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2.
Nat Commun ; 12(1): 2517, 2021 05 04.
Artigo em Inglês | MEDLINE | ID: mdl-33947849

RESUMO

Survival depends on a balance between seeking rewards and avoiding potential threats, but the neural circuits that regulate this motivational conflict remain largely unknown. Using an approach-food vs. avoid-predator threat conflict test in rats, we identified a subpopulation of neurons in the anterior portion of the paraventricular thalamic nucleus (aPVT) which express corticotrophin-releasing factor (CRF) and are preferentially recruited during conflict. Inactivation of aPVTCRF neurons during conflict biases animal's response toward food, whereas activation of these cells recapitulates the food-seeking suppression observed during conflict. aPVTCRF neurons project densely to the nucleus accumbens (NAc), and activity in this pathway reduces food seeking and increases avoidance. In addition, we identified the ventromedial hypothalamus (VMH) as a critical input to aPVTCRF neurons, and demonstrated that VMH-aPVT neurons mediate defensive behaviors exclusively during conflict. Together, our findings describe a hypothalamic-thalamostriatal circuit that suppresses reward-seeking behavior under the competing demands of avoiding threats.


Assuntos
Aprendizagem da Esquiva/fisiologia , Hormônio Liberador da Corticotropina/metabolismo , Hipotálamo/fisiologia , Núcleos da Linha Média do Tálamo/metabolismo , Rede Nervosa/fisiologia , Neurônios/metabolismo , Núcleo Hipotalâmico Ventromedial/fisiologia , Animais , Escala de Avaliação Comportamental , Conflito Psicológico , Feminino , Hipotálamo/metabolismo , Masculino , Núcleos da Linha Média do Tálamo/citologia , Núcleos da Linha Média do Tálamo/efeitos dos fármacos , Núcleos da Linha Média do Tálamo/efeitos da radiação , Neurônios/efeitos dos fármacos , Núcleo Accumbens/metabolismo , Núcleo Accumbens/fisiologia , Núcleo Accumbens/efeitos da radiação , Optogenética , Proteínas Proto-Oncogênicas c-fos/metabolismo , Ratos , Recompensa , Núcleo Hipotalâmico Ventromedial/citologia
3.
Int J Nurs Educ Scholarsh ; 18(1)2021 Apr 22.
Artigo em Inglês | MEDLINE | ID: mdl-33882201

RESUMO

OBJECTIVES: The Coronavirus Disease 2019 (COVID-19) has impacted overall nursing education program requirements, classroom delivery of theory hours, as well as clinical and laboratory learning opportunities for students. The aims of this study were to explore the impacts of COVID 19 on the students' perceptions of readiness for practice and their preparation for the NCLEX exam and initial clinical practice. METHODS: A cross-sectional descriptive design was used to investigate the impact of COVID-19 on senior BSN students' preparation for NCLEX and future careers. The Casey-Fink Readiness for Practice Survey was used to investigate the perceptions of the BSN students' clinical confidence and readiness for practice. RESULTS: Students reported substantial impacts of COVID-19 on their clinical experiences, their ability to practice skills and procedures, their preparations for NCLEX exam, and their nursing career. The most significant confidence concerns noted from this study seemed to center on handling multiple patient assignments, calling the physician, responding to a change in patient condition, and treating a dying patient. CONCLUSIONS: Healthcare experts expect that the impact of COVID-19 may last until 2022. More research is needed to understand the impact of COVID-19 on nursing education and transition to nursing practice. While clinical confidence and readiness for practice are essential topics, more research is needed to investigate the psychological and physiological impacts of COVID-19 on nurses, nursing students, nursing preceptors, and faculty members.


Assuntos
COVID-19/epidemiologia , Competência Clínica , Bacharelado em Enfermagem/métodos , Recursos Humanos de Enfermagem no Hospital/educação , Autoeficácia , Estudantes de Enfermagem/psicologia , Adulto , COVID-19/psicologia , Conflito Psicológico , Estudos Transversais , Feminino , Humanos , Masculino , Pesquisa em Educação de Enfermagem
4.
Artigo em Inglês | MEDLINE | ID: mdl-33805465

