Reemerging arboviruses: clinical-epidemiological profile of hospitalized elderly patients. / Arboviroses reemergentes: perfil clínico-epidemiológico de idosos hospitalizados.

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.

[Quality of life of caregivers for patients of cerebrovascular accidents: association of (socio-demographic) characteristics and burden]. / Qualidade de vida de cuidadores de indivíduos com acidente vascular encefálico: associação com características e sobrecarga.

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.

Evidence of validity of the Brazilian version of the Cancer Behavior Inventory - Brief Version.

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.

Self-care of elderly people with diabetes mellitus and the nurse-patient interpersonal relationship.

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.

Specific health-related quality of life in Cerebrovascular accident survivors: associated factors.

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.

The impact of work on the health of nursing professionals.

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.

Validation of Bakas Caregiving Outcome Scale for brazilian portuguese.

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.

Pleasure and suffering among hospital nurses.

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.

Burden on caregivers of patients with sequelae of cerebrovascular accident.

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.

Functional capacity and social support to people affected by cerebrovascular accident.

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.

Evidence of validity of the Brazilian version of the Cancer Behavior Inventory - Brief Version / Evidencia de validez de la versión brasileña del Cancer Behavior Inventory - Brief Version / Evidências de validade da versão brasileira do Cancer Behavior Inventory - Brief Version

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.

Validation of instrumento de evaluación de la experiencia del paciente crónico for brazilian portuguese / Validación del instrumento de evaluación de la experiencia del paciente crónico para portugués de brasil / Validação do instrumento de evaluación de la experiencia del paciente crónico para o português do brasil

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.

Qualidade de vida e perfil sociodemográfico e clínico de pacientes com câncer de mama e próstata / Quality of life and sociodemographic and clinical profile of breast and prostate cancer patients

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.

Fatores relacionados aos sintomas depressivos em pessoas idosas com diabetes mellitus / Factors related to depressive symptoms in older adults with diabetes mellitus / Factores relacionados con síntomas depresivos en ancianos con diabetes mellitus

RESUMO Objetivo: identificar os fatores relacionados aos sintomas depressivos em pessoas idosas com diabetes mellitus. Método: pesquisa transversal, com abordagem quantitativa e realizada com a participação de 144 pessoas idosas cadastradas em 72 Unidades Saúde da Família do município de João Pessoa, Paraíba, Brasil. Os dados foram coletados no período de setembro a dezembro de 2019, utilizando instrumento para a obtenção de dados referentes ao perfil sociodemográfico e clínico e a Escala de Depressão Geriátrica mediante estatística descritiva e inferencial. Resultados: observou-se que 75,7% dos idosos com diabetes não tinham sintomas depressivos. Foi evidenciada associação significativa entre a sintomatologia depressiva e as variáveis renda pessoal (p=0,044), tipo de renda (p=0,020), dislipidemia (p=0,038), complicações do diabetes (p=0,045) e a retinopatia (p=0,033). Conclusão: os fatores sociais, de saúde e relacionados ao diabetes podem influenciar negativamente a condição psíquica da pessoa idosa e favorecer o surgimento de sintomas depressivos.

ABSTRACT Objective: to identify the factors related to depressive symptoms in older adults with Diabetes Mellitus. Method: a cross-sectional study with a quantitative approach conducted with 144 older adults registered in 72 Family Health units from the municipality of João Pessoa, Paraíba, Brazil. The data were collected from September to December 2019, using an instrument to obtain information referring to the sociodemographic and clinical profile and the Geriatric Depression Scale by means of descriptive and inferential statistics. Results: it was observed that 75.7% of the diabetic older adults did not present depressive symptoms. There was a significant association between depressive symptoms and the following variables: personal income (p=0.044), type of income (p=0.020), dyslipidemia (p=0.038), diabetes complications (p=0.045) and retinopathy (p=0.033). Conclusion: the social and health factors, as well as those related to diabetes, can exert negative influences on older adults' psychological state and favor the onset of depressive symptoms.

