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OBJECTIVE: Describe the clinical-epidemiological profile of hospitalized elderly patients with arbovirus. METHOD: A documentary retrospective population-based descriptive study that used a quantitative approach with hospitalized elderly patients diagnosed with arbovirus was conducted in a teaching hospital. Data were collected from medical records and investigation forms. RESULTS: Thirty-three elderly patients participated in this study. A prevalence of dengue was observed, with fever, myalgia, and arthralgia. Arterial hypertension and diabetes were the comorbidities. Statistically significant correlations were obtained between arbovirus and schooling, employment situation, marital status, test results, and use of analgesics; and between the site of arthralgia and Chikungunya. CONCLUSION: The results support nursing care to hospitalized elderly patients with arbovirus, allowing the development of a proper and humanized care plan.
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Febre de Chikungunya/epidemiologia , Dengue/epidemiologia , Hospitalização , Idoso , Idoso de 80 Anos ou mais , Artralgia/epidemiologia , Artralgia/virologia , Febre de Chikungunya/fisiopatologia , Dengue/fisiopatologia , Feminino , Febre/epidemiologia , Febre/virologia , Hospitais de Ensino , Humanos , Masculino , Pessoa de Meia-Idade , Mialgia/epidemiologia , Mialgia/virologia , Prevalência , Estudos RetrospectivosRESUMO
OBJECTIVE: Investigating the association between quality of life with socio-demographic characteristics and the burden of caregivers for individuals with cerebrovascular accident sequelae. METHOD: A descriptive, cross-sectional study with a sample composed of 136 caregivers. For data collection, a semi-structured questionnaire, the Barthel, Burden Interview and Short-Form-36 scales were used. Correlation analysis, t-Student test and F-test were used for the analysis in order to compare averages. RESULTS: Significant averages in quality of life were demonstrated in association with female caregivers and those over 60 years in the field 'functional capacity,' and in the domains of 'mental health' and 'vitality' for those with higher income. Regarding burden association, the highlighted areas were 'functional capacity,' 'physical aspects,' 'emotional aspects' and 'pain.' CONCLUSION: The creation of public policies and social support to effectively reduce the burden on caregivers is a necessity.
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Cuidadores , Efeitos Psicossociais da Doença , Qualidade de Vida , Acidente Vascular Cerebral , Adulto , Idoso , Cuidadores/psicologia , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fatores SocioeconômicosRESUMO
OBJECTIVE: To analyze the validity evidence of the Brazilian version of the Cancer Behavior Inventory - Brief Version. METHOD: Methodological study, conducted between November and December 2021, with 140 patients undergoing hospital cancer treatment in João Pessoa, Paraíba, Brazil. Psychometric analyses were performed in the adapted version, using exploratory factor analysis and correlation with correlated constructs. RESULTS: A two-factor and 10-item model was evidenced. The cumulative variance explained about 61% the shared variance of the items. Satisfactory values were observed for the factors in the analyses of composite reliability (0.89 and 0.91, respectively), internal consistency (0.86 and 0.91, respectively) and ORION (0.89 and 0.85, respectively). The expected correlations of self-efficacy with quality of life (convergent) and with anxiety and depression (divergent) were evident. CONCLUSION: The Brazilian version of the instrument showed evidence of validity, being considered reliable to assess the self-efficacy of patients undergoing cancer treatment.
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Neoplasias , Qualidade de Vida , Humanos , Brasil , Reprodutibilidade dos Testes , Ansiedade/diagnóstico , Ansiedade/etiologia , Psicometria , Inquéritos e QuestionáriosRESUMO
OBJECTIVES: to correlate depressive symptoms, attitude, and self-care of elderly people with type 2 diabetes. METHODS: study developed with 144 elderly people with diabetes; carried out in Family Health Units. A semi-structured instrument was used to obtain data on the sociodemographic profile; the Geriatric Depression Scale (15 items), the Questionário de Atitudes Psicológicas do Diabetes [Psychological Attitudes of Diabetes Questionnaire], and the Diabetes Self-Care Activities Questionnaire (DSCA) were also used. RESULTS: it was identified that 24.3% of the participants presented depressive symptoms, and 93.8% presented negative attitudes of coping. A greater adherence to self-care activities related to the practice of medication was observed. In the correlation between the scales, a negative and inversely proportional correspondence was noted between depressive symptomatology and physical activity (p=0.010) and foot care (p=0.006), likewise between attitude and foot care (p=0.009). CONCLUSIONS: self-care in elderly people with diabetes mellitus is influenced by depressive symptoms and negative coping attitudes.
