Evidence of validity of the Smoking Cessation Counseling scale - Brazilian version.

OBJECTIVE: to evaluate the evidence of validity of the internal structure and reliability of the Brazilian version of the Smoking Cessation Counseling instrument. METHOD: psychometric study of confirmatory factor analysis and reliability carried out on 250 nurses in clinical practice. For the analysis of the convergent validity of the factor model, Average Variance Extracted values were calculated, and discriminant analysis was carried out using the Fornell-Larcker criterion. Reliability was examined using Cronbach's alpha coefficient and composite reliability. RESULTS: it was necessary to exclude seven items from the Advanced Counseling domain and one item from the Basic Counseling domain in order to properly obtain the Average Variance Extracted values and the Fornell-Larcker criterion. The composite reliability ranged from 0.76 to 0.86 and the overall Cronbach`s alpha coefficient was 0.86, ranging from 0.53 to 0.84 depending on the domain assessed. The final version of the instrument was made up of 16 items divided into 4 domains. CONCLUSION: the Brazilian version of Smoking Cessation Counseling obtained adequate psychometric evidence of validity and reliability. Further studies are needed to refine the instrument. BACKGROUND: (1) Instrument shows adequate internal consistency and validity. BACKGROUND: (2) Evaluate counseling practices and their impact on patient care. BACKGROUND: (3) Instrument for evaluating smoking cessation counseling. BACKGROUND: (4) Provides important information for planning nursing care.

Evidence of validity of the Smoking Cessation Counseling scale - Brazilian version / Evidencias de validez de la escala Smoking Cessation Counseling - versión brasileña / Evidências de validade da escala Smoking Cessation Counseling - versão brasileira

Objective: to evaluate the evidence of validity of the internal structure and reliability of the Brazilian version of the Smoking Cessation Counseling instrument Method: psychometric study of confirmatory factor analysis and reliability carried out on 250 nurses in clinical practice. For the analysis of the convergent validity of the factor model, Average Variance Extracted values were calculated, and discriminant analysis was carried out using the Fornell-Larcker criterion. Reliability was examined using Cronbach's alpha coefficient and composite reliability Results: it was necessary to exclude seven items from the Advanced Counseling domain and one item from the Basic Counseling domain in order to properly obtain the Average Variance Extracted values and the Fornell-Larcker criterion. The composite reliability ranged from 0.76 to 0.86 and the overall Cronbach`s alpha coefficient was 0.86, ranging from 0.53 to 0.84 depending on the domain assessed. The final version of the instrument was made up of 16 items divided into 4 domains Conclusion: the Brazilian version of Smoking Cessation Counseling obtained adequate psychometric evidence of validity and reliability. Further studies are needed to refine the instrument.

Objetivo: evaluar las evidencias de validez de la estructura interna y de la confiabilidad de la versión brasileña del instrumento Smoking Cessation Counseling. Método: estudio psicométrico de análisis factorial confirmatorio y de confiabilidad realizado en 250 enfermeras de la práctica clínica. Para el análisis de la validez convergente del modelo factorial se calcularon valores de Average Variance Extracted, el análisis discriminante se realizó mediante el criterio de Fornell-Larcker. La confiabilidad se examinó por el coeficiente de alfa de Cronbach y por la confiabilidad compuesta. Resultados: fue necesaria la exclusión de siete ítems del dominio de Asesoramiento avanzado y un ítem del dominio Asesoramiento básico para obtener adecuadamente los valores de Average Variance Extracted y del criterio de Fornell-Larcker. La confiabilidad compuesta varió de 0,76 a 0,86 y el coeficiente de alfa de Cronbach global alcanzado fue de 0,86, variando de 0,53 a 0,84 dependiendo del dominio evaluado. Se obtuvo la versión final del instrumento compuesto de 16 ítems distribuidos en 4 dominios. Conclusión: la versión brasileña de Smoking Cessation Counseling obtuvo adecuadas evidencias psicométricas de validez y confiabilidad. Estudios posteriores serán necesarios para el refinamiento del instrumento.

Objetivo: avaliar as evidências de validade da estrutura interna e da confibialidade da versão brasileira do instrumento Smoking Cessation Counseling Método: estudo psicométrico de análise fatorial confirmatória e de confiabilidade realizado em 250 enfermeiras da prática clínica. Para a análise da validade convergente do modelo fatorial foram calculados valores de Average Variance Extracted , a análise discriminante foi realizada pelo critério de Fornell-Larcker. A confiabilidade foi examinada pelo coeficiente de alfa de Cronbach e pela confiabilidade composta Resultados: foi necessária a exclusão de sete itens do domínio de Aconselhamento avançado e um item do domínio Aconselhamento básico para obtenção adequada dos valores de Average Variance Extracted e do critério de Fornell-Larcker. A confiabilidade composta variou de 0,76 a 0,86 e o coeficiente de alfa de Cronbach global alcançado foi de 0,86, variando de 0,53 a 0,84 a depender do domínio avaliado. Obteve-se a versão final do instrumento composto de 16 itens distribuídos em quatro domínios Conclusão: a versão brasileira da Smoking Cessation Counseling obteve adequadas evidências psicométricas de validade e de confiabilidade. Estudos posteriores serão necessários para o refinamento do instrumento.

Telephone messages regarding preventive measures against COVID-19.

OBJECTIVE: To analyze the evidence of content validity of telephone messages regarding preventive measures against COVID-19. METHOD: Methodological study, in which messages containing text and image were developed through a narrative literature review and whose content was evaluated by eight judges in terms of clarity, practical relevance, theoretical relevance and vocabulary. The content validity index (CVI) was calculated, and messages that reached levels above 90% were considered to have adequate evidence of validity. RESULTS: Eighteen text messages/images were developed containing information about COVID-19, hand hygiene, use and handling of masks and the importance of social distancing. After second round of evaluation, a content validity index above 90% was obtained in all evaluated indicators. CONCLUSION: The telephone messages were developed and showedadequate evidence of content validity.

