Pub Date : 2024-02-29DOI: 10.5294/aqui.2024.24.1.6
Luciana de Alcântara Nogueira, Adriano Marçal Pimenta, Maria de Fátima Mantovani, Hellen Karine Oliveira Cordeiro, Leonel dos Santos Silva, Luciana Puchalski Kalinke
Introduction: Financial toxicity can increase healthcare costs, in addition to negatively impacting the therapeutic adherence and health- related quality of life of cancer patients within the public healthcare system. Objective: To correlate financial toxicity with the adults living with cancer health-related quality of life during the COVID-19 pandemic. Materials and Methods: This is an observational, cross-sectional, correlational study conducted with 179 patients receiving care from the Unified Health System in a capital city in southern Brazil. Data collection was performed from September 2021 to December 2022, using questionnaires containing sociodemographic and clinical data, and the Comprehensive Score for Financial Toxicity and the Functional Assessment of Cancer Therapy-General. The correlation between financial toxicity and health-related quality of life was assessed using Spearman’s correlation coefficient at a 5 % significance level. Results: The correlation between financial toxicity and health-related quality of life was 0.41 (p-value < 0.001). The financial toxicity and health-related quality of life scores were 20.1/44 and 73.3/108, respectively. Conclusion: This study has found that the lower the financial toxicity, the better the patients’ health-related quality of life. In this sense, recognizing the presence of financial toxicity in the treatment course could help improve adherence to treatment and health-related quality of life.
{"title":"Financial Toxicity and Health-Related Quality of Life Among Cancer Patients: A Correlational Study","authors":"Luciana de Alcântara Nogueira, Adriano Marçal Pimenta, Maria de Fátima Mantovani, Hellen Karine Oliveira Cordeiro, Leonel dos Santos Silva, Luciana Puchalski Kalinke","doi":"10.5294/aqui.2024.24.1.6","DOIUrl":"https://doi.org/10.5294/aqui.2024.24.1.6","url":null,"abstract":"Introduction: Financial toxicity can increase healthcare costs, in addition to negatively impacting the therapeutic adherence and health- related quality of life of cancer patients within the public healthcare system. Objective: To correlate financial toxicity with the adults living with cancer health-related quality of life during the COVID-19 pandemic. Materials and Methods: This is an observational, cross-sectional, correlational study conducted with 179 patients receiving care from the Unified Health System in a capital city in southern Brazil. Data collection was performed from September 2021 to December 2022, using questionnaires containing sociodemographic and clinical data, and the Comprehensive Score for Financial Toxicity and the Functional Assessment of Cancer Therapy-General. The correlation between financial toxicity and health-related quality of life was assessed using Spearman’s correlation coefficient at a 5 % significance level. Results: The correlation between financial toxicity and health-related quality of life was 0.41 (p-value < 0.001). The financial toxicity and health-related quality of life scores were 20.1/44 and 73.3/108, respectively. Conclusion: This study has found that the lower the financial toxicity, the better the patients’ health-related quality of life. In this sense, recognizing the presence of financial toxicity in the treatment course could help improve adherence to treatment and health-related quality of life.","PeriodicalId":50736,"journal":{"name":"Aquichan","volume":"36 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140414308","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}
Pub Date : 2024-02-29DOI: 10.5294/aqui.2024.24.1.3
Samira Goldberg Rego Barbosa, Aroldo Gavioli, Julia Rosa Matia Cicchetto, Rafaely de Cássia Nogueira Sanches, Cremilde Aparecida Trindade Radovanovic
Introduction: The use of pre-discharge tools enables the nursing team to guide informal caregivers, promoting continued care at home, which can minimize readmissions. Objective: To develop and validate a checklist to support the nursing team in guiding informal caregivers regarding home care during the discharge transition process. Materials and Methods: This is a methodological study, submitted to 14 nurse judges, who evaluated a checklist on care guidelines for informal caregivers in the hospital discharge transition. The study was performed in three stages: A literature review, the development of the checklist, and validation using the Delphi technique, which was conducted from February 2022 to January 2023, and the data was treated using scale reliability analysis, a content validity index, and an intraclass correlation coefficient. Results: The checklist was comprised of 10 domains: Hygiene and comfort; tracheostomy; oxygen therapy; nutrition; indwelling urinary catheter; ostomies; dressings; risk of falls; medication; returns and referrals, totaling 32 guidelines for informal caregivers. The checklist was submitted to two validation stages and, after implementing the changes suggested by the judges, a content validity index of 100% agreement was obtained between the evaluators, with a Cronbach’s Alpha of 0.84 and an intraclass correlation index of 0.80. Conclusions: The checklist presents good reliability, intraclass correlation, and content validation, and can be applied in professional practice and scientific settings regarding the transition to hospital discharge of critically ill patients, helping to promote continued care at home.
