Validation of the Short-Form Survivor Unmet Needs Survey in older patients with myeloma.

BACKGROUND: Multiple myeloma (MM) affects mainly the older population and is the second most prevalent haematologic cancer. MM patients' unmet needs are diverse, arise at different stages, and are associated with greater psychological distress. This study examined the psychometric properties of the Short-Form Survivor Unmet Needs Survey (SF-SUNS) in Portuguese MM patients. METHODS: This cross-sectional study included 213 MM patients. The internal consistency of the scale was analyzed with Cronbach's α. Principal component analysis and confirmatory factor analysis were used to assess construct validity. Convergent validity was examined by using correlations with quality of life, satisfaction with social support, and psychological morbidity. Multiple regression analyses were conducted to explore the contribution of sociodemographic and clinical variables to unmet needs. RESULTS: The Portuguese SF-SUNS's factor structure follows the original's structure, although it includes fewer items. For each domain, Cronbach's α was ≤0.70, the minimum acceptable criterion. For construct validity, only unmet relationship and emotional needs had significant correlations (r ≥ 0.40)-specifically negative associations with quality of life and social support and positive associations with psychological morbidity. Regarding patient variables and SF-SUNS results, only cancer stage contributed significantly to unmet information needs, with patients at stage I reporting more needs than patients at stage III. CONCLUSIONS: The SF-SUNS represents a valid and reliable tool to assess unmet needs among Portuguese MM patients. It may be useful in designing and monitoring interventions to improve well-being in cancer survivors.

Beliefs about medicines as mediators in medication adherence in type 2 diabetes.

AIMS: This study analysed whether beliefs about medicines mediated the relationship between illness representations and medication adherence. BACKGROUND: Adherence to medication is required in diabetes treatment, contributing to decreased blood glycaemic levels. The knowledge and perception of patients about diabetes as well as the beliefs about medicines are considered to be key factors for medication adherence. DESIGN: The study used a cross-sectional design that included 387 patients recently diagnosed with type 2 diabetes. METHODS: Participants were assessed, between 2010 and 2013, and answered the Medication Adherence Scale, the Beliefs about Medicines Questionnaire, and the Brief Illness Perception Questionnaire. RESULTS: The results of the path analysis showed that beliefs about medicines had a mediating role on self-report medication adherence with the exception of beliefs about specific concerns with medicines. Therefore, both general beliefs and specific needs about medicines mediated the relationship between diabetes consequences and self-report medication adherence as well as between treatment control and self-report medication adherence. Needs about medicines mediated the relationship between personal control and self-report medication adherence. CONCLUSION: Health professionals should target beliefs about medicines besides illness representations regarding medication adherence. The current study may help optimize adherence to medication in early-diagnosed type 2 diabetes patients.

Effectiveness of a home care teaching program for prostatectomized patients: a randomized controlled clinical trial.

OBJECTIVE: To evaluate the effectiveness of a teaching program for hospital discharge of patients submitted to radical prostatectomy based on the self-efficacy construct of the Cognitive Social Theory. METHOD: A controlled clinical trial carried out on a 2-month follow-up of 68 prostatectomized men randomized into intervention group (n = 34) and control (n = 34). The intervention group received routine guidance from the service plus the teaching program. The control group only received routine guidance from the service. The data collection instruments were: sociodemographic and clinical questionnaire, self-efficacy scale, hospital depression and anxiety scale, household care knowledge questionnaire, and an item on satisfaction with a score of 1 to 5. RESULTS: There was a significant difference between the intragroups for satisfaction (p<0.001) and knowledge (p<0.001) of the pre-test to the post-test. In the intervention group, there were significant changes between the times for anxiety (p=0.011) and knowledge (p<0.001). CONCLUSION: The teaching program with a combination of oral guidance, written instruction and telephone follow-up was effective in improving knowledge about home care and personal satisfaction. Brazilian Registry of Clinical Trials: RBR-5n95rm.

Effectiveness of a home care teaching program for prostatectomized patients: a randomized controlled clinical trial / Efectividad de un programa de enseñanza para cuidado domiciliario de pacientes prostatectomizados: ensayo clínico controlado randomizado / Efetividade de um programa de ensino para cuidado domiciliar de pacientes prostatectomizados: ensaio clínico controlado randomizado

ABSTRACT Objective: To evaluate the effectiveness of a teaching program for hospital discharge of patients submitted to radical prostatectomy based on the self-efficacy construct of the Cognitive Social Theory. Method: A controlled clinical trial carried out on a 2-month follow-up of 68 prostatectomized men randomized into intervention group (n = 34) and control (n = 34). The intervention group received routine guidance from the service plus the teaching program. The control group only received routine guidance from the service. The data collection instruments were: sociodemographic and clinical questionnaire, self-efficacy scale, hospital depression and anxiety scale, household care knowledge questionnaire, and an item on satisfaction with a score of 1 to 5. Results: There was a significant difference between the intragroups for satisfaction (p<0.001) and knowledge (p<0.001) of the pre-test to the post-test. In the intervention group, there were significant changes between the times for anxiety (p=0.011) and knowledge (p<0.001). Conclusion: The teaching program with a combination of oral guidance, written instruction and telephone follow-up was effective in improving knowledge about home care and personal satisfaction. Brazilian Registry of Clinical Trials: RBR-5n95rm.