Effect of a Supervised Exercise Program on Overweight and Obese Adolescents in the School Environment: A Pretest-Posttest Design.

This study is taken up to evaluate the effect of an exercise program on adolescents' obesity and overweight profile. For this purpose, a 1-group pretest-posttest study was conducted with 72 adolescents who underwent a physical activity program supervised by one health professional 5 times a week; the sessions were distributed over 12 weeks and lasted from 50 to 60 minutes. The primary outcomes were anthropometric measurements, whereas the secondary outcomes were lipid profile, blood glucose, and blood pressure. Outcomes were assessed before the intervention and 1 day after the program ended; significance was established at P < .05. As a result, a significant improvement was verified in all the primary outcomes (P< .001) and in most secondary outcomes (capillary blood glucose, P = .0001; triglycerides, P = .0001; and systolic blood pressure, P = .005). In conclusion, the supervised exercise program significantly reduced anthropometric measurements and blood glucose, triglycerides, and systolic blood pressure levels.

King's Parkinson's Disease Pain Questionnaire: reliability and convergent construct validity.

OBJECTIVES: to assess the evidence of reliability and convergent construct validity of the King's Parkinson's Disease Pain Questionnaire. METHODS: psychometric study of 75 older adults with Parkinson's disease. The instrument was applied by two researchers separately and reapplied by one researcher 15 days later. In terms of reliability, internal consistency was assessed using the Cronbach's alpha test and stability using the intraclass correlation coefficient. Scores of the King's Parkinson's Disease Pain Questionnaire were compared to those of the Geriatric Pain Measure in the assessment of construct validity. RESULTS: the mean Cronbach's alpha obtained between the three assessments was above 0.60, the intraclass correlation between the three assessments was above 0.90, and there was a weak but significant correlation between the two applied scales. CONCLUSIONS: the instrument showed adequate evidence of convergent construct validity and reliability, and can be used in clinical practice.

Effect of video on satisfaction and self-confidence in simulation training: a randomized clinical trial.

OBJECTIVES: to identify the effect on satisfaction and self-confidence of undergraduate nursing students after using a validated bed bath video during the simulation. METHODS: blinded parallel randomized clinical trial. Participants were allocated to the control group (simulation with tutor) or intervention (simulation with video). After the interventions, the Student Satisfaction and Self Confidence with Learning Scale was used to assess satisfaction and self-confidence. The study was approved by the Ethics Committee and Brazilian Registry of Clinical Trials. Mann Whitney, Fisher Exact and Student t statistical tests were used. A significance level of 5% was adopted. Results: fifty eight students (30, control; and 28, intervention) were evaluated. There was no significant difference between the groups regarding satisfaction (p=0.832) and self-confidence (p>0.999). CONCLUSIONS: satisfaction and self-confidence were similar between the groups, and the two strategies could be used in the simulated practice of bed bathing.

Development and content validity of a website for patients with coronary artery disease.

OBJECTIVES: to develop and analyze content validity evidence of a website for patients with coronary artery disease. METHODS: a methodological study, carried out in the phases: Definition - determined contents for inclusion in the website, architecture and design; Implementation - subjects included in the website; Assessment - website submitted to analysis by 13 experts and eight laypersons regarding organization, content and design, on a scale of 1 (no agreement) to 4 (complete agreement). Items that reached Content Validity Ratio (CVR) higher than the established critical values and Content Validity Index greater than 0.80 were considered valid. RESULTS: eight domains related to secondary prevention in coronary heart disease were included on the website. Critical CVR and adequate CVI were obtained according to professional and lay experts. CONCLUSIONS: the website was developed, achieving adequate content validity evidence, and can be used as an educational tool for this population.

Development and validation of a case study to aid in the diagnostic reasoning of nursing students and nurses.

PURPOSE: The aim of this study is to develop and validate a case study to aid in the diagnostic reasoning of nursing students and nurses. METHODS: It is a validation study using a case study based on Lunney's method including (1) content validation of the case study by nurse experts through the Delphi technique, (2) identification of nursing diagnoses (NDs) in the case, (3) evaluation of diagnostic accuracy, and (4) establishment of a priority diagnosis by nurse experts. FINDINGS: The case study was developed from the findings of a narrative literature review on the cues of the NDs with a prevalence > 50% in patients with peripheral arterial occlusive disease. Two rounds of expert evaluation were required to validate the case study. The experts identified 18 NDs with different degrees of accuracy. The highly accurate diagnoses most frequently identified by the experts were: Ineffective peripheral tissue perfusion (100%), impaired walking (83%), impaired comfort (50%), and chronic pain (50%). The diagnosis considered a priority by all experts was ineffective peripheral tissue perfusion. CONCLUSIONS: The case study was developed and had its content validated. High-accuracy diagnoses were identified, and a priority was determined. IMPLICATIONS FOR NURSING PRACTICE: The validated case study may be used by students and nurses to facilitate the development of diagnostic reasoning and critical thinking in practice, teaching or research.

Secondary prevention in coronary artery disease: development and content validity of educational messages for mobile phones.

OBJECTIVE: To identify information needs of patients with coronary artery disease and develop and validate the content of educational messages for mobile phones for these patients. METHOD: The study was carried out in three phases: 1) Identification of information needs in relation to coronary artery disease of patients hospitalized for an acute coronary event; 2) Development of templates containing text and pictures about the disease and treatment; 3) Content validity analysis of template evidence through the assessment of 10 experts. Templates were considered validated when the Content Validity Ratio (CVR) was equal to or greater than 0.80. RESULTS: A total of 67 patients were included, and all the information that emerged about the disease was classified as important to very important. Thirty templates were developed (heart function, recommendations on nutrition and exercise, treatments and medications, and clinical signs related to the disease and risk factor control), and the CVR obtained was greater than 0.80. CONCLUSION: All information needs were categorized by patients as important or very important. The templates were developed and validated considering content and design.

