Camila Csizmar Carvalho

Effectiveness of prayer in reducing anxiety in cancer patients

OBJECTIVE To evaluate the effect of prayer on anxiety in cancer patients undergoing chemotherapy. METHOD Quasi-experimental study, with pre and post-intervention. Twenty patients admitted to treatment of continuous intravenous chemotherapy were recruited. The volunteers were evaluated through interviews using a questionnaire of sociodemographic, clinical and spiritual characteristics, the Index of Religiosity Duke University and the State-Trait Anxiety Inventory. Vital signs were measured and collected salivary cortisol. The intervention was applied prayer and data collection occurred in three phases: first collection (baseline), pre and post-intervention. RESULTS The data found between the pre and post-intervention samples showed different statistically significant for state anxiety (p= <0.00), blood pressure (systolic, p=0.00, diastolic, p=<0.00) and respiratory rate (p=0.04). CONCLUSION Prayer, therefore, proved to be an effective strategy in reducing the anxiety of the patient undergoing chemotherapy.Objetivo: Avaliar o efeito da prece sobre a ansiedade de pacientes com câncer em tratamento quimioterapico. Metodo: Estudo quase experimental com pre e pos-intervencao. Foram recrutados 20 pacientes internados em tratamento de quimioterapia endovenosa continua. Os voluntarios foram avaliados por meio de entrevista, utilizando um questionario de caracteristicas sociodemograficas, clinicas e espirituais, o Indice de Religiosidade da Universidade de Duke – DUREL e o Inventario de Ansiedade Traco-Estado. Foram aferidos os sinais vitais e coletado o cortisol salivar. A intervencao aplicada foi a prece e a coleta de dados ocorreu em tres momentos: primeira coleta (basal), pre e pos-intervencao. Resultados: Os dados encontrados entre as coletas pre e pos-intervencao revelaram diferencas estatisticamente significativas para o estado de ansiedade (p=<0,00), a pressao arterial (sistolica, p=0,00; diastolica, p=<0,00) e a frequencia respiratoria (p=0,04).Conclusao: A prece demonstrou ser uma estrategia eficiente na reducao da ansiedade do paciente em tratamento de quimioterapia.

Cultural adaptation and analysis of the psychometric properties of the Brazilian version of the Spiritual Distress Scale.

AIMS AND OBJECTIVES To culturally adapt and test the psychometric properties of the Brazilian version of the Spiritual Distress Scale. BACKGROUND In Brazil, there is currently a lack of validated instruments that assess the spiritual dimension, which includes the spiritual distress phenomenon that can be experienced at different moments in a persons life. This can include times when a person is affected by a disease such as cancer, which occurs suddenly and causes significant life changes. DESIGN Methodological and cross-sectional study. METHODS Cultural adaptation of the Spiritual Distress Scale was performed using translation and back-translation stages, evaluation of cultural equivalence, committee review and pretesting. An interview using the Brazilian version of the scale was conducted with 170 patients in a cancer treatment unit of a charitable general hospital (not state funded). The following psychometric properties were evaluated: construct validity (divergence and factor analysis) and internal consistency/reliability (Cronbachs α and Kappa). RESULTS Reliability analysis in the intra- and inter-rater phase showed that more than half of the items had Kappa values > 0·75. A correlation between the Spiritual Well-Being Scale and the Spiritual Distress Scale was found. Overall, the Spiritual Distress Scale showed a Cronbachs α of 0·87, with three of its four domains showing significant parameters. CONCLUSION The Brazilian version of the Spiritual Distress Scale proved to be a reliable, valid and efficient instrument that is capable of assessing spiritual distress. The Brazilian Spiritual Distress Scale presented reliability and validity parameters that correspond to the original English version of the scale. RELEVANCE TO CLINICAL PRACTICE The existence of an internationally validated instrument that assesses spiritual distress will assist healthcare professionals and researchers in recognising this phenomenon in clinical practice.

Associação entre Bem-Estar Espiritual e Autoestima em Pessoas com Insuficiência Renal Crônica em Hemodiálise

Este estudo quantitativo teve por objetivo avaliar o bem-estar espiritual e a autoestima de pacientes com insuficiencia renal cronica em tratamento hemodialitico e investigar a relacao entre ambos. Foi desenvolvido em uma unidade de hemodialise de um hospital filantropico do Sul de Minas Gerais, com amostra por conveniencia (N=118), predominância de mulheres e media de idade de 57 anos. A coleta de dados deu-se por meio de entrevista, de outubro a novembro de 2013, com utilizacao do instrumento de caracterizacao sociodemografica, clinica e espiritual, da Escala de Avaliacao da Autoestima de Rosenberg e da Escala de Bem Estar Espiritual. Foi aplicada estatistica descritiva, coeficiente de correlacao de Spearman e o teste de Mann-Whitney. A media de autoestima foi de 31,70, classificada como alta e o bem-estar espiritual, 92,91, classificado como moderado. Houve correlacao estatistica significativa ao nivel de 1%, ou seja, quanto maior foi o nivel de bem estar espiritual encontrado, maior foi a autoestima. Alem disso, quanto maior foi a importância que o individuo denotou a religiosidade/espiritualidade maior foi seu nivel de autoestima e de bem-estar espiritual (p=0,001). Dessa forma, pode-se considerar a espiritualidade como um recurso possivel a ser considerado no enfrentamento da condicao cronica e seu tratamento.

