Ângela Taís Mattei

Escala para o cuidado apoiado na atenção primária: um estudo metodológico

OBJECTIVE To develop a predictive scale for determining complications in adults with hypertension and actions for care supported in primary care. METHOD Methodological research developed in the municipality of Curitiba-PR in 2013 and 2014, carried out in two stages, the first through the collection of data from 387 adults with hypertension through a structured interview and anxiety scales, depression, quality of life, medication adherence and social support. The second step was the construction of the scale from the statistically significant variables in the multivariate analysis. RESULTS The scale consisted of age, sex, smoking, time of diagnosis, and risk classification in the health unit, medications in use and depression. Later, through literature review, actions were suggested for supported self-care. CONCLUSION The scale enables identification of factors that may predict the development of complications of hypertension and provides actions to supported care.

Translation and cross-cultural adaptation of the Clinical Competence Questionnaire for use in Brazil

Objetivo: traduzir e adaptar transculturalmente o Clinical Competence Questionnaire aos estudantes brasileiros concluintes da graduacao em enfermagem, bem como mensurar as propriedades psicometricas do questionario. Metodo: estudo metodologico realizado em seis etapas: traducao do instrumento Clinical Competence Questionnaire, consenso das traducoes, retrotraducao, analise pelo comite de especialistas, pre-teste e apresentacao do processo de adaptacao transcultural para os desenvolvedores. As propriedades psicometricas foram mensuradas utilizando-se o alfa de Cronbach, coeficiente de correlacao intraclasse e indice de validade de conteudo. Resultados: o instrumento foi traduzido, adaptado transculturalmente e sua versao final foi constituida de 48 itens. O coeficiente alfa de Cronbach foi de 0,90, e o indice de concordância dos itens foi de 99% para os estudantes e de 98% para os avaliadores. Conclusao: o Clinical Competence Questionnaire foi traduzido e adaptado a estudantes brasileiros, e as propriedades psicometricas da versao em portugues do questionario apresentaram consistencia interna satisfatoria quanto a amostra estudada.ABSTRACT Objective: translating and transculturally adapting the Clinical Competence Questionnaire to Brazilian senior undergraduate Nursing students, as well as measuring psychometric properties of the questionnaire. Method: a methodological study carried out in six steps: translation of the Clinical Competence Questionnaire instrument, consensus of the translations, back-translation, analysis by an expert committee, pre-testing and then presentation of the cross-cultural adaptation process to the developers. Psychometric properties were measured using Cronbachs alpha, intraclass correlation coefficient and content validity index. Results: the instrument was translated, transculturally adapted and its final version consisted of 48 items. Cronbachs alpha coefficient was 0.90, and the agreement index of the items was 99% for students and 98% for evaluators. Conclusion: the Clinical Competence Questionnaire was translated and adapted to Brazilian students, and the psychometric properties of the Portuguese version of the questionnaire presented satisfactory internal consistency regarding the studied sample.

Traducción y adaptación transcultural del Clinical Competence Questionnaire para uso en Brasil

Objetivo: traduzir e adaptar transculturalmente o Clinical Competence Questionnaire aos estudantes brasileiros concluintes da graduacao em enfermagem, bem como mensurar as propriedades psicometricas do questionario. Metodo: estudo metodologico realizado em seis etapas: traducao do instrumento Clinical Competence Questionnaire, consenso das traducoes, retrotraducao, analise pelo comite de especialistas, pre-teste e apresentacao do processo de adaptacao transcultural para os desenvolvedores. As propriedades psicometricas foram mensuradas utilizando-se o alfa de Cronbach, coeficiente de correlacao intraclasse e indice de validade de conteudo. Resultados: o instrumento foi traduzido, adaptado transculturalmente e sua versao final foi constituida de 48 itens. O coeficiente alfa de Cronbach foi de 0,90, e o indice de concordância dos itens foi de 99% para os estudantes e de 98% para os avaliadores. Conclusao: o Clinical Competence Questionnaire foi traduzido e adaptado a estudantes brasileiros, e as propriedades psicometricas da versao em portugues do questionario apresentaram consistencia interna satisfatoria quanto a amostra estudada.ABSTRACT Objective: translating and transculturally adapting the Clinical Competence Questionnaire to Brazilian senior undergraduate Nursing students, as well as measuring psychometric properties of the questionnaire. Method: a methodological study carried out in six steps: translation of the Clinical Competence Questionnaire instrument, consensus of the translations, back-translation, analysis by an expert committee, pre-testing and then presentation of the cross-cultural adaptation process to the developers. Psychometric properties were measured using Cronbachs alpha, intraclass correlation coefficient and content validity index. Results: the instrument was translated, transculturally adapted and its final version consisted of 48 items. Cronbachs alpha coefficient was 0.90, and the agreement index of the items was 99% for students and 98% for evaluators. Conclusion: the Clinical Competence Questionnaire was translated and adapted to Brazilian students, and the psychometric properties of the Portuguese version of the questionnaire presented satisfactory internal consistency regarding the studied sample.