{"title":"Nursing Checklist of Home Care Guidelines for Informal Caregivers in the Hospital Discharge Transition","authors":"Samira Goldberg Rego Barbosa, Aroldo Gavioli, Julia Rosa Matia Cicchetto, Rafaely de Cássia Nogueira Sanches, Cremilde Aparecida Trindade Radovanovic","doi":"10.5294/aqui.2024.24.1.3","DOIUrl":"https://doi.org/10.5294/aqui.2024.24.1.3","url":null,"abstract":"Introduction: The use of pre-discharge tools enables the nursing team to guide informal caregivers, promoting continued care at home, which can minimize readmissions. Objective: To develop and validate a checklist to support the nursing team in guiding informal caregivers regarding home care during the discharge transition process. Materials and Methods: This is a methodological study, submitted to 14 nurse judges, who evaluated a checklist on care guidelines for informal caregivers in the hospital discharge transition. The study was performed in three stages: A literature review, the development of the checklist, and validation using the Delphi technique, which was conducted from February 2022 to January 2023, and the data was treated using scale reliability analysis, a content validity index, and an intraclass correlation coefficient. Results: The checklist was comprised of 10 domains: Hygiene and comfort; tracheostomy; oxygen therapy; nutrition; indwelling urinary catheter; ostomies; dressings; risk of falls; medication; returns and referrals, totaling 32 guidelines for informal caregivers. The checklist was submitted to two validation stages and, after implementing the changes suggested by the judges, a content validity index of 100% agreement was obtained between the evaluators, with a Cronbach’s Alpha of 0.84 and an intraclass correlation index of 0.80. Conclusions: The checklist presents good reliability, intraclass correlation, and content validation, and can be applied in professional practice and scientific settings regarding the transition to hospital discharge of critically ill patients, helping to promote continued care at home.","PeriodicalId":50736,"journal":{"name":"Aquichan","volume":"8 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140412554","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}
Pub Date : 2024-02-14DOI: 10.5294/aqui.2024.24.1.5
Eliene Almeida Santos, Sílvia Lúcia Ferreira, Karina Araújo Pinto, R. C. Cordeiro, Ueigla Batista da Silva, Elionara Teixeira Boa Sorte Fernandes
Introduction: The lack of discussions on nursing care for pregnant women with sickle cell disease in Brazil and the urgent need for intervention and improvements in the nursing care provided to these women sparked this study. In addition, validity is an essential attribute for instruments used in research and/or clinical practice. Objective: To develop and validate an instrument covering the care of pregnant women with sickle cell disease. Materials and methods: This is a methodological, content validation study conducted with specialist judges. The instrument was structured with 19 nursing diagnoses that addressed the biological, psychological, and social dimensions, as well as 126 nursing interventions. The Delphi technique was used with the participation of 18 judges. The results were analyzed using the content validity index and a level of agreement above 0.80. Results: Of the 145 items analyzed, 22 (15.17 %) scored a content validity index < 0.80, and the adjustments suggested by the judges were implemented. The instrument’s general content validity index was calculated at 0.87. The instrument reached acceptable content validity parameters, according to the criteria used. Conclusions: The instrument’s potential stands out, and it can be improved through its use as a resource for guiding nursing practices directed to pregnant women with sickle cell disease, both in primary health care and in hospital networks.