RESUMO

Work-family conflicts (WFCs) are common in the healthcare sector and pose significant health risks to healthcare workers. This study examined the effect of WFCs on the health status and nurses' leaving intentions in Taiwan. A self-administered questionnaire was used to survey 200 female nurses' experiences of WFC from a regional hospital. Data on psychosocial work conditions, including work shifts, job control, psychological job demands, and workplace justice, were collected. Health conditions were measured using the Beck Depression Inventory-II and self-rated health. Leaving intentions were measured using a self-developed questionnaire. The participants' average work experience was 6.79 (Standard Deviation (SD) = 5.26) years, their highest educational level was university, and work shifts were mostly night and rotating shifts. Approximately 75.5% of nurses perceived high levels of WFCs. Leaving intentions were correlated with WFCs (r = 0.350, p < 0.01) and psychological work demands (r = 0.377, p < 0.01). After adjusting for age, educational level, and work characteristics, high levels of WFCs were associated with poor self-rated health, and depression, but not associated with high leaving intentions. Nurses' experiences of high levels of WFCs greatly affected their health status.


Assuntos
Conflito Familiar , Recursos Humanos de Enfermagem no Hospital , Conflito Psicológico , Estudos Transversais , Feminino , Nível de Saúde , Humanos , Satisfação no Emprego , Inquéritos e Questionários , Taiwan
6.
Acta Psychol (Amst) ; 214: 103268, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33609972

RESUMO

The confound-minimized cross-task design has been widely used to examine the characteristics of top-down cognitive control underlying the congruency sequence effect (CSE) without feature integration and contingency learning confounds. The present study reanalyzed our previous data obtained with the confound-minimized cross-task design, this time including the preceding congruency repetition type, to examine whether the cross-task CSE is confounded by feature integration from two-back (n-2) trials or multiple expectancies regarding the congruency and the congruency repetition type of the upcoming trial. As a result, the cross-task CSE interacted with the arbitrariness of S-R mapping or response mode regardless of the preceding congruency repetition type, indicating the contribution of top-down control triggered by conflict. Feature integration from n-2 trials, but not multiple expectancies, was found to have a lingering effect on the sequential modulation of the congruency effect between previous and current trials. However, because the influence of feature integration operated in opposite directions depending on the preceding congruency repetition type, the contribution of feature integration to the cross-task CSE can be minimized when the combined datasets of trials following a congruency repetition trial and those following a congruency alternation trial are analyzed. These findings are consistent with recent perspectives on cognitive control, which posit that top-down cognitive control and bottom-up feature integration operate independently to optimize task performance.


Assuntos
Conflito Psicológico , Aprendizagem , Humanos , Tempo de Reação , Teste de Stroop , Análise e Desempenho de Tarefas
7.
J Hosp Palliat Nurs ; 23(2): 114-119, 2021 04 01.
Artigo em Inglês | MEDLINE | ID: mdl-33633090

RESUMO

In the spring of 2020, a novel virus known as COVID-19 (coronavirus disease 2019) was introduced to the human population, and the world faced a global pandemic with far-reaching consequences. One of the most difficult challenges that nurses faced in the midst of the crisis was the lack of proper personal protective equipment (PPE). The lack of PPE left health care professionals with a complicated ethical dilemma: Is there an ethical duty to care for patients in the absence of proper PPE? This article seeks to help the individual nurse (a) understand the ethical dilemma and the tensions that it brings, (b) look to the literature for guidance, and (c) understand how individuals can apply these ethical principles. After careful analysis, the recommendation is for the individual nurse to make a thorough assessment of their personal situation. This will include consideration for their family, community, financial responsibilities, legal protections, organizational policies, and personal health risk. Finally, this article serves as a call to organizations and professional leaders to increase their support of frontline health care workers and provide the individual nurse with the information they need in order to make sound decisions.


Assuntos
COVID-19/enfermagem , Ética em Enfermagem , Equipamento de Proteção Individual/provisão & distribuição , COVID-19/epidemiologia , COVID-19/prevenção & controle , Conflito Psicológico , Humanos , Enfermeiras e Enfermeiros/psicologia , Estados Unidos/epidemiologia
8.
Atten Percept Psychophys ; 83(4): 1463-1478, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-33442827