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Diabetes Mellitus Tipo 2 , Humanos , Idoso , Diabetes Mellitus Tipo 2/terapia , Diabetes Mellitus Tipo 2/tratamento farmacológico , Depressão/etiologia , Depressão/psicologia , Autocuidado , Atitude , Adaptação PsicológicaRESUMO
OBJECTIVE: To analyze the self-care activities of elderly people with diabetes mellitus and its correlation with the nurse-patient interpersonal relationship. METHODS: Cross-sectional quantitative study, with 144 elderly people followed up in Family Health Units, with data collected by the Diabetes Self-Care Activities Questionnaire and Interpersonal Relationship Questionnaire in Nursing Care, being analyzed by descriptive and inferential statistics. RESULTS: There was a greater accomplishment of the activities Take insulin injections as recommended (6.74), Take diabetes medications as recommended (6.55) and Take the indicated number of diabetes pills (6.52). The interpersonal relationship showed moderate effectiveness (80.6%). The correlation between self-care with diabetes and interpersonal relationships showed a positive and significant value in the dimension Specific feeding. CONCLUSION: The effectiveness of the interpersonal relationship in nursing care resulted in greater compliance with activities related to specific food.
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Diabetes Mellitus , Autocuidado , Idoso , Estudos Transversais , Diabetes Mellitus/terapia , HumanosRESUMO
OBJECTIVES: to identify factors associated with specific health-related quality of life in cerebrovascular accident, or stroke, survivors. METHODS: cross-sectional study, carried out with 160 cerebrovascular accident survivors. Data were collected using the Barthel Index, Cerebrovascular Accident Specific Quality of Life Scale, and semi-structured instruments for sociodemographic and clinical data, analyzed by descriptive and inferential statistics. RESULTS: health-related quality of life was associated with work activity (p=0.027), physical activity (p=0.007), functional capacity (p=0.001), presence of caregiver (<0.001), motor alteration (p = 0.001) and rehabilitation (p=0.003). The functionally dependent people were 14.61 times more likely to present low health-related quality of life, and those with motor impairment were 3.07 times more likely. CONCLUSIONS: it was evidenced that functional dependence and motor impairment increase the chance of low health-related quality of life in cerebrovascular accident survivors.
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Reabilitação do Acidente Vascular Cerebral , Acidente Vascular Cerebral , Estudos Transversais , Humanos , Qualidade de Vida , Acidente Vascular Cerebral/complicações , SobreviventesRESUMO
OBJECTIVES: to associate pleasure and suffering indicators with aspects related to nursing work in hospitals. METHODS: This is a cross-sectional quantitative study conducted with 152 nurses from a university hospital in the city of João Pessoa, Paraíba State, Brazil. Data were collected through interviews, using a tool to obtain sociodemographic data, work characteristics and the Pleasure and Suffering Indicators at Work Scale. RESULTS: pleasure living and its domains were rated as satisfactory, while suffering factors and their domains were critically assessed. Statistically significant associations were observed among pleasure and suffering indicators, and some characteristics of nurses' work. CONCLUSIONS: it was evidenced that nurses had critical levels of suffering at work associated with their work practice characteristics.
Assuntos
Recursos Humanos de Enfermagem Hospitalar/psicologia , Prazer , Angústia Psicológica , Adulto , Brasil , Estudos Transversais , Feminino , Humanos , Satisfação no Emprego , Masculino , Pessoa de Meia-Idade , Recursos Humanos de Enfermagem Hospitalar/tendências , Inquéritos e QuestionáriosRESUMO
OBJECTIVE: To evaluate the impact of work on nursing professionals' health. METHOD: This is a cross-sectional and quantitative study conducted with nurses from a university hospital in João Pessoa, Paraíba, Brazil. Data were collected through interviews using an instrument to obtain sociodemographic data and health conditions and the Pleasure and Suffering Indicators at Work Scale (PSIWS). RESULTS: There were 152 nurses who participated. The Experience of Pleasure and its domains were rated as satisfactory, while Suffering Factors and their domains were critically evaluated. Statistically significant associations were observed (p≤0.05) between the indicators of pleasure and suffering and some health conditions, health problems and medication use. CONCLUSION: Satisfactory levels of pleasure were associated with better health conditions and critical levels of suffering were associated with worse health conditions.
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Satisfação no Emprego , Enfermeiras e Enfermeiros , Saúde Ocupacional , Prazer , Brasil , Estudos Transversais , HumanosRESUMO
OBJECTIVE: To reveal the Comfort needs as perceived by hospitalized elders, using Kolcaba's theory. METHODS: Descriptive and qualitative study, with 11 elders hospitalized in a university hospital, aiming to identify their needs for Comfort. RESULTS: Discourses were categorized in four thematic units: Physical, Environmental, Sociocultural, and Psychospiritual. In the Physical context, several subcategories were found, namely, Symptom Relief; Daily Life Activities; Hygiene and personal care; Diet; Sleep and rest. In the Environmental context, the Comfort was considered to be superior than in the elders' home; in the Sociocultural one, family bonds were found to become more distant, triggering feelings of missing one's family and isolation, in the Psychospiritual context, spirituality and religiosity stood out. FINAL CONSIDERATIONS: The Comfort needs of the hospitalized elders enable one to reflect on nursing care, offering information to improve the quality of assistance and to attend to the real needs of the elderly.