{"title":"Development and Content Validation of an Instrument Covering Care for Pregnant Women with Sickle Cell Disease","authors":"Eliene Almeida Santos, Sílvia Lúcia Ferreira, Karina Araújo Pinto, R. C. Cordeiro, Ueigla Batista da Silva, Elionara Teixeira Boa Sorte Fernandes","doi":"10.5294/aqui.2024.24.1.5","DOIUrl":"https://doi.org/10.5294/aqui.2024.24.1.5","url":null,"abstract":"Introduction: The lack of discussions on nursing care for pregnant women with sickle cell disease in Brazil and the urgent need for intervention and improvements in the nursing care provided to these women sparked this study. In addition, validity is an essential attribute for instruments used in research and/or clinical practice. Objective: To develop and validate an instrument covering the care of pregnant women with sickle cell disease. Materials and methods: This is a methodological, content validation study conducted with specialist judges. The instrument was structured with 19 nursing diagnoses that addressed the biological, psychological, and social dimensions, as well as 126 nursing interventions. The Delphi technique was used with the participation of 18 judges. The results were analyzed using the content validity index and a level of agreement above 0.80. Results: Of the 145 items analyzed, 22 (15.17 %) scored a content validity index < 0.80, and the adjustments suggested by the judges were implemented. The instrument’s general content validity index was calculated at 0.87. The instrument reached acceptable content validity parameters, according to the criteria used. Conclusions: The instrument’s potential stands out, and it can be improved through its use as a resource for guiding nursing practices directed to pregnant women with sickle cell disease, both in primary health care and in hospital networks.","PeriodicalId":50736,"journal":{"name":"Aquichan","volume":"184 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139839427","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}
Pub Date : 2024-02-14DOI: 10.5294/aqui.2024.24.1.5
Eliene Almeida Santos, Sílvia Lúcia Ferreira, Karina Araújo Pinto, R. C. Cordeiro, Ueigla Batista da Silva, Elionara Teixeira Boa Sorte Fernandes
Introduction: The lack of discussions on nursing care for pregnant women with sickle cell disease in Brazil and the urgent need for intervention and improvements in the nursing care provided to these women sparked this study. In addition, validity is an essential attribute for instruments used in research and/or clinical practice. Objective: To develop and validate an instrument covering the care of pregnant women with sickle cell disease. Materials and methods: This is a methodological, content validation study conducted with specialist judges. The instrument was structured with 19 nursing diagnoses that addressed the biological, psychological, and social dimensions, as well as 126 nursing interventions. The Delphi technique was used with the participation of 18 judges. The results were analyzed using the content validity index and a level of agreement above 0.80. Results: Of the 145 items analyzed, 22 (15.17 %) scored a content validity index < 0.80, and the adjustments suggested by the judges were implemented. The instrument’s general content validity index was calculated at 0.87. The instrument reached acceptable content validity parameters, according to the criteria used. Conclusions: The instrument’s potential stands out, and it can be improved through its use as a resource for guiding nursing practices directed to pregnant women with sickle cell disease, both in primary health care and in hospital networks.
{"title":"Development and Content Validation of an Instrument Covering Care for Pregnant Women with Sickle Cell Disease","authors":"Eliene Almeida Santos, Sílvia Lúcia Ferreira, Karina Araújo Pinto, R. C. Cordeiro, Ueigla Batista da Silva, Elionara Teixeira Boa Sorte Fernandes","doi":"10.5294/aqui.2024.24.1.5","DOIUrl":"https://doi.org/10.5294/aqui.2024.24.1.5","url":null,"abstract":"Introduction: The lack of discussions on nursing care for pregnant women with sickle cell disease in Brazil and the urgent need for intervention and improvements in the nursing care provided to these women sparked this study. In addition, validity is an essential attribute for instruments used in research and/or clinical practice. Objective: To develop and validate an instrument covering the care of pregnant women with sickle cell disease. Materials and methods: This is a methodological, content validation study conducted with specialist judges. The instrument was structured with 19 nursing diagnoses that addressed the biological, psychological, and social dimensions, as well as 126 nursing interventions. The Delphi technique was used with the participation of 18 judges. The results were analyzed using the content validity index and a level of agreement above 0.80. Results: Of the 145 items analyzed, 22 (15.17 %) scored a content validity index < 0.80, and the adjustments suggested by the judges were implemented. The instrument’s general content validity index was calculated at 0.87. The instrument reached acceptable content validity parameters, according to the criteria used. Conclusions: The instrument’s potential stands out, and it can be improved through its use as a resource for guiding nursing practices directed to pregnant women with sickle cell disease, both in primary health care and in hospital networks.","PeriodicalId":50736,"journal":{"name":"Aquichan","volume":"28 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139779657","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}
Pub Date : 2024-02-08DOI: 10.5294/aqui.2024.24.1.4
Euni de Oliveira Cavalcanti, Patrícia Silva de Figueiredo, Lorena Campos Santos, Moara Ávila de Jesus Moreira, Renata Gonçalves Paulino, Thatianny Tanferri de Brito Paranaguá
Introduction: This study provides unprecedented scientific evidence for the expansion of health literacy as a tool capable of increasing patient safety through effective communication between health care professionals and their patients, especially in primary health care. Objective: To map the evidence available regarding the impact of health literacy on care safety for adult patients in primary health care. Materials and methods: This is a scoping review in line with the Joanna Briggs Institute method, which covers care, techniques, protocols, or health literacy methods used to improve primary health care. The Medline (PubMed), Web of Science, Scientific Electronic Library Online (SciELO), Virtual Health Library, Scopus, Cinahl, and Google Scholar databases were used for the gray literature search. Original studies available in full and published until January 2023, in all languages covering the topic, were included. Two reviewers screened them by title and abstract, and three reviewers read the full texts and extracted data from the selected articles presented in flowcharts, tables, and descriptive narratives. Results: A total of 3749 studies were found, of which 23 were selected. From these, the following categories emerged: ‘The impact of health literacy on the engagement and health outcomes of primary health care users;’ ‘Interventions that contribute to health literacy in primary health care;’ and ‘Evaluation of users’ and professionals’ perspectives on health literacy.’ Conclusions: Health literacy interventions focused on primary care should be encouraged within health care services to promote care, prevent illnesses, and inspire the population’s transformation process, with a direct impact on patient safety.
