Erika de Cássia Lopes Chaves

Validação do diagnóstico de enfermagem Angústia Espiritual: análise por especialistas

Objective: To validate the nursing diagnosis Spiritual anguish. Methods: Using the methodological framework proposed by Fehring was utilized a semi-structured questionnaire answered by a sample of 72 nurses, to evaluate the title, definition and defining characteristics of the diagnosis Spiritual anguish, as well as the classification in the Taxonomy II North American Nursing Diagnosis Association. Results: The best area to classify the studied diagnosis according to the expert nurses was the Domain 10; however the Domain classes need to be reviewed. Spirituality impaired proved to be a fitting title for the investigated concept. The validation identified seven defining characteristics as important indicators of clinical diagnosis; the feature - is not interested in nature - was considered little relevant. The total score of diagnosis was 0.72, therefore was considered validated. Conclusion: The new proposal submitted to explaining the phenomenon under study was considered relevant. This study may provide insight to validate clinically, diagnostics investigated.Objective: To validate the nursing diagnosis Spiritual anguish. Methods: Using the methodological framework proposed by Fehring was utilized a semi-structured questionnaire answered by a sample of 72 nurses, to evaluate the title, definition and defining characteristics of the diagnosis Spiritual anguish, as well as the classification in the Taxonomy II North American Nursing Diagnosis Association. Results: The best area to classify the studied diagnosis according to the expert nurses was the Domain 10; however the Domain classes need to be reviewed. Spirituality impaired proved to be a fitting title for the investigated concept. The validation identified seven defining characteristics as important indicators of clinical diagnosis; the feature is not interested in nature was considered little relevant. The total score of diagnosis was 0.72, therefore was considered validated. Conclusion: The new proposal submitted to explaining the phenomenon under study was considered relevant. This study may provide insight to validate clinically, diagnostics investigated.

Clinical validation of impaired spirituality in patients with chronic renal disease

This study aimed to identify and validate the defining characteristics of the nursing diagnosis Impaired spirituality. The methodological framework proposed by Fehring for the clinical validation of nursing diagnosis was used. The investigation was carried out in a dialysis clinic and had as participants 120 patients with chronic renal disease. Data were collected by two expert nurses, through interviews. The prevalence of the nursing diagnosis Impaired spirituality in the sample was 27.5%. It was found that the most frequent defining characteristics were Expresses behavioral changes: rage, Inability to express creativity, Questions suffering and Expresses alienation. The clinical validation of Impaired spirituality contributed to refine this diagnosis. Its identification in patients with chronic renal disease undergoing dialysis treatment can offer alternatives for a safer and more effective intervention, aiming at the satisfaction of the spiritual needs of these patients.Este estudio tuvo por objetivo identificar y validar las caracteristicas definidoras del diagnostico de enfermeria espiritualidad perjudicada. Fue utilizado el marco metodologico propuesto por Fehring para validacion clinica del diagnostico de enfermeria. La investigacion se realizo en una clinica de hemodialisis y conto con la participacion de 120 pacientes con enfermedad renal cronica. Los datos fueron recolectados por dos enfermeros especialistas, por medio de entrevistas. La prevalencia del diagnostico de enfermeria espiritualidad perjudicada, en la muestra, fue de 27,5%. Se constato que las caracteristicas definidoras mas frecuentes fueron: expresa alteracion de comportamiento: rabia, es incapaz de expresar creatividad, cuestiona sufrimiento y expresa alienacion. La validacion clinica de espiritualidad perjudicada contribuyo para el refinamiento de ese diagnostico y su identificacion, en pacientes con enfermedad renal cronica en hemodialisis; este puede ofrecer alternativas para una intervencion mas segura y eficaz, con el objetivo de satisfacer las necesidades espirituales de esos pacientes.