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Cuidados de Enfermagem , Idoso , Humanos , Pesquisa QualitativaRESUMO
OBJECTIVE: to analyze the psychometric properties of the adapted version of Bakas Caregiving Outcome Scale for Brazilian Portuguese. METHOD: this is a cross-sectional methodological study conducted with 151 informal caregivers of people with cerebral vascular accident sequelae enrolled in Family Health Units. To assess reliability, Cronbach's alpha was used. Construct validity was verified through exploratory factor analysis, confirmatory factor analysis and correlation with measures of instruments that evaluate correlated constructs. RESULTS: Cronbach's alpha for the total BCOS score was 0.89. Factor and exploratory analysis generated a one-factor structure, which was confirmed by confirmatory factor analysis. Construct validity was supported by the high positive correlations with Negative Affect (r = 0.51) and Negative Experience (r = 0.47) of the Well-being Scale and the Depression Anxiety and Stress Scale -21 (r = 0.53) and negative correlations with Positive Affect (r =-0.47) and Positive Experience (r = -0.17) of the Well-being scale. CONCLUSION: Bakas Caregiving Outcome Scale shows evidence of satisfactory reliability and validity in family caregivers of cerebral vascular accident survivors.
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Cuidadores/psicologia , Comparação Transcultural , Acidente Vascular Cerebral/terapia , Tradução , Idoso , Brasil , Estudos de Coortes , Estudos Transversais , Análise Fatorial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Avaliação das Necessidades , Avaliação de Resultados em Cuidados de Saúde , Psicometria , Reprodutibilidade dos TestesRESUMO
OBJECTIVES: to evaluate the burden and its relationship with the sociodemographic characteristics of caregivers of people with sequelae of stroke. METHODS: a cross-sectional, exploratory, and quantitative study was conducted with 151 caregivers of people with sequelae of stroke, through home interviews between September and December 2017. RESULTS: there was a general mean of low burden. The items that indicated the worst changes were: "My time for social activities with friends," "My time for family activities," "My ability to cope with stress," and "My physical functioning." There was an association of burden with the female sex and with caregivers who have been assisting for longer. CONCLUSIONS: the results allow us to reflect on the need to create a policy aimed at family caregivers to reduce the impact of care delivery.
Assuntos
Cuidadores , Acidente Vascular Cerebral , Adaptação Psicológica , Efeitos Psicossociais da Doença , Estudos Transversais , Progressão da Doença , Feminino , Humanos , Acidente Vascular Cerebral/complicaçõesRESUMO
OBJECTIVE: To assess the risk of falls in hospitalized elderly people. METHOD: Cross-sectional study with a quantitative approach, carried out at University Hospital of the State of Paraíba. The sample consisted of 284 elderly subjects interviewed from April to October 2016. The Morse Fall Scale was used to evaluate the risk of falls. RESULTS: Elderly males (52.5%) aged between 60 and 69 years old (58.1%) and who were not literate (38.7%), prevailed. It was verified that 45% of the sample presented a high risk of falls. The secondary diagnosis and the use of intravenous therapy were the criteria that obtained a higher percentage of elderly at risk. Diuretics (p≤0.032), urinary incontinence (p≤0.001), visual deficit (p≤0.001) and heart failure (p≤0.001) were significantly associated with the high risk of falls. CONCLUSION: The use of specific tools in the prevention of falls allows the improvement in the quality of assistance based on scientific evidence, allowing effective intervention and potentiating patient safety.
Assuntos
Acidentes por Quedas/estatística & dados numéricos , Hospitalização , Idoso , Estudos Transversais , Feminino , Avaliação Geriátrica , Humanos , Masculino , Pessoa de Meia-Idade , Medição de RiscoRESUMO
OBJECTIVE: To investigate the functional capacity and its relationship with the level of social support to people affected by cerebrovascular accident. METHODS: Cross-sectional and quantitative research, conducted with 108 individuals with sequelae of cerebrovascular accident in João Pessoa/PB. Data were collected through interviews, using a sociodemographic instrument - the Barthel Index and the Social Support Scale. RESULTS: We observed the prevalence of functional dependency in 93.5%, and the mild dependency stood out in 40.7%. Medium social support was the most found, with 48.2%. The predominant dimensions of social support were the material dimension, followed by the emotional. There was a significant association (p ≤ 0.05) between very serious dependency and high social support. CONCLUSION: The results found allow us to reflect on the need for involvement of health professionals in strengthening the social support of patients with disabling diseases, such as the cerebrovascular accident.
