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1.
Texto & contexto enferm ; 29: e20180486, Jan.-Dec. 2020. tab
Artigo em Inglês | LILACS, BDENF - Enfermagem | ID: biblio-1059147

RESUMO

ABSTRACT Objective: to assess the health-related quality of life of patients with a permanent cardiac pacemaker. Method: descriptive, observational, cross-sectional study conducted in the arrhythmia outpatient unit of a university hospital located in the interior of São Paulo, Brazil. The consecutive and non-probabilistic sample was composed of both sexes, older than 29 years old, having a pacemaker for at least one month. Those lacking the cognitive condition to answer the questionnaires, as well as those with dyspnea, weakness, or fatigue at the time the instruments were applied, or with an implantable cardioverter defibrillator, were excluded. The generic instrument Medical Outcomes Study 36 - Item Short-Form Health Survey, composed of 36 questions distributed into eight domains along with the specific instrument Assessment of Quality of Life and Related Events, composed of 20 questions distributed into three domains, were used to assess health-related quality of life. Results: 88 patients participated; most were men, had a partner, and were aged 64.3 (±13) years old on average. The domains from the Medical Outcomes Study 36 that obtained the highest means, that is, were the best-rated, were Social Functioning (78.1; ±26.8) and Emotional Well-Being (68.2; ±23.9), while the lowest means were obtained by Physical Health (48.2; ±41.4) and Physical Functioning (58.5; ±27.9). In regard to the Assessment of Quality of Life and Related Events, the Arrhythmia domain had the highest mean and best quality of life (78.2; ±20.7), while the lowest mean was Dyspnea (71.1; ±26.8). Conclusion: the patients gave the highest health-related quality of life ratings in regard to mental domains and the lowest ratings for the physical domains.


RESUMEN Objetivo: evaluar la calidad de vida relacionada con la salud de pacientes con marcapaso cardíaco definitivo. Método: estudio observacional descriptivo, transversal, realizado en el ambulatorio de arritmia de un hospital universitario del interior del estado de Sao Paulo. La muestra consecutiva y no probabilística estuvo constituida de pacientes de los dos sexos, mayores de 18 años, con marcapaso hace, por lo menos, un mes. Fueron excluidos los que no presentaron condiciones cognitivas para responder a los cuestionarios, como también aquellos que presentaron disnea, debilidad y fatiga, en el momento de la aplicación de los instrumentos; y, también aquellos con desfibrilador cardioversor implantable. Para la evaluación de la calidad de vida relacionada con la salud, se utilizó el instrumento genéricoMedical Outcomes Study 36 - Item Short-Form Health Survey, compuesto por 36 preguntas distribuidas en ocho dominios, y el instrumento específicoAssessment of Quality of Life and Related Events, compuesto por 20 preguntas distribuidas en tres dominios. Resultados: participaron 88 pacientes, la mayoría del sexo masculino y con compañero, con edad media de 64,3 (±13) años. Los dominios que presentaron mayores medias, así como mejores evaluaciones, fueron Aspectos Sociales (78,1; ±26,8) y Salud Mental (68,2; ±23,9), y las menores fueron Aspectos Físicos (48,2; ±41,4) y Capacidad Funcional (58,5; ±27,9), referentes alMedical OutcomesStudy 36. En cuanto al Assessment of Quality of Life and Related Events, el dominio de mayor media y mejor calidad de vida fue Arritmia (78,2; ±20,7), y el de menor, Disnea (71,1; ±26,8). Conclusión: los pacientes presentaron mejores evaluaciones da calidad de vida relacionada con la salud en los dominios mentales y peores en los dominios físicos.


RESUMO Objetivo: avaliar a qualidade de vida relacionada à saúde de pacientes com marca-passo cardíaco definitivo. Método: estudo observacional descritivo, transversal, realizado no ambulatório de arritmia de um hospital universitário do interior paulista. Amostra consecutiva e não probabilística foi constituída de pacientes de ambos os sexos, maiores de 18 anos, com marca-passo há pelo menos um mês. Foram excluídos os que não apresentaram condições cognitivas para responder aos questionários, como também aqueles que apresentaram dispneia, fraqueza e fadiga no momento da aplicação dos instrumentos e com cardioversor desfibrilador implantável. Para a avaliação da qualidade de vida relacionada à saúde, utilizou-se o instrumento genérico Medical Outcomes Study 36 - Item Short-Form Health Survey, composto por 36 questões distribuídas em oito domínios, e o instrumento específico Assessment of Quality of Life and Related Events, composto por 20 questões distribuídas em três domínios. Resultados: participaram 88 pacientes, a maioria do sexo masculino e com companheiro, com a média de idade de 64,3 (±13). Os domínios que apresentaram maiores médias, assim como melhores avaliações, foram Aspectos Sociais (78,1; ±26,8) e Saúde Mental (68,2; ±23,9), e as menores foram em Aspectos Físicos (48,2; ±41,4) e Capacidade Funcional (58,5; ±27,9), referentes ao Medical Outcomes Study 36. Quanto ao Assessment of Quality of Life and Related Events, o domínio de maior média e melhor qualidade de vida foi Arritmia (78,2; ±20,7), e o de menor, Dispneia (71,1; ±26,8). Conclusão: os pacientes apresentaram melhores avaliações da qualidade de vida relacionada à saúde nos domínios mentais e piores nos domínios físicos.


