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Effectiveness of text messages in the adherence to COVID-19 prevention practices: a quasi-experimental study. 短信对遵守COVID-19预防措施的有效性:一项准实验研究。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2025-12-01 eCollection Date: 2025-01-01 DOI: 10.1590/1518-8345.7810.4707
Vinicius Lino de Souza Neto, Sheila Coelho Ramalho Vasconcelos Morais, Rafaela Batista Dos Santos Pedrosa, Mirian Ueda Yamaguchi, Eduesley Santana Santos, Agueda Maria Ruiz Zimmer Cavalcante, Vinícius Batista Santos, Juliana de Lima Lopes

to analyze the effectiveness of messages sent by cell phone on adherence to the use of masks, hand hygiene and social distancing during the COVID-19 pandemic.

a multicenter quasi-experimental clinical trial conducted in four Brazilian universities between July and October 2020. The sample consisted of 429 people from different Brazilian cities who received messages every two days for seven weeks about individual protection measures. Adherence to the measures was analyzed by an instrument developed by the researchers of the main center and refined in collaboration with researchers from the other centers, consisting of 13 questions and a five-point Likert scale, with the overall score ranging from 13 to 65 points, in which the higher the score, the greater the adherence. Statistical analysis was performed using multivariate analysis of variance (MANOVA), considering p<0.05 as significant.

an improvement in the adherence score was observed over the weeks. When compared with the score obtained before the intervention, there was a significant improvement in adherence in the last two weeks (p<0.001).

the intervention using messages sent by cell phone showed to be effective in promoting adherence to individual protection practices against COVID-19. However, the observed sample loss may have affected the results, limiting the generalizability of the findings. Therefore, the effects identified should be interpreted with caution. The Brazilian Registry of Clinical Trials (RBR-2s94rb).

分析在COVID-19大流行期间通过手机发送的关于坚持使用口罩、手部卫生和保持社交距离的信息的有效性。这是2020年7月至10月在巴西四所大学进行的一项多中心准实验性临床试验。样本包括来自巴西不同城市的429人,他们在七周内每两天收到一次关于个人保护措施的信息。对这些措施的依从性通过一个由主中心的研究人员开发并与其他中心的研究人员合作改进的工具进行分析,该工具由13个问题和5分李克特量表组成,总分从13到65分,得分越高,依从性越高。考虑到在几周内观察到依从性评分的改善,使用多变量方差分析(MANOVA)进行统计分析。与干预前的得分相比,在最后两周内,依从性有了显著改善(p),使用手机发送短信的干预显示,在促进遵守针对COVID-19的个人保护措施方面有效。然而,观察到的样本损失可能影响了结果,限制了研究结果的普遍性。因此,应谨慎解释已确定的影响。巴西临床试验登记处(RBR-2s94rb)。
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引用次数: 0
Transition experiences of patients and families upon discharge from intensive care: a scoping review. 从重症监护出院后患者和家属的过渡经验:范围审查。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2025-12-01 eCollection Date: 2025-01-01 DOI: 10.1590/1518-8345.7919.4762
Paula Buchs Zucatti, Clediane Rita Portalupi da Trindade, Rosana Evangelista-Poderoso, Edinêis de Brito Guirardello, Maria Alice Dias da Silva Lima

to map available evidence on the experiences of adult patients and family members regarding the transition of care between intensive care and inpatient units.

scoping review conducted according to Joanna Briggs Institute guidelines. Primary studies, reviews, dissertations, and theses published in Portuguese, English, or Spanish were included, with no time limit. The final search was conducted on health portals and databases and in digital libraries. The selection was performed by two reviewers in a blind and independent manner. The data were extracted using a script and presented in figures, descriptive and deductive qualitative analysis, categorizing the experiences between the stages of assessment, planning, execution, and follow-up after discharge.

thirty articles comprised the sample. The experiences mapped highlight the transition as a critical moment in hospitalization, marked by emotional impact and informational weaknesses. Reports of unpreparedness, feelings of abandonment, and communication failures compromise the continuity of care and the adaptation of patients and family members.

the experiences described point to the transition of care between intensive care and inpatient units as a complex and multifaceted process. The gaps identified require structured communication strategies, timely information, and alignment between units.