Assuntos
Recuperação de Função Fisiológica , Apoio Social , Acidente Vascular Cerebral/complicações , Sobreviventes/psicologia , Idoso , Idoso de 80 Anos ou mais , Brasil , Estudos Transversais , Feminino , Humanos , Masculino , Acidente Vascular Cerebral/psicologia , Sobreviventes/estatística & dados numéricosRESUMO
ABSTRACT Objective: To analyze the validity evidence of the Brazilian version of the Cancer Behavior Inventory - Brief Version. Method: Methodological study, conducted between November and December 2021, with 140 patients undergoing hospital cancer treatment in João Pessoa, Paraíba, Brazil. Psychometric analyses were performed in the adapted version, using exploratory factor analysis and correlation with correlated constructs. Results: A two-factor and 10-item model was evidenced. The cumulative variance explained about 61% the shared variance of the items. Satisfactory values were observed for the factors in the analyses of composite reliability (0.89 and 0.91, respectively), internal consistency (0.86 and 0.91, respectively) and ORION (0.89 and 0.85, respectively). The expected correlations of self-efficacy with quality of life (convergent) and with anxiety and depression (divergent) were evident. Conclusion: The Brazilian version of the instrument showed evidence of validity, being considered reliable to assess the self-efficacy of patients undergoing cancer treatment.
RESUMEN Objetivo: Analizar las evidencias de validez de la versión brasileña del Cancer Behavior Inventory - Brief Version. Método: Estudio metodológico, realizado entre noviembre y diciembre de 2021, con 140 pacientes en tratamiento oncológico hospitalario en João Pessoa, Paraíba, Brasil. Se realizaron análisis psicométricos en la versión adaptada, mediante análisis factorial exploratorio y correlación con constructos correlacionados. Resultados: Se evidenció un modelo de 2 factores y 10 ítems. La varianza acumulada explicó alrededor del 61% de la varianza compartida de los ítems. Se observaron valores satisfactorios para los factores en el análisis de confiabilidad compuesta (0,89 y 0,91, respectivamente), consistencia interna (0,86 y 0,91, respectivamente) y ORION (0,89 y 0,85, respectivamente). Se evidenciaron las correlaciones esperadas de la autoeficacia con la calidad de vida (convergente) y con la ansiedad y la depresión (divergente). Conclusión: La versión brasileña del instrumento mostró evidencias de validez, siendo considerado confiable para evaluar la autoeficacia de pacientes en tratamiento oncológico.
RESUMO Objetivo: Analisar as evidências de validade da versão brasileira do Cancer Behavior Inventory - Brief Version. Método: Estudo metodológico, realizado entre os meses de novembro e dezembro de 2021, com 140 pacientes em tratamento oncológico hospitalar em João Pessoa, Paraíba, Brasil. Foram realizadas análises psicométricas na versão adaptada, mediante a análise fatorial exploratória e correlação com constructos correlacionados. Resultados: Evidenciou-se um modelo de 2 fatores e 10 itens. A variância acumulada explicou cerca de 61% da variância compartilhada dos itens. Foram observados valores satisfatórios para os fatores nas análises de confiabilidade composta (0,89 e 0,91, respectivamente), consistência interna (0,86 e 0,91, respectivamente) e ORION (0,89 e 0,85, respectivamente). Evidenciaram-se as correlações esperadas da autoeficácia com a qualidade de vida (convergente) e com a ansiedade e depressão (divergente). Conclusão: A versão brasileira do instrumento mostrou evidências de validade, sendo considerada como confiável para avaliar a autoeficácia dos pacientes em tratamento oncológico.
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ABSTRACT Objective: to analyze the metric properties of the Instrumento de Evaluación de la Experiencia del Paciente Crónico version adapted to Brazilian Portuguese. Method: this is a methodological and cross-sectional study conducted with 132 patients with chronic kidney disease on hemodialysis. Cronbach's alpha was used in the reliability assessment. Construct validity was assessed by means of Exploratory Factor Analysis and Confirmatory Factor Analysis. Results: the Instrumento de Evaluación de la Experiencia del Paciente Crónico tool obtained an overall Cronbach's alpha of 0.75. Unidimensionality of the instrument was recommended in the Exploratory Factor Analysis and confirmed through Confirmatory Factor Analysis, with the indices indicating good fits according to the established criteria. The results indicated the following values: χ2/g = 1.129; Goodness-of-Fit Index = 0.96; Root-Mean-Square Error of Approximation = 0.050; Tucker-Lewis Index = 0.97 and Adjusted Goodness-of-Fit Index = 0.94. Conclusion: the Instrumento de Evaluación de la Experiencia del Paciente Crónico tool shows diverse evidence of satisfactory reliability and validity in patients with chronic kidney disease undergoing hemodialysis.