RESUMEN Objetivo: Evaluar la efectividad de un programa de enseñanza para alta hospitalaria de pacientes sometidos a la prostatectomía radical, pautado en el constructo de la autoeficacia de la Teoría Social Cognitiva. Método: Ensayo clínico controlado, realizado en seguimiento de dos meses, con 68 hombres prostatectomizados, aleatorizados en grupo de intervención (n=34) y de control (n=34). El grupo de intervención recibió orientaciones de rutina del servicio más el programa de enseñanza. El grupo de control recibió solo orientaciones de rutina del servicio. Los instrumentos de recolección de datos fueron: cuestionario sociodemográfico y clínico, escala de autoeficacia, escala de ansiedad y depresión hospitalaria, cuestionario de conocimiento sobre cuidados domiciliarios y un ítem sobre satisfacción con puntaje de 1 a 5. Resultados: Hubo diferencia significativa entre e intra grupos para satisfacción (p<0,001) y conocimiento (p<0,001) de la pre prueba a la post prueba. En el grupo intervención, hubo cambios significativos entre los tiempos para ansiedad (p=0,011) y conocimiento (p<0,001). Conclusión: El programa de enseñanza con combinación de orientación oral, escrita y seguimiento telefónico se mostró efectivo en la mejoría del conocimiento en cuanto a los cuidados domiciliarios y satisfacción de los individuos. Registro Brasileño de Ensayos Clínicos: RBR-5n95rm.

RESUMO Objetivo: Avaliar a efetividade de um programa de ensino para alta hospitalar de pacientes submetidos à prostatectomia radical, pautado no construto da autoeficácia da Teoria Social Cognitiva. Método: Ensaio clínico controlado, realizado em seguimento de 2 meses, com 68 homens prostatectomizados, randomizados em grupo-intervenção (n=34) e controle (n=34). O grupo-intervenção recebeu orientações de rotina do serviço mais o programa de ensino. O grupo-controle recebeu apenas orientações de rotina do serviço. Os instrumentos de coleta de dados foram: questionário sociodemográfico e clínico, escala de autoeficácia, escala de ansiedade e depressão hospitalar, questionário de conhecimento sobre cuidados domiciliares e um item sobre satisfação com pontuação de 1 a 5. Resultados: Houve diferença significativa entre e intragrupos para satisfação (p<0,001) e conhecimento (p<0,001) do pré-teste para o pós-teste. No grupo-intervenção, houve mudanças significativas entre os tempos para ansiedade (p=0,011) e conhecimento (p<0,001). Conclusão: O programa de ensino com combinação de orientação oral, escrita e acompanhamento telefônico mostrou-se efetivo na melhoria do conhecimento quanto aos cuidados em domicílio e satisfação dos indivíduos. Registro Brasileiro de Ensaios Clínicos: RBR-5n95rm.

Predictors of well-being and quality of life in men who underwent radical prostatectomy: longitudinal study1.

OBJECTIVE: to identify socio-demographic, clinical and psychological predictors of well-being and quality of life in men who underwent radical prostatectomy, in a 360-day follow-up. METHOD: longitudinal study with 120 men who underwent radical prostatectomy. Questionnaires were used for characterization and clinical evaluation of the participant, as well as the instruments Visual Analog Scale for Pain, The Ways of Coping Questionnaire, Hospital Depression and Anxiety Scale, Satisfaction with Social Support Scale, Marital Satisfaction Scale, Subjective Well-Being Scale and Expanded Prostate Cancer Index. For data analysis, the linear mixed-effects model was used. RESULTS: the socio-demographic factors age and race were not predictors of the dependent variables; time of surgery, problem-focused coping, and anxiety were predictors of subjective well-being; pain, anxiety and depression were negative predictors of quality of life; emotion-focused coping was a positive predictor. Marital dissatisfaction was a predictor of both variables. CONCLUSION: predictor variables found were different from the literature: desire for changes in marital relationship presented a positive association with quality of life and well-being; emotion-focused coping was a predictor of quality of life; and anxiety was a predictor of subjective well-being.

The effect of therapeutic listening on anxiety and fear among surgical patients: randomized controlled trial.

OBJECTIVE: To investigate the effect of therapeutic listening on state anxiety and surgical fears in preoperative colorectal cancer patients. METHOD: A randomized controlled trial with 50 patients randomly allocated in the intervention group (therapeutic listening) (n = 25) or in the control group (n = 25). The study evaluated the changes in the variables state anxiety, surgical fears and physiological variables (salivary alpha-amylase, salivary cortisol, heart rate, respiratory rate and blood pressure). RESULTS: In the comparison of the variables in the control and intervention groups in pre- and post-intervention, differences between the two periods for the variables cortisol (p=0.043), heart rate (p=0.034) and surgical fears (p=0.030) were found in the control group, which presented reduction in the values ​​of these variables. CONCLUSION: There was no reduction in the levels of the variables state anxiety and surgical fears resulting from the therapeutic listening intervention, either through the physiological or psychological indicators. However, the contact with the researcher during data collection, without stimulus to reflect on the situation, may have generated the results of the control group. Clinical Trial Registration: NCT02455128.