RESUMO

Orienting attention in time enables us to prepare for forthcoming perception and action (e.g., estimating the duration of a yellow traffic light when driving). While temporal orienting can facilitate performance on simple tasks, its influence on complex tasks involving response conflict is unclear. Here, we adapted the flanker paradigm to a choice-reaching task where participants used a computer mouse to reach to the left or right side of the screen, as indicated by the central arrow presented with either the congruent or incongruent flankers. We assessed the effects of temporal orienting by manipulating goal-driven temporal expectation (using probabilistic variations in target timing) and stimulus-driven temporal priming (using sequential repetitions versus switches in target timing). We tested how temporal orienting influenced the dynamics of response conflict resolution. Recent choice-reaching studies have indicated that under response conflict, delayed movement initiation captures the response threshold adjustment process, whereas increased curvature toward the incorrect response captures the degree of coactivation of the response alternatives during the controlled response selection process. Both temporal expectation and priming reduced the initiation latency regardless of response conflict, suggesting that both lowered response thresholds independently of response conflict. Notably, temporal expectation, but not temporal priming, increased the curvature toward the incorrect response on incongruent trials. These results suggest that temporal orienting generally increases motor preparedness, but goal-driven temporal orienting particularly interferes with response conflict resolution, likely through its influence on response thresholds. Overall, our study highlights the interplay between temporal orienting and cognitive control in goal-directed action.


Assuntos
Atenção , Conflito Psicológico , Cognição , Humanos , Movimento , Tempo de Reação
9.
J Racial Ethn Health Disparities ; 8(1): 21-23, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-33415704

RESUMO

The wide disparity in coronavirus disease (COVID-19)-related death rates based upon the ethnic origin is well established by now. The higher incidence of COVID-19 deaths amongst the healthcare staff belonging to black and minority ethnic (BAME) communities living in the United Kingdom has generated a great deal of concern and anxiety in clinicians. Public Health England (PHE) has outlined mitigation strategies after immense pressure from professional organisations and influential clinical leaders. Although seemingly well thought through, these measures fall short of addressing the professional, moral and emotional dilemma faced by the BAME clinicians who feel that they are being expected to choose between their duty towards their patients and the profession, and their responsibility to look after their own health.


Assuntos
Grupo com Ancestrais do Continente Africano/psicologia , COVID-19/etnologia , Conflito Psicológico , Grupos Étnicos/psicologia , Pessoal de Saúde/psicologia , Grupos Minoritários/psicologia , Grupo com Ancestrais do Continente Africano/estatística & dados numéricos , COVID-19/prevenção & controle , Empatia , Grupos Étnicos/estatística & dados numéricos , Pessoal de Saúde/estatística & dados numéricos , Disparidades nos Níveis de Saúde , Humanos , Grupos Minoritários/estatística & dados numéricos
10.
Arch Sex Behav ; 50(2): 683-694, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-33469812

RESUMO

A growing body of research has demonstrated how the link between pornography use and various manifestations of psychological distress and dissatisfaction is explained by moral incongruence-the experience of violating one's deeply held moral values. The predictive power of moral incongruence, however, has yet to be applied to other sexual activities. Drawing on data from available waves of the General Social Surveys (1988-2018: nmen = 6590, nwomen = 7047; 1989-2018: nmen = 3558, nwomen = 4841), this study extended moral incongruence theory by testing whether engaging in same-sex or non-marital sexual activity when one rejects either as morally wrong is associated with a greater likelihood of reporting unhappiness. Analyses demonstrated that American men (but not women) who reported engaging in same-sex sex in the previous year were more likely than other men to say they were unhappy, but only if they viewed homosexuality as "always wrong." Analyses also showed that American women (not men) who reported higher frequencies of non-marital sex in the previous year were more likely than other women to report being unhappy, but only if they viewed non-marital sex as "always wrong." Though nuanced by gender, findings affirmed expectations from moral incongruence research: Sexual behavior per se is not associated with unhappiness, but moral inconsistency or conflict regarding one's sexual behavior is.


Assuntos
Relações Extramatrimoniais/psicologia , Tristeza/psicologia , Comportamento Sexual/psicologia , Parceiros Sexuais/psicologia , Adulto , Conflito Psicológico , Literatura Erótica/psicologia , Feminino , Humanos , Masculino , Estado Civil/estatística & dados numéricos , Pessoa de Meia-Idade , Princípios Morais , Fatores Sexuais , Adulto Jovem
11.
J Neurosci ; 41(8): 1788-1801, 2021 02 24.
Artigo em Inglês | MEDLINE | ID: mdl-33441433