RESUMEN Objetivo: analizar las propiedades métricas de la versión del Instrumento de Evaluación de la Experiencia del Paciente Crónico adaptada al portugués de Brasil. Método: estudio metodológico y transversal realizado con 132 pacientes que padecen enfermedad renal crónica sometidos a hemodiálisis. Para evaluar la confiabilidad se utilizó el coeficiente alfa de Cronbach. La validez del constructo se evaluó por medio de Análisis Factorial Exploratorio y Análisis Factorial Confirmatorio. Resultados: el Instrumento de Evaluación de la Experiencia del Paciente Crónico obtuvo un coeficiente alfa de Cronbach total de 0,75. El Análisis Factorial Exploratorio recomendó unidimesionalidad del instrumento, que fue ratificada por medio del Análisis Factorial Confirmatorio, con índices que indicaron buenos ajustes de acuerdo con los criterios establecidos. Los resultados indicaron los siguientes valores: χ2/g = 1,129; Goodness-of-Fit Index = 0,96; Root-Mean-Square Error of Approximation = 0,050; Tucker-Lewis Index = 0,97 y Adjusted Goodness-of-Fit Index = 0,94. Conclusión: el Instrumento de Evaluación de la Experiencia del Paciente Crónico presenta satisfactorias evidencias de confiabilidad y validez en pacientes con enfermedad renal crónica sometidos a hemodiálisis.
RESUMO Objetivo: analisar as propriedades métricas da versão adaptada do Instrumento de Evaluación de la Experiencia del Paciente Crónico para o português do Brasil. Método: trata-se de um estudo metodológico e transversal, realizado com 132 pacientes com doença renal crônica que realizam hemodiálise. Na avaliação da confiabilidade, utilizou-se o alfa de Cronbach. A validade de construto foi avaliada por meio da análise fatorial exploratória e da análise fatorial confirmatória. Resultados: o Instrumento de Evaluación de la Experiencia del Paciente Crónico obteve um alfa de Cronbach total de 0,75. A unidimesionalidade do instrumento foi recomendada na análise fatorial exploratória e ratificada por meio da análise fatorial confirmatória, com os índices indicando bons ajustes, de acordo com os critérios estabelecidos. Os resultados indicaram os seguintes valores: χ2/g =1,129; Godness-of-Fit Index = 0,96; Root-Mean-Square Error of Approximation= 0,050; Tucker-Lewis Index =0,97 e Adjusted Goodness-of-Fit Index =0,94. Conclusão: o Instrumento de Evaluación de la Experiencia del Paciente Crónico possui evidências de confiabilidade e validade satisfatórias em pacientes com doença renal crônica que realizam hemodiálise.
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ABSTRACT Objectives: to correlate depressive symptoms, attitude, and self-care of elderly people with type 2 diabetes. Methods: study developed with 144 elderly people with diabetes; carried out in Family Health Units. A semi-structured instrument was used to obtain data on the sociodemographic profile; the Geriatric Depression Scale (15 items), the Questionário de Atitudes Psicológicas do Diabetes [Psychological Attitudes of Diabetes Questionnaire], and the Diabetes Self-Care Activities Questionnaire (DSCA) were also used. Results: it was identified that 24.3% of the participants presented depressive symptoms, and 93.8% presented negative attitudes of coping. A greater adherence to self-care activities related to the practice of medication was observed. In the correlation between the scales, a negative and inversely proportional correspondence was noted between depressive symptomatology and physical activity (p=0.010) and foot care (p=0.006), likewise between attitude and foot care (p=0.009). Conclusions: self-care in elderly people with diabetes mellitus is influenced by depressive symptoms and negative coping attitudes.
RESUMEN Objetivos: correlacionar síntomas depresivos, actitud y autocuidado de personas ancianas con diabetes tipo 2. Métodos: estudio desarrollado con 144 ancianos con diabetes; realizado en Unidades de Salud de la Familia. Utilizados instrumento semiestructurado para obtener los datos referentes al perfil sociodemográfico, Escala de Depresión Geriátrica (15 ítems), Encuesta de Actitudes Psicológicas del Diabetes y de Actividades de Autocuidado con el Diabetes. Resultados: identificado que 24,3% de los participantes presentaron sintomatología depresiva; y 93,8%, actitudes negativas de enfrentamiento. Observado una mayor adhesión a las actividades de autocuidado relacionadas a la práctica medicamentosa. En la correlación entre las escalas, fue percibida una correspondencia negativa e inversamente proporcional entre sintomatología depresiva y actividad física (p=0,010) y cuidado con los pies (p=0,006), igualmente entre actitud y cuidado con los pies (p=0,009). Conclusiones: el autocuidado en personas ancianas con diabetes mellitus sufre influencia de los síntomas depresivos y de la actitud negativa en el enfrentamiento.