Relationships between Depressive Symptoms, Appetite, and Quality of Life in Heart Failure.

This analytical, cross-sectional study aimed to analyze the relationship between depressive symptoms, appetite, and quality of life (QoL) in 86 patients hospitalized with heart failure. Patients were assessed for depressive symptoms, appetite, and QoL using the Beck Depression Inventory-II, the Simplified Nutritional Appetite Questionnaire, and the Minnesota Living with Heart Failure Questionnaire, respectively. Relationships between sociodemographic and clinical variables, depressive symptoms, appetite, and QoL were analyzed using bivariate tests and linear regression models, with p < .05 considered significant. The factors associated with QoL were dependence for four activities of daily living (ADLs) (estimate = 15.4, 95% CI = 0.23 to 30.64, p = .046), minor depressive symptoms (estimate = -20.0, 95% CI = -28.3 to -11.73, p < .001), and appetite (estimate = -11.08, 95% CI = -20.5 to -1.62, p = .022). These results can support multi-professional assessment and development of interventions to promote better QoL, including addressing impaired appetite and food intake, the presence or increased intensity of depressive symptoms, especially in patients dependent for ADLs.

Board game on healthy lifestyle for people with coronary artery disease / Juego de mesa de estilo de vida saludable para personas con enfermedad de las arterias coronarias / Jogo de tabuleiro sobre estilo de vida saudável para pessoas com doença arterial coronariana

ABSTRACT Objective: to develop and analyze content and face validity evidence of a board game to promote healthy lifestyle habits for patients with coronary artery disease. Method: this is a psychometric study of development and validity of a board game for health education. Data collection was carried out between October 2021 and January 2022. Initially, the game rules were described and, sequentially, themes related to cardiovascular prevention were identified, used as a basis for card development. The game was submitted to assessment by 14 experts in terms of clarity, theoretical relevance, practical relevance, image visibility and relationship between image and text, through a Likert scale score. The content validity coefficient was calculated for each round, with a coefficient greater than 0.57 being considered valid. New assessment rounds were performed until the appropriate coefficient was reached. Results: the board game was built containing images of anthropomorphized hearts alluding to healthy lifestyle habits and 45 spaces. A total of 69 cards were developed containing the themes of healthy eating, physical activity and the importance of smoking and alcohol cessation. In the first round of assessment, three cards did not reach the minimum content validity coefficient. They were reformulated and sent to a second round of assessment, and was considered validated in this new round. Conclusion: the game, its rules and its content showed adequate content validity evidence after the second round. Further studies to analyze its effect on lifestyle modification should be carried out.

RESUMEN Objetivo: desarrollar y analizar evidencias de validez de contenido y apariencia de un juego de mesa para promover hábitos de vida saludables en pacientes con enfermedad arterial coronaria. Método: estudio psicométrico de desarrollo y validación de un juego de mesa para educación en salud. Os dados se recopilaron desde octubre de 2021 hasta noviembre de 2022. Inicialmente, se describieron las reglas del juego y, en forma secuencial, se identificaron temas relacionados con la prevención cardiovascular, utilizado como base para el desarrollo de gráficos. El juego fue sometido a la evaluación de 14 especialistas en términos de claridad, pertinencia teórica, pertinencia práctica, nitidez de las imágenes y relación entre la imagen y el texto, a través de la puntuación de la escala Likert. Se calculó el coeficiente de validez de contenido para cada ronda, considerándose válido un coeficiente superior a 0,57. Se realizaron nuevas rondas de evaluación hasta alcanzar el coeficiente adecuado. Resultados: se construyó el juego de mesa que contenía imágenes de corazones antropomorfizados alusivos a hábitos de vida saludables y 45 casas. Se desarrollaron 69 cartas que contenían los temas de alimentación saludable, actividad física y la importancia de dejar de fumar y de beber alcohol. En la primera ronda de evaluación, tres letras no alcanzaron el coeficiente mínimo de validez de contenido. Fueron reformulados y enviados a la segunda ronda de evaluación, considerándose validados en esta nueva ronda. Conclusión: el juego, sus reglas y su contenido mostraron evidencia adecuada de validez de contenido después de la segunda ronda. Se deben realizar más estudios para analizar su efecto en la modificación del estilo de vida.

RESUMO Objetivo: desenvolver e analisar evidências de validade de conteúdo e de face de um jogo de tabuleiro para promoção de hábitos saudáveis de vida para pacientes com doença arterial coronariana. Método: estudo psicométrico de desenvolvimento e validação de um jogo de tabuleiro para educação em saúde A coleta de dados foi realizada entre os meses de outubro de 2021 e janeiro de 2022. Inicialmente, foram descritas as regras do jogo e sequencialmente foram identificados temas relacionados à prevenção cardiovascular, usados como base para o desenvolvimento de cartas. O jogo foi submetido à avaliação de 14 especialistas em relação à clareza, relevância teórica, pertinência prática, nitidez das imagens e relação da imagem com o texto, por meio da pontuação em escala de Likert. Foi calculado o coeficiente de validade de conteúdo para cada rodada, sendo considerado válido um coeficiente superior a 0,57. Novas rodadas de avaliação foram realizadas até que o coeficiente adequado fosse atingido. Resultados: o jogo de tabuleiro foi construído contendo imagens de corações antropomorfizados aludindo a hábitos saudáveis de vida e 45 casas. Foram desenvolvidas 69 cartas contendo as temáticas de alimentação saudável, atividade física e a importância da cessação do tabagismo e do álcool. Na primeira rodada de avaliação, três cartas não atingiram o coeficiente de validade de conteúdo mínimo. Foram reformuladas e enviadas para a segunda rodada de avaliação, sendo consideradas validadas nessa nova rodada. Conclusão: o jogo, suas regras e seu conteúdo apresentaram adequadas evidências de validade de conteúdo após a segunda rodada. Estudos posteriores para análise do seu efeito na modificação do estilo de vida devem ser realizados.