RESUMO

Cognitive control helps us to overcome task interference in challenging situations. Resolving conflicts because of interfering influences is believed to rely on midfrontal theta oscillations. However, different sources of interference necessitate different types of control. Attentional control is needed to suppress salient distractors. Motor control is needed to suppress goal-incompatible action impulses. While previous studies mostly studied the additive effects of attentional and motor conflicts, we independently manipulated the need for attentional control (via visual distractors) and motor control (via unexpected response deviations) in an EEG study with male and female humans. We sought to find out whether these different types of control rely on the same midfrontal oscillatory mechanisms. Motor conflicts, but not attentional conflicts, elicited increases in midfrontal theta power during conflict resolution. Independent of the type of conflict, theta power was predictive of motor slowing. Connectivity analysis via phase-based synchronization indicated a widespread increase interbrain connectivity for motor conflicts, but a midfrontal-to-posterior decrease in connectivity for attentional conflicts. For each condition, we found stronger midfrontal connectivity with the parietal region contralateral to, rather than ipsilateral to, the acting hand. Parietal lateralization in connectivity was strongest for motor conflicts. Previous studies suggested that midfrontal theta oscillations might represent a general control mechanism, which aids conflict resolution independent of the conflict domain. In contrast, our results show that oscillatory theta dynamics during reactive control mostly reflect motor-related adjustments.SIGNIFICANCE STATEMENT Humans need to exercise self-control over both their attention (to avoid distraction) and their motor activity (to suppress inappropriate action impulses). Midfrontal theta oscillations have been assumed to indicate a general control mechanism, which help to exert top-down control during both motor and sensory interference. We are using a novel approach for the independent manipulation of attentional and motor control to show that increases in midfrontal theta power and brainwide connectivity are linked to the top-down adjustments of motor responses, not sensory interference. These findings clarify the function of midfrontal theta dynamics as a key aspect of neural top-down control and help to dissociate domain-general from motor-specific aspects of self-control.


Assuntos
Atenção/fisiologia , Lobo Frontal/fisiologia , Atividade Motora/fisiologia , Ritmo Teta/fisiologia , Adulto , Conflito Psicológico , Feminino , Humanos , Masculino , Autocontrole , Adulto Jovem
12.
PLoS One ; 16(1): e0245651, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33465152

RESUMO

How do interactions with an ideologically extreme online community affect cognition? In this paper, we examine whether engagement with an online neo-Nazi forum is associated with more one-sided, "black and white" thinking. Using naturalistic language data, we examined differences in integrative complexity, a measure of the degree to which people acknowledge and reconcile conflicting ideas and viewpoints, and contrasted it with Language Style Matching, a measure of group cohesion. In a large web scraping study (N = 1,891), we tested whether two measures of engagement and interaction with the community are associated with less complex, balanced cognition. Using hierarchical regression modeling, we found that both individuals who had been community members for longer and those who had posted more tended to show less complexity in their language, even when accounting for mean differences between individuals. However, these differences in integrative complexity were distinct from group cohesion, which actually decreased with our measures of engagement. Despite small effect sizes, these findings indicate that ideologically extreme online communities may exacerbate the views of their members and contribute to ever-widening polarized cognitions.


Assuntos
Cognição , Redes Sociais Online , Rede Social , Conflito Psicológico , Humanos , Idioma , Socialismo Nacional , Análise de Regressão , Características de Residência , Comportamento Social , Meio Social , Mídias Sociais/estatística & dados numéricos
13.
Rev. psicol. (Fortaleza, Online) ; 12(1): 13-22, 20210000.
Artigo em Português, Francês | LILACS | ID: biblio-1178375

RESUMO

A conferência apresenta duas partes. Na primeira, tematiza a estrutura do conflito psíquico a partir das categorias lacanianas real, simbólico e imaginário. Na segunda, aborda a presença da guerra na vida cotidiana através da manifestação esportiva do futebol visto como a sublimação das pulsões destrutivas.


The conference has two parts. The first one is about the structure of the psychic conflict understood with the lacanian categories real, symbolic, imaginary. The second focuses the presence of war in daily life approaching soccer as the sublimation of destructive drives.


Assuntos
Psicanálise , Futebol , Sublimação Psicológica , Guerra , Conflito Psicológico
14.
Brain Cogn ; 147: 105662, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-33360042