RESUMEN Objetivo: identificar los factores relacionados con síntomas depresivos en ancianos con Diabetes Mellitus. Método: investigación transversal, de enfoque cuantitativo y realizada con la participación de 144 adultos mayores registrados en 72 unidades de Salud de la Familia del municipio de João Pessoa, Paraíba, Brasil. Los datos se recolectaron entre septiembre y diciembre de 2019, utilizando un instrumento para obtener datos sobre el perfil sociodemográfico y clínico y la Escala de Depresión Geriátrica mediante estadística descriptiva e inferencial. Resultados: se observó que el 75,7% de los ancianos que padecían diabetes no tenían síntomas depresivos. Se registró una asociación significativa entre los síntomas depresivos y las variables ingresos personales (p=0,044), tipo de ingresos (p=0,020), dislipidemia (p=0,038), complicaciones de la diabetes (p=0,045) y retinopatía (p=0,033). Conclusión: los factores sociales, de salud y relacionados con la diabetes pueden ejercer influencias negativas sobre el estado psicológico de los ancianos y favorece la aparición de síntomas depresivos.

Self-care of elderly people with diabetes mellitus and the nurse-patient interpersonal relationship / Autocuidado de personas ancianas con diabetes mellitus y la relación interpersonal enfermero-paciente / Autocuidado de pessoas idosas com diabetes mellitus e a relação interpessoal enfermeiro-paciente

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.

Specific health-related quality of life in Cerebrovascular accident survivors: associated factors / Calidad de vida relacionada a la salud específica de supervivientes de accidente cerebrovascular: factores relacionados / Qualidade de vida relacionada à saúde específica de sobreviventes de acidente vascular encefálico: fatores associados

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.

Funcionalidade, estresse e qualidade de vida de sobreviventes de acidente vascular encefálico / Funcionalidad, estrés y calidad de vida de sobrevivientes de accidente vascular encefálico / Functionality, stress and quality of life of stroke survivors

Resumo Objetivo Correlacionar a capacidade funcional e o estresse percebido com a qualidade de vida relacionada à saúde de sobreviventes de acidente vascular encefálico. Métodos Estudo analítico transversal, realizado com 160 sobreviventes de acidente vascular encefálico cadastrados em Unidades de Saúde da Família. Os dados foram coletados mediante a utilização de um instrumento semiestruturado para obtenção dos dados sociodemográficos e de saúde, o Índice de Barthel, a Escala de Estresse Percebido e a Escala de Qualidade de Vida Específica para acidente vascular encefálico. As correlações entre os escores dos instrumentos foram verificadas pelo Teste de Correlação de Spearman. Resultados Os participantes apresentaram dependência funcional e estresse percebido moderados. Evidenciou-se baixa qualidade de vida relacionada à saúde, com maior comprometimento nos domínios papéis sociais e papéis familiares. Verificou-se correlação estatística significativa entre a qualidade de vida relacionada à saúde com a capacidade funcional (r=705; p<0,001) e o estresse percebido (r=-436; p<0,001). Conclusão A capacidade funcional e o estresse percebido relacionaram-se de forma significativa à qualidade de vida relacionada à saúde de pessoas acometidas por acidente vascular encefálico, demonstrando que a qualidade de vida relacionada à saúde se eleva à medida que a funcionalidade aumenta e o estresse diminui.

Resumen Objetivo Correlacionar la capacidad funcional y el estrés verificado con la calidad de vida relacionada a la salud de sobrevivientes de accidente vascular encefálico. Métodos Estudio analítico transversal, realizado con 160 sobrevivientes de accidente vascular encefálico registrados en Unidades de Salud de la Familia. Los datos fueron recopilados por medio de la utilización de un instrumento semiestructurado para la obtención de los datos sociodemográficos y de salud, el Índice de Barthel, la Escala de Estrés Percibido y la Escala de Calidad de Vida Específica para accidente vascular encefálico. Las correlaciones entre las puntuaciones de los instrumentos fueron verificadas por medio de la Prueba de Correlación de Spearman. Resultados Los participantes presentaron una dependencia funcional y estrés percibidos moderados. Se evidenció una baja calidad de vida relacionada con la salud, con un mayor comprometimiento en los dominios roles sociales y roles familiares. Se observó una correlación estadística significativa entre la calidad de vida relacionada con la salud, con la capacidad funcional (r=705; p<0,001) y el estrés percibido (r=-436; p<0,001). Conclusión La capacidad funcional y el estrés percibido se relacionaron de forma significativa con la calidad de vida relacionada con la salud de personas acometidas por accidente vascular encefálico, demostrando que la calidad de vida relacionada con la salud se eleva a medida que la funcionalidad aumenta y el estrés disminuye.

