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Description of the Care Burden for a family with an elderly risk of dementia 描述一个有老年痴呆风险的家庭的护理负担
IF 0.1 Pub Date : 2023-01-03 DOI: 10.6018/eglobal.537891
Raden Siti Maryam
Introduction: Dementia is one of the leading causes of dependence among the elderly worldwide and has a physical, psychological, social, and economic impact, especially on their families. Early recognition of the caring burden for the elderly at risk of dementia is important to prevent deterioration. Objective: This study aims to obtain an overview of the care burden for the elderly at risk of dementia in the community. Methods: This descriptive study involves a population of all the elderly living with their families in the Jakarta area with a random sampling of 168 respondents. The screening instrument for modifying the care burden of families consists of 21 items. Results: Most elderly are at risk of dementia, accounting for 72%, 73.2% have a chronic disease, and 73.8% are still independently doing BADL. Furthermore, 58.3% of the families have a low burden of care. Conclusion: The burden experienced by the elderly and their families influences their life quality. It is hoped that families with older members continue to improve and maintain their quality of life by remaining active and productive in fulfilling their needs and pleasures. Introducción: La demencia es una de las principales causas de dependencia entre los adultos mayores a nivel mundial y tiene un impacto físico, psicológico, social y económico, especialmente en sus familias. El reconocimiento temprano de la carga del cuidado de los ancianos con riesgo de demencia es importante para prevenir el deterioro.Objetivo: Este estudio tiene como objetivo obtener una visión general de la carga de cuidado de los ancianos en riesgo de demencia en la comunidad.Métodos: Este estudio descriptivo involucra una población de todas las personas mayores que viven con sus familias en el área de Yakarta con una muestra aleatoria de 168 encuestados. El instrumento de tamizaje para modificar la carga de cuidado de las familias consta de 21 ítems.Resultados: La mayoría de los ancianos están en riesgo de demencia, representando el 72%, el 73,2% tiene una enfermedad crónica y el 73,8% todavía está haciendo ABVD de forma independiente. Además, el 58,3% de las familias tienen una baja carga de cuidado.Conclusión: La sobrecarga vivida por los ancianos y sus familias influye en su calidad de vida. Se espera que las familias con miembros mayores continúen mejorando y manteniendo su calidad de vida manteniéndose activas y productivas para satisfacer sus necesidades y placeres.
导言:痴呆症是全世界老年人依赖的主要原因之一,对身体、心理、社会和经济都有影响,特别是对他们的家庭。及早认识到有痴呆风险的老年人的护理负担对于防止病情恶化非常重要。目的:本研究旨在了解社区痴呆风险老年人的护理负担。方法:本描述性研究涉及雅加达地区所有与家人一起生活的老年人,随机抽样168名受访者。调整家庭照护负担的筛查工具包括21个项目。结果:大多数老年人存在痴呆风险,占72%,73.2%患有慢性疾病,73.8%仍在独立进行BADL。此外,58.3%的家庭的护理负担较低。结论:老年人及其家庭承受的负担影响其生活质量。希望有老年成员的家庭继续改善和保持他们的生活质量,继续积极和富有成效地满足他们的需要和快乐。Introducción:老年痴呆症是一种主要的依赖原因,主要是对成年人和市长的影响,主要是对社会的影响físico, psicológico,社会的影响económico,特别是对家庭的影响。在经济衰退的过程中,经济复苏是一个重要的因素。目的:Este estudio tiene como objective - tivo obtener una visión一般de la carga de guidado de los ancianos和riesgo de demencia en la communidad。 组织: 组织描述: 组织描述: 组织描述: 组织描述: 组织描述:组织描述:组织描述:组织描述:组织描述:组织描述:组织描述:组织描述:21年1月1日《关于家庭保健的特别法律文书》ítems。结果:La mayoría de los ancianos están en riesgo de demencia,代表率为72%,代表率为73,2%,代表率为72%,代表率为73,8%,代表率为crónica,代表率为73,8%,代表率为todavía estest haciendo ABVD de formente。Además, el 58,3% de las families tienen una baja carga de guidado。Conclusión: La sobrecarga vivida穷人的家庭生活通过我们的家庭影响在生活的calidad de vida。这些特殊的家庭和个人生活方式(continúen)和个人生活方式(如生活方式、个人生活方式、个人生活方式)和个人生活方式(如工作场所的需要)。
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引用次数: 0
Validação de instrumento: consumo de mídias sexuais online e as práticas de risco ao HIV/AIDS 工具验证:在线性媒体消费和艾滋病毒/艾滋病风险实践
IF 0.1 Pub Date : 2023-01-03 DOI: 10.6018/eglobal.517981
Priscilla Dantas Almeida, Telma Maria Evangelista de Araújo, A. F. D. C. P. Chaves, Rômulo Veloso Nunes, R. L. B. Magalhães, M. T. G. Galvão
Objective: To describe the process of validation of appearance, clarity and relevance of the content of the instrument entitled: "Consumption of online sexual media and HIV/AIDS risk practices". Materials and Method: Methodological study developed from the Delphi technique. The evaluation was performed by judges and followed three phases: the adaptation of the original instrument to the context of online sexual media, the content validation of the adapted instrument and semantic verification. The data were processed in IBM® SPSS® software with descriptive statistical analysis. Results: CVI was satisfactory for the domains of sexual health (93.4%) and sexual practices (94.2%), while the items related to the consumption of explicit sexual media obtained CVI of 100.0% for both criteria. Conclusions: High content validity and positivity indexes were obtained, indicating that the validated