Dieta e políticas de saúde

Food practices have been gaining greater focus worldwide, both on the nutritional deficiencies that bring about malnutrition, as well as on the prevention of obesity. Consequently, this fact increases the responsibility of governments to intervene through different effective actions to solve health problems resulting from poor diet, including public health policy and programs. Aiming to identify and analyze the literature production addressing the existence of policies or programs related to diet, their exclusion or modification, and to suggest new proposals, an integrative review was carried out through the search of IBECS and LILACS databases using the following descriptors in Health Sciences (DECs): diet, health, and policy, with the Boolean indicator AND between each them. The search comprised articles in Portuguese, English and Spanish, with availability of abstracts, published since 2000; dissertations, theses and review articles were excluded from the search. The selection consisted of ten articles, which were divided into two categories and analyzed according to the type of policies or programs adopted. It is possible to observe that, despite the political strategies trying to solve the existing deficiencies in dietary practices, at national or international levels, strategies still need to be adopted by governments, and there is also the need to implement new suggestions and evaluate health policies in search of changes that suit the population.

La efectividad de la plegaria en la reducción de la ansiedad en pacientes con cáncer

OBJECTIVE To evaluate the effect of prayer on anxiety in cancer patients undergoing chemotherapy. METHOD Quasi-experimental study, with pre and post-intervention. Twenty patients admitted to treatment of continuous intravenous chemotherapy were recruited. The volunteers were evaluated through interviews using a questionnaire of sociodemographic, clinical and spiritual characteristics, the Index of Religiosity Duke University and the State-Trait Anxiety Inventory. Vital signs were measured and collected salivary cortisol. The intervention was applied prayer and data collection occurred in three phases: first collection (baseline), pre and post-intervention. RESULTS The data found between the pre and post-intervention samples showed different statistically significant for state anxiety (p= <0.00), blood pressure (systolic, p=0.00, diastolic, p=<0.00) and respiratory rate (p=0.04). CONCLUSION Prayer, therefore, proved to be an effective strategy in reducing the anxiety of the patient undergoing chemotherapy.Objetivo: Avaliar o efeito da prece sobre a ansiedade de pacientes com câncer em tratamento quimioterapico. Metodo: Estudo quase experimental com pre e pos-intervencao. Foram recrutados 20 pacientes internados em tratamento de quimioterapia endovenosa continua. Os voluntarios foram avaliados por meio de entrevista, utilizando um questionario de caracteristicas sociodemograficas, clinicas e espirituais, o Indice de Religiosidade da Universidade de Duke – DUREL e o Inventario de Ansiedade Traco-Estado. Foram aferidos os sinais vitais e coletado o cortisol salivar. A intervencao aplicada foi a prece e a coleta de dados ocorreu em tres momentos: primeira coleta (basal), pre e pos-intervencao. Resultados: Os dados encontrados entre as coletas pre e pos-intervencao revelaram diferencas estatisticamente significativas para o estado de ansiedade (p=<0,00), a pressao arterial (sistolica, p=0,00; diastolica, p=<0,00) e a frequencia respiratoria (p=0,04).Conclusao: A prece demonstrou ser uma estrategia eficiente na reducao da ansiedade do paciente em tratamento de quimioterapia.

A efetividade da prece na redução da ansiedade em pacientes com câncer

OBJECTIVE To evaluate the effect of prayer on anxiety in cancer patients undergoing chemotherapy. METHOD Quasi-experimental study, with pre and post-intervention. Twenty patients admitted to treatment of continuous intravenous chemotherapy were recruited. The volunteers were evaluated through interviews using a questionnaire of sociodemographic, clinical and spiritual characteristics, the Index of Religiosity Duke University and the State-Trait Anxiety Inventory. Vital signs were measured and collected salivary cortisol. The intervention was applied prayer and data collection occurred in three phases: first collection (baseline), pre and post-intervention. RESULTS The data found between the pre and post-intervention samples showed different statistically significant for state anxiety (p= <0.00), blood pressure (systolic, p=0.00, diastolic, p=<0.00) and respiratory rate (p=0.04). CONCLUSION Prayer, therefore, proved to be an effective strategy in reducing the anxiety of the patient undergoing chemotherapy.Objetivo: Avaliar o efeito da prece sobre a ansiedade de pacientes com câncer em tratamento quimioterapico. Metodo: Estudo quase experimental com pre e pos-intervencao. Foram recrutados 20 pacientes internados em tratamento de quimioterapia endovenosa continua. Os voluntarios foram avaliados por meio de entrevista, utilizando um questionario de caracteristicas sociodemograficas, clinicas e espirituais, o Indice de Religiosidade da Universidade de Duke – DUREL e o Inventario de Ansiedade Traco-Estado. Foram aferidos os sinais vitais e coletado o cortisol salivar. A intervencao aplicada foi a prece e a coleta de dados ocorreu em tres momentos: primeira coleta (basal), pre e pos-intervencao. Resultados: Os dados encontrados entre as coletas pre e pos-intervencao revelaram diferencas estatisticamente significativas para o estado de ansiedade (p=<0,00), a pressao arterial (sistolica, p=0,00; diastolica, p=<0,00) e a frequencia respiratoria (p=0,04).Conclusao: A prece demonstrou ser uma estrategia eficiente na reducao da ansiedade do paciente em tratamento de quimioterapia.