RESUMO Objetivos: correlacionar sintomas depressivos, atitude e autocuidado de pessoas idosas com diabetes tipo 2. Métodos: estudo desenvolvido com 144 pessoas idosas com diabetes; realizado em Unidades de Saúde da Família. Utilizaram-se instrumento semiestruturado para obter os dados referentes ao perfil sociodemográfico, a Escala de Depressão Geriátrica (15 itens), o Questionário de Atitudes Psicológicas do Diabetes e o de Atividades de Autocuidado com o Diabetes. Resultados: identificou-se que 24,3% dos participantes apresentaram sintomatologia depressiva; e 93,8%, atitudes negativas de enfrentamento. Observou-se uma maior adesão às atividades de autocuidado relacionadas à prática medicamentosa. Na correlação entre as escalas, foi percebida uma correspondência negativa e inversamente proporcional entre sintomatologia depressiva e atividade física (p=0,010) e cuidado com os pés (p=0,006), do mesmo modo entre atitude e cuidado com os pés (p=0,009). Conclusões: o autocuidado em pessoas idosas com diabetes mellitus sofre influência dos sintomas depressivos e da atitude negativa no enfrentamento.
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Objetivo: correlacionar o apoio social com o autocuidado de pessoas com insuficiência cardíaca. Método: estudo exploratório, descritivo e transversal, com abordagem quantitativa, realizado com 63 pessoas com insuficiência cardíaca atendidas no ambulatório de cardiologia de um hospital universitário. Os dados foram coletados mediante um instrumento estruturado para obtenção dos dados sociodemográficos e de condições de saúde; a European Heart Failure Self Care Behaviour Scale foi usada para avaliação do autocuidado, cujo escore final tem pontuação invertida, indicando que quanto menor a pontuação, melhor o autocuidado; e a Escala de Apoio Social Medical Outcomes Study, a qual indica, por meio de cinco dimensões (emocional, material, afetivo, informação e interação social), que quanto maior a pontuação, melhor o apoio social. Resultados: quanto à amostra, observou-se uma maior frequência do sexo masculino (57,14%), faixa etária de 60 ou mais (60,31%), casados ou em união estável (65,07%), com cinco a oito anos de estudo (28,57%), sem ocupação (82,5%) e aposentados (57,14%). Quanto ao autocuidado e ao apoio social, obtiveram-se médias satisfatórias de 27,01 (±6,66) e 80,27 (±16,48), respectivamente. Na investigação da correlação entre o apoio social e o autocuidado, identificou-se correlação negativa (r = -0,252), com significância estatística (p ≤ 0,05) entre a dimensão informação e o autocuidado. Conclusão: infere-se que a dimensão informação do apoio social relaciona-se significativamente com o autocuidado de pessoas com insuficiência cardíaca, apontando que o autocuidado se eleva à medida que a dimensão informação aumenta.(AU)
Objective: to correlate social support with self-care for people with heart failure. Method: an exploratory, descriptive and cross-sectional study with a quantitative approach, carried out with 63 individuals with heart failure treated at a university hospital's Cardiology outpatient clinic. The data were collected using a structured instrument to obtain sociodemographic data and health conditions; the European Heart Failure Self Care Behavior Scale was used to assess self-care, whose final score has an inverted value, indicating that the lower the score, the better the self-care; and the Medical Outcomes Study Social Support Scale, which, through five dimensions (Emotional, Material, Affective, Information and Social Interaction), indicates that the higher the score, the better the social support. Results: in relation to the sample, there was a higher frequency of males (57.14%), aged 60 or over (60.31%), married or in a stable union (65.07%), with five to eight study years (28.57%), unemployed (82.5%) and retired (57.14%). In relation to self-care and social support, satisfactory mean values of 27.01 (±6.66) and 80.27 (±16.48) were obtained, respectively. When investigating the correlation between social support and self-care, a negative correlation (r = -0.252) was identified, with statistical significance (p ≤ 0.05) between the Information dimension and self-care. Conclusion: it is inferred that the social support Information dimension is significantly related to the self-care of people with heart failure, indicating that self-care increases as the Information dimension increases.(AU)