绘制关于成年患者和家庭成员在重症监护室和住院病房之间的护理过渡的经验的现有证据。根据乔安娜布里格斯研究所的指导方针进行的范围审查。包括以葡萄牙语、英语或西班牙语发表的初步研究、评论、论文和论文,没有时间限制。最后的搜索是在健康门户网站和数据库以及数字图书馆进行的。评选由两名评审员以盲目和独立的方式进行。采用文字提取资料,以图表形式呈现,描述性和演绎性定性分析,对评估、计划、执行、出院后随访等阶段的经验进行分类。样品由30件物品组成。地图上的经历强调了过渡是住院治疗的关键时刻,其特点是情感影响和信息不足。缺乏准备、被遗弃感和沟通失败的报告损害了护理的连续性以及患者和家庭成员的适应。所描述的经验点之间的过渡护理重症监护和住院病房作为一个复杂的和多方面的过程。确定的差距需要结构化的沟通策略、及时的信息和单位之间的一致性。
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引用次数: 0
Pain in Long COVID: A scoping review of clinical characteristics and patterns of manifestation. 长冠状病毒的疼痛:临床特征和表现模式的范围审查。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2025-12-01 eCollection Date: 2025-01-01 DOI: 10.1590/1518-8345.7836.4777
Ana Cristina Ribeiro La Scaléa, Sílvia Carla da Silva André Uehara

to map the available scientific evidence on the clinical characteristics and patterns of pain manifestation (location, frequency, duration, intensity, and quality) in individuals with Long COVID.

a scoping review of publications from March 2020 to June 2024, indexed across four databases. Study selection was conducted by two independent, blinded reviewers. Data were extracted using a standardized instrument and analyzed descriptively.

nineteen studies were included, indicating that pain affects individuals across all age groups, with higher prevalence among women, primarily involving the head, neck, shoulder, lower back, and hip. Pain frequency ranged from daily to monthly episodes, with duration exceeding one year in some cases. Intensity varied from mild to severe, and pain characteristics were diverse, with descriptors including burning, pressure, colicky, and throbbing pain.

the clinical characteristics and patterns of pain manifestation in Long COVID are diverse. However, there is a paucity of studies providing detailed analyses of pain features and the influence of individual variables. These findings should guide future research and clinical practice toward a more comprehensive and contextualized assessment of pain in Long COVID.

绘制关于长冠肺炎患者的临床特征和疼痛表现模式(位置、频率、持续时间、强度和质量)的现有科学证据。对2020年3月至2024年6月期间的出版物进行范围审查,在四个数据库中进行索引。研究选择由两位独立的盲法审稿人进行。使用标准化仪器提取数据并进行描述性分析。包括19项研究,表明疼痛影响所有年龄组的个体,女性患病率较高,主要涉及头部,颈部,肩部,下背部和臀部。疼痛的频率从每天到每月一次不等,在某些情况下持续时间超过一年。强度从轻微到严重不等,疼痛特征多种多样,描述包括灼烧、压痛、绞痛和悸动痛。长冠肺炎患者疼痛表现的临床特点和模式多种多样。然而,缺乏对疼痛特征和个体变量影响进行详细分析的研究。这些发现应该指导未来的研究和临床实践,以更全面和情境化地评估长冠状病毒的疼痛。
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引用次数: 0
Cross-cultural adaptation and validation of the Person-centered Practice Inventory-Staff for Brazilian culture. 跨文化适应和验证以人为本的实践清单-巴西文化的工作人员。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2025-11-17 eCollection Date: 2025-01-01 DOI: 10.1590/1518-8345.7803.4665
Juliana Andrioli Nucci, Edinêis de Brito Guirardello, Ariane Polidoro Dini

to translate, cross-culturally adapt and validate the Person-centered Practice Inventory-Staff into Brazilian Portuguese.

the methodological study followed the stages of translation, synthesis, back-translation, expert evaluation and pre-testing. Content validity was assessed using the Content Validity Index and the Content Validity Ratio. Convergent and discriminant construct validity was verified using confirmatory factor analysis. Internal consistency was checked by Cronbach's alpha, Composite Reliability and McDonald's Omega.