Self-care behavior among patients with heart failure: relationship between sociodemographic and clinical variables / Comportamiento de autocuidado de pacientes con insuficiencia cardíaca: relación con variables sociodemográficas y clínicas / Comportamento de autocuidado de pacientes com insuficiência cardíaca: relação com variáveis sociodemográficas e clínicas

ABSTRACT Objective: to assess self-care behavior and its relationship with the sociodemographic and clinical variables of patients with heart failure. Method: a cross-sectional and correlational study was conducted in a cardiomyopathy outpatient clinic in São Paulo, SP, Brazil. Data were collected between 2018 and 2020. The sample consisted of patients with heart failure without visual, auditory, or cognitive deficits. Self-care behavior was assessed using the European Heart Failure Self-care Behavior Scale. Sociodemographic and clinical variables were selected through a literature review. The Spearman's correlation coefficient and the Mann-Whitney test were used for data analysis. Factors presenting p≤0.10 and the variables of clinical interest were included in the multiple analysis, and p-values ≤ 0.05 were considered significant. Results: 340 patients with a mean self-care score of 24.7 were analyzed. Those taking more medications and adhering to the pharmacological treatment tended to present improved self-care (p≤0.001). In contrast, patients without a partner (p=0.022), with a sedentary lifestyle (p<0.001), or employed (p<0.001) tended to present worse self-care scores. Conclusion: The factors related to self-care behavior were adherence to pharmacological treatment, the number of medications taken, marital status, employment, and sedentary lifestyle.

RESUMEN Objetivo: evaluar el comportamiento de autocuidado y su relación con las variables sociodemográficas y clínicas de pacientes con insuficiencia cardíaca. Método: estudio transversal y correlacional realizado en un ambulatorio de mi cardiopatía de la ciudad de Sao Paulo. El período de recogida de datos se realizó entre los años de 2018 a 2020. La muestra estuvo constituida por pacientes con insuficiencia cardíaca que no presentaban déficit visual, auditivo y/o cognitivo. El comportamiento de autocuidado fue evaluado por la European Heart Failure Self-care Behavior Scale. Las variables sociodemográficas y clínicas fueron seleccionadas por medio de una revisión de literatura. Para el análisis de los datos se utilizó el coeficiente de correlación de Spearman y el test de Mann-Whitney. Los factores que presentaron valores de p≤0,10 y las variables de interés clínico fueron incluidos en el análisis múltiple, y considerados significativos los valores de p≤0,05. Resultados: se analizaron 340 pacientes que obtuvieron un puntaje medio de autocuidado de 24,7 puntos. Se observó que pacientes que toman más medicamentos y adhieren al tratamiento farmacológico tienen tendencia a obtener un mejor autocuidado (p≤0,001); por otro lado, los pacientes sin compañero (p=0,022), sedentarios (p<0,001) y con vínculo de trabajo activo (p<0,001) tienden a tener peores puntajes de comportamiento de autocuidado. Conclusión: los factores relacionados al comportamiento de autocuidado fueron la adherencia al tratamiento farmacológico, el número de tomadas de medicamentos, el estado civil, el vínculo de empleo y el sedentarismo.

RESUMO Objetivo: avaliar o comportamento de autocuidado e sua relação com as variáveis sociodemográficas e clínicas de pacientes com insuficiência cardíaca. Método: estudo transversal e correlacional realizado em um ambulatório de miocardiopatia da cidade de São Paulo. O período da coleta de dados ocorreu entre os anos de 2018 a 2020. A amostra foi constituída por pacientes com insuficiência cardíaca que não apresentavam déficit visual, auditivo e/ou cognitivo. O comportamento de autocuidado foi avaliado pela European Heart Failure Self-care Behavior Scale. As variáveis sociodemográficas e clínicas foram selecionadas por meio de uma revisão de literatura. Para análise dos dados, utilizou-se o coeficiente de correlação de Spearman e o teste de Mann-Whitney. Fatores que apresentaram valores de p≤0,10 e as variáveis de interesse clínico foram incluídos na análise múltipla, e considerados significativos os valores de p≤0,05. Resultados: analisou-se 340 pacientes que tiveram escore médio de autocuidado de 24,7 pontos. Observou-se que pacientes que tomam mais medicamentos e aderem ao tratamento farmacológico têm tendência ao melhor autocuidado (p≤0,001), e pacientes sem companheiro (p=0,022), sedentários (p<0,001) e com vínculo empregatício ativo (p<0,001) tendem a ter piores escores de comportamento de autocuidado. Conclusão: os fatores relacionados ao comportamento de autocuidado foram a adesão ao tratamento farmacológico, o número de tomadas de medicamentos, o estado civil, o vínculo empregatício e o sedentarismo.

Development and content validity of a website for patients with coronary artery disease / Desarrollo y validación de contenido de un sitio web para pacientes con enfermedad arterial coronaria / Desenvolvimento e validação de conteúdo de um website para pacientes com doença arterial coronariana

ABSTRACT Objectives: to develop and analyze content validity evidence of a website for patients with coronary artery disease. Methods: a methodological study, carried out in the phases: Definition - determined contents for inclusion in the website, architecture and design; Implementation - subjects included in the website; Assessment - website submitted to analysis by 13 experts and eight laypersons regarding organization, content and design, on a scale of 1 (no agreement) to 4 (complete agreement). Items that reached Content Validity Ratio (CVR) higher than the established critical values and Content Validity Index greater than 0.80 were considered valid. Results: eight domains related to secondary prevention in coronary heart disease were included on the website. Critical CVR and adequate CVI were obtained according to professional and lay experts. Conclusions: the website was developed, achieving adequate content validity evidence, and can be used as an educational tool for this population.

