAPHB) scale were carried out, obtaining three versions of the same questionnaire. The second phase consisted of the validation of the questionnaire, for which the Provider Attitudes towards Planned Home Birth (PAPHB) scale was submitted to a panel of 20 experts and to a pilot test. Subsequently, the reliability and statistical validity of the scale were evaluated. RESULTS: After content analysis, the results confirmed a four-dimensional structure with a Cronbach's α value of 0.933 for the Provider Attitudes towards Planned Home Birth (PAPHB) scale as a whole, showing good internal consistency. Finally, a bivariate analysis was carried out identifying associations between variables and midwives' attitudes towards home birth. Positive attitudes towards homebirth were strongly influenced by previous clinical experience and exposure to home birth during midwives' academic education. CONCLUSION: The 18-item scale is a reliable and valid tool to quantify attitudes towards planned home births in Portugal as the results obtained in the study showed very good internal consistency.

Eficácia da técnica de breath stacking na função respiratória em mulheres submetidas a cirurgia bariátrica / Effectiveness of the breath-stacking technique in the respiratory function of women undergoing bariatric surgery / Eficacia de la técnica de breath stacking sobre la función respiratoria en mujeres sometidas a cirugía bariátrica

Enquadramento: A cirurgia abdominal alta está associada a alta incidência de complicações pulmonares. A técnica breath stacking (BS) perspetiva-se como recurso com potencial terapêutico para a enfermagem de reabilitação. Objetivo: Avaliar a eficácia da técnica BS na melhoria da função respiratória. Metodologia: Estudo quasi-experimental com 36 mulheres submetidas a cirurgia bariátrica, distribuídas pelos grupos de controlo (GC) e intervenção (GI). Foram avaliadas no pré e pós-operatório as medidas capacidade vital forçada (CVF), volume expiratório forçado no primeiro segundo (VEF1), pressão inspiratória máxima (PIm), pressão expiratória máxima (PEm), saturação periférica de oxigénio (SpO2) e frequência respiratória (FR). Foi aplicada a técnica BS no GI no pré e pós-operatório. Recorreu-se à análise estatística descritiva e inferencial. Resultados: Observaram-se diferenças estatisticamente significativas pós-operatórias, entre o GC e o GI, na CVF ( -20,29 vs. -13,60), VEF1 (-23,05 vs. -13,38), PIm (-22,96 vs. -14,93), PEm (-14,10 vs -10,32) e FR (12,29 vs 6,45). Conclusão: A técnica de BS permitiu melhorar a função respiratória do GI e reverter as alterações previsíveis no pós-operatório de cirurgia bariátrica.

Background: Upper abdominal surgery is associated with a high incidence of pulmonary complications. The breath-stacking (BS) technique is considered a resource with therapeutic potential for rehabilitation nursing. Objective: To assess the effectiveness of the BS technique in improving the respiratory function. Methodology: Quasi-experimental study with 36 women undergoing bariatric surgery, distributed into a control group (CG) and an intervention group (IG). The forced vital capacity (FVC), the forced expiratory volume in one second (FEV1), the maximal inspiratory pressure (MIP), the maximal expiratory pressure (MEP), the peripheral oxygen saturation (SpO2), and the respiratory rate (RR) were evaluated in the pre and postoperative periods. The BS technique was applied to the IG in the pre and postoperative periods. Both descriptive and inferential statistics were used. Results: Statistically significant postoperative differences were observed between the CG and the IG in FVC (-20.29 vs. -13.60), FEV1 (-23.05 vs. -13.38), MIP (-22.96 vs. -14.93), MEP (-14.10 vs. -10.32), and RF (12.29 vs. 6.45). Conclusion: The BS technique improved the respiratory function of the IG and reversed the predictable changes in the postoperative period of bariatric surgery.

Marco contextual: La cirugía abdominal alta se asocia con una elevada incidencia de complicaciones pulmonares. La técnica de breath stacking (BS) se considera un recurso con potencial terapéutico para la enfermería de rehabilitación. Objetivo: Evaluar la efectividad de la técnica de BS para mejorar la función respiratoria. Metodología: Estudio cuasi-experimental con 36 mujeres sometidas a cirugía bariátrica, distribuidas entre el grupo de control (GC) y el de intervención (GI). Las mediciones de la capacidad vital forzada (CVF), el volumen espiratorio forzado en el primer segundo (VEF1), la presión inspiratoria máxima (PIm), la presión espiratoria máxima (PEm), la saturación periférica de oxigeno (SpO2) y la frecuencia respiratoria (FR) se evaluaron GI que en el GC antes y después de la cirugía. La técnica BS se aplicó en el GI antes y después de la cirugía. Se utilizó un análisis estadístico descriptivo e inferencial. Resultados: Se observaron diferencias posoperatorias estadísticamente significativas entre el GC y el GI en la CVF (-20,29 frente a -13,60), VEF1 (-23,05 frente a -13,38), PIm (-22,96 frente a -14,93), PEm (-14,10 frente a -10,32) y FR (12,29 frente a 6,45). Conclusión: La técnica BS permitió mejorar la función respiratoria del GI y revertir los cambios predecibles en el posoperatorio de cirugía bariátrica.