15 professionals took part in the content validation and 307 in the evaluation of the construct and reliability. Content validity obtained values above 0.87 for the Content Validity Index and 0.73 for the Content Validity Ratio. The confirmatory factor analysis distributed the 59 items in the 17 original domains, with average variance extracted greater than 0.49 and factor loadings greater than 0.61. Internal consistency showed Cronbach's alpha between 0.56 and 0.85; composite reliability between 0.75 and 0.89; and McDonald's Omega between 0.61 and 0.88.

the Brazilian version of the Person-centered Practice Inventory-Staff demonstrated satisfactory validity and reliability to assess the perception of person-centered care practice among nursing professionals in the hospital context.

翻译,跨文化适应和验证以人为本的实践清单-员工成巴西葡萄牙语。方法学研究分为翻译、综合、反译、专家评价和预试四个阶段。采用内容效度指数和内容效度比评估内容效度。采用验证性因子分析验证收敛和判别构念的效度。内部一致性采用Cronbach’s alpha、复合信度和McDonald’s omega进行检验,15名专业人员参与内容验证,307名专业人员参与结构和信度评价。内容效度指数为0.87以上,内容效度比为0.73以上。验证性因子分析将59个项目分布在17个原始域中,提取的平均方差大于0.49,因子负荷大于0.61。内部一致性显示Cronbach's alpha在0.56 ~ 0.85之间;复合信度在0.75 ~ 0.89之间;麦当劳的Omega在0.61到0.88之间。巴西版的以人为本的实践清单-工作人员在评估医院护理专业人员对以人为本的护理实践的看法方面表现出令人满意的效度和信度。
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引用次数: 0
Trends and spatial distribution of precarious work conditions for nurses in Brazil based on the type of employment bond. 基于就业契约类型的巴西护士不稳定工作条件的趋势和空间分布。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2025-11-17 eCollection Date: 2025-01-01 DOI: 10.1590/1518-8345.7680.4644
Érika Carvalho de Aquino, Rafael Alves Guimarães, Daniel do Prado Pagotto, Joseane Aparecida Duarte, Antônio Isidro da Silva Filho, Cândido Vieira Borges Júnior

to analyze the tendencies and spatial distribution of precarious work for nurses in Brazil, based on the type of employment relationships, between 2010 and 2023, according to the level of health care.

ecological study with data extracted from the National Registry of Health Establishments. The indicator analyzed was the percentage of precarious work relationships. The temporal tendency was assessed by the Prais-Winsten regression model and the spatial distribution was assessed by means of choropleth maps.

there was an increasing tendency in the precarious work of nurses in Brazil based on the type of employment relationships, regardless of the level of health care. The North region showed the highest percentages of increase in the indicator in Primary Health Care, Secondary Health Care, and Tertiary Health Care. The North and Northeast regions had the highest numbers of municipalities with a high percentage of precarious work conditions.

the precariousness of nursing employment relationships showed an increasing tendency at all levels of health care, being higher in Primary Health Care and increasing more in Tertiary Health Care within the time horizon analyzed.

