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1.
Arch Dermatol Res ; 2023 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-36723680

RESUMO

To compare the quality of life (QoL) of children with and without atopic dermatitis (AD) and that of their caregivers and to assess their QoL according to different degrees of AD. This is a cross-sectional, case-control study conducted with patients aged between 4 and 12 years with and without AD and their caregivers. Patients were treated at the Pediatric Dermatology Outpatient Center and the Childcare Center of the Joana de Gusmão Children's Hospital, respectively, from June 2021 to March 2022. The QoL Assessment Scale Autoquestionnaire Qualité de Vie Infant Imagé (AUQEI) was applied to children and adolescents with AD and the control group while the World Health Organization Quality of Life assessment instrument was administered to their caregivers. Fifty cases and fifty controls were included in this study. When assessing the QoL of the case and control groups, statistically significant differences were found in the domains of the AUQUEI instrument. Regarding QoL and AD severity, a statistically significant difference was seen (p = 0.027) when comparing moderate and severe SCORAD scores. When comparing the QoL of children with and without AD, a difference was seen between the two groups. The QoL of AD patients was worse and related to the severity of the disease. A better QoL was found among the caregivers in the control group. In the case group, the higher the SCORAD score, the worse the QoL. No relationship was found between AD severity and the QoL of the caregivers in the case group.

2.
Eur J Psychotraumatol ; 13(2): 2133358, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36325258

RESUMO

Background: The Resilience Evaluation Scale (RES) is a novel and freely available measure of psychological resilience (factored into self-confidence and self-efficacy). To date, psychometric properties were evaluated in Dutch and American samples, but not yet in a Chinese sample. Objective: We aimed to validate the RES in a Chinese sample by examining its factor structure, reliability, and construct validity. Methods: The RES was translated into Chinese following a cross-cultural translation and adaptation procedure. Self-report questionnaires including the RES, exposure to potentially traumatic events (PTE's), the PTSD checklist for DSM-5 (PCL-5), and scales for conceptually related constructs of psychological resilience were then administered via an online survey. Results: In total, 484 Chinese adults (females, 66.9%; age: 27.33 ± 6.86 years) participated. Parallel analysis results suggested a one-factor structure for the Chinese RES. The Chinese RES demonstrated good internal consistency (Cronbach's alpha = 0.88). Construct validity was demonstrated through significant associations with hypothesised related constructs and through a relation with lower levels of PTSD among the PTE-exposed subsample (n = 116) via the mediating role of avoidant coping strategies, i.e. behavioural disengagement and self-blame. Conclusion: Our results suggest that the RES is a reliable and valid assessment of psychological resilience to use in Chinese, in addition to its Dutch and English versions. The RES could potentially be adopted to measure psychological resilience in cross-cultural contexts.


Antecedentes: La Escala de Evaluación de la Resiliencia (RES en su sigla en inglés) es una medida nueva y disponible de forma gratuita de la resiliencia psicológica (conformada por los factores de autoconfianza y autoeficacia). A la fecha, las propiedades psicométricas fueron evaluadas en muestras danesas y americanas, pero no en una muestra china todavía.Objetivo: Buscamos validar la RES en una muestra china evaluando su estructura factorial, confiabilidad, y validez de constructo.Métodos: La RES fue traducida al chino siguiendo un procedimiento de traducción y adaptación intercultural. Se administraron en una encuesta en línea los cuestionarios de autoinforme incluyendo la RES, exposición a eventos potencialmente traumáticos (PTE's en su sigla en inglés), y la lista de chequeo del TEPT para el DSM-5 (PCL-5 en su sigla en inglés), y las escalas de constructos conceptualmente relacionados a la resiliencia psicológica.Resultados: En total, participaron 484 adultos chinos (mujeres, 66.9%; edad: 27.33 ± 6.86 años). Los resultados de los análisis paralelos sugirieron una estructura de un factor para la RES china. La RES china demostró una buena consistencia interna (alfa de Cronbach = 0.88). La validez de constructo fue demostrada a través de asociaciones significativas con los constructos hipotéticamente relacionades y a través de una relación con niveles más bajo de TEPT en la sub-muestra expuesta a PTEs (n = 116) por medio del rol mediador de los mecanismos de afrontamiento evitativos, es decir, desconexión conductual y autoculpa.Conclusión: Nuestros resultados sugieren que la RES es una evaluación fiable y valida de resiliencia psicológica para usar en chino, en adición a sus versiones danesa e inglesa. La RES podría potencialmente ser adaptada para medir la resiliencia psicológica en contextos interculturales.