Objetivo: correlacionar el apoyo social con el autocuidado en personas con insuficiencia cardíaca. Método: estudio exploratorio, descriptivo y transversal, con enfoque cuantitativo, realizado con 63 personas con insuficiencia cardíaca atendidas en el ambulatorio de cardiología de un hospital universitario. Los datos se recogieron mediante un instrumento estructurado para obtener datos sociodemográficos y condiciones de salud; se utilizó la European Heart Failure Self Care Behaviour Scale para evaluar el autocuidado, cuya puntuación final es inversa, indicando que cuanto menor sea la puntuación, mejor será el autocuidado; y la Escala de Apoyo Social Medical Outcomes Study, que indica, a través de cinco dimensiones (emocional, material, afectivo, información e interacción social), que cuanto mayor sea la puntuación, mejor será el apoyo social. Resultados: en cuanto a la muestra, se observó una mayor frecuencia del sexo masculino (57,14%), un rango de edad de 60 años o más (60,31%), casados o en unión estable (65,07%), con entre cinco y ocho años de estudio (28,57%), sin ocupación (82,5%) y jubilados (57,14%). En relación con el autocuidado y el apoyo social, se obtuvieron medias satisfactorias de 27,01 (±6,66) y 80,27 (±16,48), respectivamente. En la investigación de la correlación entre el apoyo social y el autocuidado, se identificó una correlación negativa (r = -0,252), con significancia estadística (p ≤ 0,05) entre la dimensión información y el autocuidado. Conclusión: se infiere que la dimensión información del apoyo social se relaciona significativamente con el autocuidado de personas con insuficiencia cardíaca, señalando que el autocuidado mejora a medida que la dimensión información aumenta.Primaria y Secundaria; Educación en Salud.(AU)
Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Fatores Socioeconômicos , Educação em Saúde , Papel do Profissional de EnfermagemRESUMO
RESUMO Objetivo avaliar a associação entre a qualidade de vida relacionada à saúde e as características sociodemográficas e clínicas de pacientes com câncer de mama e próstata. Métodos estudo transversal com 305 pacientes. Foram utilizados o European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30, Quality of Life Questionnaire Breast Cancer e um instrumento estruturado. Realizaram-se análises estatísticas, descritiva e inferencial. Resultados observou-se prevalência de faixa etária entre 50 e 69 anos, casados, 13 anos ou mais de estudo, aposentados, com renda de até dois salários mínimos, com câncer de mama em radioterapia. Houve associação significante entre Escala de Saúde Global e sexo e conjugalidade; Escala Funcional e faixa etária e renda familiar; Escala de Sintomas e sexo, faixa etária, tipo de câncer, tratamento atual; Escala de Saúde Global e tipo de câncer, tratamento atual, tempo de tratamento, falta de acompanhante e número de comorbidades. Conclusão a qualidade de vida relacionada à saúde é influenciada negativamente pelas características sociodemográficas e clínicas de pacientes com câncer de mama e próstata. Contribuições para a prática os dados fornecem subsídios para concepção de um plano individualizado de cuidados de enfermagem.
ABSTRACT Objective to assess the association between health-related quality of life and sociodemographic and clinical characteristics of breast and prostate cancer patients. Methods a cross-sectional study of 305 patients was performed. The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30, the Quality of Life Questionnaire Breast Cancer, and a structured instrument were used. Descriptive and inferential statistical analyses were performed. Results the study revealed a prevalence of patients aged 50-69 years, married, with 13 or more years of education, retired, with an income of up to two minimum wages, and receiving radiotherapy for breast cancer. Significant associations were observed between the Global Health Scale and gender and marital status, the Functional Scale and age group and family income, the Symptom Scale and gender, age group, cancer type, and current treatment, and between the Global Health Scale and cancer type, current treatment, treatment duration, lack of companion, and number of comorbidities. Conclusions health-related quality of life in breast and prostate cancer patients is negatively influenced by sociodemographic and clinical characteristics. Contributions to practice the data provide insights for designing individualized care plans.
Assuntos
Humanos , Masculino , Feminino , Enfermagem Oncológica , Neoplasias da Próstata , Qualidade de Vida , Neoplasias da Mama , Cuidados de EnfermagemRESUMO
ABSTRACT Objective: To analyze the self-care activities of elderly people with diabetes mellitus and its correlation with the nurse-patient interpersonal relationship. Methods: Cross-sectional quantitative study, with 144 elderly people followed up in Family Health Units, with data collected by the Diabetes Self-Care Activities Questionnaire and Interpersonal Relationship Questionnaire in Nursing Care, being analyzed by descriptive and inferential statistics. Results: There was a greater accomplishment of the activities Take insulin injections as recommended (6.74), Take diabetes medications as recommended (6.55) and Take the indicated number of diabetes pills (6.52). The interpersonal relationship showed moderate effectiveness (80.6%). The correlation between self-care with diabetes and interpersonal relationships showed a positive and significant value in the dimension Specific feeding. Conclusion: The effectiveness of the interpersonal relationship in nursing care resulted in greater compliance with activities related to specific food.