根据医疗保健水平,在2010年至2023年期间,根据雇佣关系的类型,分析巴西护士不稳定工作的趋势和空间分布。生态学研究,数据摘自国家卫生机构登记处。分析的指标是不稳定工作关系的百分比。利用Prais-Winsten回归模型评价时间趋势,利用地形图评价空间分布。在巴西,不论保健水平如何,根据雇佣关系的类型,护士的不稳定工作的趋势日益增加。北部地区在初级卫生保健、二级卫生保健和三级卫生保健方面的指标增长百分比最高。北部和东北地区的城市数量最多,工作条件不稳定的比例很高。在分析的时间范围内,各级卫生保健机构中护理就业关系的不稳定性呈上升趋势,初级卫生保健机构的不稳定性更高,三级卫生保健机构的不稳定性更高。
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引用次数: 0
Risk Assessment Scale for the Development of Medical Adhesive-related Skin Injuries. 医用粘合剂相关皮肤损伤发展的风险评估量表。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2025-11-17 eCollection Date: 2025-01-01 DOI: 10.1590/1518-8345.7891.4710
Maíla Fidalgo de Faria, Talita Silva Alves Tibola, Maria Beatriz Guimarães Raponi, Patrícia da Silva Pires, Maria Sagrario Gómez Cantarino, Maria Helena Barbosa

to develop and validate the Risk Assessment Scale for the Development of Medical Adhesive-related Skin Injuries in hospitalized adults.

methodological study consisting of the development, face validity, content validity, predictive criterion validity, and interobserver reliability analysis of the scale. It was developed using risk factors obtained in an integrative review and underwent face and content validation by seven judges. Three hundred and twenty-nine patients participated in the predictive criterion validity and 32 in the reliability analysis.

the scale consists of 48 items and eight domains. Scores < 11 classify patients as low risk and ≥ 11 as high risk for developing medical adhesive injuries. In face validity, there was 100% agreement among the judges, and in content validity, a total content validity coefficient of 0.94 was obtained. In predictive criterion validity, there was a statistically significant association (p < 0.001) between the score generated by the scale and the occurrence of medical adhesive injuries. The reliability analysis obtained an intraclass correlation coefficient of 0.92.

the scale developed is a valid and reliable tool for identifying the risk of injury from medical adhesives in hospitalized adults.

制定并验证住院成人医用胶粘剂相关皮肤损伤风险评估量表。方法学研究包括量表的开发、面效度、内容效度、预测标准效度和观察者间信度分析。它是根据综合评估中获得的风险因素开发的,并经过了7名法官的面部和内容验证。329例患者参与预测标准效度分析,32例患者参与信度分析。该量表由48个条目和8个领域组成。评分< 11分为低风险,评分≥11分为高风险。在面效度上,评委的一致性为100%,在内容效度上,总内容效度系数为0.94。在预测标准效度方面,量表产生的评分与医用胶粘剂损伤的发生之间存在统计学显著相关(p < 0.001)。信度分析得到类内相关系数为0.92。所开发的量表是一种有效和可靠的工具,用于识别住院成人医疗粘合剂的伤害风险。
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引用次数: 0
Validity evidence of the Brazilian version of the Assessment Interprofessional Collaborative Leadership Scale. 巴西版跨专业协作领导评估量表的效度证据。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2025-11-17 eCollection Date: 2025-01-01 DOI: 10.1590/1518-8345.7894.4719
Natalia Dalforno da Silva, Geisa Colebrusco de Souza Gonçalves, Jaqueline Alcantara Marcelino da Silva, Flávio Rebustini, Alexandre Pazetto Balsanelli

to seek evidence of validity of the Assessment Interprofessional Collaborative Leadership Scale for Brazilians, in Portuguese, and to analyze evidence of content, response process and internal structure.

psychometric evaluation study, with translation, back-translation, and evaluation by a committee of experts regarding linguistic and content equivalence. The pre-test was carried out with 40 participants and, subsequently, the final version was applied to 318 health workers. Exploratory factor analysis and reliability testing were performed using Cronbach's alpha and McDonald's omega.