Assuntos
Humanos , Adulto , Marca-Passo Artificial , Arritmias Cardíacas , Cuidados Pós-Operatórios , Qualidade de Vida , Enfermagem
2.
Rev Gaucha Enferm ; 41: e20190025, 2020.
Artigo em Português, Inglês | MEDLINE | ID: mdl-32348418

RESUMO

OBJECTIVE: To investigate associations between preoperative anxiety and depression symptoms and postoperative complications and the sociodemographic and clinical characteristics of patients undergoing valve repair surgery. METHOD: Observational, exploratory and prospective study. The consecutive non-probabilistic sample consisted of patients undergoing their first valve repair surgery. Data were collected from September 2013 to September 2015, in a university hospital in the interior of São Paulo, Brazil. Symptoms were assessed using the Hospital Anxiety and Depression Scale and analyzed using Mann-Whitney and Spearman correlation; alpha was established at 5%. RESULTS: Among the 70 participants, depressive symptoms were more frequent among women (p=0.042) and among patients experiencing postoperative agitation (p=0.039) Conclusion: In this study, depressive symptoms were associated with being a woman and postoperative agitation; the same was not true in regard to anxiety symptoms.

3.
Burns ; 46(2): 416-422, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-31451312

RESUMO

OBJECTIVES: To compare perceived stigmatization, symptoms of depression and self-esteem of adults from Brazilian general population with Brazilian burns survivors and to verify the possible correlations between these populations. METHOD: The general population and burn survivors administered the adapted Brazilian versions of the Perceived Stigmatization Questionnaire (BR-PSQ-R), Beck Depression Inventory (BDI) and Rosenberg Self-Esteem Scale (RSES). The Student's t-test for independent samples was employed to identify significant differences between the means of the results from the BR-PSQ-R, BDI and RSES instruments, and the Pearson correlation was used to detect correlations between constructs. The significance level was set at 0.05. RESULTS: Participants of this study included: 102 individuals from the general population and 240 burn survivors. The difference between the BR-PSQ-R mean scores of the two groups was not statistically significant (p = 0.077). The mean scores for the BDI (p = 0.001) and RSES (p = 0.001) where found to be lower in the general population, when compared to burn survivors. Moderate correlations were identified between the perceived stigmatization and depression (r = 0.43; p < 0.001) and perceived stigmatization and self-esteem (r = -0.35; p < 0.001). CONCLUSIONS: Participants from the general population and burn survivors exhibit similar levels of perception of stigmatization; the general population presented fewer symptoms of depression and a higher self-esteem when compared to burn survivors.

4.
Rev. gaúch. enferm ; 41: e20190025, 2020. tab
Artigo em Inglês | LILACS-Express | LILACS, BDENF - Enfermagem | ID: biblio-1101675

RESUMO

ABSTRACT Objective: To investigate associations between preoperative anxiety and depression symptoms and postoperative complications and the sociodemographic and clinical characteristics of patients undergoing valve repair surgery. Method: Observational, exploratory and prospective study. The consecutive non-probabilistic sample consisted of patients undergoing their first valve repair surgery. Data were collected from September 2013 to September 2015, in a university hospital in the interior of São Paulo, Brazil. Symptoms were assessed using the Hospital Anxiety and Depression Scale and analyzed using Mann-Whitney and Spearman correlation; alpha was established at 5%. Results: Among the 70 participants, depressive symptoms were more frequent among women (p=0.042) and among patients experiencing postoperative agitation (p=0.039) Conclusion: In this study, depressive symptoms were associated with being a woman and postoperative agitation; the same was not true in regard to anxiety symptoms.


RESUMEN Objetivo: Investigar la asociación de los síntomas de ansiedad y depresión preoperatorios con complicaciones en postoperatorio y con características sociodemográficas y clínicas de pacientes sometidos a la corrección quirúrgica de valvopatías. Método: Estudio observacional, exploratorio y prospectivo. Muestra consecutiva y no probabilística fue constituida por pacientes sometidos a la primera cirugía de corrección de valvopatías. Los datos fueron recolectados de septiembre/2013 a septiembre/2015, en un hospital universitario del interior del São Paulo. Los síntomas fueron evaluados por el Hospital Anxiety and Depression Scale. Los datos fueron analizados por las pruebas de Mann-Whitney y Correlación de Spearman, alpha=5%. Resultados: Entre los 70 pacientes, fue encontrado mayor presencia de síntomas depresivos entre las mujeres (p=0,042) y en el grupo con agitación (p=0,039) en el postoperatorio. Conclusión: En el grupo estudiado, los síntomas depresivos se asociaron al sexo femenino y la agitación en el postoperatorio, lo que no ocurrió con los síntomas de ansiedad.


RESUMO Objetivo: Investigar a associação dos sintomas de ansiedade e depressão pré-operatórios com complicações no pós-operatório e com características sociodemográficas e clínicas de pacientes submetidos à correção cirúrgica de valvopatias. Método: Estudo observacional, exploratório e prospectivo. Uma amostra consecutiva e não probabilística foi constituída por pacientes submetidos à primeira cirurgia de correção de valvopatias. Os dados foram coletados de setembro/2013 a setembro/2015, em um hospital universitário do interior paulista. Os sintomas foram avaliados pela Hospital Anxiety and Depression Scale. Os dados foram analisados pelos testes de Mann-Whitney e Correlação de Spearman, alpha de 5%. Resultados: Entre os 70 pacientes, encontrou-se maior presença de sintomas depressivos entre as mulheres (p=0,042) e no grupo com agitação (p=0,039) no pós-operatório. Conclusão: No grupo estudado, sintomas depressivos foram associados ao sexo feminino e a agitação no pós-operatório, o que não ocorreu com os sintomas de ansiedade.