Jacobson and Truax Method: evaluation of the clinical effectiveness of a home care program after prostatectomy.

OBJECTIVE: to exemplify the applicability of the Jacobson and Truax Method in a nursing intervention study that analyzed the effectiveness of a home care teaching program after radical prostatectomy. METHOD: this is a descriptive study concerning the applicability of the Jacobson and Truax Method in the data analysis of a clinical trial. The intervention consisted of a teaching program for hospital discharge after radical prostatectomy through oral guidance, writing, and telephonic reinforcement. Thirty-four men participated in the intervention group and 34 men participated in the control group. A reliable index of change and clinical significance was calculated for the knowledge variable in both groups. Scatterplots were presented to demonstrate the effectiveness of the method. RESULTS: for 30 individuals in the intervention group, the intervention presented clinically relevant change than in knowledge. In the control group, none of the 34 individuals presented clinical significance of the results related to this variable, that is, the statistical significance identified by the inferential tests did not have clinically relevant changes in the knowledge variable. CONCLUSION: the educational intervention carried out through the combination of oral, written and telephone counseling was shown to be clinically effective in improving knowledge about home care.

Jacobson and Truax Method: evaluation of the clinical effectiveness of a home care program after prostatectomy / Método Jacobson e Truax: avaliação da efetividade clínica de um programa de ensino para cuidado domiciliar pós prostatectomia / Método Jacobson y Truax: evaluación de la efectividad clínica de un programa de enseñanza para cuidado domiciliario pos-prostatectomía

ABSTRACT Objective: to exemplify the applicability of the Jacobson and Truax Method in a nursing intervention study that analyzed the effectiveness of a home care teaching program after radical prostatectomy. Method: this is a descriptive study concerning the applicability of the Jacobson and Truax Method in the data analysis of a clinical trial. The intervention consisted of a teaching program for hospital discharge after radical prostatectomy through oral guidance, writing, and telephonic reinforcement. Thirty-four men participated in the intervention group and 34 men participated in the control group. A reliable index of change and clinical significance was calculated for the knowledge variable in both groups. Scatterplots were presented to demonstrate the effectiveness of the method. Results: for 30 individuals in the intervention group, the intervention presented clinically relevant change than in knowledge. In the control group, none of the 34 individuals presented clinical significance of the results related to this variable, that is, the statistical significance identified by the inferential tests did not have clinically relevant changes in the knowledge variable. Conclusion: the educational intervention carried out through the combination of oral, written and telephone counseling was shown to be clinically effective in improving knowledge about home care.

RESUMO Objetivo: exemplificar a aplicabilidade do Método Jacobson e Truax em um estudo de intervenção de enfermagem que analisou a efetividade de um programa de ensino para cuidado domiciliar pós-prostatectomia radical. Método: estudo descritivo referente à aplicabilidade do Método Jacobson e Truax na análise de dados de um ensaio clínico. A intervenção consistiu em programa de ensino para alta hospitalar pós-prostatectomia radical por meio de orientação oral, escrita e reforço telefônico. Participaram 34 homens no grupo intervenção e 34 no controle. Calculou-se índice de mudança confiável e significância clínica para a variável conhecimento nos dois grupos. Gráficos de dispersão foram apresentados para demonstrar a efetividade do método. Resultados: no grupo intervenção, para 30 indivíduos, a intervenção apresentou mudança clinicamente relevante em relação ao conhecimento. Já no grupo controle, nenhum dos 34 indivíduos apresentou significância clínica dos resultados relacionada a essa variável, ou seja, a significância estatística identificada pelos testes inferenciais não representou mudanças clinicamente relevantes ao nível da variável conhecimento. Conclusão: a intervenção educativa realizada por meio da combinação de orientação oral, escrita e acompanhamento telefônico mostrou-se clinicamente efetiva no âmbito da melhoria do conhecimento quanto aos cuidados em domicílio.

RESUMEN Objetivo: ejemplificar la aplicabilidad del Método Jacobson y Truax en un estudio de intervención de enfermería que analizó la efectividad de un programa de enseñanza para cuidado domiciliario pos-prostatectomía radical. Método: estudio descriptivo referente a la aplicabilidad del Método Jacobson y Truax en el análisis de datos de un ensayo clínico. La intervención consistió en programa de enseñanza para alta hospitalario pos-prostatectomía radical por medio de orientación oral, escrita y refuerzo telefónico. Participaron 34 hombres en el grupo intervención y 34 en el grupo de control. Se calculó el índice de cambio confiable y significancia clínica para la variable conocimiento en los dos grupos. Gráficos de dispersión fueron presentados para demostrar la efectividad del método. Resultados: en el grupo intervención, para 30 individuos, la intervención presentó cambio clínicamente relevante en relación al conocimiento. Ya en el grupo control, ninguno de los 34 individuos presentó significancia clínica de los resultados relacionada a esa variable, o sea, la significancia estadística identificada por los tests inferenciales no representó cambios clínicamente relevantes al nivel del variable conocimiento. Conclusión: la intervención educativa realizada por medio de la combinación de orientación oral, escrita y acompañamiento telefónico se mostró clínicamente efectiva en el ámbito de la mejoría del conocimiento sobre los cuidados en domicilio.