导言：这项研究提供了前所未有的科学证据，证明通过医护人员与患者之间的有效沟通，尤其是在初级医疗保健领域，健康素养是一种能够提高患者安全的工具。研究目的绘制关于健康素养对初级医疗保健中成年患者护理安全影响的现有证据图。材料与方法：根据乔安娜-布里格斯研究所（Joanna Briggs Institute）的方法，这是一项范围界定综述，涉及用于改善初级医疗保健的护理、技术、规程或健康知识普及方法。灰色文献检索采用 Medline（PubMed）、Web of Science、SciELO（科学电子图书馆在线）、Virtual Health Library、Scopus、Cinahl 和 Google Scholar 数据库。全文收录了 2023 年 1 月之前发表的涉及该主题的所有语言的原创研究。两名审稿人根据标题和摘要对文章进行筛选，三名审稿人阅读全文，并从所选文章中提取数据，以流程图、表格和描述性叙述的形式呈现。结果：共找到 3749 篇研究报告，其中 23 篇被选中。从这些研究中，我们发现了以下类别："健康素养对初级卫生保健用户的参与和健康结果的影响"、"有助于初级卫生保健中健康素养的干预措施 "以及 "对用户和专业人员的健康素养观点的评估"。结论：应鼓励在医疗保健服务中采取以初级医疗保健为重点的健康素养干预措施，以促进医疗保健、预防疾病和激发民众的转变过程，并对患者安全产生直接影响。
{"title":"Contributions of Health Literacy for Patient Safety in Primary Care: A Scoping Review","authors":"Euni de Oliveira Cavalcanti, Patrícia Silva de Figueiredo, Lorena Campos Santos, Moara Ávila de Jesus Moreira, Renata Gonçalves Paulino, Thatianny Tanferri de Brito Paranaguá","doi":"10.5294/aqui.2024.24.1.4","DOIUrl":"https://doi.org/10.5294/aqui.2024.24.1.4","url":null,"abstract":"Introduction: This study provides unprecedented scientific evidence for the expansion of health literacy as a tool capable of increasing patient safety through effective communication between health care professionals and their patients, especially in primary health care. Objective: To map the evidence available regarding the impact of health literacy on care safety for adult patients in primary health care. Materials and methods: This is a scoping review in line with the Joanna Briggs Institute method, which covers care, techniques, protocols, or health literacy methods used to improve primary health care. The Medline (PubMed), Web of Science, Scientific Electronic Library Online (SciELO), Virtual Health Library, Scopus, Cinahl, and Google Scholar databases were used for the gray literature search. Original studies available in full and published until January 2023, in all languages covering the topic, were included. Two reviewers screened them by title and abstract, and three reviewers read the full texts and extracted data from the selected articles presented in flowcharts, tables, and descriptive narratives. Results: A total of 3749 studies were found, of which 23 were selected. From these, the following categories emerged: ‘The impact of health literacy on the engagement and health outcomes of primary health care users;’ ‘Interventions that contribute to health literacy in primary health care;’ and ‘Evaluation of users’ and professionals’ perspectives on health literacy.’ Conclusions: Health literacy interventions focused on primary care should be encouraged within health care services to promote care, prevent illnesses, and inspire the population’s transformation process, with a direct impact on patient safety.","PeriodicalId":50736,"journal":{"name":"Aquichan","volume":"226 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139793589","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}
Pub Date : 2024-02-08DOI: 10.5294/aqui.2024.24.1.4
Euni de Oliveira Cavalcanti, Patrícia Silva de Figueiredo, Lorena Campos Santos, Moara Ávila de Jesus Moreira, Renata Gonçalves Paulino, Thatianny Tanferri de Brito Paranaguá
Introduction: This study provides unprecedented scientific evidence for the expansion of health literacy as a tool capable of increasing patient safety through effective communication between health care professionals and their patients, especially in primary health care. Objective: To map the evidence available regarding the impact of health literacy on care safety for adult patients in primary health care. Materials and methods: This is a scoping review in line with the Joanna Briggs Institute method, which covers care, techniques, protocols, or health literacy methods used to improve primary health care. The Medline (PubMed), Web of Science, Scientific Electronic Library Online (SciELO), Virtual Health Library, Scopus, Cinahl, and Google Scholar databases were used for the gray literature search. Original studies available in full and published until January 2023, in all languages covering the topic, were included. Two reviewers screened them by title and abstract, and three reviewers read the full texts and extracted data from the selected articles presented in flowcharts, tables, and descriptive narratives. Results: A total of 3749 studies were found, of which 23 were selected. From these, the following categories emerged: ‘The impact of health literacy on the engagement and health outcomes of primary health care users;’ ‘Interventions that contribute to health literacy in primary health care;’ and ‘Evaluation of users’ and professionals’ perspectives on health literacy.’ Conclusions: Health literacy interventions focused on primary care should be encouraged within health care services to promote care, prevent illnesses, and inspire the population’s transformation process, with a direct impact on patient safety.