5.
AORN J ; 110(6): 626-634, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31774169

RESUMO

The aim of this integrative review was to locate, assess, and synthesize available evidence of the relationship between perioperative allogeneic blood transfusion and the occurrence of surgical site infection among adult patients undergoing elective surgery. After a comprehensive search of relevant databases and a review of the studies this yielded, we used a validated instrument to extract data from the 25 studies in our final sample. The clinical and surgical variables that were significantly and more frequently associated with the occurrence of surgical site infection among patients who received blood transfusions during the perioperative period were female sex, older age, and higher body mass index. Our findings indicate a lack of consensus on the hemoglobin levels that indicate a blood transfusion is necessary.

6.
Rev Lat Am Enfermagem ; 27: e3180, 2019.
Artigo em Português, Inglês, Espanhol | MEDLINE | ID: mdl-31596415

RESUMO

OBJECTIVE: to evaluate the effectiveness of menthol chewing gum, in the relief of the intensity and discomfort of the surgical patient's thirst in the preoperative period. METHOD: a randomized controlled trial, with 102 patients in the preoperative period, randomized in a control group, with usual care, and an experimental group, which received menthol gum, which was the study treatment variable. The primary clinical outcome was the variation in thirst intensity, evaluated by the Numeral Verbal Scale, and the secondary, the variation of the discomfort of thirst, evaluated by the Perioperative Thirst Discomfort Scale. Mann-Whitney test was used to compare measures between groups. The significance level adopted was of 0.05. RESULTS: menthol chewing gum significantly reduced the intensity (p <0.001), with Cohen's medium-effect d, and thirst discomfort (p <0.001), with a large-effect Cohen's d. CONCLUSION: menthol chewing gum was effective in reducing the intensity and discomfort of preoperative thirst. The strategy proved to be an innovative, feasible and safe option in the use for the surgical patient, in the management of the preoperative thirst, in elective surgeries. NCT: 03200197.


Assuntos
Goma de Mascar , Mentol/farmacologia , Sede/efeitos dos fármacos , Adolescente , Adulto , Idoso , Criança , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Cuidados Pré-Operatórios , Período Pré-Operatório , Estatísticas não Paramétricas , Adulto Jovem
7.
J Nurs Meas ; 27(1): 97-113, 2019 04 01.
Artigo em Inglês | MEDLINE | ID: mdl-31068494

RESUMO

BACKGROUND AND PURPOSE: To assess the psychometric properties of the PAM13 Brazilian-Portuguese (PAM13-B) among outpatients with chronic diseases. METHODS: 513 adults participated, diagnosed with a chronic disease for more than 6 months, under outpatient monitoring. Reliability was tested using internal consistency and test-retest reliability. Construct validity was verified through different techniques (correlation between activation and self-esteem measures, anxiety, depression and health status), known-groups validity and dimensionality by means of confirmatory factor analysis. Significance was set at 0.05. RESULTS: The PAM13-B presented appropriate results for internal consistency (α = 0.83) and test-retest reliability (intraclass correlation coefficient [ICC] = 0.81). A moderate correlation was found between activation and self-esteem only (r = 0.43, p < 0.001). The one-dimensional structure was not confirmed in the sample analyzed. CONCLUSIONS: In the study sample, the version PAM13-B demonstrated its reliability and validity, but with a two-factor structure.

8.
Rev Esc Enferm USP ; 53: e03432, 2019 Apr 29.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31038544

RESUMO

OBJECTIVE: To evaluate the correlation between measures of quality of life and burden in family caregivers of infants with cleft lip and palate and to analyze possible associations between quality of life and sociodemographic variables. METHOD: Exploratory, cross-sectional study conducted in hospital specialized in the treatment of craniofacial anomalies, with caregivers who answered the following data collection instruments: sociodemographic characterization form, World Health Organization Quality of Life - BREF questionnaire and the Burden Interview Scale. The statistical analysis was conducted using the Pearson's Correlation test, the Student's t-test and the ANOVA test with a level of significance of 0.05. RESULTS: 77 caregivers participated in the study. There was an inverse correlation between quality of life and burden in the Physical Health, Psychological, Social Relationships and Environment domains. There was a positive correlation between quality of life and family income in the Environment domain. CONCLUSION: The greater the burden on the caregiver, the lower was their perception of quality of life. Caregivers with higher family income and greater level of education presented a better perception quality of life in the Environment domain.


Assuntos
Cuidadores/psicologia , Fenda Labial/psicologia , Fissura Palatina/psicologia , Qualidade de Vida , Adolescente , Adulto , Fenda Labial/terapia , Fissura Palatina/terapia , Efeitos Psicossociais da Doença , Estudos Transversais , Escolaridade , Feminino , Humanos , Renda , Lactente , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Adulto Jovem
9.
Int J Soc Psychiatry ; 65(1): 56-63, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30488742

RESUMO

BACKGROUND: Families are the main caregivers of people with schizophrenia. Family dynamic and expressed emotion (EE) of relatives are fundamental determinants on the course of schizophrenia. METHOD: This study analyzed socio-demographic and clinical factors related to EE components. A total of 94 dyads (patients with schizophrenia and their relatives) were recruited from three mental health clinics. A form containing socio-demographic and clinical variables and the Brazilian version of Family Questionnaire were used and the data were analyzed through regression model. RESULTS: Results showed that factors such as patients' occupation status and patients' age, as well as relatives' gender and the degree of relatedness, were related to emotional overinvolvement and critical comments levels. CONCLUSION: This is the first study in the Brazilian cultural context that evaluates EE components and related factors on families of patients with schizophrenia. Other studies concerning EE on different cultural contexts and possible interventions must be carried out to help health professionals to improve patient and family care.