The effect of therapeutic listening on anxiety and fear among surgical patients: randomized controlled trial / O efeito da escuta terapêutica na ansiedade e medos de pacientes cirúrgicos: ensaio clínico aleatorizado / El efecto de la escucha terapéutica sobre la ansiedad y los miedos de pacientes quirúrgicos: ensayo clínico aleatorizado

ABSTRACT Objective: To investigate the effect of therapeutic listening on state anxiety and surgical fears in preoperative colorectal cancer patients. Method: A randomized controlled trial with 50 patients randomly allocated in the intervention group (therapeutic listening) (n = 25) or in the control group (n = 25). The study evaluated the changes in the variables state anxiety, surgical fears and physiological variables (salivary alpha-amylase, salivary cortisol, heart rate, respiratory rate and blood pressure). Results: In the comparison of the variables in the control and intervention groups in pre- and post-intervention, differences between the two periods for the variables cortisol (p=0.043), heart rate (p=0.034) and surgical fears (p=0.030) were found in the control group, which presented reduction in the values ​​of these variables. Conclusion: There was no reduction in the levels of the variables state anxiety and surgical fears resulting from the therapeutic listening intervention, either through the physiological or psychological indicators. However, the contact with the researcher during data collection, without stimulus to reflect on the situation, may have generated the results of the control group. Clinical Trial Registration: NCT02455128.

RESUMO Objetivo: Investigar o efeito da escuta terapêutica sobre a ansiedade estado e os medos relacionados à cirurgia em pacientes no pré-operatório de cirurgia de câncer colorretal. Método: Ensaio clínico, aleatorizado e controlado, realizado com 50 pacientes que foram aleatoriamente designados para o grupo intervenção (escuta terapêutica) (n=25) ou para o grupo controle (n=25). O estudo avaliou as mudanças nos níveis de ansiedade das variáveis ansiedade estado, medos relacionados à cirurgia e variáveis fisiológicas (alfa-amilase salivar, cortisol salivar, frequência de pulso, frequência respiratória e pressão arterial). Resultados: Na comparação das variáveis nos grupos controle e intervenção nos momentos pré e pós-intervenção, constataram-se diferenças entre os momentos no grupo controle para as variáveis cortisol (p=0,043), frequência de pulso (p=0,034) e medos relacionados à cirurgia (p=0,030), com redução dos valores dessas variáveis. Conclusão: Não houve redução nos níveis das variáveis ansiedade estado e medos relacionados à cirurgia decorrente da realização da escuta terapêutica, seja por meio dos indicadores fisiológicos ou psicológicos. Contudo, o acolhimento dado pela pesquisadora na coleta de dados, sem estímulo reflexivo à situação, pode ter gerado os resultados do grupo controle. Registro de Ensaio Clínico: NCT02455128.

RESUMEN Objetivo: Investigar el efecto de la escucha terapéutica sobre la ansiedad-estado y los miedos de pacientes relativos a la cirugía de cáncer colorrectal en el preoperatorio. Método: Se trata de un ensayo clínico, aleatorizado y controlado, realizado entre 50 pacientes designados aleatoriamente para el grupo intervención (escucha terapéutica) (n=25) o para el grupo control (n=25). El estudio evaluó los cambios en los niveles de ansiedad de las variables ansiedad-estado, miedos relativos a la cirugía y variables fisiológicas (alfa-amilasa salival, cortisol salival, frecuencia cardiaca, frecuencia respiratoria y presión arterial). Resultados: Al comparar las variables entre los grupos control e intervención en los momentos pre y post-intervención, se constataron diferencias en el grupo control para las variables cortisol (p=0,043), frecuencia cardiaca (p=0,034) y miedos relacionados a la cirugía (p=0,030), con reducción de los valores de esas variables. Conclusión: No hubo reducción en los niveles de las variables ansiedad-estado y miedos relacionados a la cirugía derivado de la realización de la escucha terapéutica, ya sea mediante indicadores fisiológicos o psicológicos. Sin embargo, la acogida propiciada por la investigadora en la colecta de datos, sin estímulo reflexivo a la situación, podría haber generado los resultados del grupo control. Registro de Ensayo Clínico: NCT02455128.

Predictors of well-being and quality of life in men who underwent radical prostatectomy: longitudinal study / Preditores de bem-estar e qualidade de vida em homens submetidos à prostatectomia radical: estudo longitudinal / Predictores de bienestar y calidad de vida en hombres sometidos a prostatectomía radical: estudio longitudinal

ABSTRACT Objective: to identify socio-demographic, clinical and psychological predictors of well-being and quality of life in men who underwent radical prostatectomy, in a 360-day follow-up. Method: longitudinal study with 120 men who underwent radical prostatectomy. Questionnaires were used for characterization and clinical evaluation of the participant, as well as the instruments Visual Analog Scale for Pain, The Ways of Coping Questionnaire, Hospital Depression and Anxiety Scale, Satisfaction with Social Support Scale, Marital Satisfaction Scale, Subjective Well-Being Scale and Expanded Prostate Cancer Index. For data analysis, the linear mixed-effects model was used. Results: the socio-demographic factors age and race were not predictors of the dependent variables; time of surgery, problem-focused coping, and anxiety were predictors of subjective well-being; pain, anxiety and depression were negative predictors of quality of life; emotion-focused coping was a positive predictor. Marital dissatisfaction was a predictor of both variables. Conclusion: predictor variables found were different from the literature: desire for changes in marital relationship presented a positive association with quality of life and well-being; emotion-focused coping was a predictor of quality of life; and anxiety was a predictor of subjective well-being.