RESUMEN Objetivos: desarrollar y analizar evidencias de validez de contenido de un sitio web para pacientes con enfermedad arterial coronaria. Métodos: estudio metodológico, realizado en las siguientes fases: Definición - determinado los contenidos para su inclusión en el sitio web, la arquitectura y el diseño; Implementación - temas incluidos en el sitio web; Evaluación - sitio web sometido a análisis por 13 expertos y ocho legos en cuanto a organización, contenido y diseño, en una escala de 1 (sin acuerdo) a 4 (totalmente de acuerdo). Se consideran válidos los artículos que alcanzaron un Índice de Validez de Contenido (CVR) superior a los valores críticos establecidos y un Índice de Validez de Contenido superior a 0,80. Resultados: se incluyeron en el sitio web ocho dominios relacionados con la prevención secundaria en enfermedades coronarias. Se obtuvo un CVR crítico y un CVI adecuado en opinión de expertos profesionales y legos. Conclusiones: se elaboró el sitio web, lográndose evidencias adecuadas de validez de contenido, pudiendo ser utilizado como herramienta educativa para esta población.

RESUMO Objetivos: desenvolver e analisar as evidências de validade de conteúdo de um website para pacientes com doença arterial coronariana. Métodos: estudo metodológico, realizado nas fases: Definição - determinado os conteúdos para inclusão no website, arquitetura e design; Implementação - assuntos incluídos no website; Avaliação - website submetido à análise por 13 especialistas e oito leigos quanto à organização, conteúdo e design, em uma escala de 1 (não concordância) a 4 (total concordância). Considerados válidos os itens que atingiram uma Razão de Validade de Conteúdo (CVR) superior aos valores críticos estabelecidos e um Índice de Validade de Conteúdo superior a 0,80. Resultados: incluídos no website oito domínios relacionados à prevenção secundária em coronariopatias. Um CVR crítico e um IVC adequado foram obtidos na opinião de especialistas profissionais e leigos. Conclusões: o website foi desenvolvido, alcançando adequadas evidências de validade de conteúdo, e pode ser utilizado como ferramenta educacional para esta população.

Telephone messages regarding preventive measures against COVID-19 / Mensajes telefónicos frente a las medidas preventivas contra el COVID-19 / Mensagens telefônicas frente às medidas preventivas contra COVID-19

ABSTRACT Objective: To analyze the evidence of content validity of telephone messages regarding preventive measures against COVID-19. Method: Methodological study, in which messages containing text and image were developed through a narrative literature review and whose content was evaluated by eight judges in terms of clarity, practical relevance, theoretical relevance and vocabulary. The content validity index (CVI) was calculated, and messages that reached levels above 90% were considered to have adequate evidence of validity. Results: Eighteen text messages/images were developed containing information about COVID-19, hand hygiene, use and handling of masks and the importance of social distancing. After second round of evaluation, a content validity index above 90% was obtained in all evaluated indicators. Conclusion: The telephone messages were developed and showedadequate evidence of content validity.

RESUMEN Objetivo: Analizar las evidencias de validez de contenido de los mensajes telefónicos frente a las medidas preventivas frente al COVID-19. Método: Estudio metodológico, en el cual se desarrollaron mensajes que contiene en texto e imagen a través de una revisión de literatura narrativa y cuyo contenido fue evaluado por ocho jueces en términos de claridad, relevancia práctica, relevancia teórica y vocabulario. Se calculó el índice de validez de contenido (IVC), y se consideró que los mensajes que alcanzaban niveles superiores al 90% tenían evidencia adecuada de validez. Resultados: Se desarrollaron 18 mensajes de texto/imágenes con información sobre COVID-19, higiene de manos, uso y manejo de mascarillas y la importancia del distanciamiento social. Luego de la segunda ronda de evaluación, se obtuvo un índice de validez de contenido superior al 90% en todos los indicadores evaluados. Conclusión: Los mensajes telefónicos fueron desarrollados y presentaron evidencia adecuada de validez de contenido.

RESUMO Objetivo: Analisar as evidências de validade de conteúdo de mensagens telefônicas frente as medidas preventivas contra a COVID-19. Método: Estudo metodológico, em que as mensagens contendo texto e imagem foram desenvolvidas por meio de uma revisão narrativa de literatura e que tiveram seu conteúdo avaliado por oito juízes em relação a clareza, pertinência prática, relevância teórica e vocabulário. Calculou-se o índice de validade de conteúdo (IVC), e considerou-se com adequadas evidências de validade, as mensagens que alcançaram índices acima de 90%. Resultados: Foram desenvolvidas 18 mensagens de texto/imagens contendo informações sobre a COVID-19, higienização das mãos, uso e manuseio das máscaras e a importância do distanciamento social. Após a segunda rodada de avaliação obteve-se um índice de validade de conteúdo acima de 90% em todos os indicadores avaliados. Conclusão: As mensagens telefônicas foram desenvolvidas e apresentaram adequadas evidências de validade de conteúdo.