Assuntos
Emoções Manifestas , Relações Familiares , Família/psicologia , Esquizofrenia/diagnóstico , Adulto , Brasil , Estudos Transversais , Demografia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Análise de Regressão
10.
Rev. latinoam. enferm. (Online) ; 27: e3180, 2019. tab, graf
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1043083

RESUMO

Objetivo avaliar a efetividade da goma de mascar mentolada em aliviar a intensidade e o desconforto da sede do paciente cirúrgico no período pré-operatório. Método ensaio clínico controlado randomizado, com 102 pacientes em período pré-operatório, aleatorizados em grupo-controle, com cuidado usual, e grupo experimental, que recebeu goma de mascar mentolada, a variável de tratamento do estudo. O desfecho clínico primário foi a variação da intensidade da sede, avaliada pela Escala Verbal Numérica, e o secundário, a variação do desconforto da sede, avaliada pela Escala de Desconforto da Sede Perioperatória. Teste de Mann-Whitney foi usado para comparar as medidas entre os grupos. Nível de significância adotado de 0,05. Resultados a goma de mascar mentolada reduziu significativamente a intensidade (p<0,001), com d de Cohen de efeito médio, e o desconforto da sede (p<0,001), com d de Cohen de efeito grande. Conclusão a goma de mascar mentolada mostrou-se efetiva na redução da intensidade e do desconforto da sede pré-operatória. A estratégia mostrou-se uma opção inovadora, viável e segura no uso para o paciente cirúrgico, no manejo da sede pré-operatória, em cirurgias eletivas. NCT: 03200197.


Objective to evaluate the effectiveness of menthol chewing gum, in the relief of the intensity and discomfort of the surgical patient's thirst in the preoperative period. Method a randomized controlled trial, with 102 patients in the preoperative period, randomized in a control group, with usual care, and an experimental group, which received menthol gum, which was the study treatment variable. The primary clinical outcome was the variation in thirst intensity, evaluated by the Numeral Verbal Scale, and the secondary, the variation of the discomfort of thirst, evaluated by the Perioperative Thirst Discomfort Scale. Mann-Whitney test was used to compare measures between groups. The significance level adopted was of 0.05. Results menthol chewing gum significantly reduced the intensity (p <0.001), with Cohen's medium-effect d, and thirst discomfort (p <0.001), with a large-effect Cohen's d. Conclusion menthol chewing gum was effective in reducing the intensity and discomfort of preoperative thirst. The strategy proved to be an innovative, feasible and safe option in the use for the surgical patient, in the management of the preoperative thirst, in elective surgeries. NCT: 03200197.


Objetivo evaluar la efectividad de la goma de mascar mentolada en aliviar la intensidad y la incomodidad de la sed del paciente quirúrgico en el período preoperatorio. Método ensayo clínico controlado aleatorizado, con 102 pacientes en período preoperatorio, aleatorizados en grupo control, con cuidado usual, y grupo experimental, que recibió goma de mascar mentolada, la variable de tratamiento del estudio. El resultado clínico primario fue la variación de la intensidad de la sed, evaluada por la Escala Verbal Numérica, y el secundario, la variación de la incomodidad de la sed, evaluada por la Escala de Desconocimiento de la Sede Perioperatoria. La prueba de Mann-Whitney fue utilizada para comparar las medidas entre los grupos. Nivel de significancia adoptado de 0,05. Resultados la goma de mascar mentolada redujo significativamente la intensidad (p <0,001), con d de Cohen de efecto promedio, y el malestar de la sed (p <0,001), con d de Cohen de efecto grande. Conclusión la goma de mascar mentolada se mostró efectiva en la reducción de la intensidad y de la incomodidad de la sed preoperatoria. La estrategia se mostró una opción innovadora, viable y segura en el uso para el paciente quirúrgico, en el manejo de la sed preoperatoria, en cirugías electivas. NCT: 03200197.


Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Adulto , Pessoa de Meia-Idade , Sede/efeitos dos fármacos , Cuidados Pré-Operatórios , Goma de Mascar , Estatística , Período Pré-Operatório , Mentol/farmacologia
11.
Rev. Esc. Enferm. USP ; 53: e03432, 2019. tab
Artigo em Inglês | LILACS, BDENF - Enfermagem | ID: biblio-1003108

RESUMO

ABSTRACT Objective: To evaluate the correlation between measures of quality of life and burden in family caregivers of infants with cleft lip and palate and to analyze possible associations between quality of life and sociodemographic variables. Method: Exploratory, cross-sectional study conducted in hospital specialized in the treatment of craniofacial anomalies, with caregivers who answered the following data collection instruments: sociodemographic characterization form, World Health Organization Quality of Life - BREF questionnaire and the Burden Interview Scale. The statistical analysis was conducted using the Pearson's Correlation test, the Student's t-test and the ANOVA test with a level of significance of 0.05. Results: 77 caregivers participated in the study. There was an inverse correlation between quality of life and burden in the Physical Health, Psychological, Social Relationships and Environment domains. There was a positive correlation between quality of life and family income in the Environment domain. Conclusion: The greater the burden on the caregiver, the lower was their perception of quality of life. Caregivers with higher family income and greater level of education presented a better perception quality of life in the Environment domain.