RESUMEN Objetivo: Analizar las actividades de autocuidado de personas ancianas con diabetes mellitus y su correlación con la relación interpersonal enfermero-paciente. Métodos: Estudio cuantitativo transversal, con 144 ancianos acompañados en Unidades de Salud de la Familia, los dados recogidos por Encuesta de Actividades de Autocuidado con el Diabetes y Encuesta de Relación Interpersonal en el Cuidado de Enfermería, siendo analizados por estadística descriptiva y inferencial. Resultados: Hubo mayor realización de las actividades Tomar las inyecciones de insulina conforme recomendado (6,74), Tomar los medicamentos de diabetes conforme recomendado (6,55) y Tomar el número indicado de comprimidos de diabetes (6,52). La relación interpersonal presentó moderada efectividad (80,6%). La correlación entre el autocuidado con el diabetes y la relación interpersonal presentó valor positivo y significante en la dimensión Alimentación específica. Conclusiones: La efectividad de la relación interpersonal en el cuidado de enfermería resultó en mayor cumplimento de las actividades referentes a la alimentación específica.
RESUMO Objetivo: Analisar as atividades de autocuidado de pessoas idosas com diabetes mellitus e sua correlação com a relação interpessoal enfermeiro-paciente. Métodos: Estudo quantitativo transversal, com 144 idosos acompanhados em Unidades de Saúde da Família, sendo os dados coletados pelo Questionário de Atividades de Autocuidado com o Diabetes e Questionário de Relação Interpessoal no Cuidado de Enfermagem, sendo analisados por estatística descritiva e inferencial. Resultados: Houve maior realização das atividades Tomar as injeções de insulina conforme recomendado (6,74), Tomar os medicamentos do diabetes conforme recomendado (6,55) e Tomar o número indicado de comprimidos do diabetes (6,52). A relação interpessoal apresentou moderada efetividade (80,6%). A correlação entre o autocuidado com o diabetes e o relacionamento interpessoal apresentou valor positivo e significante na dimensão Alimentação específica. Conclusões: A efetividade da relação interpessoal no cuidado de enfermagem resultou em maior cumprimento das atividades referentes à alimentação específica.
RESUMO
ABSTRACT Objectives: to identify factors associated with specific health-related quality of life in cerebrovascular accident, or stroke, survivors. Methods: cross-sectional study, carried out with 160 cerebrovascular accident survivors. Data were collected using the Barthel Index, Cerebrovascular Accident Specific Quality of Life Scale, and semi-structured instruments for sociodemographic and clinical data, analyzed by descriptive and inferential statistics. Results: health-related quality of life was associated with work activity (p=0.027), physical activity (p=0.007), functional capacity (p=0.001), presence of caregiver (<0.001), motor alteration (p = 0.001) and rehabilitation (p=0.003). The functionally dependent people were 14.61 times more likely to present low health-related quality of life, and those with motor impairment were 3.07 times more likely. Conclusions: it was evidenced that functional dependence and motor impairment increase the chance of low health-related quality of life in cerebrovascular accident survivors.
RESUMEN Objetivos: identificar factores relacionados a calidad de vida relacionada a salud específica de supervivientes de accidente cerebrovascular. Métodos: estudio transversal, realizado con 160 supervivientes de accidente cerebrovascular. Los datos fueron recolectados mediante el Índice de Barthel, Escala de Calidad de Vida Específica para Accidente Cerebrovascular e instrumento semiestructurado para los datos sociodemográficos y clínicos, analizados por estadística descriptiva e inferencial. Resultados: la calidad de vida relacionada a salud se relacionó a la actividad laboral (p=0,027), actividad física (p=0,007), capacidad funcional (p=0,001), presencia de cuidador (<0,001), alteración motora (p = 0,001) y rehabilitación (p=0,003). Las personas funcionalmente dependientes demostraron 14,61 veces más chance de presentar baja calidad de vida relacionada a salud; y aquellas con alteración motora demostraron 3,07 veces más chance. Conclusiones: se evidenció que la dependencia funcional y la alteración motora elevan la chance de una baja calidad de vida relacionada a la salud en supervivientes de accidente cerebrovascular.
RESUMO Objetivos: identificar os fatores associados à qualidade de vida relacionada à saúde específica de sobreviventes de acidente vascular encefálico. Métodos: estudo transversal, realizado com 160 sobreviventes de acidente vascular encefálico. Os dados foram coletados por meio do Índice de Barthel, Escala de Qualidade de Vida Específica para Acidente Vascular Encefálico e instrumento semiestruturado para os dados sociodemográficos e clínicos, analisados por estatística descritiva e inferencial. Resultados: a qualidade de vida relacionada à saúde associou-se à atividade laboral (p=0,027), atividade física (p=0,007), capacidade funcional (p=0,001), presença de cuidador (<0,001), alteração motora (p = 0,001) e reabilitação (p=0,003). As pessoas funcionalmente dependentes demonstraram 14,61 vezes mais chance de apresentar baixa qualidade de vida relacionada à saúde; e aquelas com alteração motora demonstraram 3,07 vezes mais chance. Conclusões: evidenciou-se que a dependência funcional e a alteração motora elevam a chance de uma baixa qualidade de vida relacionada à saúde em sobreviventes de acidente vascular encefálico.