King's Parkinson's Disease Pain Questionnaire: reliability and convergent construct validity / King's Parkinson's Disease Pain Questionnaire: fiabilidad y validez de constructo convergente / King's Parkinson's Disease Pain Questionnaire: confiabilidade e validade de construto convergente

ABSTRACT Objectives: to assess the evidence of reliability and convergent construct validity of the King's Parkinson's Disease Pain Questionnaire. Methods: psychometric study of 75 older adults with Parkinson's disease. The instrument was applied by two researchers separately and reapplied by one researcher 15 days later. In terms of reliability, internal consistency was assessed using the Cronbach's alpha test and stability using the intraclass correlation coefficient. Scores of the King's Parkinson's Disease Pain Questionnaire were compared to those of the Geriatric Pain Measure in the assessment of construct validity. Results: the mean Cronbach's alpha obtained between the three assessments was above 0.60, the intraclass correlation between the three assessments was above 0.90, and there was a weak but significant correlation between the two applied scales. Conclusions: the instrument showed adequate evidence of convergent construct validity and reliability, and can be used in clinical practice.

RESUMEN Objetivos: evaluar las evidencias de confiabilidad y validez convergente de constructo del King's Parkinson's Disease Pain Questionnaire. Métodos: estudio psicométrico con 75 adultos mayores con enfermedad de Parkinson. El instrumento fue aplicado por dos investigadores por separado y vuelto a aplicar por uno investigador después de 15 días. En cuanto a la confiabilidad, se evaluó la consistencia interna mediante la prueba alfa de Cronbach y la estabilidad mediante el coeficiente de correlación intraclase. Al evaluar la validez del constructo, las puntuaciones del King's Parkinson's Disease Pain Questionnaire se compararon con las de la Geriatric Pain Measure. Resultados: se obtuvo un alfa de Cronbach promedio entre las tres evaluaciones por encima de 0,60 y correlación intraclase por encima de 0,90, y una correlación débil pero significativa entre las dos escalas aplicadas. Conclusiones: el instrumento mostró evidencia adecuada de validez convergente de constructo y confiabilidad, y puede ser utilizado en la práctica clínica.

RESUMO Objetivos: avaliar as evidências de confiabilidade e de validade de construto convergente do King's Parkinson's Disease Pain Questionnaire. Métodos: estudo psicométrico com 75 idosos com doença Parkinson. O instrumento foi aplicado por dois pesquisadores separadamente e reaplicado por um dos pesquisadores após 15 dias. Na confiabilidade, a consistência interna foi avaliada pelo teste de alfa de Cronbach e a estabilidade pelo coeficiente de correlação intraclasse. Na avaliação da validade de construto, os escores do King's Parkinson's Disease Pain Questionnaire foram comparados ao escore da Geriatric Pain Measure. Resultados: foi obtido um alfa de Cronbach médio entre as três avaliações acima de 0,60 e correlação intraclasse entre as três avaliações acima de 0,90, bem como uma correlação fraca, mas significativa entre as duas escalas aplicadas. Conclusões: o instrumento apresentou adequadas evidências de validade de construto convergente e de confiabilidade, podendo ser utilizado na prática clínica.

Effect of video on satisfaction and self-confidence in simulation training: a randomized clinical trial / Efecto del vídeo en la satisfacción y autoconfianza en el entrenamiento simulado: estudio clínico randomizado / Efeito do vídeo na satisfação e autoconfiança no treinamento por simulação: estudo clínico randomizado

ABSTRACT Objectives: to identify the effect on satisfaction and self-confidence of undergraduate nursing students after using a validated bed bath video during the simulation. Methods: blinded parallel randomized clinical trial. Participants were allocated to the control group (simulation with tutor) or intervention (simulation with video). After the interventions, the Student Satisfaction and Self Confidence with Learning Scale was used to assess satisfaction and self-confidence. The study was approved by the Ethics Committee and Brazilian Registry of Clinical Trials. Mann Whitney, Fisher Exact and Student t statistical tests were used. A significance level of 5% was adopted. Results: fifty eight students (30, control; and 28, intervention) were evaluated. There was no significant difference between the groups regarding satisfaction (p=0.832) and self-confidence (p>0.999). Conclusions: satisfaction and self-confidence were similar between the groups, and the two strategies could be used in the simulated practice of bed bathing.

RESUMEN Objetivos: identificar efecto en la satisfacción y autoconfianza de estudiantes del curso de grado en Enfermería tras uso de video validado sobre baño en el lecho durante el simulado. Métodos: estudio clínico randomizado paralelo y ciego. Los participantes fueron ubicados en grupo control (simulado con tutor) o intervención (simulado con vídeo). Tras intervenciones, utilizado la Escala de Satisfacción de Estudiantes y Autoconfianza con el Aprendizaje para evaluar satisfacción y autoconfianza. El estudio aprobado por el Comité de Ética y Registro Brasileño de Ensayos Clínicos. Utilizadas pruebas estadísticas Mann Whitney, Exacta de Fisher y t Student. Adoptado nivel de significación de 5%. Resultados: evaluados 58 estudiantes (30, control; y 28, intervención). No hubo diferencia significante entre los grupos cuanto a la satisfacción (p=0,832) y autoconfianza (p>0,999). Conclusiones: satisfacción y autoconfianza fueron similares entre los grupos, y las dos estratégias podrán ser utilizadas en la práctica simulada del baño en el lecho.

RESUMO Objetivos: identificar o efeito na satisfação e autoconfiança de estudantes do curso de graduação em Enfermagem após uso de um vídeo validado sobre o banho no leito durante a simulação. Métodos: estudo clínico randomizado paralelo e cego. Os participantes foram alocados no grupo-controle (simulação com tutor) ou intervenção (simulação com vídeo). Após as intervenções, utilizou-se a Escala de Satisfação dos Estudantes e Autoconfiança com a Aprendizagem para avaliar a satisfação e autoconfiança. O estudo foi aprovado pelo Comitê de Ética e Registro Brasileiro de Ensaios Clínicos. Foram utilizados os testes estatísticos Mann Whitney, Exato de Fisher e t Student. Adotou-se nível de significância de 5%. Resultados: avaliaram-se 58 estudantes (30, controle; e 28, intervenção). Não houve diferença significante entre os grupos quanto à satisfação (p=0,832) e autoconfiança (p>0,999). Conclusões: satisfação e autoconfiança foram similares entre os grupos, e as duas estratégias poderão ser utilizadas na prática simulada do banho no leito.