RESUMEN Objetivo: Evaluar la correlación entre las medidas de calidad de vida y sobrecarga en cuidadores familiares de bebés con fisura labiopalatina y analizar posibles relaciones entre la calidad de vida y las variables sociodemográficas. Método: Estudio exploratorio, transversal, realizado en un hospital de referencia en el tratamiento de anomalías craneofaciales, con cuidadores que respondieron a los siguientes instrumentos de recolección de datos: formulario para caracterización sociodemográfica, cuestionario World Health Organization Quality of Life - Bref y escala Burden Interview. Para el análisis estadístico se utilizaron las pruebas de Correlación de Pearson, t de Student y Anova, con nivel de significación de 0,05. Resultados: Participaron 77 cuidadores. Se constató correlación inversa entre las medidas de calidad de vida y sobrecarga en los dominios Físico, Psicológico, Relaciones Sociales y Medio Ambiente. Entre calidad de vida e ingresos familiares, se verificó correlación positiva con el dominio Medio Ambiente. Conclusión: En el grupo estudiado, cuanto mayor era la sobrecarga de la cuidadora, tanto menor era su percepción de la calidad de vida. Cuidadores con mayores ingresos familiares y mayor estabilidad presentaron mejor percepción de la calidad de vida referente al dominio Medio Ambiente.


RESUMO Objetivo: Avaliar a correlação entre as medidas de qualidade de vida e sobrecarga em cuidadores familiares de bebês com fissura labiopalatina, e analisar possíveis relações entre a qualidade de vida e as variáveis sociodemográficas. Método: Estudo exploratório, transversal, realizado em um hospital de referência no tratamento de anomalias craniofaciais, com cuidadores que responderam aos seguintes instrumentos de coleta dos dados: formulário para caracterização sociodemográfica, questionário World Health Organization Quality of Life - Bref e escala Burden Interview. Para a análise estatística foram utilizados os testes de Correlação de Pearson, t de Student e Anova, com nível de significância de 0,05. Resultados: Participaram 77 cuidadores. Constatou-se correlação inversa entre as medidas de qualidade de vida e sobrecarga nos domínios Físico, Psicológico, Relações Sociais e Meio Ambiente. Entre qualidade de vida e renda familiar, verificou-se correlação positiva com o domínio Meio Ambiente. Conclusão: No grupo estudado, quanto maior era a sobrecarga da cuidadora, menor era a sua percepção da qualidade de vida. Cuidadores com maior renda familiar e maior escolaridade apresentaram melhor percepção da qualidade de vida referente ao domínio Meio Ambiente.


Assuntos
Humanos , Lactente , Adulto , Qualidade de Vida , Fenda Labial , Fissura Palatina , Cuidadores
12.
J Nurs Meas ; 26(3): 425-434, 2018 12.
Artigo em Inglês | MEDLINE | ID: mdl-30593570

RESUMO

BACKGROUND AND PURPOSE: The aim of the study was to analyze the factor structure and the reliability of the Brazilian-Portuguese version of the Burn Specific Health Scale-Revised (BSHS-R) in a sample of Brazilian burned adults. METHODS: This study was a cross-sectional study. The internal consistency was analyzed using Cronbach's α, considering coefficients ≥.70 as appropriate. We conducted confirmatory factor analysis (CFA) to test the hypothesis that the BSHS-R Brazilian-Portuguese version has a factor structure similar to the original. We assessed the factor structure of the BSHS-R Brazilian-Portuguese version by CFA, examining three models: three-factor, six-factor, and seven-factor structure. RESULTS: The participants were 299 burned adults. The CFA indicated good model fit indices for the seven-factor model (root mean square error of approximation = .062; goodness-of-fit index = .844; adjusted goodness-of-fit index = .809; Akaike information criterion = 1,054.06). The seven-factor BSHS-R Brazilian-Portuguese version showed Cronbach's α of .93. CONCLUSIONS: The BSHS-R Brazilian-Portuguese version with seven factors is reliable and valid and measures the perceived health status construct.


Assuntos
Queimaduras/psicologia , Escala de Gravidade do Ferimento , Psicometria , Adolescente , Adulto , Idoso , Brasil , Queimaduras/enfermagem , Estudos Transversais , Análise Fatorial , Feminino , Hospitais Universitários , Humanos , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Inquéritos e Questionários , Adulto Jovem
13.
Rev Bras Enferm ; 71(6): 2938-2944, 2018.
Artigo em Inglês, Português | MEDLINE | ID: mdl-30517396

RESUMO

OBJECTIVE: To evaluate the long-term results of an educational program compared to usual care. METHOD: A longitudinal study in which 56 participants from a previous study (randomized controlled clinical trial) were evaluated twelve months after the percutaneous coronary intervention (PCI). Health-related quality of life (HRQoL) was assessed by the Medical Outcomes Study: 36-item Short Form (SF-36), and anxiety and depression symptoms were assessed by the Hospital Anxiety and Depression Scale (HADS). A repeated measures analysis of variance was performed (significance level 0.05). RESULTS: Participants in the educational program showed improvement of HRQoL in the Role-Emotional domain, while those in the usual care did not present changes (p=0.05). Both groups showed improvement in the Role-Physical (p = 0.001) and Bodily Pain (p=0.01) domains over time. There were no differences in the symptoms of anxiety and depression. CONCLUSION: One year after the PCI, there were significant differences between groups only for the Role-Emotional domain of the SF-36.