in the content validation, four items presented scores below the critical value. Of the participants, the majority were nurses (81%) and physiotherapists (10%), and were female (79%). The factorability obtained was Kaiser-Meyer-Olkin = 0.94 and Bartlett's sphericity = 2991.4 with p < 0.05. Parallel analysis indicated a one-dimensional model, with variance explained by 63.71%. The model's adequacy indices showed satisfactory levels. And adequate reliability indices (Cronbach's alpha = 0.97 and McDonald's omega = 0.97).

the Interprofessional Collaborative Leadership Assessment Scale, with a unidimensional structure and 28 items, presented good evidence of content validity, response process and internal structure, considered adequate to measure interprofessional collaborative leadership.

寻求巴西人跨专业协作领导评估量表(葡萄牙语)有效性的证据,并分析其内容、反应过程和内部结构的证据。心理测量评估研究,包括翻译、反翻译和专家委员会对语言和内容等效性的评估。对40名参与者进行了预测试,随后对318名卫生工作者进行了最终版本的测试。采用Cronbach’s alpha和McDonald’s omega进行探索性因子分析和信度检验。在内容验证中,有四个项目的得分低于临界值。在参与者中,大多数是护士(81%)和物理治疗师(10%),女性(79%)。可得因子为Kaiser-Meyer-Olkin = 0.94, Bartlett's球形度= 2991.4,p < 0.05。平行分析结果为一维模型,方差解释率为63.71%。该模型的充分性指数显示出令人满意的水平。信度指标充足(Cronbach’s α = 0.97, McDonald’s ω = 0.97)。《跨专业协作领导测评量表》具有单向度结构,共28个项目,在内容效度、反应过程和内部结构方面均表现出较好的证据,被认为足以衡量跨专业协作领导。
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引用次数: 0
Effect of antiretrovirals on renal function in people taking HIV pre-exposure prophylaxis. 抗逆转录病毒药物对艾滋病毒暴露前预防者肾功能的影响。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2025-11-17 eCollection Date: 2025-01-01 DOI: 10.1590/1518-8345.7280.4734
Priscila Silva Pontes-Pereira, Rodrigo de Carvalho Santana, Elucir Gir, Renata Karina Reis

to evaluate the effect of antiretrovirals on renal function in individuals receiving HIV pre-exposure prophylaxis.

a descriptive, longitudinal survey design was used in a retrospective cohort study for 48 weeks. The sample consisted of 203 participants. Non-probabilistic convenience sampling was used. Sociodemographic, clinical, and laboratory variables were analyzed. Absolute and relative frequencies, mean, standard deviation, minimum and maximum values, Fisher's exact test, and Friedman test were used, with a significance level of <5%.

the participants were predominantly cisgender men (86.2%), white (69.1%), highly educated (76.7%), and had a mean age of 34 years. The presence of markers of renal damage was low. Proteinuria increased until the 12th week (2.6%), maintaining a small variation until the 48th week. The decline in estimated Glomerular Filtration Rate (eGFR) ≥25% from baseline was 4.4%, 3%, 4.4%, and 3% at weeks 12, 24, 36, and 48, respectively. There was no significant association between eGFR decline ≥25% and the presence of any of the markers of renal damage.

the low incidence of events characterizing renal dysfunction, such as eGFR decline ≥25% and the presence of mild and isolated events of proteinuria, glycosuria, uricosuria, and cylindruria, was confirmed at 48 weeks of follow-up.