Abstract Objective To correlate functional capacity and perceived stress with the health-related quality of life of stroke survivors. Methods This is a cross-sectional analytical study, conducted with 160 stroke survivors registered in Family Health Units. Data were collected using a semi-structured instrument to obtain sociodemographic and health data, the Barthel Index, the Perceived Stress Scale and the Stroke Specific Quality of Life Scale. Correlations between instrument scores were verified by Spearman's correlation test. Results Participants showed moderate functional dependence and perceived stress. Low health-related quality of life was evidenced, with greater impairment in the social roles and family roles domains. There was a statistically significant correlation between health-related quality of life and functional capacity (r=705; p<0.001) and perceived stress (r=-436; p<0.001). Conclusion Functional capacity and perceived stress were significantly related to the health-related quality of life of people affected by stroke, demonstrating that health-related quality of life increases as functionality increases and stress decreases.

Stroke: patient characteristics and quality of life of caregivers. / Acidente vascular encefálico: características do paciente e qualidade de vida de cuidadores.

OBJECTIVE:: to investigate the association between the domains of health-related quality of life of family caregivers and sociodemographic characteristics of individuals with stroke sequelae. METHOD:: descriptive, cross-sectional, quantitative research, conducted with 136 family caregivers of individuals with stroke sequelae by means of home interviews from April to June 2013. RESULTS:: we found that caregivers of individuals aged under 65 years, married, with 10 to 12 years of formal education, presented higher scores, respectively, in the domains 'Social aspects', 'Emotional aspects', and 'Mental health'. However, caregivers of patients with higher degree of disability obtained lower score in the 'Mental Health' domain. CONCLUSION:: the results foster reflection on the need of including the family caregivers of individuals with stroke sequelae in the planning of care provided by health professionals.

Internal structure of Family Health Units: access for people with disabilities. / Estrutura interna de Unidades de Saúde da Família: acesso para as pessoas com deficiência.

This study aimed at evaluating the internal structure of Family Health Units in relation to the access of people with physical and/or sensory disabilities. It is a descriptive, exploratory, population-based research, held in Family Health Units of the municipality of João Pessoa, Paraíba, Brazil. For the collection of data, a checklist based on Technical Standard 9050 was used. For the analysis, the descriptive and exploratory analysis of the data and the Chi-square test were applied. As a result, of the 90 buildings evaluated, only 47.8% have a wheelchair ramp, of these 30.0% have maximum slope and 32.2% have anti-slip flooring. In 28.9% access happens through a staircase without handrail and in 6.7% through a staircase with handrail, 6.7% of these with anti-slip flooring. And only 17.8% of sliding doors have lowered tracks. We concluded that it must be recognized that public policies and institutions do not correspond to the need of these people, and it is necessary to reformulate this form of care and reorganize health services.