导言：这项研究提供了前所未有的科学证据，证明通过医护人员与患者之间的有效沟通，尤其是在初级医疗保健领域，健康素养是一种能够提高患者安全的工具。研究目的绘制关于健康素养对初级医疗保健中成年患者护理安全影响的现有证据图。材料与方法：根据乔安娜-布里格斯研究所（Joanna Briggs Institute）的方法，这是一项范围界定综述，涉及用于改善初级医疗保健的护理、技术、规程或健康知识普及方法。灰色文献检索采用 Medline（PubMed）、Web of Science、SciELO（科学电子图书馆在线）、Virtual Health Library、Scopus、Cinahl 和 Google Scholar 数据库。全文收录了 2023 年 1 月之前发表的涉及该主题的所有语言的原创研究。两名审稿人根据标题和摘要对文章进行筛选，三名审稿人阅读全文，并从所选文章中提取数据，以流程图、表格和描述性叙述的形式呈现。结果：共找到 3749 篇研究报告，其中 23 篇被选中。从这些研究中，我们发现了以下类别："健康素养对初级卫生保健用户的参与和健康结果的影响"、"有助于初级卫生保健中健康素养的干预措施 "以及 "对用户和专业人员的健康素养观点的评估"。结论：应鼓励在医疗保健服务中采取以初级医疗保健为重点的健康素养干预措施，以促进医疗保健、预防疾病和激发民众的转变过程，并对患者安全产生直接影响。
{"title":"Contributions of Health Literacy for Patient Safety in Primary Care: A Scoping Review","authors":"Euni de Oliveira Cavalcanti, Patrícia Silva de Figueiredo, Lorena Campos Santos, Moara Ávila de Jesus Moreira, Renata Gonçalves Paulino, Thatianny Tanferri de Brito Paranaguá","doi":"10.5294/aqui.2024.24.1.4","DOIUrl":"https://doi.org/10.5294/aqui.2024.24.1.4","url":null,"abstract":"Introduction: This study provides unprecedented scientific evidence for the expansion of health literacy as a tool capable of increasing patient safety through effective communication between health care professionals and their patients, especially in primary health care. Objective: To map the evidence available regarding the impact of health literacy on care safety for adult patients in primary health care. Materials and methods: This is a scoping review in line with the Joanna Briggs Institute method, which covers care, techniques, protocols, or health literacy methods used to improve primary health care. The Medline (PubMed), Web of Science, Scientific Electronic Library Online (SciELO), Virtual Health Library, Scopus, Cinahl, and Google Scholar databases were used for the gray literature search. Original studies available in full and published until January 2023, in all languages covering the topic, were included. Two reviewers screened them by title and abstract, and three reviewers read the full texts and extracted data from the selected articles presented in flowcharts, tables, and descriptive narratives. Results: A total of 3749 studies were found, of which 23 were selected. From these, the following categories emerged: ‘The impact of health literacy on the engagement and health outcomes of primary health care users;’ ‘Interventions that contribute to health literacy in primary health care;’ and ‘Evaluation of users’ and professionals’ perspectives on health literacy.’ Conclusions: Health literacy interventions focused on primary care should be encouraged within health care services to promote care, prevent illnesses, and inspire the population’s transformation process, with a direct impact on patient safety.","PeriodicalId":50736,"journal":{"name":"Aquichan","volume":"31 11-12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139853247","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}
Pub Date : 2024-01-29DOI: 10.5294/aqui.2024.24.1.2
Isabela Mendonça Rodrigues dos Santos, I. Rolim, Aurean D’Eça Júnior, Maria Almira Bulcão Loureiro, Diogo Matheus Barros da Silva, G. S. G. Lopes
Introduction: Nurse-led programs have a determinant role in the engagement of individuals in the self-management of type 2 diabetes mellitus (T2DM), as they contribute to improving quality of life. Self-management assisted by social support is vital, especially as it describes the importance of nurses in promoting health for people with T2DM, as this intervention can help reduce the consequences and progression of the disease. Objective: To map programs focused on nurse-led social support for people with T2DM. Materials and Methods: This is a scoping review in line with the methodological guidelines of the Joanna Briggs Institute. The search descriptors used were “autocuidado” (self-care), “intervenção liderada por enfermeiro” (nurse-led intervention), and “diabetes mellitus tipo 2” (type 2 diabetes mellitus), with searches in the Web of Science, Medline, CINAHL, Capes Theses and Dissertations Catalog, Scopus, JBI Evidence Synthesis, PsycINFO, and the Portuguese Open Access Scientific Repositories databases conducted between February and March 2022. The eligibility criteria were studies published within the last 10 years, in English, Spanish, and Portuguese, covering the individual’s experience in programs focused on self-management through nurse-led social support. Results: A total of 12 studies were included, all of which were published in the United States, England, and Iran, focusing on social support for self-management in people with T2DM, and centered on care facilities for people with chronic diseases. It was found that most nurse-led programs have been implemented in developed countries and that their main characteristic is their emphasis on social cognitive theory. The population was characterized by being mostly women, aged over 22, with a low level of education. Conclusions: The study met the proposed objective by demonstrating that, despite the low implementation cost with high social and economic returns, the development of these programs is still scarce. The need for further studies focusing on emotional levels, such as depression and anxiety, is highlighted.