Fatores sociodemográficos e clínicos associados à ansiedade em mulheres hipertensas: estudo transversal / Factores sociodemográficos y clínicos asociados a la ansiedad en mujeres hipertensas: estudio transversal / Sociodemographic and clinical factors associated with anxiety in hypertensive women: a cross-sectional study

Resumo Objetivo Verificar a prevalência da ansiedade e sua associação com os fatores sociodemográficos e clínicos em mulheres com hipertensão arterial sistêmica. Métodos Estudo transversal com 258 mulheres com hipertensão arterial sistêmica diagnosticada há pelo menos seis meses e que eram atendidas no ambulatório de Hipertensão Arterial de uma instituição pública voltada ao ensino, pesquisa e assistência na cidade de São Paulo. O instrumento continha dados sociodemográficos, clínicos e de hábitos de vida e foi preenchido por meio de uma entrevista. A ansiedade foi avaliada pelo inventário de Ansiedade Traço e classificada em baixa, moderada, elevada e muito elevada. A avaliação da associação entre os fatores sociodemográficos e clínicos com o nível de ansiedade foi realizada pelos testes de associação e regressão logística simples multinomial, considerando o nível de significância de 5%. Resultados Identificou-se que 70,5% apresentavam ansiedade moderada e 19,4% elevada. Na regressão logística multinomial simples identificou-se que quanto maior a idade maior a chance de ansiedade elevada (p=0,01; Odds Ratio =1,09), as mulheres sem companheiro tinham maiores chances de ansiedade elevada (p=0,02, Odds Ratio =3,19) e com o aumento da renda mensal familiar menor foi a chance de ansiedade elevada (p=0,04, Odds Ratio =0,99). Conclusão Houve alta prevalência de ansiedade moderada na população estudada e a ausência de companheiro foi o fator que melhor explicou o fenômeno de ansiedade. Os enfermeiros devem propor intervenções, principalmente para estas pessoas, com o intuito de reduzir tal sentimento.

Resumen Ocurrencias Verificar la prevalencia de la ansiedad y su relación con los factores sociodemográficos y clínicos en mujeres con hipertensión arterial sistémica. Métodos Estudio transversal con 258 mujeres con hipertensión arterial sistémica diagnosticadas hace seis meses por lo menos y que habían sido atendidas en consultorios externos de Hipertensión Arterial de una institución pública orientada a la educación, investigación y atención en la ciudad de São Paulo. El instrumento contenía datos sociodemográficos, clínicos y de hábitos de vida y fue completado mediante una encuesta. La ansiedad fue evaluada mediante el inventario de rasgos de ansiedad y clasificada como baja, moderada, alta o muy alta. La evaluación de la relación entre los factores sociodemográficos y clínicos con el nivel de ansiedad fue realizada con la prueba de asociación y regresión logística simple multinominal, con un nivel de significación de 5 %. Resultados Se identificó que el 70,5 % presentó ansiedad moderada y el 19,4 % alta. En la regresión logística multinomial simple se identificó que, cuanto mayor era la edad, mayor era la probabilidad de ansiedad alta (p=0,01; Odds Ratio =1,09), las mujeres sin compañero tenían mayores probabilidades de ansiedad alta (p=0,02, Odds Ratio =3,19) y con el aumento de los ingresos familiares mensuales, la probabilidad de ansiedad alta fue menor (p=0,04, Odds Ratio =0,99). Conclusión Se observó una alta prevalencia de ansiedad moderada en la población estudiada y la ausencia de compañero fue el factor que mejor explicó el fenómeno de ansiedad. Los enfermeros deben proponer intervenciones, principalmente para estas personas, con el objetivo de reducir ese sentimiento.

Abstract Objective To verify the prevalence of anxiety and its association with sociodemographic and clinical factors in women with hypertension. Method This is a cross-sectional study with 258 women with hypertension diagnosed for at least six months and who were treated at the hypertension outpatient clinic of a public institution dedicated to teaching, research and care in the city of São Paulo. The instrument contained sociodemographic, clinical and lifestyle data and was completed through an interview. Anxiety was assessed by the State-Trait Anxiety inventory and classified as low, moderate, high and very high. The assessment of the association between sociodemographic and clinical factors with anxiety level was performed using association tests and simple multinomial logistic regression, considering a significance level of 5%. Results It was found that 70.5% had moderate anxiety and 19.4% had high anxiety. In the simple multinomial logistic regression, it was identified that the older the age, the greater the chance of high anxiety (p=0.01; Odds Ratio =1.09), women without a partner were more likely to have high anxiety (p=0.02, Odds Ratio =3.19), and with increasing monthly family income, the chance of high anxiety was lower (p=0.04, Odds Ratio =0.99). Conclusion There was a high prevalence of moderate anxiety in the population studied and the absence of a partner was the factor that best explained the anxiety phenomenon. Nurses should propose interventions, especially for these people, in order to reduce this feeling.

Effectiveness of educational intervention with manual for anxiety and stress reduction: controlled clinical trial.