instrument "Consumption of sexual media and HIV/AIDS risk practices" allows us to reliably and quality analyze the influence of sexual media consumption on HIV risk practices Objetivo: Describir el proceso de validación de la apariencia, claridad y pertinencia del contenido del instrumento titulado: "Consumo de medios sexuales en línea y prácticas de riesgo de VIH/SIDA". Materiales y método: Estudio metodológico desarrollado a partir de la técnica Delphi. La evaluación fue realizada por jueces y siguió tres fases: la adaptación del instrumento original al contexto de los medios sexuales en línea, la validación del contenido del instrumento adaptado y la verificación semántica. Los datos fueron procesados en el software IBM® SPSS® con análisis estadístico descriptivo. Resultados: El IVC fue satisfactorio para los dominios de salud sexual (93,4%) y prácticas sexuales (94,2%), mientras que los ítems relacionados con el consumo de medios sexuales explícitos obtuvieron un IVC del 100,0% para ambos criterios.Conclusiones: Se obtuvieron índices de validez y positividad de alto contenido, indicando que el instrumento validado "Consumo de medios sexuales y prácticas de riesgo de VIH/SIDA" nos permite analizar de manera confiable y de calidad la influencia del consumo de medios sexuales en las prácticas de riesgo de VIH. Objetivo: Descrever o processo de validação de aparência, clareza e relevância do conteúdo do instrumento intitulado: “Consumo de mídias sexuais online e as práticas de risco ao HIV/Aids”. Materiais e método: Estudo metodológico desenvolvido a partir da técnica Delphi. A avaliação foi realizada por juízes e seguiu três fases: a adaptação do instrumento original para o contexto das mídias sexuais online, a validação de conteúdo do instrumento adaptado e a verificação semântica. Os dados foram processados no software IBM® SPSS® com análise estatística descritiva. Resultados: O IVC foi satisfatório para os domínios de saúde sexual (93,4%) e práticas sexuais (94,2%), enquanto os itens referentes ao consumo de mídias sexuais explícitas obtiveram IVC de 100,0% pa
目的:描述有权“消费在线性媒体和艾滋病毒/艾滋病风险做法”的文书内容的外观、清晰度和相关性的验证过程。材料和方法:根据德尔菲技术进行的方法学研究。评估由法官进行,分为三个阶段:将原始工具改编成在线性媒体的背景,对改编后的工具进行内容验证和语义验证。数据在IBM处理® 统计软件® 具有描述性统计分析的软件。结果:CVI在性健康领域(93.4%)和性行为领域(94.2%)令人满意,而在这两个标准中,与显性性媒体消费有关的项目获得了100.0%的CVI。结论:获得了高内容有效性和积极性指数,表明经验证的工具“性媒体消费和艾滋病毒/艾滋病风险做法”使我们能够可靠和高质量地分析性媒体消费对艾滋病毒风险做法的影响目标:描述题为“在线性媒体消费和艾滋病毒/艾滋病风险做法”的工具内容的外观、清晰度和相关性的验证过程。材料和方法:根据德尔菲技术进行的方法学研究。评估由法官进行,分为三个阶段:使原始工具适应在线性媒体的背景,验证改编工具的内容和语义验证。数据在IBM软件中处理® 统计软件® 采用描述性统计分析。结果:IVC在性健康领域(93.4%)和性实践领域(94.2%)都令人满意,而与使用明确性媒体有关的项目在这两个标准中的IVC均为100.0%。结论:获得了高含量的有效性和阳性率,表明经验证的“性媒体消费和艾滋病毒/艾滋病风险做法”工具使我们能够可靠和高质量地分析性媒体消费对艾滋病毒风险做法的影响。目的:Descrever o processo de Validaço de Aparència,Clareza e Releváncia do Conteúdo仪器,标题为:“使用在线性感神话作为RISCO AO艾滋病毒/艾滋病的练习”。材料和方法:根据DA德尔菲技术开发的方法研究。由Juízes制作的Avaliaço foi并遵循三个阶段:为O Contexto das Midias Sexuais Online改编的原始乐器,改编的验证乐器。非IBM软件处理的OS骰子Foram® 统计软件® 描述统计分析。结果:O IVC FOI对性Saude Dominios(93.4%)和Pracias Sexuais(94.2%)满意,Enkanto OS Itens参考了两个标准中100.0%的Obtiveram IVC显式性模仿的使用情况。结论:OBTEVE-SE高计数和阳性验证率表明,经验证的“使用RISCO AO HIV/AIDS实用性感模仿”工具可以分析使用RISCO实用性感模仿对HIV的影响的共同可靠性和质量。
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引用次数: 0
Impacto de intervenção educativa na percepção de pacientes hospitalizados sobre risco de quedas e fatores associados 教育干预对住院患者跌倒风险认知及相关因素的影响
IF 0.1 Pub Date : 2023-01-03 DOI: 10.6018/eglobal.515381
Maria Aline Moreira Ximenes, Francisco Marcelo Leandro Cavalcante, Ingrid Kelly Morais Oliveira, Nelson Miguel Galindo Neto, J. A. Caetano, Lívia Moreira Barros
Objective: To analyze the impact of educational intervention on hospitalized patients’ perception about fall risk and their associated factors.Methods: This is quasi-experimental research with 157 patients hospitalized in a tertiary-level public institution in northern Ceará, Brazil. Data were collected before and after educational intervention mediated by a booklet on fall prevention. “Risk for falls” Nursing Diagnosis was identified, and the Falls Risk Awareness Questionnaire (FRAQ-Brazil) scale was applied. Data analysis occurred from McNemar’s and Wilcoxon tests.Results: In pre-test, the groups were different regarding fall risk perception (p<0.000), in which the group with the least risk had a median of correct answers of 12 (interquartile range=9), while the group higher risk for falls had a median equal to 14 (interquartile range=8). However, in post-test, the groups become homogeneous regarding fall risk perception (p=0.676) with an increase in the median number of correct answers in both.Conclusion: The results found in this study indicate that the educational intervention performance mediated by the booklet is effective to promote improvement in hospitalized patients’ fall risk perception Objetivo: Analizar el impacto de la intervención educativa en la percepción de los pacientes hospitalizados sobre el riesgo de caídas y sus factores asociados.Métodos: Se trata de una