Assuntos
Resiliência Psicológica , Adulto , Feminino , Humanos , Adulto Jovem , Reprodutibilidade dos Testes , Análise Fatorial , Traduções , China
3.
Skin Res Technol ; 28(6): 827-832, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-36210488

RESUMO

INTRODUCTION: Although skin color has been suggested to be associated with the risk of some chronic disease, there has been no validated visual skin-color scale, with which subjects can self-report their skin color. Our objective was to develop a visual skin color evaluation scale for self-reporting that would be useful in large-scale epidemiological studies. MATERIALS AND METHODS: Study participants were 99 university Japanese students aged 19-29. We developed a skin color evaluation scale consisting of six colors from light to dark. Participants were asked to choose one color that was the closest to their skin color. Their skin color was measured on the back of the hand and the inner upper arm by an examiner using a narrowband reflective spectrophotometer. Self-reported skin color was compared with the melanin and erythema indices. RESULTS: Spearman's rank correlation coefficients of self-reported color with the melanin index after adjusted for age, temperature, and humidity were moderate but significant at both sites for both men and women. The correlation coefficients with the erythema index were significant only on the back of the hand for men. The higher melanin index was significantly associated with the darker skin color in both sexes for both sites. The erythema index showed such a significant trend only in men and not in women. CONCLUSIONS: The validity of the skin color chart was moderate of melanin among Japanese people. It may be useful for large population studies examining the relationships between skin color and health outcomes.


Assuntos
Melaninas , Pigmentação da Pele , Humanos , Masculino , Feminino , Autorrelato , Eritema/diagnóstico , Pele , Cor
4.
Psychopharmacology (Berl) ; 239(12): 3743-3753, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36243827

RESUMO

RATIONALE: Despite the reported efficacy of methylphenidate (MET) against Alzheimer's disease (AD)-associated apathy, a recent larger clinical trial was not included in pooled analysis. OBJECTIVES: This study aimed at investigating the efficacy of MET for attenuating apathy in patients diagnosed with AD. METHODS: The PubMed, Cochrane Library, and EMBASE databases were searched from inception until March, 2022 to identify randomized controlled trials (RCTs). The primary outcome was apathy improvement assessed with the Neuropsychiatric Inventory (NPI) apathy subscale, Apathy Evaluation Scale (AES), or Clinical Global Impressions of Change scale (CGI-C apathy). RESULTS: Meta-analysis of four RCTs revealed an improvement in apathy among patients receiving MET compared to placebo (MD = - 5.12, p = 0.04, three trials, 144 participants) at follow-ups of 1-3 months assessed with AES score. Despite the absence of improvement on NPI-apathy subscale at follow-ups of 1-2 months (MD = - 0.74, p = 0.37, three trials, 265 participants), significant improvement was noted at follow-ups of 6 months (MD = - 1.4, p = 0.02, one trial, 180 participants). Assessment with CGI-C apathy revealed no significant association between improvement in apathy with MET use (RR = 1.38, p = 0.05, three trials, 265 participants). No significant differences in global cognitive function (using the Mini Mental State Exam) or adverse events were noted between the two groups. CONCLUSION: While AES score suggested an early attenuation effect of MET on apathy in different domains, the NPI-apathy subscale did not show early improvement in apathy until the 6-month follow-up. Further studies with longer follow-ups are needed to elucidate the efficacy of MET for relieving caregiver burden and improving global functional performance.