导言：护士主导的项目对个人参与 2 型糖尿病（T2DM）的自我管理具有决定性作用，因为它们有助于提高生活质量。在社会支持的协助下进行自我管理至关重要，特别是它说明了护士在促进 T2DM 患者健康方面的重要性，因为这种干预措施有助于减少疾病的后果和恶化。目的绘制针对 T2DM 患者的以护士为主导的社会支持计划。材料与方法：这是一项范围界定综述，符合乔安娜-布里格斯研究所（Joanna Briggs Institute）的方法指南。使用的检索描述符为 "autocuidado"（自我护理）、"intervenção liderada por enfermeiro"（护士主导的干预）和 "diabetes mellitus tipo 2"（2型糖尿病），检索范围包括Web of Science、Medline、CINAHL、Capes Theses and Dissertations Catalog、Scopus、JBI Evidence Synthesis、PsycINFO和葡萄牙开放存取科学文献库数据库，检索时间为2022年2月至3月。资格标准是在过去 10 年内发表的研究，以英语、西班牙语和葡萄牙语撰写，内容涵盖个人在通过护士引导的社会支持进行自我管理的项目中的经历。研究结果共纳入了 12 项研究，这些研究均发表于美国、英国和伊朗，重点关注 T2DM 患者自我管理的社会支持，并以慢性病患者护理机构为中心。研究发现，大多数由护士主导的项目都是在发达国家实施的，其主要特点是强调社会认知理论。研究对象的特点是女性居多，年龄在 22 岁以上，受教育程度较低。研究结论这项研究达到了预期目标，表明尽管实施成本低、社会和经济回报高，但这些计划的发展仍很匮乏。研究还强调，有必要进一步研究抑郁和焦虑等情绪水平。
{"title":"Nurse-Led Programs Focusing on Social Support for People with Type 2 Diabetes Mellitus: A Scoping Review","authors":"Isabela Mendonça Rodrigues dos Santos, I. Rolim, Aurean D’Eça Júnior, Maria Almira Bulcão Loureiro, Diogo Matheus Barros da Silva, G. S. G. Lopes","doi":"10.5294/aqui.2024.24.1.2","DOIUrl":"https://doi.org/10.5294/aqui.2024.24.1.2","url":null,"abstract":"Introduction: Nurse-led programs have a determinant role in the engagement of individuals in the self-management of type 2 diabetes mellitus (T2DM), as they contribute to improving quality of life. Self-management assisted by social support is vital, especially as it describes the importance of nurses in promoting health for people with T2DM, as this intervention can help reduce the consequences and progression of the disease. Objective: To map programs focused on nurse-led social support for people with T2DM. Materials and Methods: This is a scoping review in line with the methodological guidelines of the Joanna Briggs Institute. The search descriptors used were “autocuidado” (self-care), “intervenção liderada por enfermeiro” (nurse-led intervention), and “diabetes mellitus tipo 2” (type 2 diabetes mellitus), with searches in the Web of Science, Medline, CINAHL, Capes Theses and Dissertations Catalog, Scopus, JBI Evidence Synthesis, PsycINFO, and the Portuguese Open Access Scientific Repositories databases conducted between February and March 2022. The eligibility criteria were studies published within the last 10 years, in English, Spanish, and Portuguese, covering the individual’s experience in programs focused on self-management through nurse-led social support. Results: A total of 12 studies were included, all of which were published in the United States, England, and Iran, focusing on social support for self-management in people with T2DM, and centered on care facilities for people with chronic diseases. It was found that most nurse-led programs have been implemented in developed countries and that their main characteristic is their emphasis on social cognitive theory. The population was characterized by being mostly women, aged over 22, with a low level of education. Conclusions: The study met the proposed objective by demonstrating that, despite the low implementation cost with high social and economic returns, the development of these programs is still scarce. The need for further studies focusing on emotional levels, such as depression and anxiety, is highlighted.","PeriodicalId":50736,"journal":{"name":"Aquichan","volume":"12 3-4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140490211","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}
Pub Date : 2023-12-21DOI: 10.5294/aqui.2023.23.4.5
Diego José Caicedo Fajardo, Claudia Andrea Ramírez-Perdomo, Liseth Fabiana Sánchez Castro
Introduction: The need for care has increased exponentially in recent years, along with chronic noncommunicable diseases. Caregivers have been predominantly women, although in recent years there has been an increase in the number of men assuming this role. Each of them approaches caregiving differently, shaping their caregiving experience differently from one another. Objective: To identify, through scientific evidence, the meaning of being a caregiver for men and women who assume this role. Methodology: This is an integrative literature review of articles published from 2012 to 2023, following Whittemore and Knafl’s proposal. Keywords in Spanish, English, and Portuguese were