RESUMO Objetivo: identificar fatores preditores sociodemográficos, clínicos e psicológicos para o bem-estar e a qualidade de vida de homens submetidos à prostatectomia radical, em seguimento de 360 dias. Método: trata-se de um estudo longitudinal, com 120 homens submetidos à prostatectomia radical. Foram utilizados questionários para caracterização e avaliação clínica do participante, bem como os instrumentos Escala Visual Analógica de Dor, Inventário de Estratégias de Coping, Escala Hospitalar de Ansiedade e Depressão, Escala de Satisfação com o Suporte Social, Escala de Satisfação Conjugal, Escala de Bem-estar Subjetivo e o Expanded Prostate Cancer Index. Para análise dos dados, utilizou-se o modelo linear de efeitos mistos. Resultados: fatores sociodemográficos idade e raça não se mostraram preditores das variáveis dependentes; tempo de cirurgia, enfrentamento focado no problema e ansiedade foram preditores para bem-estar subjetivo; dor, ansiedade e depressão foram preditores negativos de qualidade de vida; estratégia de enfrentamento focado na emoção, positivo. A não satisfação conjugal foi preditora para ambas variáveis. Conclusões: foram identificados fatores preditores distintos da literatura: desejo de mudança nos níveis de satisfação conjugal apresentou relação positiva com qualidade de vida e bem-estar; modo de enfrentamento focado na emoção foi preditor de qualidade de vida; e ansiedade foi preditor de bem-estar subjetivo.

RESUMEN Objetivo: identificar factores predictores sociodemográficos, clínicos y psicológicos para el bienestar y la calidad de vida de hombres sometidos a prostatectomía radical, en seguimiento de 360 días. Método: se trata de un estudio longitudinal, realizado entre 120 hombres sometidos a prostatectomía radical. Se utilizaron cuestionarios para caracterización y evaluación clínica del participante, así como los instrumentos Escala Visual Analógica de Dolor, Inventario de Estrategias de Afrontamiento, Escala Hospitalaria de Ansiedad y Depresión, Escala de Satisfacción con el Soporte Social, Escala de Satisfacción Marital, Escala de Bienestar Subjetivo y el Índice de Cáncer de Próstata Ampliado. Se utilizó el modelo lineal de efectos mixtos para el análisis de los datos. Resultados: los factores sociodemográficos tales como edad y raza no se mostraron predictores de las variables dependientes; tiempo de cirugía, enfrentamiento enfocado en el problema y en la ansiedad fueron predictores para el bienestar subjetivo; dolor, ansiedad y depresión fueron predictores negativos de calidad de vida; estrategia de enfrentamiento enfocado en la emoción, positivo. La no satisfacción marital fue predictora para ambas variables. Conclusiones: se identificaron factores predictores distintos de la literatura: el deseo de cambio en los niveles de satisfacción marital presentó una relación positiva con la calidad de vida y el bienestar; modo de enfrentamiento enfocado en la emoción fue predictor de calidad de vida; y ansiedad fue predictor de bienestar subjetivo.

Interface between social support, quality of life and depression in users eligible for palliative care.