Assuntos
Doença da Artéria Coronariana/complicações , Educação em Saúde/normas , Idoso , Análise de Variância , Angioplastia/educação , Avaliação Educacional/métodos , Escolaridade , Feminino , Educação em Saúde/métodos , Educação em Saúde/estatística & dados numéricos , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Educação de Pacientes como Assunto/métodos , Educação de Pacientes como Assunto/normas , Educação de Pacientes como Assunto/estatística & dados numéricos , Psicometria/instrumentação , Psicometria/métodos , Psicometria/estatística & dados numéricos , Qualidade de Vida/psicologia
14.
Rev Lat Am Enfermagem ; 26: e3107, 2018 Nov 29.
Artigo em Inglês, Português, Espanhol | MEDLINE | ID: mdl-30517589

RESUMO

OBJECTIVE: to investigate the associations of preoperative anxiety and depression symptoms with postoperative complications and with sociodemographic and clinical characteristics of patients submitted to the first coronary artery bypass graft. METHOD: observational, analytical and longitudinal study. A consecutive non-probabilistic sample consisted of patients submitted to coronary artery bypass graft. To evaluate the symptoms, the Hospital Anxiety and Depression Scale was used. tracheal intubation for more than 48 hours, hemodynamic instability, sensorineural deficit, agitation, hyperglycemia, infection, nausea, vomiting, pain and death were classified as complications. The Mann-Whitney and Spearman Correlation tests were used, with a significance level of 0.05. RESULTS: a total of 75 patients participated. The group that presented hemodynamic instability in the postoperative period had a greater median for the anxiety symptoms (p = 0.012), as well as the women (p = 0.028). The median of the depression symptoms was higher in the group presenting nausea (p = 0.002), agitation (p <0.001), tracheal intubation for more than 48 hours (p = 0.018) and sensorineural deficit (p = 0.016). CONCLUSION: there was association of the symptoms of preoperative anxiety with hemodynamic instability in the postoperative period and with the female gender, as well as association of depression symptoms with the following complications: nausea, agitation, time of intubation in the postoperative period and sensorineural deficit.


Assuntos
Ansiedade/psicologia , Procedimentos Cirúrgicos Cardíacos/psicologia , Depressão/psicologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Procedimentos Cirúrgicos Cardíacos/efeitos adversos , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Enfermagem Perioperatória , Período Pré-Operatório , Escalas de Graduação Psiquiátrica
15.
Rev. bras. enferm ; 71(6): 2938-2944, Nov.-Dec. 2018. tab
Artigo em Inglês | LILACS-Express | LILACS, BDENF - Enfermagem | ID: biblio-977591

RESUMO

ASTRACT Objective: To evaluate the long-term results of an educational program compared to usual care. Method: A longitudinal study in which 56 participants from a previous study (randomized controlled clinical trial) were evaluated twelve months after the percutaneous coronary intervention (PCI). Health-related quality of life (HRQoL) was assessed by the Medical Outcomes Study: 36-item Short Form (SF-36), and anxiety and depression symptoms were assessed by the Hospital Anxiety and Depression Scale (HADS). A repeated measures analysis of variance was performed (significance level 0.05). Results: Participants in the educational program showed improvement of HRQoL in the Role-Emotional domain, while those in the usual care did not present changes (p=0.05). Both groups showed improvement in the Role-Physical (p = 0.001) and Bodily Pain (p=0.01) domains over time. There were no differences in the symptoms of anxiety and depression. Conclusion: One year after the PCI, there were significant differences between groups only for the Role-Emotional domain of the SF-36.


RESUMEN Objetivo: Evaluar resultados a largo plazo de un programa educativo comparado con el cuidado usual. Método: Estudio longitudinal con 56 participantes de un estudio previo (ensayo clínico controlado y aleatorizado), que fueron evaluados 12 meses después de la intervención coronaria percutánea (ICP). La calidad de vida relacionada con la salud (CVRS) fue evaluada por el Cuestionario de Salud SF-36 (36-Item Short Form) y los síntomas de ansiedad y depresión por la Escala de Ansiedad y Depresión Hospitalaria (sigla en inglés: HADS). Se realizó un análisis de varianza de medidas repetidas (nivel de significancia 0,05). Resultados: Los participantes del programa educativo presentaron mejoría de la CVRS en el dominio Rol Emocional, mientras que los participantes del cuidado usual no presentaron alteración (p=0,05). Con el tiempo, ambos grupos presentaron mejoría en los dominios Rol Físico (p=0,001) y Dolor Corporal (p=0,01). No hubo diferencias en los síntomas de ansiedad y depresión. Conclusión: Un año después de la ICP, hubo diferencias significativas entre los grupos sólo para el dominio Rol Emocional del SF-36.


RESUMO Objetivo: Avaliar resultados em longo prazo de um programa educativo comparado com o cuidado usual. Método: Estudo longitudinal com 56 participantes de um estudo prévio (ensaio clínico controlado e aleatorizado), que foram avaliados doze meses após intervenção coronária percutânea (ICP). A qualidade de vida relacionada à saúde (QVRS) foi avaliada pelo Medical Outcomes Study: 36-Item Short Form (SF-36) e os sintomas de ansiedade e depressão pela Hospital Anxiety and Depression Scale (HADS). Foi realizada análise de variância de medidas repetidas (nível de significância 0,05). Resultados: Os participantes do programa educativo apresentaram melhora da QVRS, no domínio Aspectos Emocionais, enquanto aqueles do cuidado usual não apresentaram alteração (p=0,05). Com o tempo, ambos os grupos apresentaram melhora nos domínios Aspectos Físicos (p=0,001) e Dor (p=0,01). Não houve diferenças nos sintomas de ansiedade e depressão. Conclusão: Um ano após a ICP, houve diferenças significativas entre os grupos apenas para o domínio Aspectos Emocionais do SF-36.