Tradução e adaptação transcultural do Clinical Competence Questionnaire para uso no Brasil

Objetivo: traduzir e adaptar transculturalmente o Clinical Competence Questionnaire aos estudantes brasileiros concluintes da graduacao em enfermagem, bem como mensurar as propriedades psicometricas do questionario. Metodo: estudo metodologico realizado em seis etapas: traducao do instrumento Clinical Competence Questionnaire, consenso das traducoes, retrotraducao, analise pelo comite de especialistas, pre-teste e apresentacao do processo de adaptacao transcultural para os desenvolvedores. As propriedades psicometricas foram mensuradas utilizando-se o alfa de Cronbach, coeficiente de correlacao intraclasse e indice de validade de conteudo. Resultados: o instrumento foi traduzido, adaptado transculturalmente e sua versao final foi constituida de 48 itens. O coeficiente alfa de Cronbach foi de 0,90, e o indice de concordância dos itens foi de 99% para os estudantes e de 98% para os avaliadores. Conclusao: o Clinical Competence Questionnaire foi traduzido e adaptado a estudantes brasileiros, e as propriedades psicometricas da versao em portugues do questionario apresentaram consistencia interna satisfatoria quanto a amostra estudada.ABSTRACT Objective: translating and transculturally adapting the Clinical Competence Questionnaire to Brazilian senior undergraduate Nursing students, as well as measuring psychometric properties of the questionnaire. Method: a methodological study carried out in six steps: translation of the Clinical Competence Questionnaire instrument, consensus of the translations, back-translation, analysis by an expert committee, pre-testing and then presentation of the cross-cultural adaptation process to the developers. Psychometric properties were measured using Cronbachs alpha, intraclass correlation coefficient and content validity index. Results: the instrument was translated, transculturally adapted and its final version consisted of 48 items. Cronbachs alpha coefficient was 0.90, and the agreement index of the items was 99% for students and 98% for evaluators. Conclusion: the Clinical Competence Questionnaire was translated and adapted to Brazilian students, and the psychometric properties of the Portuguese version of the questionnaire presented satisfactory internal consistency regarding the studied sample.

Care models for people with chronic diseases: integrative review

OBJECTIVES To identify the care models and the impact of the use of these in the care of people with chronic diseases reported in the literature in the years 2000 to 2014. METHODS Integrative literature review in which the following guiding question was adopted: Which care models are used in the care of patients with chronic diseases and what impacts can be verified through their application? We consulted the bibliographic databases Virtual Health Library, LILACS, MEDLINE, Spanish Bibliographic Index of Health Sciences and the Database of Nursing. RESULTS The sample consisted of 17 articles on the topic of interest. Three categories emerged from the analysis: health care costs, model-based care experience, and patient autonomy. The articles addressed self-management, case management and care model for people with chronic diseases. The major impacts on the use of the models were: a better relationship between the patient and the health professional, an increase in the autonomy of the person with chronic illness, and a reduction in personal and health care expenditure. CONCLUSIONS The use of care models for people with chronic diseases presents benefits to the patient and to the health system. Nurses must actively participate in the application of these care models of people with this type of illness.

MOTIVOS PARA ADESÃO AO TRATAMENTO MEDICAMENTOSO DA HIPERTENSÃO ARTERIAL

Objetivo: identificar os aspectos relatados pelas pessoas com hipertensao arterial para aderir ao tratamento medicamentoso. Metodologia: pesquisa descritiva de abordagem quantitativa, realizada em um distrito sanitario do municipio de Curitiba, Parana. Os participantes foram 146 adultos hipertensos, com idade entre 18 e 60 anos, considerados aderentes ao tratamento medicamentoso. A coleta de dados foi realizada no domicilio dos participantes, no periodo de maio de 2013 a fevereiro de 2015, mediante uma entrevista semiestruturada e de um instrumento traduzido e publicado em portugues o Brief Medication Questionnaire . Os dados foram tabulados em uma planilha do Microsoft Excel ® e analisados pelo SPSS versao 20.0. Resultados: alguns motivos para adesao a terapeutica foram a ausencia de dificuldades encontradas com a dispensacao da medicacao e problemas causados pelas medicacoes anti-hipertensivas, os individuos lembrarem de fazer uso das medicacoes todos os dias e acreditarem que estas funcionam bem. Conclusoes: os aspectos relatados pelos participantes que favorecem a adesao ao tratamento foram percebidos mediante a utilizacao da escala e por meio destes podem-se propor acoes para a continuidade desse comportamento. Descritores: Hipertensao; Saude do Adulto; Adesao a Medicacao.