investigación casi experimental con 157 pacientes hospitalizados en una institución pública de nivel terciario en la región Norte del Estado de Ceará-Brasil. Los datos fueron recolectados antes y después de la intervención educativa mediada por un folleto sobre prevención de caídas. Se identificó el diagnóstico de enfermería Riesgo de caída y se aplicó la escala del Cuestionario de Concientización sobre el Riesgo de Caídas (FRAQ-Brasil). El análisis de los datos se realizó a partir de las pruebas de McNemar y Wilcoxon.Resultados: En la prueba previa, los grupos fueron diferentes en cuanto a la percepción del riesgo de caídas (p<0,000) en el que el grupo con menor riesgo tuvo una mediana de respuestas correctas de 12 (rango intercuartílico = 9) mientras que el grupo de mayor riesgo de caídas tuvo una mediana igual a 14 (rango intercuartílico = 8). Sin embargo, en el post-test, los grupos se vuelven homogéneos en cuanto a la percepción de los factores de riesgo de caídas (p=0,676) con un aumento en la mediana del número de respuestas correctas en ambos.Conclusión: Los resultados encontrados en este estudio indican que la realización de una intervención educativa mediada por folleto es efectiva para promover la mejora en la percepción de los riesgos de caída de los pacientes en hospitalización. Objetivo: Analisar o impacto de intervenção educativa na percepção de pacientes hospitalizados sobre risco de quedas e seus fatores associados. Métodos: Trata-se de pesquisa quase-experimental com 157 pacientes hospitalizados em instituição pública de nível terciário na região Norte
目的:分析教育干预对住院患者跌倒危险认知的影响及其相关因素。方法:对巴西北部塞埃尔某三级公立医院157例住院患者进行准实验研究。在教育干预前后,通过一本关于预防跌倒的小册子收集数据。确定“跌倒风险”护理诊断,采用跌倒风险意识问卷(FRAQ-Brazil)量表。数据分析来自McNemar和Wilcoxon试验。结果:在前测中,各组在跌倒风险感知方面存在差异(p<0.000),其中跌倒风险最低组正确答案的中位数为12(四分位数范围=9),而跌倒风险较高组正确答案的中位数为14(四分位数范围=8)。然而,在后测中,两组在跌倒风险感知方面变得同质(p=0.676),两者的正确答案中位数都有所增加。结论:本研究结果表明,以小册子为中介的教育干预绩效能有效促进住院患者跌倒风险感知的改善。目的:分析不同因素对intervención教育干预对percepción住院患者跌倒风险感知的影响。3 .在墨西哥境内进行的试验性试验中,对157名住院病人进行了调查,并在institución pública境内进行了调查,并在región北部州境内进行了调查,Ceará-Brasil。Los datos fueron回忆说,通过despuastos de la intervención教育媒体,您可以跟踪到prevención de caídas。Se identificó el diagnóstico de enfermería Riesgo de caída y Se aplicó la escala del Cuestionario de Concientización sobre el Riesgo de Caídas (FRAQ-Brasil)。El análisis de los datos se realizó a partip de las proebas de McNemar y Wilcoxon。Resultados:En la prueba previa, los grpos fueron差异En cucuto a la percepción del riesgo de caídas (p< 0000) En grupo conmenor grupo de mediana de respuestas correctas de 12 (rango intercuartílico = 9) En grupo de mayor riesgo de caídas tuvo una mediana igual a 14 (rango intercuartílico = 8)。洛降se vuelven homogeneos en cuanto la percepcion de los de caida的危险因素(p = 0676)反对联合国aumento en la mediana del期de respuestas correctas en读经台。结论:洛杉矶resultados encontrados在工厂化糖苷公式una realizacion intervencion educativa mediada为什么folleto es efectiva对位promover la mejora en la percepcion de Los de caida de Los pacientes en hospitalizacion危险。目的:分析干预干预、教育干预和感知干预对住院患者的影响,探讨住院患者的心理健康、心理健康和心理健康的影响。3 . nível terciário na regista 或北部州Ceará-Brasil. 157住院病人和医疗机构。Os dados foram coletados antes e após interinter o educativa mediada por软骨sobre prevention o de quedas。在巴西,巴西政府发布了一份名为diagnóstico的调查问卷(FRAQ-Brasil)。一个análise dos dodoos可以在McNemar和Wilcoxon的测试中找到一个参与者。结果:无抑郁抑郁者、抑郁抑郁者、抑郁抑郁者、抑郁抑郁者、抑郁抑郁者、抑郁抑郁者、抑郁抑郁者、抑郁抑郁者、抑郁抑郁者、抑郁抑郁者、抑郁抑郁者、抑郁抑郁者、抑郁抑郁者、抑郁抑郁者、抑郁抑郁者、抑郁抑郁者、抑郁抑郁者、抑郁抑郁者、抑郁抑郁者、抑郁抑郁者、抑郁抑郁者、抑郁抑郁者、抑郁抑郁者、抑郁抑郁者、抑郁抑郁者、抑郁抑郁者、抑郁抑郁者、抑郁抑郁者、抑郁抑郁者、抑郁抑郁者、抑郁抑郁者、抑郁抑郁者、抑郁抑郁者、抑郁抑郁者、抑郁抑郁者、抑郁抑郁者、抑郁抑郁者、抑郁抑郁者、抑郁抑郁者等。porsamm, no pós-teste, os grupos tornam-se homogêneos quanto conceptopal o dos fatores de risco para quedas (p=0,676) com aumento da mediana de acertos em ambos。结论: results tados encartoros nesnesse estudo apontam que a realrealate。
{"title":"Impacto de intervenção educativa na percepção de pacientes hospitalizados sobre risco de quedas e fatores associados","authors":"Maria Aline Moreira Ximenes, Francisco Marcelo Leandro Cavalcante, Ingrid Kelly Morais Oliveira, Nelson Miguel Galindo Neto, J. A. Caetano, Lívia Moreira Barros","doi":"10.6018/eglobal.515381","DOIUrl":"https://doi.org/10.6018/eglobal.515381","url":null,"abstract":"Objective: To analyze the impact of educational intervention on hospitalized patients’ perception about fall risk and their associated factors.Methods: This is quasi-experimental research with 157 patients hospitalized in a tertiary-level public institution in northern Ceará, Brazil. Data were collected before and after educational intervention mediated by a booklet on fall prevention. “Risk for falls” Nursing Diagnosis was identified, and the Falls Risk Awareness Questionnaire (FRAQ-Brazil) scale was applied. Data analysis occurred from McNemar’s and Wilcoxon tests.Results: In pre-test, the groups were different regarding fall risk perception (p<0.000), in which the group with the least risk had a median of correct answers of 12 (interquartile range=9), while