OBJECTIVE: Analyzing the relationship between social support, quality of life and depression in patients eligible for palliative care at Primary Health Care of a municipality in the interior of Minas Gerais, Brazil. METHOD: A correlational cross-sectional study carried out with patients treated in six primary health care units. Data were submitted to descriptive statistical analysis, tests for differences between averages and medians, and correlation tests. The significance level was 0.05. RESULTS: The sample consisted of 115 participants, and it was identified that the higher the social support, the better the global quality of life (p<0.001) and functional quality of life (p=0.035); the greater the presence of physical symptoms, the lower the level of social support (p=0.012) and the higher the level of depression (p<0.001); the higher the symptoms of depression, the worse the global quality of life (p<0.001), functional quality of life (p<0.001) and the lower the levels of social support (p<0.001). CONCLUSION: Levels of quality of life, social support and depression of patients eligible for palliative care are influenced by socioeconomic factors such as marital status, gender, age, income, education and presence of a caregiver. OBJETIVO: Analisar a relação entre apoio social, qualidade de vida e depressão em pacientes elegíveis para cuidados paliativos atendidos na Atenção Primária à Saúde de um município no interior de Minas Gerais, Brasil. MÉTODO: Estudo transversal correlacional, realizado com pacientes atendidos em seis unidades da atenção primária à saúde. Os dados foram submetidos à análise estatística descritiva, testes de diferenças entre médias e medianas e testes de correlação. O nível de significância adotado foi 0,05. RESULTADOS: A amostra foi composta por 115 participantes, e identificou-se que quanto maior o apoio social, melhor é a qualidade de vida global (p<0,001) e funcional (p=0,035); quanto maior a presença de sintomas físicos, menor o nível de apoio social (p=0,012) e maior o nível de depressão (p<0,001); quanto maiores os sintomas de depressão, pior é a qualidade de vida global (p<0,001), funcional (p<0,001) e menores os níveis de apoio social (p<0,001). CONCLUSÃO: Os níveis de qualidade de vida, apoio social e depressão de pacientes elegíveis para cuidados paliativos são influenciados por fatores socioeconômicos, tais como estado conjugal, sexo, idade, renda, escolaridade e presença de cuidador. OBJETIVO: Analizar la relación entre apoyo social, calidad de vida y depresión en pacientes elegibles para cuidados paliativos atendidos en la Atención Primaria a la Salud de un municipio en el interior de Minas Gerais, Brasil. MÉTODO: Estudio transversal correlacional, realizado con pacientes atendidos en seis unidades de atención primaria a la salud. Los datos fueron sometidos al análisis estadístico descriptivo, pruebas de diferencias entre medias y medianas y pruebas de correlación. El nivel de significancia adoptado fue 0,05. RESULTADOS: La muestra fue compuesta por 115 participantes, y se identificó que cuanto mayor el apoyo social, mejor es la calidad de vida global (p <0,001) y funcional (p = 0,035); cuanto mayor sea la presencia de síntomas físicos, menor el nivel de apoyo social (p = 0,012) y mayor el nivel de depresión (p <0,001); cuanto mayores los síntomas de depresión, peor es la calidad de vida global (p <0,001), funcional (p <0,001) y menores los niveles de apoyo social (p <0,001). CONCLUSIÓN: Los niveles de calidad de vida, apoyo social y depresión de pacientes elegibles para cuidados paliativos son influenciados por factores socioeconómicos, tales como estado conyugal, sexo, edad, renta, escolaridad y presencia de cuidador.

Interface between social support, quality of life and depression in users eligible for palliative care / Interface entre apoio social, qualidade de vida e depressão em usuários elegíveis para cuidados paliativos / Las interfaces entre apoyo social, calidad de vida y depresión en usuarios elegibles para cuidados paliativos

Abstract OBJECTIVE Analyzing the relationship between social support, quality of life and depression in patients eligible for palliative care at Primary Health Care of a municipality in the interior of Minas Gerais, Brazil. METHOD A correlational cross-sectional study carried out with patients treated in six primary health care units. Data were submitted to descriptive statistical analysis, tests for differences between averages and medians, and correlation tests. The significance level was 0.05. RESULTS The sample consisted of 115 participants, and it was identified that the higher the social support, the better the global quality of life (p<0.001) and functional quality of life (p=0.035); the greater the presence of physical symptoms, the lower the level of social support (p=0.012) and the higher the level of depression (p<0.001); the higher the symptoms of depression, the worse the global quality of life (p<0.001), functional quality of life (p<0.001) and the lower the levels of social support (p<0.001). CONCLUSION Levels of quality of life, social support and depression of patients eligible for palliative care are influenced by socioeconomic factors such as marital status, gender, age, income, education and presence of a caregiver.

Resumo OBJETIVO Analisar a relação entre apoio social, qualidade de vida e depressão em pacientes elegíveis para cuidados paliativos atendidos na Atenção Primária à Saúde de um município no interior de Minas Gerais, Brasil. MÉTODO Estudo transversal correlacional, realizado com pacientes atendidos em seis unidades da atenção primária à saúde. Os dados foram submetidos à análise estatística descritiva, testes de diferenças entre médias e medianas e testes de correlação. O nível de significância adotado foi 0,05. RESULTADOS A amostra foi composta por 115 participantes, e identificou-se que quanto maior o apoio social, melhor é a qualidade de vida global (p<0,001) e funcional (p=0,035); quanto maior a presença de sintomas físicos, menor o nível de apoio social (p=0,012) e maior o nível de depressão (p<0,001); quanto maiores os sintomas de depressão, pior é a qualidade de vida global (p<0,001), funcional (p<0,001) e menores os níveis de apoio social (p<0,001). CONCLUSÃO Os níveis de qualidade de vida, apoio social e depressão de pacientes elegíveis para cuidados paliativos são influenciados por fatores socioeconômicos, tais como estado conjugal, sexo, idade, renda, escolaridade e presença de cuidador.