OBJECTIVE: To evaluate the effectiveness of the educational intervention through an informative manual in reducing anxiety, stress, and changes in vital signs in patients awaiting cardiac catheterization. METHODS: Parallel, randomized, controlled, blind clinical trial. The study excluded patients waiting for cardiac catheterization; those who received the information manual were randomized to the intervention group, and those who received routine information from the unit went to the control group. The study used the State Anxiety Inventory and Perceived Stress Scale and the ANOVA test to analyze the outcomes between the groups. Clinical Trials NCT03369873. RESULTS: There was no change concerning time, first and second moment (anxiety, P=0.225; and stress, P=0.696), interaction (anxiety, P=0.183; and stress, P=0.444), or groups, control, and intervention (anxiety, P=0.341; and stress, p=0.624). CONCLUSION: Although the educational intervention performed did not have an impact on the reduction of anxiety and stress, this type of intervention should be maintained for greater comfort and safety of patients and family members.

Modifiable risk factors for cardiovascular diseases and quality of life among first-year nursing students.

OBJECTIVE: To describe the risk factors for cardiovascular diseases and the quality of life of first-year college students. METHODS: A cross-sectional study conducted with first-year undergraduate nursing students attending a public university located in São Paulo, Brazil. The students completed nine questionnaires and the students'cervical and abdominal circumferences were measured along with their weight and height, blood pressure, lipid profile, and capillary blood glucose. RESULTS: 67 undergraduate students were included. Half of the students were physically inactive (73.1%), 7.5% reported smoking, 40.3% alcohol consumption, 25.4% overweight, and 16,4% increased total cholesterol. Depressive symptoms, anxiety, and stress were also reported, as well as excessive daytime sleepiness, risk of sleep apnea, and risky and harmful consumption of alcohol. As for the quality of life, the domains with the lowest scores were vitality and emotional aspects. CONCLUSION: The most prevalent risk factors found in undergraduates were sedentary lifestyle, excessive daytime sleepiness and stress.

Relações entre depressão, estresse percebido e ansiedade e a qualidade de vida e características dos estudantes de enfermagem / Relaciones entre depresión, estrés percibido y ansiedad y calidad de vida y características de los estudiantes de enfermería / Relationships between depression, perceived stress and anxiety and quality of life and characteristics of nursing students

RESUMO Objetivo: avaliar a relação entre ansiedade, estresse percebido e sintomas de depressão com qualidade de vida e as características sociodemográficas, acadêmicas e clínicas dos estudantes de Enfermagem. Métodos: este é um estudo transversal correlacional realizado com 173 estudantes de Enfermagem matriculados em 2017 na Universidade Federal de São Paulo, Brasil. Ansiedade, sintomas de depressão, estresse e qualidade de vida foram avaliados, respectivamente, pelo Beck Anxiety Inventory, o Beck Depression Inventory, a Perceived Stress Scale e o Short-Form Health Survey. Resultados: 24,6% dos estudantes tinham ansiedade leve, 24,0% tinham ansiedade moderada e 11,1% tinham ansiedade severa. A maioria dos diagnosticados com depressão apresentava sintomas graves (47,4%) da doença. A maioria dos que não foram diagnosticados com depressão não apresentava sintomas (67,1%). O nível médio de estresse foi de 20,9 da pontuação máxima de 40. O domínio da qualidade de vida com a pontuação mais baixa foi a vitalidade, enquanto o domínio com a pontuação mais alta foi a capacidade funcional. Conclusão: depressão, ansiedade e estresse estavam relacionados a diferentes características sociodemográficas, acadêmicas e clínicas, assim como apresentaram relação com alguns domínios da qualidade de vida, os quais deveriam ser objeto das intervenções.

RESUMEN Objetivo: evaluar la relación entre los síntomas de ansiedad, estrés percibido y depresión con la calidad de vida y las características sociodemográficas, académicas y clínicas de los estudiantes de Enfermería. Métodos: se trata de un estudio correlacional transversal realizado con 173 estudiantes de Enfermería matriculados en 2017 en la Universidad Federal de São Paulo, Brasil. La ansiedad, los síntomas de depresión, el estrés y la calidad de vida se evaluaron, respectivamente, mediante el Inventario de Ansiedad de Beck, el Inventario de Depresión de Beck, la Escala de Estrés Percibido y la Encuesta de Salud de Forma Corta. Resultados: el 24,6 % de los estudiantes tenía ansiedad leve, el 24,0 % tenía ansiedad moderada y el 11,1 % tenía ansiedad grave. La mayoría de los diagnosticados de depresión tenía síntomas graves (47,4 %). La mayoría de los que no fueron diagnosticados de depresión no tenía síntomas (67,1 %). El nivel medio de estrés fue de 20.9 sobre la puntuación máxima de 40. El ámbito de la calidad de vida con la puntuación más baja fue la vitalidad, mientras que el ámbito con la puntuación más alta fue la capacidad funcional. Conclusión: la depresión, la ansiedad y el estrés se relacionaron con diferentes características sociodemográficas, académicas y clínicas, además de presentar una relación con algunos dominios de la calidad de vida, que deberían ser objeto de intervenciones.

ABSTRACT Objective: to evaluate the relationships of anxiety, perceived stress and depression symptoms with quality of life and with sociodemographic, academic and clinical characteristics of Nursing students. Methods: this is a correlational cross-sectional study conducted with 173 undergraduate Nursing students enrolled in 2017 at the Federal University of São Paulo, Brazil. Anxiety, depression symptoms, stress and quality of life were evaluated by means of the Beck Anxiety Inventory, the Beck Depression Inventory, the Perceived Stress Scale and the Short-Form Health Survey, respectively. Results: 24.6%, 24.0% and 11.1% of the students presented mild, moderate and severe anxiety, respectively. Most of those diagnosed with depression had severe symptoms (47.4%), while most of those not diagnosed with depression presented no symptoms (67.1%). The mean stress level was 14.1 out of the maximum score of 40. The quality of life domain with the lowest score was vitality, while the one with the highest score was physical functioning. Conclusion: depression, anxiety and stress were related to different sociodemographic, academic and clinical characteristics, as well as to some quality of life domains, which should be targets of interventions.