the group higher risk for falls had a median equal to 14 (interquartile range=8). However, in post-test, the groups become homogeneous regarding fall risk perception (p=0.676) with an increase in the median number of correct answers in both.Conclusion: The results found in this study indicate that the educational intervention performance mediated by the booklet is effective to promote improvement in hospitalized patients’ fall risk perception\u0000 Objetivo: Analizar el impacto de la intervención educativa en la percepción de los pacientes hospitalizados sobre el riesgo de caídas y sus factores asociados.Métodos: Se trata de una investigación casi experimental con 157 pacientes hospitalizados en una institución pública de nivel terciario en la región Norte del Estado de Ceará-Brasil. Los datos fueron recolectados antes y después de la intervención educativa mediada por un folleto sobre prevención de caídas. Se identificó el diagnóstico de enfermería Riesgo de caída y se aplicó la escala del Cuestionario de Concientización sobre el Riesgo de Caídas (FRAQ-Brasil). El análisis de los datos se realizó a partir de las pruebas de McNemar y Wilcoxon.Resultados: En la prueba previa, los grupos fueron diferentes en cuanto a la percepción del riesgo de caídas (p<0,000) en el que el grupo con menor riesgo tuvo una mediana de respuestas correctas de 12 (rango intercuartílico = 9) mientras que el grupo de mayor riesgo de caídas tuvo una mediana igual a 14 (rango intercuartílico = 8). Sin embargo, en el post-test, los grupos se vuelven homogéneos en cuanto a la percepción de los factores de riesgo de caídas (p=0,676) con un aumento en la mediana del número de respuestas correctas en ambos.Conclusión: Los resultados encontrados en este estudio indican que la realización de una intervención educativa mediada por folleto es efectiva para promover la mejora en la percepción de los riesgos de caída de los pacientes en hospitalización.\u0000 Objetivo: Analisar o impacto de intervenção educativa na percepção de pacientes hospitalizados sobre risco de quedas e seus fatores associados. Métodos: Trata-se de pesquisa quase-experimental com 157 pacientes hospitalizados em instituição pública de nível terciário na região Norte","PeriodicalId":41803,"journal":{"name":"Areas-Revista Internacional de Ciencias Sociales","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41426588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assistência de enfermagem a adolescentes em situação de vulnerabilidade ao Vírus da Imunodeficiência Adquirida 易感染获得性免疫缺陷病毒的青少年的护理
IF 0.1 Pub Date : 2023-01-03 DOI: 10.6018/eglobal.503081
Klebia Karoline Dos Santos Neco, Luciane Paula Batista Araújo De Oliveira, Rejane Maria Paiva de Menezes, Soraya Maria de Medeiros, Alexsandra Rodrigues Feijão
Introduction: In recent years the Acquired Immunodeficiency Virus (HIV) has become a major challenge for society due to the magnitude and extent of the damage caused to populations, especially adolescents.Objective: To analyze the contextual aspects of nursing care for adolescents in situations of vulnerability to HIV.Method: This is a narrative literature review with a search carried out in the databases Elsevier SciVerse Scopus, Scientific Electronic Library Online, Latin American and Caribbean Literature in Health Sciences and Google Scholar, in the period of December 20, 2020 to January 20, 2021. The material was analyzed in accordance with the theoretical contribution proposed by Hinds, Chaves and Cypress, which indicates four layers of interrelated contextual relationships that better understand the phenomenon: immediate, specific, general and metacontextual.Results: Eight studies were selected, categorized into sub-themes according to each context: adolescents in a situation of vulnerability to HIV/Aids (immediate context); the insertion of adolescents vulnerable to HIV/Aids in Primary Health Care (specific context); nursing care for adolescents in situations of vulnerability to HIV/Aids in Primary Health Care (general context); and public policies aimed at adolescents in situations of vulnerability to HIV/Aids (metacontext). Conclusion: It can be concluded that understanding the phenomena allows for greater reflection on the reality studied in order to improve nursing care in the face of the problems encountered. Introducción: En los últimos años el Virus de la Inmunodeficiencia Adquirida (VIH) se ha convertido en un gran desafío para la sociedad debido a la magnitud y extensión de los daños que ocasiona a las poblaciones, en especial a los adolescentes.Objetivo: Analizar los aspectos contextuales del cuidado de enfermería a adolescentes en situación de vulnerabilidad al VIH.Método: Se trata de una revisión bibliográfica narrativa con búsqueda realizada en las bases de datos Elsevier SciVerse Scopus, Scientific Electronic Library Online, Latin American and Caribbean Literature in Health Sciences y Google Scholar, en el periodo del 20 de diciembre