16.
Enferm. foco (Brasília) ; 9(4): 44-48, dez. 2018. tab
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1028387

RESUMO

Objetivo: : Avaliar a relação entre Qualidade de Vida Relacionada à Saúde (QVRS), sintomas depressivos e Senso de Coerência (SC) de indivíduos com doença coronariana. Método: Estudo observacional desenvolvido com 63 indivíduos. Foram utilizados quatro instrumentos, um para a caracterização sociodemográfica e clínica e mais três, o Medical Outcomes Study 36 – item - SF-36, o Inventário de Depressão de Beck - BDI e o Questionário de Senso de Coerência de Antonovsky - QSCA. Resultados: Foram identificadas correlações estatisticamente significantes (p<0,05) e moderadas entre o BDI e os domínios Saúde mental, Aspectos emocionais, Dor e Estado geral de saúde do SF-36; entre o QSCA e domínios Saúde mental, Vitalidade, Aspectos emocionais, Estado geral de saúde e Capacidade funcional do SF-36; e forte entre o BDI e o QSCA. Conclusão: Os resultados permitem sugerir que quanto mais sintomas depressivos, pior a QVRS, enquanto que quanto mais forte SC melhor a QVRS.


Objective: To evaluate the relationship between health-related quality of life (HRQoL), depressive symptoms and Sense of Coherence (SC) of individuals with coronary disease. Method: Observational study developed with 63 individuals. Four instruments were used, one for sociodemographic and clinical characterization and three, the Medical Outcomes Study 36 - item - SF-36, the Beck Depression Inventory - BDI and the Questionnaire of Sense of Coherence by Antonovsky of 29 items - QSCA. Results: Statistically significant (p <0.05) and moderate correlations were found between BDI and the domains of mental health, emotional aspects, pain and general health status of SF-36; between the QSCA and mental health, vitality, emotional aspects, general health status and functional capacity of the SF-36 domains; and strong between BDI and QSCA. Conclusion: The results suggest that the more depressive symptoms, the worse the HRQoL, while the stronger the SC the better the HRQoL.


Evaluar la relación entre Calidad de Vida Relacionada a la Salud (QVRS), síntomas depresivos y Senso de Coherencia (SC) de individuos con enfermedad coronaria. Método: Estudio observacional desarrollado con 63 individuos. Se utilizaron cuatro instrumentos, uno para la caracterización sociodemográfica y clínica y otros tres, el Medical Outcomes Study 36 - item - SF- 36, el Inventario de Depresión de Beck - BDI y el Cuestionario de Sentido de Coherencia de Antonovsky - QSCA. Resultados: Se identificaron correlaciones estadísticamente significativas (p <0,05) y moderadas entre el BDI y los dominios Salud mental, Aspectos emocionales, Dolor y estado general de salud del SF-36; entre el QSCA y los dominios Salud mental, Vitalidad, Aspectos emocionales, Estado general de salud y Capacidad funcional del SF-36; y fuerte entre el BDI y el QSCA. Conclusión: Los resultados permiten sugerir que cuanto más síntomas depresivos, peor la QVRS, mientras que cuanto más fuerte SC mejor la QVRS.


Assuntos
Masculino , Feminino , Humanos , Depressão , Enfermagem , Qualidade de Vida , Revascularização Miocárdica , Senso de Coerência
17.
Rev Bras Enferm ; 71(5): 2404-2410, 2018.
Artigo em Inglês, Português | MEDLINE | ID: mdl-30304169

RESUMO

OBJECTIVE: To compare the distributions of measurements of the Dutch Fatigue Scale (DUFS), Dutch Exertion Fatigue Scale (DEFS), and Fatigue Pictogram tools, according to the New York Heart Association (NYHA) Functional Classification and left ventricular ejection fraction (LVEF). METHOD: Methodological, cross-sectional study with 118 patients with heart failure. Variance analysis, Pearson's correlation, and Fisher's exact tests were carried out, with a significance level of 0.05. RESULTS: There was an increase in the DUFS and DEFS means with worsening of the NYHA-FC (p<0.001, for both tools). Correlations among the LVEF resulted in positive and weak magnitude for the DEFS (r=0.18; p=0.05) and for the DUFS (r=0.16; p=0.08). Just the item A on the Fatigue Pictogram had an association with the NYHA-FC (p<0.001) and the LVEF (p=0.03). CONCLUSION: Three tools detected worsening in fatigue levels according to the illness severity assessed by the NYHA-FC.


Assuntos
Fadiga/classificação , Insuficiência Cardíaca/complicações , Software/normas , Adulto , Idoso , Estudos Transversais , Fadiga/diagnóstico , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários
18.
BMC Med Res Methodol ; 18(1): 109, 2018 10 19.
Artigo em Inglês | MEDLINE | ID: mdl-30340533

RESUMO

BACKGROUND: Sexual desire is one of the domains of sexual function with multiple dimensions, which commonly affects men and women around the world. Classically, its assessment has been applied through self-report tools; however, an issue is related to the evidence level of these questionnaires and their validity. Therefore, a systematic review addressing the available questionnaires is really relevant, since it will be able to show their psychometric properties and evidence levels. METHOD: A systematic review was carried out in the PubMed, EMBASE, PsycINFO, Science Direct, and Web of Science databases. The search strategy was developed according to the following research question and combination of descriptors and keywords, including original studies with no limit of publication date and in Portuguese, English, and Spanish. Two reviewers carried out the selection of articles by abstracts and full texts as well as the analysis of the studies independently. The methodological quality of the instruments was evaluated by the COnsensus-based Standards for the selection of health status Measurement INstruments (COSMIN) checklist. RESULTS: The search resulted in 1203 articles, of which 15 were included in the review. It identified 10 instruments originally developed in the English language. Unsatisfactory results on methodological quality were evidenced in cultural adaptation studies with no description of the steps of the processes and inadequacy of techniques and parameters of adequacy for models. The Principal Component Analysis with Varimax rotation predominated in the studies. CONCLUSIONS: The limitation of the techniques applied in the validation process of the reviewed instruments was evident. A limitation was observed in the number of adaptations conducted and contexts to which the instruments were applied, making it impossible to reach a better understanding of the functioning of instruments. In future studies, the use of robust techniques can ensure the quality of the psychometric properties and the accuracy and stability of instruments. A detailed description of procedures and results in validation studies may facilitate the selection and use of instruments in the academic and/or clinical settings. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42018085706.