used. The databases searched were Scopus, CINAHL, Web of Science, Ovid, and PubMed. Twenty-four articles that met the inclusion criteria were analyzed. Results: The following themes emerged: “Losses and limitations due to the caregiver’s role,” “Feelings experienced by the caregiver,” “Caregiving as an act of love,” and “Transcendence of care: between spirituality and religiosity.” Conclusions: It was found that men focus their care on the person’s comfort, cleanliness, and medication, while women provide care focused on continuous emotional support, assuming this commitment at all times and places, building an experience of care aimed at “always being aware.” In both genders, the onset of stress, loss of meaning in life, and negative feelings are highlighted.
{"title":"Caregiver Experience from the Perspective of Men and Women: An Integrative Review","authors":"Diego José Caicedo Fajardo, Claudia Andrea Ramírez-Perdomo, Liseth Fabiana Sánchez Castro","doi":"10.5294/aqui.2023.23.4.5","DOIUrl":"https://doi.org/10.5294/aqui.2023.23.4.5","url":null,"abstract":"Introduction: The need for care has increased exponentially in recent years, along with chronic noncommunicable diseases. Caregivers have been predominantly women, although in recent years there has been an increase in the number of men assuming this role. Each of them approaches caregiving differently, shaping their caregiving experience differently from one another. Objective: To identify, through scientific evidence, the meaning of being a caregiver for men and women who assume this role. Methodology: This is an integrative literature review of articles published from 2012 to 2023, following Whittemore and Knafl’s proposal. Keywords in Spanish, English, and Portuguese were used. The databases searched were Scopus, CINAHL, Web of Science, Ovid, and PubMed. Twenty-four articles that met the inclusion criteria were analyzed. Results: The following themes emerged: “Losses and limitations due to the caregiver’s role,” “Feelings experienced by the caregiver,” “Caregiving as an act of love,” and “Transcendence of care: between spirituality and religiosity.” Conclusions: It was found that men focus their care on the person’s comfort, cleanliness, and medication, while women provide care focused on continuous emotional support, assuming this commitment at all times and places, building an experience of care aimed at “always being aware.” In both genders, the onset of stress, loss of meaning in life, and negative feelings are highlighted.","PeriodicalId":50736,"journal":{"name":"Aquichan","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138951049","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}
Pub Date : 2023-12-21DOI: 10.5294/aqui.2023.23.4.6
José Uberli Herrera Ortiz, José Ander Asenjo-Alarcón, Aníbal Oblitas Gonzáles
Introduction: Therapeutic adherence for childhood anemia is addressed in health services with unsatisfactory results. Therefore, the implementation of this strategy will favor greater adherence to treatment with ferrous sulfate. Objective: To evaluate the effect of virtual health messages on maternal therapeutic adherence for childhood anemia. Materials and Methods: A pre-experimental and longitudinal study was developed between November and December 2022, in which 24 mothers of children diagnosed with anemia participated. Adherence was determined using a test and inferential analysis through the Wilcoxon test. Results: The mothers were between 18 and 29 years old (50.0 %), of rural origin (66.7 %), who completed primary school (33.3 %), housewives (83.3 %), and cohabitants (79.2 %). In the pre-test, high adherence was observed in social factors (50 %), health personnel (75 %), illness (87.5 %), and person supplementing the ferrous sulfate and the patient (75.5 %). The overall adherence was medium in the pre-test (50.0 %) and high in the post-test (100.0 %). Message reception was high for the overall test (62.6 %), reminder (79.2 %), informational (79.2 %), and motivational (75.0 %) messages. Conclusion: Virtual health messages have a positive effect on maternal therapeutic adherence for childhood anemia (p < 0.05) and their inclusion in primary health services will contribute favorably to obtaining optimal results.