de 2020 al 20 de enero de 2021 El material fue analizado de acuerdo con el aporte teórico propuesto por Hinds, Chaves y Cypress, que señala cuatro capas de relaciones contextuales interrelacionadas que mejor comprenden el fenómeno: inmediata, específica, general y metacontextual.Resultados: Se seleccionaron ocho estudios, categorizados en subtemas según cada contexto: adolescentes en situación de vulnerabilidad al VIH/SIDA (contexto inmediato); la inserción de adolescentes vulnerables al VIH/SIDA en la Atención Primaria de Salud (contexto específico); atención de enfermería a adolescentes en situación de vulnerabilidad al VIH/SIDA en la Atención Primaria de Salud (contexto general); y políticas públicas dirigidas a adolescentes en situación de vulnerabilidad al VIH/SIDA (metacontexto).Conclusión
简介:近年来,由于对人口,特别是青少年造成的损害的程度和程度,获得性免疫缺陷病毒(艾滋病毒)已成为社会面临的主要挑战。目的:分析易感染艾滋病毒的青少年护理的背景方面。方法:这是一篇叙事性文献回顾,在2020年12月20日至2021年1月20日期间,在Elsevier Sciver Scopus、科学电子图书馆在线、拉丁美洲和加勒比健康科学文献和谷歌学者数据库中进行了搜索。这些材料是根据Hinds、Chaves和Cypress提出的理论贡献进行分析的,该贡献表明了四层相互关联的上下文关系,这些关系更好地理解了这一现象:即时、特定、一般和元上下文。结果:选择了8项研究,根据每种情况分为子主题:易感染艾滋病毒/艾滋病的青少年(立即);将易感染艾滋病毒/艾滋病的青少年纳入初级保健(具体情况);在初级保健中为易感染艾滋病毒/艾滋病的青少年提供护理(一般情况);以及针对易感染艾滋病毒/艾滋病的青少年的公共政策(MetaContext)。结论:可以得出的结论是,了解这一现象可以更好地反映所研究的现实,以便在遇到问题的情况下改善护理。导言:近年来,由于后天免疫机能丧失病毒(艾滋病毒)对人口,特别是青少年造成的损害的规模和程度,已成为社会面临的重大挑战。目的:分析对易感染艾滋病毒的青少年进行护理的背景方面。方法:这是一项叙事性文献回顾,在Elsevier Sciverse Scopus、科学电子图书馆在线、拉丁美洲和加勒比健康科学文献和谷歌学者数据库中进行了搜索,在2020年12月20日至2021年1月20日期间,根据Hinds、Chaves和Cypress提出的理论贡献对材料进行了分析,该理论指出了最能理解这一现象的四层相互关联的上下文关系:即时、特定、一般和元上下文。结果:选择了8项研究,根据每种情况分为子主题:易感染艾滋病毒/艾滋病的青少年(直接背景);将易感染艾滋病毒/艾滋病的青少年纳入初级保健(具体情况);在初级保健中为易感染艾滋病毒/艾滋病的青少年提供护理(一般情况);以及针对易感染艾滋病毒/艾滋病的青少年的公共政策。结论:可以得出结论,对这些现象的理解使人们能够更好地反思所研究的现实,以改善护理,应对所发现的问题。简介ção:近几年来,Tornou或Virus da Imunodeficiència Acquired(艾滋病毒)对Pela Magnude和Extensão dos Danos社会提出了巨大挑战,这对人口,特别是青少年造成了伤害。目的:分析青少年感染AO艾滋病毒的脆弱性情况。方法:这是UMA Revisão Com文学叙事,搜索由Dice Elsevier SciversScopus、科学电子图书馆在线、拉丁美洲文学E do Caribe Em Cièncias da Saude和谷歌学者组成的NAS基地,而不是Dezembro 2020年至2021年热内卢20年的20个时期。o Em Acordo Com分析的FOI材料或Hinds、Chaves和Cypress提出的理论贡献,表明Melhor Compreendem或Fenomeno所理解的四窝相互关联的上下文关系:即时、特定、Geral和元上下文。结果:Foram选择了Oito Estudos分为MS子主题,并遵循每个上下文:青少年MS处境ço de Vulnerabilidade AO艾滋病毒/艾滋病(即时上下文);青少年Vulneravel AO艾滋病毒/艾滋病Na Atenção PrimáriaàSaúde(特定背景);对青少年的Em situaçãde Vulnerabilidade AO艾滋病毒/艾滋病Na Atenção PrimáriaàSaúde的援助(Geral上下文);针对青少年的沃尔塔达斯公共政策-艾滋病毒/艾滋病脆弱性状况(MetaContexto)。结论:可以得出的结论是,Compreender OS Fenomenos允许Uma Maior Reflexão对Melhorar的共同或直觉现实进行反思,以解决发现的两个问题。
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引用次数: 0
El modelo Kermack-McKendrick en la propagación de cepas COVID-19: Perú 2020-2021 COVID-19病毒传播中的Kermack-McKendrick模型:秘鲁2020-2021年
IF 0.1 Pub Date : 2023-01-03 DOI: 10.6018/eglobal.521971
Josefrank Pernalete Lugo, Ysaelen Odor Rossel
Introduction: The SIR epidemic model is useful for measuring the rate of spread of COVID-19 strains (B.1.617.2/P.1/C.37/B.1.621), in terms of epidemiological threshold R0 over time.Objective: To evaluate a mathematical model of differential type, typical of the behavior of COVID-19 for the Peruvian collective.Methods: A differential mathematical model of the behavior of the pandemic was developed for the Peruvian collective, based on the experience in the control of Kermack–McKendrick infections. The number of susceptible S, infected and spreading infection I and recovered R was estimated, using official datasets from the World Health Organization, based on the history between March 7 and September 12, 2020 and; projected for 52 weeks until September 11, 2021. Results: The lowest rate of infections will occur from April 3, 2021. Evidencing a prognosis of lower transmissibility for May 29, 2021 with an infected rate (β=0.08) and threshold (R0=0.000), the accuracy of the model was also quantified at 97.795%, with 2.205% of average percentage error, with the temporary average value being R0 <1, so each person who contracts the disease will infect less than one person before dying or recovering, so the outbreak will disappear. Conclusion: The curve of infections in Peru will depend directly on mitigation measures to curb the spread of infection and predict sustained transmission through vaccination against covid-19 type strains; with the observance of people of preventive measures. Introducción: El modelo epidémico SIR es útil para medir la velocidad de propagación de las cepas COVID-19 (B.1.617.2/P.1/C.37/B.1.621), en términos de umbral epidemiológico R0 a lo largo del tiempo.Objetivo: Evaluar un modelo matemático de tipo diferencial, propio del comportamiento del COVID-19 para el colectivo peruano.Métodos: Se desarrolló un modelo matemático diferencial del comportamiento de la pandemia para el colectivo peruano, partiendo de la experiencia en el control de infecciones Kermack–McKendrick. Se estimó el número de susceptibles S, infectados y diseminando la infección I y recuperados R, con el uso de conjuntos de datos oficiales de la Organización Mundial de la