Health-related quality of life and therapeutic adherence in breast and prostate cancer / Calidad de vida relacionada a la salud y adherencia terapéutica en los cánceres de mama y de próstata / Qualidade de vida relacionada à saúde e adesão terapêutica nos cânceres de mama e próstata

ABSTRACT Objective to correlate health-related quality of life and adherence to treatment of patients with breast and prostate cancer. Method an exploratory, descriptive and cross-sectional study, with a quantitative approach, conducted with 305 patients with breast and prostate cancer, in a state oncology hospital in Paraíba, Brazil, between June and November 2019. For data collection, a semi-structured instrument was used to obtain data regarding the sociodemographic and clinical profile, from the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire "core" 30 items, from the specific module Quality of Life Questionnaire-Breast Cancer, and from the Adherence Determinants Questionnaire. Data analysis was performed using descriptive and inferential statistics. Results the correlation between health-related quality of life and adherence of patients with prostate cancer showed statistical significance (p≤0.05) between the Global health Scale and the Functional Scale, Intentions domain; emotional function and intentions; insomnia and subjective norms; financial difficulty and subjective norms. In women, there was statistical significance (p≤0.05) between role performance and subjective norms; fatigue and intentions; financial difficulty and total adherence; sexual desire, sexual satisfaction and perceived support/severity; breast symptoms and intentions. Conclusion health-related quality of life directly impacts on treatment adherence of patients with breast and prostate cancer.

RESUMEN Objetivo correlacionar la calidad de vida relacionada con la salud y la adherencia al tratamiento de pacientes con cáncer de mama y de próstata. Método estudio exploratorio, descriptivo y transversal, con enfoque cuantitativo, realizado con 305 pacientes con cáncer de mama y de próstata, en un hospital oncológico estatal de Paraíba, Brasil, entre junio y noviembre de 2019. En la recolección de datos, se utilizó un instrumento estructurado para la obtención de datos sobre el perfil sociodemográfico y clínico, el cuestionario del European Organization for Research and Treatment of Cancer Quality of Life Questionnaire "core" 30 itens, del módulo específico Quality of Life Questionnaire-Breast Cancer, y el Cuestionario de Determinantes de Adhesión. El análisis de datos se realizó por medio de estadística descriptiva e inferencial. Resultados la correlación entre la calidad de vida relacionada con la salud y la adherencia de los pacientes con cáncer de próstata mostró significancia estadística (p≤0.05) entre la Escala de Salud Global y la Escala Funcional, dominio Intenciones; función e intenciones emocionales; insomnio y normas subjetivas; dificultad financiera y normas subjetivas. En las mujeres, hubo significación estadística (p≤0.05) entre el desempeño de roles y las normas subjetivas; fatiga e intenciones; dificultad financiera y adhesión total; deseo sexual, satisfacción sexual y apoyo / severidad percibidos; síntomas de la mama e intenciones. Conclusión la calidad de vida relacionada con la salud tiene un impacto directo en la adherencia al tratamiento en pacientes con cáncer de mama y próstata.

RESUMO Objetivo correlacionar a qualidade de vida relacionada à saúde e a adesão ao tratamento de pacientes com câncer de mama e próstata. Método estudo exploratório, descritivo e transversal, com abordagem quantitativa, realizado com 305 pacientes com câncer de mama e de próstata, em hospital oncológico de referência estadual, na Paraíba, Brasil, entre junho e novembro de 2019. Para coleta de dados, utilizou-se de instrumento semiestruturado para obtenção de dados referentes ao perfil sociodemográfico e clínico, do questionário European Organization for Research and Treatment of Cancer Quality of Life Questionnaire "core" 30 itens, do módulo específico Quality of Life Questionnaire-Breast Cancer e Questionário de Determinantes de Adesão. A análise dos dados foi realizada por meio da estatística descritiva e inferencial. Resultados a correlação entre a qualidade de vida relacionada à saúde e a adesão de pacientes com câncer de próstata mostrou significância estatística (p≤0,05) entre a Escala de Saúde Global e a Escala Funcional, domínio Intenções; função emocional e intenções; insônia e normas subjetivas; dificuldade financeira e normas subjetivas. Nas mulheres, houve significância estatística (p≤0,05) entre desempenho de papéis e normas subjetivas; fadiga e intenções; dificuldade financeira e adesão total; desejo sexual, satisfação sexual e apoio/severidade percebida; sintomas da mama e intenções. Conclusão a qualidade de vida relacionada à saúde impacta diretamente a adesão ao tratamento de pacientes com câncer de mama e de próstata.