评估抗逆转录病毒药物对接受HIV暴露前预防的个体肾功能的影响。在一项为期48周的回顾性队列研究中,采用描述性纵向调查设计。样本包括203名参与者。采用非概率方便抽样。分析了社会人口学、临床和实验室变量。使用绝对频率和相对频率、平均值、标准差、最小值和最大值、Fisher精确检验和Friedman检验,具有显著性水平的参与者主要是顺性别男性(86.2%)、白人(69.1%)、高学历(76.7%),平均年龄34岁。肾损害标志物的存在很低。蛋白尿增加到第12周(2.6%),维持一个小的变化直到第48周。在12周、24周、36周和48周时,肾小球滤过率(eGFR)≥25%较基线分别下降4.4%、3%、4.4%和3%。eGFR下降≥25%与存在任何肾损害标志物之间没有显著关联。在48周的随访中,证实了肾功能不全事件的低发生率,如eGFR下降≥25%,存在轻度和孤立的蛋白尿、糖尿、尿尿和柱状尿。
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引用次数: 0
Scope of Nursing Practice in Primary Health Care: defining a way forward. 初级卫生保健护理实践的范围:确定前进的道路。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2025-11-17 DOI: 10.1590/1518-8345.0000.4840
Bruna Moreno-Dias, Edwin Vicente C Bolastig, Eduardo Benjamín Puertas-Donoso
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引用次数: 0
Transcultural adaptation, validity, and reliability of the SINBAD System Classification for Brazilian Portuguese. 巴西葡萄牙语SINBAD系统分类的跨文化适应、有效性和可靠性。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2025-11-10 eCollection Date: 2025-01-01 DOI: 10.1590/1518-8345.7768.4722
Julliany Lopes Dias, Eline Lima Borges, Danubia Mendes E Torres, Mônica Antar Gamba, Ângela Lima Pereira, Suelen Gomes Malaquias, Luciana da Silva Barros, Marlene Andrade Martins, Rafael Alves Guimarães, Maria Márcia Bachion

to perform the cross-cultural adaptation of the SINBAD System Classification for Brazilian Portuguese and analyze its content validity and reliability.

clinimetric study, including cross-cultural adaptation of the SINBAD System Classification, used to assess foot ulcers in people with diabetes. Verification of semantic and cultural equivalence and clinical usability using the inter-rater reliability (IRR) index (≥ 0.80); content validity using the Content Validity Ratio (CVR) p < 0.05, and internal consistency using McDonald's omega (> 0.70). The sample involved nurses, physicians, and people with diabetes-related foot ulcers. Data collection was performed using online forms and in-person clinical evaluation of patients treated at referral services in Goiânia, Jataí, São Paulo, Belo Horizonte, and primary care center in Palmas.

fifteen nurses participated in the cognitive debriefing; 20 experts (physicians and nurses) participated in content validation; and 113 patients with 120 diabetes-related foot ulcers participated. Eight items (terms and expressions) from the SINBAD System underwent cross-cultural adaptation. CVR = 0.84 and McDonald's omega = 0.635 were obtained.

the SINBAD system is adapted to Brazilian Portuguese and has satisfactory content validity indices, but it needs investment to achieve greater robustness in terms of reliability and internal consistency.

对巴西葡萄牙语SINBAD系统分类进行跨文化改编,并分析其内容效度和信度。临床计量学研究,包括SINBAD系统分类的跨文化适应,用于评估糖尿病患者的足部溃疡。使用量表间信度(IRR)指数(≥0.80)验证语义、文化等价性和临床可用性;内容效度采用content validity Ratio (CVR) p < 0.05,内部一致性采用McDonald's omega(> 0.70)。样本包括护士、医生和患有糖尿病相关足溃疡的人。数据收集采用在线表格和在goinia、Jataí、圣保罗、贝洛奥里藏特和帕尔马斯初级保健中心转诊服务的患者进行现场临床评估。15名护士参加了认知情况汇报;20名专家(医师、护士)参与内容验证;113名患有120例糖尿病相关足部溃疡的患者参与了研究。SINBAD系统中的8个项目(术语和表达)经历了跨文化改编。CVR = 0.84, McDonald's omega = 0.635。SINBAD系统适用于巴西葡萄牙语,具有令人满意的内容效度指标,但在信度和内部一致性方面需要投入更大的鲁棒性。
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引用次数: 0
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Revista Latino-Americana De Enfermagem
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