Salud, partiendo del histórico entre el 07 de marzo y el 12 de septiembre de 2020 y; proyectado durante 52 semanas hasta el 11 de septiembre de 2021. Resultados: La menor tasa de infectados ocurrirá a partir del 3 de abril de 2021. Evidenciando un pronóstico de menor transmisibilidad para el 29 de mayo de 2021 con una tasa de infectados (β=0.08) y umbral (R0=0,000), además se cuantificó la exactitud del modelo en 97,795 %, con 2,205 % de error porcentual medio, siendo el valor promedio temporal R0 <1, así que cada persona que contrae la enfermedad infectará a menos de una persona antes de morir o recuperarse, por lo que el brote desaparecerá. Conclusión: La curva de contagios en el Perú dependerá directamente de las medidas de mitigación para frenar la propagación de la infección y predecir una
SIR流行病模型可用于测量COVID-19毒株(B.1.617.2/P.1/C.37/B.1.621)随时间的流行病学阈值R0的传播率。目的:评价秘鲁集体感染COVID-19的差异型典型行为数学模型。方法:根据控制Kermack-McKendrick感染的经验,为秘鲁集体开发了大流行行为的微分数学模型。根据2020年3月7日至9月12日之间的历史,使用世界卫生组织的官方数据集,估计了易感S型、感染和传播I型感染和康复R型感染的数量;预计将持续52周,直到2021年9月11日。结果:2021年4月3日为感染率最低的时间段。预测2021年5月29日为低传播率,感染率(β=0.08)和阈值(R0=0.000),模型的准确率为97.795%,平均百分比误差为2.205%,临时平均值R0 <1,因此每个感染者在死亡或康复前感染不到1人,因此疫情将消失。结论:秘鲁的感染曲线将直接取决于遏制感染传播的缓解措施,并通过接种covid-19型毒株预测持续传播;配合人们的遵守预防措施。Introducción: El modelo epidsamico SIR es útil para medir la velocidad de propagación de las cepas COVID-19 (B.1.617.2/P.1/C.37/B.1.621), en samriminos de umbral epidemiológico R0 a lo largo del tiempo。目的:评价新型冠状病毒肺炎(COVID-19)病原病原差异模型(matemático de tipo differential, propio del comcomamiito del COVID-19 para el collectivo peruano)。3 . m.m.achickermack - mckendrick:参见desarrolló unmodelo matemático大流行的差异组合与集体感染控制的差异组合、经验的参与者。Se estimo el的易感人群,infectados diseminando洛杉矶infeccion我y recuperados R,反对el uso de conjuntos de拿督oficiales de la Organizacion Mundial de la干杯,partiendo del historico之间el 07 de marzo y el 2020 y de septiembre德;预计将于2021年9月11日生效。结果:2021年4月3日,一组病例报告:La menor tasa de infectiados发生。Evidenciando un pronóstico de menor transmibilidad para el 29 de mayo de 2021 con una tasa de infectados (β=0.08) y umbral (R0= 0000), además se cuantificó la exactud del modelo en 97,795%, con 2,205% de error of real medio, siendo el valor promedio temporal R0 <1, así que cada persona que contre la enfermedad infectara menos de una persona antes de morir o recuperares, por lo que el brote desaprecer。Conclusión:传染曲线在Perú依赖于媒介指导下的传染曲线在mitigación依赖于媒介指导下的传染曲线在propagación传染曲线在infección上的前身是transmisión传染曲线在媒介指导下的传染曲线在vacunación上的传染曲线在COVID-19上的传染曲线;关于预防媒体行为的法律规定。3 . epidsamicro模型SIR útil关于COVID-19的传播速度的报告(B.1.617.2/P.1/C.37/B.1.621),报告的标题为:参考文献1 .关于 与普通 相比, (experiência)与普通 相比,•••••••••••••••O número de S susceptíveis,传染病和传播与感染 组织和 组织和 组织和 组织和/或 组织和/或 组织和/或 组织和/或 组织和/或 组织和/或 组织和/或 组织和/或组织和/或组织/ 组织和/或组织/ 组织和/或组织/ 组织和/或组织/ 组织和/或组织/ 组织和/或组织/ 组织和/或组织/ 组织和/或组织/ 组织和/或组织。Explicando que a taxa de infec o mais baixa ocorrer a partir de 3 de april de 2021。Evidenciando uma previs ode menor transtransbilidade para 29 de Maio de Maio de infecrecada o (β=0,08) e线性(R0= 0,0000), alsamm disso a preciso o do modelo foi quantificada em 97,795%, com 2,205% de erro百分比率msamdio, sendo valor msamdiao temporal R0 <1, pelo que cada pessoque contraia a doena infectarmenos de uma pessoantes de mormorrer ou recuperar, pelo que o surto desaprecer 。9 .结果:1.研究结果:1.研究结果:1.研究结果:1.研究结果:1.研究结果:1.研究结果:1.研究结果:1.研究结果:1.研究结果:1.研究结果:
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引用次数: 0
Validação: instrumento sobre a infecção latente por tuberculose em profissionais da saúde 验证:卫生专业人员潜伏结核病感染的仪器
IF 0.1 Pub Date : 2023-01-03 DOI: 10.6018/eglobal.517721
S. A. D. S. M. Brandão, Telma Maria Evangelista de Araújo, Géssica Soares Queiroz, Paulo de Tarso Moura Borges, Inês Fronteira
Objective: To validate the content and appearance of an instrument on latent tuberculosis infection in healthcare professionals.Methods: Methodological study developed in three stages, from May to November 2020. Content Validation strategies were used through the Delphi technique and Appearance Validation. The evaluation of the instrument was carried out by nine judges, nurses and doctors, with master's and doctoral degrees. To test the agreement of the judges, the content validity index and the inter-rater agreement index were used. For the pre-test, the positivity index was used.Results: An instrument with 48 items was developed and, after evaluation by the experts, those with a content validity coefficient lower than 0.8 were modified. Some items were added and others deleted. At the end of two evaluation rounds, the instrument resulted in 49 items, with a content validity index = 0.9; Interrater Agreement = 1,000 and positivity index =100%. The semantic assessment of the instrument (pre-test), conducted with the target population, which consisted of Primary Care professionals (doctors, nurses, dentists, and nursing technicians), obtained a positivity rate of 100%, which indicated understanding of the instrument, with no need for further changes.Conclusion: The