Resumen OBJETIVO Analizar la relación entre apoyo social, calidad de vida y depresión en pacientes elegibles para cuidados paliativos atendidos en la Atención Primaria a la Salud de un municipio en el interior de Minas Gerais, Brasil. MÉTODO Estudio transversal correlacional, realizado con pacientes atendidos en seis unidades de atención primaria a la salud. Los datos fueron sometidos al análisis estadístico descriptivo, pruebas de diferencias entre medias y medianas y pruebas de correlación. El nivel de significancia adoptado fue 0,05. RESULTADOS La muestra fue compuesta por 115 participantes, y se identificó que cuanto mayor el apoyo social, mejor es la calidad de vida global (p <0,001) y funcional (p = 0,035); cuanto mayor sea la presencia de síntomas físicos, menor el nivel de apoyo social (p = 0,012) y mayor el nivel de depresión (p <0,001); cuanto mayores los síntomas de depresión, peor es la calidad de vida global (p <0,001), funcional (p <0,001) y menores los niveles de apoyo social (p <0,001). CONCLUSIÓN Los niveles de calidad de vida, apoyo social y depresión de pacientes elegibles para cuidados paliativos son influenciados por factores socioeconómicos, tales como estado conyugal, sexo, edad, renta, escolaridad y presencia de cuidador.

Sociodemographic and clinical characteristics of patients with diabetic foot ulcer.

INTRODUCTION: Diabetic foot is one of the most serious complications of diabetes affecting about 15% of all diabetes patients, and it is the leading cause of nontraumatic lower limb amputations. This study presents a sociodemographic and clinical characterization of patients with diabetic foot ulcer indicated for amputation surgery. METHODS: A cross-sectional study with 206 patients with type 2 diabetes and a diabetic foot ulcer indicated for amputation surgery. Patients were assessed on sociodemographic and clinical characteristics, pain intensity and pain interference, after answering the Brief Pain Inventory, and on pain descriptors according to the Douleur Neuropathique 4. RESULTS: Most patients were male, with little formal education and a mean age of 66 years. They had been diagnosed with type 2 diabetes for 18 years in average, and diagnosed with diabetic foot ulcer in average 3 years prior to the assessment. About 59% of patients experienced pain in the lower limb that significantly interfered with all areas of their functioning. CONCLUSION: The social demographic variables play an important role in diabetic foot ulceration. Given that the neuropathic ulcers are more easily preventable, systematic monitoring of patients with neuropathy is important. In patients with neuroischemic foot, strategies to cope or manage more efficiently the pain are paramount. Intervention should be multidisciplinary and take into account sociodemographic and clinical factors, as well as the presence, intensity and interference of pain in the patient's daily life activities and whether the patient has family or caregiver support.

Sociodemographic and clinical characteristics of patients with diabetic foot ulcer / Características sociodemográficas e clínicas de doentes com pé diabético

Summary Introduction: Diabetic foot is one of the most serious complications of diabetes affecting about 15% of all diabetes patients, and it is the leading cause of nontraumatic lower limb amputations. This study presents a sociodemographic and clinical characterization of patients with diabetic foot ulcer indicated for amputation surgery. Methods: A cross-sectional study with 206 patients with type 2 diabetes and a diabetic foot ulcer indicated for amputation surgery. Patients were assessed on sociodemographic and clinical characteristics, pain intensity and pain interference, after answering the Brief Pain Inventory, and on pain descriptors according to the Douleur Neuropathique 4. Results: Most patients were male, with little formal education and a mean age of 66 years. They had been diagnosed with type 2 diabetes for 18 years in average, and diagnosed with diabetic foot ulcer in average 3 years prior to the assessment. About 59% of patients experienced pain in the lower limb that significantly interfered with all areas of their functioning. Conclusion: The social demographic variables play an important role in diabetic foot ulceration. Given that the neuropathic ulcers are more easily preventable, systematic monitoring of patients with neuropathy is important. In patients with neuroischemic foot, strategies to cope or manage more efficiently the pain are paramount. Intervention should be multidisciplinary and take into account sociodemographic and clinical factors, as well as the presence, intensity and interference of pain in the patient's daily life activities and whether the patient has family or caregiver support.

Resumo Introdução: o pé diabético é uma das complicações mais graves da diabetes, afetando cerca de 15% dos indivíduos com diabetes, e é a maior causa de amputação de membros inferiores de origem não traumática. Este estudo apresenta uma caracterização sociodemográfica e clínica de doentes com pé diabético indicados para cirurgia de amputação. Método: estudo transversal com 206 doentes com diabetes tipo 2 e pé diabético indicados para cirurgia de amputação. Foram recolhidos dados sociodemográficos e clínicos. Intensidade e interferência da dor foram avaliadas por meio do Brief Pain Inventory e os descritores da dor, pelo Douleur Neuropathique 4. Resultados: a maioria dos doentes era do sexo masculino, com baixa escolaridade e uma média de idade de 66 anos. Apresentava diagnóstico de diabetes tipo 2 havia 18 anos e pé diabético havia 4 anos. Cerca de 59% dos doentes apresentavam dor no membro inferior, interferindo significativamente em todas as áreas de funcionamento. Conclusão: as variáveis sociodemográficas desempenham um papel importante na ulceração do pé diabético. As úlceras neuropáticas são mais facilmente preveníveis; portanto, é importante o acompanhamento sistemático dos doentes com neuropatia. Nos doentes com pé neuroisquêmico, estratégias para lidar/gerir a dor de forma mais eficaz são necessárias. A intervenção deve ser multidisciplinar e considerar os fatores sociodemográficos e clínicos, a presença, intensidade e interferência da dor nas atividades de vida diária do doente, bem como a presença de suporte da família ou de um cuidador.