Assuntos
Doença de Alzheimer , Apatia , Metilfenidato , Humanos , Metilfenidato/uso terapêutico , Metilfenidato/farmacologia , Doença de Alzheimer/tratamento farmacológico , Doença de Alzheimer/psicologia , Cognição
5.
Pediatr Exerc Sci ; : 1-7, 2022 Jul 20.
Artigo em Inglês | MEDLINE | ID: mdl-35894897

RESUMO

PURPOSE: Symptom scores commonly measured following concussion were compared between male and female adolescents with (Hx+) and without (Hx-) a history of concussion, pre and post physical exertion testing. METHODS: Eighty (males [n = 60; Hx+ = 19], female [n = 20; Hx+ = 5]) high school students (ages 15-17 y) completed the Buffalo Concussion Treadmill Test once and the modified shuttle run test twice. Symptom scores were collected using the 22-point Symptom Evaluation Scale on the Sport Concussion Assessment Tool (version 5) immediately pre and post physical exertion testing. RESULTS: The symptoms most reported during preexertional testing were fatigue/low energy, feeling slowed down, and nervous/anxious, whereas feeling slowed down, fatigue/low energy, "pressure in head" (males only), and headache (females only) were most frequently reported during postexertion testing. CONCLUSION: An understanding of the common exertion-related symptoms at baseline in a laboratory or field-based setting in adolescents may be advantageous for clinicians as they manage individual recovery postconcussion. This is particularly important during an adolescent's recovery and return to play when exertional testing may be implemented, especially since symptoms were reported pre and post exertional testing in both males and females regardless of concussion history.

6.
Front Psychol ; 13: 865598, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35496199

RESUMO

Time preference reversals refers to systematic inconsistencies between preferences and valuations in intertemporal choice. When faced with a pair of intertemporal options, people preferred the smaller-sooner option but assign a higher price to the larger-later one. Different hypotheses postulate that the differences in evaluation scale or output format between the choice and the bid tasks cause the preference reversal. However, these hypotheses have not been distinguished. In the present study, we conducted a hybrid task, which shares the same evaluation scale with the bid task and shares the same output format with the choice task. By comparing these three tasks, we can figure out the key reason for time preference reversal. The eye-tracking measures reflecting attention allocation, cognitive effort and information search pattern were examined. Results showed that participants' time preference and eye-tracking measures in the hybrid task were similar to those in the choice task, but different from those in the bid task. Our findings suggest that the output format is the core reason for time preference reversal and may deepen our understanding of the mechanisms that underlie time preference reversal.

7.
J Foot Ankle Surg ; 61(4): 760-765, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35370050

RESUMO

There is no clear recommendation for wound closure material in foot and ankle surgery. Thus, we hypothesized that there was no difference in clinical outcomes among 3 suture materials, namely, absorbable sutures, nonabsorbable sutures, and metallic staples. This study compared the 3 materials for wound closure in foot and ankle surgery. In this prospective randomized study, 124 patients were randomly divided into the nonabsorbable suture group, absorbable suture group, and staple group. ASEPSIS score, Hollander Wound Evaluation Scale, and numerical rating scale (regarding pain and satisfaction) were collected at first dressing changes, suture removal, and 6 weeks after surgery. Suture time and incision length were recorded. No significant differences were detected for the ASEPSIS and Hollander Wound Evaluation Scale scores. There was significantly more pain after 6 weeks in the nonabsorbable suture group. The closure time (13 s/cm) with staples was significantly lower in the nonabsorbable suture group than in the other groups. Regardless of wound closure material, male sex and obesity appeared to be associated with a higher risk for the occurrence of wound complications. The 3 suture materials showed no significant differences regarding the frequency of wound complications. Staples and absorbable sutures should therefore be considered in the repertoire of suture materials used in foot and ankle surgery.


Assuntos
Ferida Cirúrgica , Técnicas de Sutura , Tornozelo , Humanos , Masculino , Dor , Estudos Prospectivos , Suturas
8.
J Prim Care Community Health ; 13: 21501319221087866, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35352591