instrument has content and appearance validity to assess what is proposed, considering that the reliability and agreement indices of evaluation reached values above 80%. Objetivo: Validar el contenido y apariencia de un instrumento sobre infección tuberculosa latente en profesionales de la salud.Métodos: Estudio metodológico desarrollado en tres etapas, de mayo a noviembre de 2020. Se utilizaron estrategias de Validación de Contenido a través de la técnica Delphi y Validación de Apariencia. La evaluación del instrumento fue realizada por nueve jueces, enfermeros y médicos, con maestría y doctorado. Para probar la concordancia de los jueces se utilizaron el índice de validez de contenido y el índice de concordancia entre evaluadores. Para el pretest se utilizó el índice de positividad. Resultados: Se elaboró un instrumento con 48 ítems y, después de la evaluación de los expertos, se modificaron aquellos con un coeficiente de validez de contenido inferior a 0,8. Se agregaron algunos elementos y se eliminaron otros. Al final de dos rondas de evaluación, el instrumento resultó en 49 ítems, con índice de validez de contenido = 0,9; Acuerdo entre evaluadores = 1,000 e índice de positividad = 100%. La evaluación semántica del instrumento (pre-test), realizada con la población objetivo, compuesta por profesionales de Atención Primaria (médicos, enfermeros, odontólogos y técnicos de enfermería), obtuvo una tasa de positividad del 100%, lo que indica comprensión del instrumento, sin necesidad de más cambios.Conclusion: El instrumento tiene validez de contenido y apariencia para evaluar lo propuesto, considerando que los índices de confiabilidad y concordancia de evaluación alcanzaron valores sup
目的:验证医疗保健专业人员潜在结核病感染检测仪的内容和外观。方法:2020年5月至11月分三个阶段进行的方法学研究。通过德尔菲技术和外观验证使用了内容验证策略。该仪器的评估由9名法官、护士和医生进行,拥有硕士和博士学位。为了测试法官的协议,使用了内容有效性指数和利率协议指数。在预测试中,使用了阳性指数。结果:开发了一种包含48个项目的仪器,经过专家评估,内容有效性系数低于0.8的仪器被修改。增加了一些项目,删除了其他项目。在两轮评估结束时,该工具产生了49个项目,内容有效性指数=0.9;利率协议=1000,积极指数=100%。由初级保健专业人员(医生、护士、牙医和护理技术人员)组成的目标人群对该工具进行了语义评估(测试前),获得了100%的阳性率,这表明对该工具的理解,无需进一步修改。结论:该工具具有评估建议的内容和外观有效性,认为评估的可靠性和一致性指数达到80%以上。目的:验证卫生专业人员潜伏性结核感染检测仪的内容和外观。方法:2020年5月至11月分三个阶段进行方法学研究。使用了通过德尔菲技术进行内容验证和外观验证的策略。该仪器的评估由9名法官、护士和医生进行,分别拥有硕士和博士学位。使用内容有效性指数和评估人员之间的一致性指数来测试法官的一致性。阳性率用于预测试。结果:开发了一个包含48个项目的工具,在专家评估后,对内容有效性系数低于0.8的工具进行了修改。添加了一些元素,删除了其他元素。在两轮评估结束时,该工具产生了49个项目,内容有效性指数=0.9;评估人员之间的协议=1000,阳性率=100%。对由初级保健专业人员(医生、护士、牙医和护理技术人员)组成的目标人群进行的仪器语义评估(测试前)的阳性率为100%,表明他们对仪器的理解,无需进一步修改。结论:该工具对所提出的评估具有内容和外观的有效性,而评估的可靠性和一致性指标达到80%以上。目的:对一种潜伏性结核感染的EM Profissionais da Area da Saúde UM仪器进行验证。方法:方法学研究分为三个阶段,而不是从MAIO到2022年11月。使用AM-SE作为Validaço de Conteúdo的战略,由Meio da Technica delphie de Validaço de Aparència提供。由Nove Juizes护士和医生、Com Titleço de Mestre e Doutores制作的Avaliaço do仪器FOI。为了测试Concordáncia dos Juízes使用-SE或计数有效性指数或值之间的和谐指数。对于或预测试使用-SE或阳性指数。结果:Departou-SE仪器Com 48 Itens E,Apos Avaliaço Dos Especialiso,Acuentaram计数验证系数小于0.8修正Foram。一些增加的ITEN Foram和排除的Outro。Avaliaço拍摄的Duas的最后一年,或仪器Redundou EM 49 Itens,Com de Validade de Contúd指数=0.9;利率协议=1000,积极指数=100%。Avaliação Semantica do Instrumento(Pre-Teste),Conduzida Com a Populaço-Alvo,由Profissionais da Atenço Primaria(医生、护士、牙医和Envircagem技术人员)组成的Qual Foi,100%的阳性率,或Indicou Compreensão do Instrumento,Não Havendo De Novas Alterações。结论ão:o Possui Validade de Contentúdo e de Aparència for Avaliar或Que e,Tendo EM认为,Avaliaço的OS可靠性和和谐指数达到80%的ACIMA值。
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引用次数: 0
Epistemology and academic performance in research methodology 认识论与研究方法论的学术表现
IF 0.1 Pub Date : 2022-12-01 DOI: 10.57188/ricso.2022.001
Wilmer Chorres Saldarriaga, Samuel David Ancajima Mena, Víctor Francisco Cruz Cisneros, Adilson Crepalde, Plinio Pereira Filho
At present, few universities are dedicated to train students with an epistemological prole, due to many factors in the university professorship; as well as, there is a lack of interest by authorities, professors, students in directing the love for science, for the simple reason of not investing more budget or other factors. The purpose of this research is to show that the basic epistemological knowledge of history and philosophy improves learning in university students in the rst cycle in the subject called Methodology of Research or University Work; many times, epistemology is confused with the theory of knowledge or gnoseology. The object of the study was to determine the existence and relationship of variables about the epistemology workshop and academic performance. For this research work, the type of pre-experimental applied study was used; the design employed was experimental. The population and sample consisted of 31 students. The research resulted that most students have a high command of analysis, inference and explanation;however,despitetheexperimentationofeachofthesewithacademic performance, it was not signicant. Similarly, the correlation between critical thinking and performance in the subject of Methodology was not signicant, although there was a slight correlation.