The mediator role of psychological morbidity on sleep and health behaviors in adolescents / O papel mediador da morbidade psicológica em hábitos de sono e comportamentos de saúde em adolescentes

ABSTRACT OBJECTIVE: This study examined the mediation role of psychological morbidity, defined in this study as depression/anxiety, in the relationship between excessive daytime sleepiness and sleep quality, and between sleep habits and health behaviors, in adolescents. METHODS: A total of 272 students, between 12 and 18 years old, underwent a psychological protocol assessing excessive daytime sleepiness, sleep quality, sleep habits, health behavior, and psychological morbidity. RESULTS: Psychological morbidity was not associated with the relationship between excessive daytime sleepiness and sleep quality, but was associated, with statistical significance, in the relationship between sleep habits and health behaviors. These results emphasize the role of psychological morbidity in adolescent health behaviors. CONCLUSION: Analyzing the symptoms of depression and anxiety in pediatric patients may help in a more accurate diagnosis, especially in relation to sleep problems and health behaviors.

RESUMO OBJETIVO: Este estudo analisa o papel mediador da morbidade psicológica, definida neste estudo como depressão e ansiedade, na relação entre a sonolência diurna excessiva e qualidade do sono e entre hábitos de sono e comportamentos de saúde em adolescentes. MÉTODO: Foram entrevistados 272 estudantes, entre 12 e 18 anos, por meio de um protocolo de avaliação que acessou dados acerca da sonolência diurna excessiva, qualidade do sono, hábitos de sono, comportamentos de saúde e morbidade psicológica. RESULTADOS: Os resultados mostraram que a morbidade psicológica não estava associada, com significância estatística, na relação entre a sonolência diurna excessiva e qualidade do sono, mas estava associada, com significância estatística, na relação entre hábitos de sono e comportamentos de saúde. Esse resultado reforça a importância da morbidade psicológica nos comportamentos de saúde dos adolescentes. CONCLUSÃO: Investigar sintomas de depressão e ansiedade nas consultas pediátricas pode auxiliar o profissional num diagnóstico mais preciso, principalmente em relação a problemas de sono e comportamentos de saúde.

[The moderator role of family type in the relationship between functional disability and quality of life in patients with chronic low back pain]. / O papel moderador do tipo de família na relação entre incapacidade funcional e qualidade de vida em doentes com lombalgia crônica.

Chronic low back pain is a disease that interferes with quality of life and the patient's functional capability. This study aimed to identify the moderating effect of the "Type of Family" in the relationship between functional disability and quality of life in patients with chronic low back pain. Two hundred and three patients with low back pain for longer than 3 months participated in the study. The instruments used were: Medical Outcome Study (MOS 20); Roland Morris Disability Questionnaire (RMDO; Family Adaptability and Cohesion Evaluation Scales (FACES II). Regression analyses were performed in order to test the moderating effect of the type of family. The results showed that patients with lower levels of disability presented better quality of life in the intermediate and balanced families, and this relationship was even stronger in balanced families. According to the results, intervention programs in chronic low back pain, besides the patient, should include the family particularly in balanced families since they are the ones that feel the impact of the disease on their quality of life the most.

O papel moderador do tipo de família na relação entre incapacidade funcional e qualidade de vida em doentes com lombalgia crônica / The moderator role of family type in the relationship between functional disability and quality of life in patients with chronic low back pain

Resumo A lombalgia crônica constituise como uma doença que interfere na qualidade de vida e na capacidade funcional do paciente. Este estudo teve por objetivo identificar o efeito moderador do “Tipo de Família” na relação entre a incapacidade funcional e a qualidade de vida em doentes com lombalgia crônica. Participaram no estudo 213 pacientes com lombalgia há mais de 3 meses. Os instrumentos utilizados foram: Medical Outcome Study (MOS-20); Roland Morris Disability Questionnaire (RMDQ); Family Adaptability and Cohesion Evaluation Scales (FACES II). Foram realizadas análises de regressão com o objetivo de testar o efeito moderador do tipo de família. Os resultados revelaram que os doentes com níveis mais baixos de incapacidade funcional apresentavam melhor qualidade de vida nas famílias intermédias e equilibradas, com relação mais forte nestas últimas. De acordo com os resultados, os programas de intervenção na lombalgia crônica, além do doente, devem incluir a família, particularmente nas equilibradas, que são as que mais sentem o impacto da doença na sua qualidade de vida.

Abstract Chronic low back pain is a disease that interferes with quality of life and the patient's functional capability. This study aimed to identify the moderating effect of the “Type of Family” in the relationship between functional disability and quality of life in patients with chronic low back pain. Two hundred and three patients with low back pain for longer than 3 months participated in the study. The instruments used were: Medical Outcome Study (MOS 20); Roland Morris Disability Questionnaire (RMDO; Family Adaptability and Cohesion Evaluation Scales (FACES II). Regression analyses were performed in order to test the moderating effect of the type of family. The results showed that patients with lower levels of disability presented better quality of life in the intermediate and balanced families, and this relationship was even stronger in balanced families. According to the results, intervention programs in chronic low back pain, besides the patient, should include the family particularly in balanced families since they are the ones that feel the impact of the disease on their quality of life the most.