RESUMO

BACKGROUND: Several studies have attempted to clarify the role of social determinants of health (SDH) on nutritional status of older adults, but results are inconsistent due to differences in SDH assessments at different levels of population development. In this study, we assessed this association in community-dwelling older adults living in rural Ecuador. Methods: SDH were measured by the Gijon's Social-Familial Evaluation Scale (SFES) and nutritional status by the Mini Nutritional Assessment (MNA®). Multivariate logistic regression models were fitted to assess the association between SDH components and nutritional status. Locally weighted scatterplot smoothing (LOWESS) and a generalized linear model were used to evaluate the potential non-linearity of the association between the Gijon's SFES and MNA® scores. RESULTS: A total of 295 individuals (mean age: 72.1 ± 7.6 years; 58% women) were enrolled. There was an inverse association between the total Gijon's SFES and nutritional status (OR: 0.75; 95% C.I.: 0.65-0.86; P < .001). Three of five components of the Gijon's SFES (family situation, social relationships, and support networks) were inversely associated with nutritional status in multivariate logistic regression models. A LOWESS plot, together with a generalized linear model, showed an inverse linear relationship between the continuous Gijon's SFES and MNA® scores. One standard deviation of increase in the continuous Gijon's SFES score (2.39 points) decreased the MNA® score by 0.78 points. CONCLUSION: Study results show a significant inverse association between high social risk and a good nutritional status. Components of the Gijon's SFES measuring social isolation are responsible for this association.


Assuntos
Desnutrição , Estado Nutricional , Idoso , Feminino , Avaliação Geriátrica , Humanos , Vida Independente , Masculino , Desnutrição/complicações , Desnutrição/epidemiologia , Pessoa de Meia-Idade , Determinantes Sociais da Saúde
9.
J Hum Lact ; 38(4): 633-643, 2022 11.
Artigo em Inglês | MEDLINE | ID: mdl-35139671

RESUMO

BACKGROUND: Women during the postpartum period undergo significant changes which affect body image, eating behaviors, and, potentially, breastfeeding. There is limited research about relationships among these variables, particularly related to breastfeeding experiences and self-efficacy. RESEARCH AIMS: To determine: (1) the associations between eating disorder symptoms and body image, breastfeeding self-efficacy, and breastfeeding experiences; and (2) the differences in body image, breastfeeding self-efficacy, breastfeeding experiences, and breastfeeding status of postpartum women with and without clinically significant eating disorder symptoms. METHODS: A secondary data analysis using a 2-group correlational, cross-sectional online survey design was used. Participants with infants 2-6 months old who had breastfed their infant at least once (N = 204) were recruited nationally to complete a cross-sectional survey assessing breastfeeding and postpartum physical and mental health using validated measures. Linear and logistic regression evaluated differences between participants with and without eating disorder symptoms regarding their body image, breastfeeding experience and self-efficacy, and breastfeeding status (continued vs. discontinued) at 2 months postpartum. RESULTS: Clinical eating disorder symptoms were reported by 9.8% (n = 20). Participants with clinical eating disorder symptoms reported lower appearance evaluations (B = -0.53, 95% CI [-0.93, -0.14]) and body image satisfaction (B = -0.55, 95% CI [-0.87, -0.23]); reduced odds of breastfeeding at 2 months postpartum (AOR = 0.15, 95% CI [0.04, 0.56]); and lower breastfeeding self-efficacy (B = -7.70, 95% CI [-14.82, -0.58] relative to participants without clinical symptoms. No differences between groups were observed for breastfeeding experiences. CONCLUSIONS: Participants with clinically significant eating disorder symptoms are at risk for early breastfeeding discontinuation and lower breastfeeding self-efficacy. Our findings have implications for future research and clinical care practices, including screening for body image concerns and eating disorder symptoms and supporting breastfeeding self-efficacy.


Assuntos
Insatisfação Corporal , Transtornos da Alimentação e da Ingestão de Alimentos , Lactente , Feminino , Humanos , Aleitamento Materno/psicologia , Autoeficácia , Estudos Transversais , Período Pós-Parto/psicologia
10.
Dement Geriatr Cogn Dis Extra ; 12(1): 6-13, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35222502

RESUMO

BACKGROUND: Research on music therapy for dementia has taken a variety of measures and has been slow to consolidate evidence. Examining the outcomes that are currently being investigated and the measures that have been used can be useful for future research on music therapy for dementia. OBJECTIVES: This study used cited original papers from a review in the Cochrane Database of Systematic Reviews to determine if there are items that should be measured or scales that should be used in conducting research on music therapy for dementia. The rating scales used and the outcomes examined were extracted. METHOD: We used Dodd's criteria to identify (1) the outcome domains examined in music therapy for dementia, (2) the measures used, and (3) the measures capable of detecting significant intervention effects. RESULT: A search for reviews was conducted, and 7 systematic reviews (78 articles) were identified. Among them, 30 articles met the inclusion criteria. The 30 articles examined 18 of the 38 items in Dodd's outcome categories, while 20 items were not examined, and 78 different survey methods were used. The items most frequently surveyed in the studies were psychiatric outcomes, cognitive functioning, and global quality of life general outcomes. CONCLUSIONS: We found that many studies investigated cognitive function, behavioral and psychological symptoms of dementia (BPSD), and quality of life; compared to BPSD, various types of rating scales were used for cognitive function. By standardizing the rating scales, we can contribute to the accumulation of evidence for music therapy for dementia.