RESUMO

The successful resolution of ever-changing conflicting contexts requires efficient cognitive control. Previous studies have found similar neural patterns in conflict processing for different modalities using an event-related potential (ERP) approach and have concluded that cognitive control is supramodal. However, recent behavioral studies have found that conflict adaptation (a phenomenon with the reduction of congruency effect in the current trial after an incongruent trial as compared with a congruent trial) could not transfer across visual and auditory modalities and suggested that cognitive control is modality-specific, challenging the supramodal view. These discrepancies may have also arisen from methodological differences across studies. The current study examined the electroencephalographic profiles of a Stroop-like task to elucidate the modality-specific neural mechanisms of cognitive control. Participants were instructed to respond to a target always coming from the visual modality while disregarding the distractor coming from either the auditory or the visual modality. The results revealed significant congruency effects on both behavioral indices, i.e., reaction time and error rate, and ERP components, including the P3 and the conflict slow potential. Besides, the congruency effects on the amplitude of the P3 showed a negative correlation with reaction time, indicating an intrinsic link between these neural and behavioral indices. Furthermore, in the modality-repetition condition, conflict adaptation effects were significant on both reaction time and P3 amplitude, and the reaction time could be predicted by the P3 amplitude, while such effects were not observed in the modality-alternation condition. The time-frequency analysis also showed that conflict adaptation occurred in the modality-repetition condition, but not in the modality-alternation condition in low frequency bands, including the theta (4-8 Hz), alpha (8-12 Hz), and beta1 (12-20 Hz) bands. Taken together, our results revealed modality-specific patterns of the conflict adaptation effects on the P3 amplitude and oscillatory power (in theta, alpha, and beta1 bands), providing neural evidence for the modality specificity of cognitive control and expanding the boundaries of cognitive control.


Assuntos
Conflito Psicológico , Potenciais Evocados , Cognição , Eletroencefalografia , Humanos , Tempo de Reação , Teste de Stroop
15.
Prax Kinderpsychol Kinderpsychiatr ; 69(7): 666-683, 2020 Oct.
Artigo em Alemão | MEDLINE | ID: mdl-33146087

RESUMO

Associations Between Personality Structure, Unconscious Conflicts, and Defense Styles in Adolescence According to the Operationalized Psychodynamic Diagnosis in Childhood and Adolescence, associations between personality structure, unconscious conflicts, and defense styles are postulated. So far, an empirical investigation of these associations in mentally healthy adolescents is missing. The present study aims to contribute to the understanding of unconscious conflicts as well as the unconscious defense of conflicts by elucidating intrapersonal factors within a normative sample. Furthermore, the aim of this study is to analyse the extent to which sex, age, and socioeconomic status are related to personality structure, unconscious conflicts, and defense styles. A total of 175 adolescents (Mage = 16.98 ± 1.83) participated in the study. Measurement instruments were the Structure and the Conflict Questionnaire of the Operationalized Psychodynamic Diagnosis in Childhood and Adolescence as well as the Defense Style Questionnaire for Adolescents and Young Adults. Sex-specific differences were found for the passive identity conflict. Regarding the personality structure, unconscious conflicts or defense styles, associations with age or socioeconomic status of adolescents were not found. The associations between personality structure, unconscious conflicts, and defense styles as postulated by OPD-CA-2 were empirically proven regarding the passive self-worth, guilt, and identity conflict as well as the active guilt conflict. Overall, this study indicates the low presence of unconscious conflicts in mentally healthy adolescents and the possibility of elucidating these conflicts by means of personality structure and defense styles.


Assuntos
Conflito Psicológico , Mecanismos de Defesa , Personalidade , Adolescente , Feminino , Humanos , Masculino , Inquéritos e Questionários
17.
Artigo em Inglês | MEDLINE | ID: mdl-32933161

RESUMO

This Special Issue aims to explore the concepts of stress, coping resources, and coping strategies, which are rooted in several theories, such as the stress and coping theory and the salutogenesis theory, and to understand how their core constructs are manifested in various ethnic and cultural groups around the world. This Special Issue includes 13 articles on salutogenesis and coping from different disciplinary, socio-cultural, historical, political, and economic perspectives. These articles address salutogenesis on the individual, organizational, and societal levels. The empirical studies are based in different societal and national contexts and refer to different ethnic groups within those contexts. Other studies examine international leaders in industry from a global perspective and present a systemic review of the literature concerning individuals in specific professions, such as nursing. The studies in the current Special Issue set the ground for continuing research toward even more comprehensive theoretical grounds; studies that incorporate several theoretical backgrounds and explore a broad theoretical model that may help us to understand successful adaptation in various contexts. In summary, results of studies that incorporate these theories may promote our understanding of the effects of coping resources and strategies, including acculturation strategies used among minority groups for positive adaptation.