目前,由于大学教授的诸多因素,很少有大学致力于培养具有认识论能力的学生;此外,当局、教授和学生对引导对科学的热爱缺乏兴趣,原因很简单,没有投入更多的预算或其他因素。本研究的目的是为了表明,历史和哲学的基本认识论知识可以改善大学生在第一周期的研究或大学工作方法论的学习;很多时候,认识论与知识论或灵知学混淆。本研究的目的是确定认识论工作坊与学业成绩变量的存在及其关系。本研究工作采用预实验应用研究的方式;所采用的设计是实验性的。总体和样本包括31名学生。研究结果表明,大多数学生具有较高的分析、推理和解释能力;然而,尽管实验将这些能力与学习成绩联系起来,但效果并不显著can。同样,批判性思维和方法论科目的表现之间的相关性不显著can,尽管有轻微的相关性。
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引用次数: 0
Index of violence in children and adolescents in peru in times of pandemic 流行病时期秘鲁儿童和青少年暴力指数
IF 0.1 Pub Date : 2022-11-01 DOI: 10.57188/ricso.2022.007
Getsemani Abigail Zuñiga-Espinoza, Dana Aylin Díaz-Herrera, Jefer Jair Vicente-Gonzales
The present research sought to determine the rate of violence in children and adolescents in Peru in times of pandemic. A non-experimental, retrospective, descriptive, quantitative, non-experimental methodology was used for this research. The sample consisted of children and adolescents of both sexes at the national level, ranging in age from 0 to 17 years. Likewise, as a means of data collection, we used the gures provided by the Statistical Portal of the Aurora National Group of the Ministry of Women and Vulnerable Populations based on the cases attended by the Women's Emergency Centers implemented at the national level, however, However, during the mandatory social connement due to the pandemic, these centers did not operate, so that in 2020 data were obtained by the Itinerant Emergency Teams, while in 2021 and 2022 data were taken from the Women's Emergency Centers, through health centers, police stations, regular and 24x7. Likewise, the research concluded that psychological violence is the predominant type of violence and that the most affected age group is 12 to 17 years old, while, in relation to gender, women are the most affected by violence in times of pandemic
本研究旨在确定流行病期间秘鲁儿童和青少年的暴力发生率。本研究采用非实验、回顾性、描述性、定量、非实验方法。样本包括全国范围内的儿童和青少年,年龄从0岁到17岁不等。同样,作为一种数据收集手段,我们使用了妇女和弱势群体部Aurora国家小组统计门户网站提供的数据,这些数据是基于在国家一级实施的妇女应急中心所参与的案例,然而,在疫情强制社会控制期间,这些中心没有运行,因此,2020年的数据由巡回应急小组获得。而在2021年和2022年,通过保健中心、警察局、常规和全天候从妇女急救中心获取数据。同样,研究得出的结论是,心理暴力是主要的暴力类型,受影响最严重的年龄组是12至17岁,而就性别而言,妇女在流行病期间受暴力影响最大
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引用次数: 1
Situation of violence against unmarried women in times of Covid-19 in Peru 2019冠状病毒病期间秘鲁未婚妇女遭受暴力的情况
IF 0.1 Pub Date : 2022-11-01 DOI: 10.57188/ricso.2022.005
César Estefano Castillo-Menor, Karina A. Lozano Flores, Adriana Muñoz Garay
The main objective of this research is to determine the increase in violence against unmarried women during the Covid-19 period in Peru, since during the quarantine period there was a reduction in cases of violence against women, however, with the end of this period, cases of violence increased in large numbers, remaining on a large scale between the end of 2020 and the rest of 2021. A non-experimental, quantitative, descriptive, retrospective methodology was used, as well as the data collection means, the gures provided by the Ministry of Women and Vulnerable Populations based on the cases attended by the Women's Emergency Centers implemented at the national level; However, due to the quarantine established at the national level by the Government, these centers did not function; therefore, in 2020 data was collected from the Itinerant Emergency Teams, while in 2021 and 2022 data was collected from the Women's Emergency Centers (regular, 7x24, police stations and health centers). It is concluded that the most prevalent type of violence against unmarried women is psychological, followed by physical violence, with a small difference in the number of victims between the two types of violence, and to determine the age group that suffers the most violence, it was divided into 3 groups, the most affected being 18 to 35 years old (53.1%), followed by the group between 36-59 years old (39.1%)
本研究的主要目的是确定秘鲁在2019冠状病毒病期间对未婚妇女的暴力行为的增加情况,因为在隔离期间,对妇女的暴力案件有所减少,然而,随着隔离期间的结束,暴力案件大量增加,在2020年底至2021年剩余时间期间仍保持大规模。采用了非实验性、定量、描述性和回顾性方法,以及数据收集手段,即妇女和弱势人口部根据在国家一级设立的妇女急救中心接待的病例提供的数字;然而,由于政府在国家一级建立了隔离制度,这些中心没有发挥作用;因此,2020年从流动应急小组收集数据,而2021年和2022年从妇女应急中心(常规、7x24、警察局和保健中心)收集数据。结果表明,针对未婚女性的暴力类型以心理暴力最普遍,其次是身体暴力,两种暴力类型的受害者人数差异不大,为了确定遭受暴力最多的年龄组,将其分为3个群体,受暴力影响最大的是18 - 35岁(53.1%),其次是36-59岁(39.1%)。
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引用次数: 0
Review of the psychometric properties of the Objective Body Consciousness Scale (OBCS) in the 2002 - 2022 time frame 2002 - 2022年间客观身体意识量表(OBCS)心理测量特性的回顾
IF 0.1 Pub Date : 2022-11-01 DOI: 10.57188/ricso.2022.006
Sheila Jerusa Chapoñan Luna, Leslie Gabriela López Romero, Luz Mercedes Saldarriaga Pasapera, Wendy Jesus Catherin Cedillo Lozada, Marilu Elena Barreto Espinoza, Gonzalo Nicolas Ezeta Muñoz
The purpose of this study was to review the psychometric properties of the Objectied Body Consciousness Scale (OBCS) in the time frame 2002 - 2022. For this purpose, a search was carried out in the ScienceDirect and WorldCat databases, where 1248 articles were identied, of which only 11 were selected (7 in the adult population and 4 in the adolescent population). The results report that the OBCS is an instrument with adequate psychometric properties, which presents different models according to the context of application (3 dimensions and 2 dimensions); 9 of 11 articles used adequate methodological aspects, while in 2 articles a very small sample size was identied for the statistical processes used; the reliability of the instrument is adequate in all its models and is always reported through the internal consistency alpha. Finally, it was identied that in the adult population, models with the original number of items, or close to it, work best; while in the adolescent population, short models with numbers close to 12 items work best; in both populations, the three-dimensional model is adequate
本研究的目的是回顾2002 - 2022年期间客体身体意识量表(OBCS)的心理测量特性。为此,在ScienceDirect和WorldCat数据库中进行了检索,其中确定了1248篇文章,其中只有11篇被选中(7篇来自成人人群,4篇来自青少年人群)。结果表明:OBCS是一种具有足够心理测量特性的工具,根据应用情境(3维和2维)呈现出不同的模型;11篇文章中有9篇使用了适当的方法,而在2篇文章中确定了非常小的样本量用于所使用的统计过程;仪器的可靠性在其所有模型中都是足够的,并且总是通过内部一致性alpha报告。最后,我们确定在成人人群中,具有原始项目数量或接近原始项目数量的模型效果最好;而在青少年群体中,数字接近12个项目的短模型效果最好;在这两个群体中,三维模型是足够的
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引用次数: 1
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Areas-Revista Internacional de Ciencias Sociales
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