11.
Int J Occup Saf Ergon ; 28(2): 1235-1243, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-33563144

RESUMO

The evaluation index system of non-rigid demand service quality in safety production delineates the production safety-related services that are procured by enterprises from service organizations and are not mandatory by the state. Construction of the evaluation index system of non-rigid demand service quality in safety production is an effective way to improve the quality of the demand service. Based on the INDSERV model and on-site interviews, this study constructs a whole-process safety production non-rigid demand service quality evaluation model, clarifies the evaluation indicators and conducts on-site investigations to verify the effectiveness of the model, and further analyzes the data to determine each evaluation index weight. A safety production non-rigid demand service quality evaluation index and evaluation scale were constructed. Effective exploration was performed on the evaluation index system of non-rigid demand service quality in safety production, which provides a guarantee for promoting the development of the non-rigid demand service market.

12.
Schizophr Bull ; 48(1): 220-230, 2022 01 21.
Artigo em Inglês | MEDLINE | ID: mdl-34355246

RESUMO

Neurological soft signs (NSS) are related to grey matter and functional brain abnormalities in schizophrenia. Studies in healthy subjects suggest, that NSS are also linked to white matter. However, the association between NSS and white matter abnormalities in schizophrenia remains to be elucidated. The present study investigated, if NSS are related to white matter alterations in patients with schizophrenia. The total sample included 42 healthy controls and 41 patients with schizophrenia. We used the Neurological Evaluation Scale (NES), and we acquired diffusion weighted magnetic resonance imaging to assess white matter on a voxel-wise between subject statistic. In patients with schizophrenia, linear associations between NES with fractional anisotropy (FA), radial, axial, and mean diffusivity were analyzed with tract-based spatial statistics while controlling for age, medication dose, the severity of the disease, and motion. The main pattern of results in patients showed a positive association of NES with all diffusion measures except FA in important motor pathways: the corticospinal tract, internal capsule, superior longitudinal fascicle, thalamocortical radiations and corpus callosum. In addition, exploratory tractography analysis revealed an association of the right aslant with NES in patients. These results suggest that specific white matter alterations, that is, increased diffusivity might contribute to NSS in patients with schizophrenia.


Assuntos
Doenças do Sistema Nervoso/fisiopatologia , Transtornos Psicóticos/patologia , Transtornos Psicóticos/fisiopatologia , Esquizofrenia/patologia , Esquizofrenia/fisiopatologia , Substância Branca/patologia , Adulto , Corpo Caloso/diagnóstico por imagem , Corpo Caloso/patologia , Feminino , Humanos , Cápsula Interna/diagnóstico por imagem , Cápsula Interna/patologia , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Doenças do Sistema Nervoso/etiologia , Transtornos Psicóticos/complicações , Transtornos Psicóticos/diagnóstico por imagem , Tratos Piramidais/diagnóstico por imagem , Tratos Piramidais/patologia , Esquizofrenia/complicações , Esquizofrenia/diagnóstico por imagem
13.
Nurse Educ Today ; 108: 105211, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34784564