{"title":"Effects of Virtual Health Messages on Maternal Therapeutic Adherence for Childhood Anemia","authors":"José Uberli Herrera Ortiz, José Ander Asenjo-Alarcón, Aníbal Oblitas Gonzáles","doi":"10.5294/aqui.2023.23.4.6","DOIUrl":"https://doi.org/10.5294/aqui.2023.23.4.6","url":null,"abstract":"Introduction: Therapeutic adherence for childhood anemia is addressed in health services with unsatisfactory results. Therefore, the implementation of this strategy will favor greater adherence to treatment with ferrous sulfate. Objective: To evaluate the effect of virtual health messages on maternal therapeutic adherence for childhood anemia. Materials and Methods: A pre-experimental and longitudinal study was developed between November and December 2022, in which 24 mothers of children diagnosed with anemia participated. Adherence was determined using a test and inferential analysis through the Wilcoxon test. Results: The mothers were between 18 and 29 years old (50.0 %), of rural origin (66.7 %), who completed primary school (33.3 %), housewives (83.3 %), and cohabitants (79.2 %). In the pre-test, high adherence was observed in social factors (50 %), health personnel (75 %), illness (87.5 %), and person supplementing the ferrous sulfate and the patient (75.5 %). The overall adherence was medium in the pre-test (50.0 %) and high in the post-test (100.0 %). Message reception was high for the overall test (62.6 %), reminder (79.2 %), informational (79.2 %), and motivational (75.0 %) messages. Conclusion: Virtual health messages have a positive effect on maternal therapeutic adherence for childhood anemia (p < 0.05) and their inclusion in primary health services will contribute favorably to obtaining optimal results.","PeriodicalId":50736,"journal":{"name":"Aquichan","volume":"48 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138948917","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}
Pub Date : 2023-12-19DOI: 10.5294/aqui.2023.23.4.8
Anne Kerollen Pinheiro de Carvalho, Fernando Conceição de Lima, Cláudia Ribeiro Menezes, Dirce Nascimento Pinheiro, Elizabeth Teixeira, Clarissa Porfírio Mendes, Alzinei Simor
Introduction: Assistive technology is aimed at improving the quality of nursing care for patients admitted to oncology intensive care units (ICUs). Objective: To develop a nursing admission form for patients admitted to an oncology intensive care unit. Materials and methods: This is a methodological study conducted in three stages: 1) an integrative literature review to compose the content of the research form, 2) content validation, which included the participation and approval of 15 specialists (nurses) using Pasquali’s concordance validation method, and 3) presentation of the final version of the form. Results: A total of 20 articles were included in the review; the first version of the form was structured based on the thematic synthesis; 15 specialists participated in content validation and, after completion of the instrument, it was found that all the items had a content validation index ≥ 0.85; based on the suggestions, the admission form was organized into blocks of items: identification, brief history, admission conditions, and physical examination, with a total of four items. Conclusions: The nursing survey form for patients admitted to oncology ICUs is suitable for use by the nursing team at the time of patient admission, enabling data recording to support the planning and systematization of care in the oncology ICU setting.
{"title":"Nursing Admission Form for Oncology Intensive Care Unit Patients: Production and Validation","authors":"Anne Kerollen Pinheiro de Carvalho, Fernando Conceição de Lima, Cláudia Ribeiro Menezes, Dirce Nascimento Pinheiro, Elizabeth Teixeira, Clarissa Porfírio Mendes, Alzinei Simor","doi":"10.5294/aqui.2023.23.4.8","DOIUrl":"https://doi.org/10.5294/aqui.2023.23.4.8","url":null,"abstract":"Introduction: Assistive technology is aimed at improving the quality of nursing care for patients admitted to oncology intensive care units (ICUs). Objective: To develop a nursing admission form for patients admitted to an oncology intensive care unit. Materials and methods: This is a methodological study conducted in three stages: 1) an integrative literature review to compose the content of the research form, 2) content validation, which included the participation and approval of 15 specialists (nurses) using Pasquali’s concordance validation method, and 3) presentation of the final version of the form. Results: A total of 20 articles were included in the review; the first version of the form was structured based on the thematic synthesis; 15 specialists participated in content validation and, after completion of the instrument, it was found that all the items had a content validation index ≥ 0.85; based on the suggestions, the admission form was organized into blocks of items: identification, brief history, admission conditions, and physical examination, with a total of four items. Conclusions: The nursing survey form for patients admitted to oncology ICUs is suitable for use by the nursing team at the time of patient admission, enabling data recording to support the planning and systematization of care in the oncology ICU setting.","PeriodicalId":50736,"journal":{"name":"Aquichan","volume":"120 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138959389","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}
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