Assuntos
Psicometria/métodos , Autorrelato , Comportamento Sexual/fisiologia , Inquéritos e Questionários , Confiabilidade dos Dados , Bases de Dados Bibliográficas/normas , Bases de Dados Bibliográficas/estatística & dados numéricos , Feminino , Humanos , Masculino , PubMed/normas , PubMed/estatística & dados numéricos , Comportamento Sexual/psicologia
19.
Rev. bras. enferm ; 71(5): 2404-2410, Sep.-Oct. 2018. tab, graf
Artigo em Inglês | LILACS-Express | LILACS, BDENF - Enfermagem | ID: biblio-958693

RESUMO

ABSTRACT Objective: To compare the distributions of measurements of the Dutch Fatigue Scale (DUFS), Dutch Exertion Fatigue Scale (DEFS), and Fatigue Pictogram tools, according to the New York Heart Association (NYHA) Functional Classification and left ventricular ejection fraction (LVEF). Method: Methodological, cross-sectional study with 118 patients with heart failure. Variance analysis, Pearson's correlation, and Fisher's exact tests were carried out, with a significance level of 0.05. Results: There was an increase in the DUFS and DEFS means with worsening of the NYHA-FC (p<0.001, for both tools). Correlations among the LVEF resulted in positive and weak magnitude for the DEFS (r=0.18; p=0.05) and for the DUFS (r=0.16; p=0.08). Just the item A on the Fatigue Pictogram had an association with the NYHA-FC (p<0.001) and the LVEF (p=0.03). Conclusion: Three tools detected worsening in fatigue levels according to the illness severity assessed by the NYHA-FC.


RESUMEN Objetivo: Comparar las distribuciones de medidas de los instrumentos Dutch Fatigue Scale (DUFS), Dutch Exertion Fatigue Scale (DEFS) y Pictograma de Fatiga, según la Clase Funcional de la New York Heart Association (CF-NYHA), y la fracción de eyección del ventrículo izquierdo (FEVE). Método: Estudio metodológico, transversal, con 118 pacientes con insuficiencia cardíaca. Fueron realizados los tests Análisis de Varianza, Correlación de Pearson y Exacto de Fisher, nivel de significatividad de 0,05. Resultados: Hubo aumentos en los promedios del DUFS y del DEFS, empeorando la CF-NYHA (p<0,001 en ambos instrumentos). Las correlaciones entre FEVE fueron de magnitud positiva a débil para DEFS (r=0,18; p=0,05) y para DUFS (r=0,16; p=0,08). Solo el ítem A del Pictograma de Fatiga tuvo asociación con la CF-NYHA (p<0,001) y con la FEVE (p=0,03). Conclusión: Los tres instrumentos detectaron empeoramiento de niveles de fatiga de acuerdo con la enfermedad evaluada por la CF-NYHA.


RESUMO Objetivo: Comparar as distribuições das medidas dos instrumentos Dutch Fatigue Scale (DUFS), Dutch Exertion Fatigue Scale (DEFS) e Pictograma de Fadiga, segundo a Classe Funcional da New York Heart Association (CF-NYHA) e a Fração de Ejeção do Ventrículo Esquerdo (FEVE). Método: Estudo metodológico, transversal, com 118 pacientes com insuficiência cardíaca. Foram realizados os testes Análise de Variância, Correlação de Pearson e Exato de Fisher, com nível de significância de 0,05. Resultados: Houve aumento nas médias do DUFS e do DEFS com a piora da CF-NYHA (p<0,001, para ambos os instrumentos). As correlações entre a FEVE foram de positiva e fraca magnitude para o DEFS (r=0,18; p=0,05) e para o DUFS (r=0,16; p=0,08). Somente o item A do Pictograma de Fadiga teve associação com a CF-NYHA (p<0,001) e com a FEVE (p=0,03). Conclusão: Os três instrumentos detectaram piora nos níveis de fadiga, de acordo com a gravidade da doença avaliada pela CF-NYHA.

20.
Rev Bras Enferm ; 71(4): 1891-1898, 2018.
Artigo em Inglês, Português | MEDLINE | ID: mdl-30156674

RESUMO

OBJECTIVE: To adapt and validate the Patient Activation Measure (PAM22) in a sample of Brazilians with chronic diseases under outpatient monitoring. METHOD: Adaptation process comprises translation, back translation, analysis by a committee of judges, semantic analysis, and pre-test. Psychometric validation was performed with 513 individuals. Construct validity was analyzed through Pearson's correlation, Student's t-test and Structural Equation Modeling; reliability was assessed by the intraclass correlation coefficient and Cronbach's Alpha. RESULTS: The internal consistency was adequate and test-retest reliability was low to moderate (p < 0.05). Validity evidence was found on the convergent construct, with statistically significant correlations between measures of activation, self-esteem, anxiety, depression, and health status. The one-dimensionality of the theoretical model was not confirmed in the adapted version. CONCLUSION: Results have shown that the adapted version is reliable and valid, although the theoretical model cannot be explained in a single dimension.


Assuntos
Assistência à Saúde Culturalmente Competente/normas , Psicometria/normas , Adulto , Brasil , Assistência à Saúde Culturalmente Competente/métodos , Feminino , Nível de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Psicometria/instrumentação , Psicometria/métodos , Reprodutibilidade dos Testes , Inquéritos e Questionários , Tradução
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