RESUMO

BACKGROUND: Research has shown that the clinical learning environment can both facilitate and hinder students' learning. Students' perceptions need to be evaluated, preferably using nationally and internationally validated instruments. In Sweden, there is a lack of research about students' evaluation in acute care settings and from the perspectives of different levels of students. OBJECTIVES: The aim was to explore and compare perceptions of the clinical learning environment of first- and second-cycle nursing students in an acute care setting using the Clinical Learning Environment, Supervision and Nurse Teacher scale (CLES+T). DESIGN: The design involves cross-sectional data collection with comparisons between groups. SETTING AND PARTICIPANTS: Data were collected from a convenience sample of first- and second-cycle students at the end of their clinical placements in an acute care setting at a university hospital. METHODS: A paper version and a web version of the culturally adapted version of CLES+T was filled out by the students. An independent t-test was used to explore the differences between CLES+T scores and distribution methods and educational level. Internal consistency was evaluated using Cronbach's alpha. RESULTS: Overall, the students (N = 179) were satisfied with the clinical learning environment. There was no significant difference in the total score (m = 4.31, SD = 0.63) between first- and second-cycle students except for the subscale of "Premises of nursing on the ward" and the individual items "The ward's nursing philosophy was clearly defined" and "Patients received individual nursing care", showing that the first-cycle students were more satisfied compared to the second-cycle students. The scale demonstrated high internal consistency (α = 0.97 vs. 0.96) for the paper survey and the web survey, respectively. CONCLUSIONS: Our findings provide initial support for the CLES+T as a useful instrument to evaluate the clinical learning environment at different levels of education and in different contexts regardless of distribution method.


Assuntos
Bacharelado em Enfermagem , Estudantes de Enfermagem , Estudos Transversais , Docentes de Enfermagem , Humanos , Aprendizagem , Inquéritos e Questionários
14.
Zhongguo Zhen Jiu ; 41(12): 1355-9, 2021 Dec 12.
Artigo em Chinês | MEDLINE | ID: mdl-34936274

RESUMO

Literature investigation and expert consultation were adopted to construct the theoretical framework and item pool of Moxibustion Sensory Transmission Evaluation Scale. The moxibusion sensory transmission categories include 4 aspects, i.e. heat sensation, non-heat sensation, mixed sensation and others, including 25 items. Moxibustion sensory transmission strengthen is divided into 5 grades with rating scale words as very weak, weak, neither strong nor weak, strong and very strong. Finally, the preliminary version, Moxibustion Sensory Transmission Evaluation Scale was developed. This scale may provide a tool for the objectiveevaluation of moxibustion sensory transmission categories and strength.


Assuntos
Moxibustão , Sensação Térmica
15.
Nurse Educ Today ; 104: 104990, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34146847

RESUMO

BACKGROUND: Simulation is an important learning-teaching tool for integrating theory and practice in nursing education. OBJECTIVE: The aim of this study was to develop and to conduct the validity and reliability of a self-evaluation scale for simulation laboratory practices (SES-SLP) with undergraduate nurses. METHODS: The study sample consisted of 220 undergraduate nursing students. Data were collected using a Descriptive Characteristic Form (DCF) and the 23-item Self-Evaluation Scale for Simulation Laboratory Practices (SES-SLP). RESULTS: Cronbach's alpha value of the scale was 0.94. The scale comprised of two subscales: the developing factor (19 items) and the challenging factor (4 items). All items showed a statistically significant correlation (p < 0.05). CONCLUSIONS: The SES-SLP is a valid and reliable scale that can be used to evaluate students' learning experience for simulation laboratory practices.


Assuntos
Bacharelado em Enfermagem , Estudantes de Enfermagem , Autoavaliação Diagnóstica , Humanos , Laboratórios , Psicometria , Reprodutibilidade dos Testes , Inquéritos e Questionários
16.
BMC Palliat Care ; 20(1): 85, 2021 Jun 22.
Artigo em Inglês | MEDLINE | ID: mdl-34158033

RESUMO

BACKGROUND: Assessing the quality of structure and process of end-of-life care can help improve outcomes. There was currently no valid tool for this purpose in Mainland China. The aim of this study is to validate the Chinese version of the Care Evaluation Scale (CES). METHODS: From January to December 2017, a cross-sectional online survey was conducted among bereaved family members of cancer patients from 10 medical institutes. The reliability of the CES was assessed with Cronbach's α, and structural validity was evaluated by confirmatory factor analysis. Concurrent validity was tested by examining the correlation between the CES total score and overall satisfaction with end-of-life care, quality of dying and death, and quality of life. RESULTS: A total of 305 valid responses were analyzed. The average CES score was 70.7 ± 16.4, and the Cronbach's α of the CES was 0.967 (range: 0.802-0.927 for the 10 domains). The fit indices for the 10-factor model of CES were good(root-mean-square error of approximation, 0.047; comparative fit index, 0.952; Tucker-Lewis index, 0.946; standardized root mean square residual, 0.053). The CES total score was highly correlated with overall satisfaction with medical care (r = 0.775, P < 0.01), and moderately correlated with patients' quality of life (r = 0.579, P < 0.01) and quality of dying and death (r = 0.570, P < 0.01). In addition, few associations between CES total score and demographic characteristics, except for the family members' age. CONCLUSIONS: The Chinese version of the CES is a reliable and valid tool to evaluate the quality of structure and process of end-of-life care for patients with cancer from the perspective of bereaved family in Mainland China.