Assuntos
Adaptação Psicológica , Conflito Psicológico , Senso de Coerência , Estresse Psicológico , Aculturação , Recursos em Saúde , Humanos , Grupos Minoritários , Apoio Social
18.
PLoS One ; 15(8): e0238221, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32866181

RESUMO

After perceiving cognitive conflicts or errors, children as well as adults adjust their performance in terms of reaction time slowing on subsequent actions, resulting in the so called post-conflict slowing and post-error slowing, respectively. The development of these phenomena has been studied separately and with different methods yielding inconsistent findings. We aimed to assess the temporal dynamics of these two slowing phenomena within a single behavioral task. To do so, 9-13-year-old children and young adults performed a Simon task in which every fifth trial was incongruent and thus induced cognitive conflict and, frequently, also errors. We compared the reaction times on four trials following a conflict or an error. Both age groups slowed down after conflicts and did so even more strongly after errors. Disproportionally high reaction times on the first post-error trial were followed by a steady flattening of the slowing. Generally, children slowed down more than adults. In addition to highlighting the phenomenal and developmental robustness of post-conflict and post-error slowing these findings strongly suggest increasingly efficient performance adjustment through fine-tuning of cognitive control in the course of development.


Assuntos
Cognição/fisiologia , Desempenho Psicomotor/fisiologia , Adaptação Psicológica/fisiologia , Adolescente , Adulto , Criança , Conflito Psicológico , Eletroencefalografia/métodos , Feminino , Humanos , Masculino , Tempo de Reação/fisiologia , Adulto Jovem
19.
Rev. chil. enferm. respir ; 36(3): 169-175, set. 2020. tab, graf
Artigo em Espanhol | LILACS | ID: biblio-1138551

RESUMO

INTRODUCCIÓN: La cantidad de pacientes asmáticos que asisten al sistema público de salud es cada vez mayor, no obstante, la tasa de adherencia al tratamiento es muy baja, siendo los adolescentes quienes presentan mayor porcentaje de abandono al tratamiento, inasistencia a sus controles y gran conflicto decisional (CD). El OBJETIVO de este estudio fue evaluar el efecto de la aplicación de consejerías sobre el CD en relación al tratamiento del asma y el nivel de control de su enfermedad. MATERIALES Y MÉTODOS: Estudio pre-experimental que reclutó a 32 niños asmáticos entre 10 a 14 años de edad del policlínico respiratorio infantil del hospital Carlos Van Buren de Valparaíso. Solo 15 niños estuvieron dispuestos a participar en el estudio quienes completaron la totalidad de las sesiones de consejería. Para determinar el grado de CD de su patología, se aplicó la Escala de Conflicto Decisional de Ottawa; y para el nivel del control del asma, se usó la Escala Global Initiative for Asthma (GINA). RESULTADOS: La edad media del grupo de niños fue de 12,06 ± 1,16 años. Finalizada la intervención, el nivel de control de asma se mantuvo y la media del CD disminuyó de 34,05 ± 4,59 a 18,02 ± 3,01 puntos (p < 0,05; t de Student para muestras pareadas). Un 73,3% de los pacientes disminuyó su nivel de conflicto decisional. CONCLUSIÓN: Las consejerías de apoyo decisional demostraron tener efectos positivos en la población estudiada.


INTRODUCTION: The number of asthmatic patients attending the public health system is increasing. However, the rate of adherence to treatment is very low. Adolescents have the largest percentage of abandonment to treatment, lack of control and a great decisional conflict (DC). The OBJECTIVE of this study was to evaluate the effect of the application of counseling on the DC in relation to asthma treatment and the level of control of their disease. MATERIALS AND METHODS: Pre-experimental study that recruited 32 asthmatic children from 10 to 14 years-old, from the children's respiratory outpatients clinic of Carlos Van Buren hospital in Valparaíso, Chile. Only 15 children were willing to participate in the study and completed all of the counseling sessions. To determine the degree of DC of its pathology, the Ottawa Decision Conflict Scale was applied; and for the Asthma Control level, the Global Initiative for Asthma Scale (GINA) was used. RESULTS: Mean children age was 12.06 ± 1.16 years-old. After the intervention, the level of Asthma Control was maintained and the mean of the DC decrease from 34.05 ± 4.59 to 18.02 ± 3.01 points (p < 0.05; paired Student's t-test). 73.3% of the patients lowered their level of decisional conflict. CONCLUSION: The counseling of decision support proved to have positive effects on the population studied.


Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Asma/psicologia , Conflito Psicológico , Aconselhamento/métodos , Tomada de Decisões , Pacientes Ambulatoriais , Participação do Paciente/psicologia , Asma/terapia , Cooperação e Adesão ao Tratamento
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