Assuntos
Qualidade de Vida , Assistência Terminal , China , Estudos Transversais , Humanos , Psicometria , Reprodutibilidade dos Testes , Inquéritos e Questionários
17.
Int J Appl Basic Med Res ; 11(1): 36-39, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33842294

RESUMO

CONTEXT: Soft neurological signs are present more frequently in schizophrenics than other patients suffering from other psychiatric illnesses and normal individuals. OBJECTIVES: The objective of this study is to find out the causal relationship of neurological soft signs (NSSs) to schizophrenia. MATERIALS AND METHODS: The study was initiated after taking approval of the institute ethics committee. A total of thirty schizophrenic patients and thirty controls were included in the study. Their diagnosis was confirmed by consultant and then were administered Neurological Evaluation Scale developed by Robert Buchanan. The accumulated data were then analyzed statistically. RESULTS: This study shows a higher prevalence of NSSs in schizophrenia as compared to controls. CONCLUSION: To ascertain their role in aetiogenesis and pathogenesis of schizophrenia, further research is needed.

18.
Laryngoscope ; 131(2): E612-E618, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-32463963

RESUMO

OBJECTIVES: To compare patient-graded facial and social/well-being function with physician-graded facial function in Bell's palsy over time. STUDY DESIGN: A prospective follow-up study at two tertiary otorhinolaryngological centers. METHODS: A total of 96 patients, 36 women and 60 men, aged 18-77 years, were included. Facial Clinimetric Evaluation (FaCE) scale and Facial Disability Index (FDI) scores were compared with Sunnybrook and House-Brackmann scores. RESULTS: Inclusion was on mean day 7 (96 patients) and follow-up on days 53 (81 patients) and 137 (32 patients). Initially, correlations between FaCE total score, FaCE domains, FDI physical function, FDI social/well-being function and Sunnybrook and House-Brackmann scores were low to fair, except for FaCE facial movement (r = 0.55). Correlations between FaCE total score and Sunnybrook score were very good to excellent at visits 2 (r = 0.83) and 3 (r = 0.81). Women scored FaCE social and FDI social/well-being function lower than men, despite similar Sunnybrook scores. CONCLUSION: In early stages of Bell's palsy, there were low to fair correlations between FaCE/FDI (except for facial movement) and Sunnybrook score. This implies that the design of the quality of life (QoL) instruments is less suited for the acute phase. The high correlations at follow-ups suggest that the questionnaires can be used for evaluation of QoL over time. Our results indicate that women experience more facial palsy-related psychosocial dysfunction. LEVEL OF EVIDENCE: 4 Laryngoscope, 131:E612-E618, 2021.


Assuntos
Paralisia de Bell/patologia , Qualidade de Vida , Atividades Cotidianas , Adolescente , Adulto , Idoso , Paralisia de Bell/diagnóstico , Paralisia de Bell/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Índice de Gravidade de Doença , Ajustamento Social , Adulto Jovem
19.
Otolaryngol Head Neck Surg ; 164(6): 1179-1185, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-33170768

RESUMO

OBJECTIVE: Peripheral facial palsy is a disabling condition; thus, assessing its impact on quality of life is one of the greatest challenges within this discipline. The Facial Clinimetric Evaluation (FaCE) Scale has been validated for this purpose. The aim of this study is to translate and validate the Spanish version of the FaCE Scale. STUDY DESIGN: We performed a forward-backward translation of the original English FaCE Scale. A pilot test and a posterior prospective validation study were performed. SETTING: A pilot test and a posterior prospective validation study were conducted in a specialized facial palsy unit in a tertiary hospital. METHODS: A validation study was carried out in 85 patients to calculate the scale's internal consistency and validity and to compare outcomes with the Sunnybrook Facial Grading System and the Facial Disability Index (FDI). RESULTS: Internal consistency was evaluated by Cronbach's α coefficient, which showed a value of 0.841 (95% CI, 0.786-0.886). The total FaCE Scale score correlates well with the Sunnybrook, FDI physical function, and FDI social/well-being function scores: r = 0.773, r = 0.883, and r = 0.523, respectively. The FDI social/well-being function has the highest correlation with the FaCE Scale social function domain (r = 0.595). CONCLUSION: The Spanish version of the FaCE Scale demonstrated a high psychometric property that allows it to be used for clinical practice to assess the quality of life of Spanish-speaking patients with peripheral facial palsy.


Assuntos
Paralisia Facial/diagnóstico , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Qualidade de Vida , Avaliação de Sintomas , Traduções , Adulto Jovem
20.
Aval. psicol ; 20(4): 463-474, out.-diez. 2021. tab
Artigo em Português | LILACS, Index Psicologia - Periódicos | ID: biblio-1350178

RESUMO

Identificar as estratégias que favorecem os alunos a estudarem com o uso das tecnologias digitais é um dos grandes desafios desta sociedade atual. Este estudo buscou evidências de validade da estrutura interna dos itens de um instrumento para mensurar as estratégias de aprendizagem empregadas pelos alunos quando estudam utilizando as tecnologias digitais de informação e comunicação (TDIC). Para tanto, elaborou-se a Escala de Estratégias de Aprendizagem com o Uso das TDIC (EEA-TDIC) para os estudantes dos ensinos médio e superior. Participaram desta pesquisa 822 alunos. As três dimensões do instrumento, estruturadas após análise fatorial exploratória, confirmaram-se nos resultados alcançados com a análise confirmatória. As propriedades psicométricas da EEA-TDIC foram evidenciadas, estabelecendo a escala como medida válida e confiável. Acredita-se que a escala será útil para avaliação e diagnóstico psicoeducacional de forma a orientar ações formativas no contexto educativo. (AU)


Identifying the strategies that help students to study using digital technologies is one of the great challenges for society today. This study sought evidence for the validity of the internal structure of the items of an instrument to measure the learning strategies employed by students when they study using digital information and communication technologies (DICT). Accordingly, the Learning Strategies with the use of DICT Scale (EEA-TDIC) was developed for students in High School and Higher Education. Study participants were 822 students. The three dimensions of the instrument, structured after exploratory factor analysis, were confirmed in the results of the confirmatory analysis. The psychometric properties of the EEA-TDIC were found to be acceptable, establishing the scale as a valid and reliable measure. The scale will be useful for psychoeducational assessment and diagnosis, in order to guide study actions in the educational context. (AU)


Identificar las estrategias que favorezcan a los estudiantes a estudiar con el uso de tecnologías digitales es uno de los grandes desafíos de la sociedad actual. Este estudio buscó evidencias de validez de la estructura interna de los ítems de un instrumento para medir las estrategias de aprendizaje empleadas por el alumnado cuando estudian utilizando tecnologías digitales de la información y la comunicación (TDIC). Para ello, se desarrolló la Escala de Estrategias de Aprendizaje con el uso de TDIC (EEA-TDIC) para estudiantes de Educación Secundaria y Superior. 822 estudiantes participaron en esta investigación. Las tres dimensiones del instrumento, estructuradas tras el análisis factorial exploratorio, se confirmaron en los resultados obtenidos con el análisis confirmatorio. Se evidenciaron las propiedades psicométricas del EEA-TDIC, estableciendo la escala como una medida válida y confiable. Se cree que la escala será de utilidad para la evaluación y el diagnóstico psicoeducativo con el fin de orientar las acciones formativas en el contexto educativo. (AU)


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto , Pessoa de Meia-Idade , Adulto Jovem , Ensino/educação , Educação à Distância/métodos , Ensino Fundamental e Médio , Tecnologia da Informação , Aprendizagem , Psicometria , Estudantes/psicologia , Projetos Piloto , Inquéritos e Questionários , Reprodutibilidade dos Testes , Análise Fatorial , Universidades , Correlação de Dados
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