Coping religioso/espiritual em pessoas com doença renal crônica em tratamento hemodialítico

The objective of the present study is to investigate the use of religious/spiritual coping mechanisms in patients with chronic kidney disease undergoing hemodialysis, by means of interviews using a sociodemographic questionnaire and the religious/spiritual coping scale. Data analysis was performed using descriptive statistics and multiple linear regression. A total of 123 individuals were interviewed, 79.6% of whom presented a high score for religious/spiritual coping and none of whom presented low or irrelevant scores. The variables that affected the religious/spiritual coping behavior were: gender, age group, treatment time, family income, and religious practice. In conclusion, the participants used religious/spiritual coping mechanisms as a strategy to cope with the disease, particularly women with a higher family income who attend church every week.The objective of the present study is to investigate the use of religious/spiritual coping mechanisms in patients with chronic kidney disease undergoing hemodialysis, by means of interviews using a sociodemographic questionnaire and the religious/spiritual coping scale. Data analysis was performed using descriptive statistics and multiple linear regression. A total of 123 individuals were interviewed, 79.6% of whom presented a high score for religious/spiritual coping and none of whom presented low or irrelevant scores. The variables that affected the religious/spiritual coping behavior were: gender, age group, treatment time, family income, and religious practice. In conclusion, the participants used religious/spiritual coping mechanisms as a strategy to cope with the disease, particularly women with a higher family income who attend church every week.

[Religious/spiritual coping in people with chronic kidney disease undergoing hemodialysis].

The objective of the present study is to investigate the use of religious/spiritual coping mechanisms in patients with chronic kidney disease undergoing hemodialysis, by means of interviews using a sociodemographic questionnaire and the religious/spiritual coping scale. Data analysis was performed using descriptive statistics and multiple linear regression. A total of 123 individuals were interviewed, 79.6% of whom presented a high score for religious/spiritual coping and none of whom presented low or irrelevant scores. The variables that affected the religious/spiritual coping behavior were: gender, age group, treatment time, family income, and religious practice. In conclusion, the participants used religious/spiritual coping mechanisms as a strategy to cope with the disease, particularly women with a higher family income who attend church every week.The objective of the present study is to investigate the use of religious/spiritual coping mechanisms in patients with chronic kidney disease undergoing hemodialysis, by means of interviews using a sociodemographic questionnaire and the religious/spiritual coping scale. Data analysis was performed using descriptive statistics and multiple linear regression. A total of 123 individuals were interviewed, 79.6% of whom presented a high score for religious/spiritual coping and none of whom presented low or irrelevant scores. The variables that affected the religious/spiritual coping behavior were: gender, age group, treatment time, family income, and religious practice. In conclusion, the participants used religious/spiritual coping mechanisms as a strategy to cope with the disease, particularly women with a higher family income who attend church every week.

The use of religious/spiritual coping among patients with cancer undergoing chemotherapy treatment

OBJECTIVE to investigate the use of religious/spiritual coping among people with cancer undergoing chemotherapy. METHODS a quantitative, descriptive and cross-sectional study of 101 patients undergoing intravenous chemotherapy in an oncology outpatients center in a public hospital in Minas Gerais, made in the first semester of 2011. For data collection, an interview was held, using a questionnaire for characterizing the sample and the Brief Spiritual/Religious Coping Scale. RESULTS all subjects made use of religious/spiritual coping (mean=3.67; sd=0.37); the younger individuals, those with no religion and those who consider spiritual support unimportant tend to use coping negatively; individuals who would like to receive spiritual support and who participate in support groups for cancer patients, on the other hand, use coping positively. CONCLUSIONS the study reinforces that religious/spiritual coping is an important strategy for coping with cancer, and contributes to an understanding of the same as a useful tool for spiritual care.OBJETIVO: Investigar o uso do enfrentamento religioso/espiritual por pessoas, com câncer, em quimioterapia. METODOS: trata-se de estudo quantitativo, descritivo e transversal, com 101 pacientes em quimioterapia endovenosa, em ambulatorio de oncologia de hospital publico de Minas Gerais, realizado no primeiro semestre de 2011. Para coleta de dados utilizou-se entrevista empregando-se questionario para caracterizacao da amostra e Escala de Coping Religioso/Espiritual Abreviada. RESULTADOS: todos os sujeitos fizeram uso do coping religioso/espiritual (media=3,67; dp=0,37); houve tendencia para utilizar o coping de forma negativa os individuos mais jovens, sem religiao e que nao consideravam importante o apoio espiritual; ja os individuos que gostariam de receber apoio espiritual e que participavam de grupo de apoio ao paciente com câncer utilizavam o coping de forma positiva. CONCLUSOES: o estudo reforca que o coping religioso/espiritual e importante estrategia de enfrentamento do câncer e contribui para a compreensao do mesmo como ferramenta util para o cuidado espiritual.

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.

Relação entre bem-estar espiritual, características sociodemográficas e consumo de álcool e outras drogas por estudantes

OBJETIVOS: O estudo objetivou avaliar o consumo de alcool e de outras drogas por estudantes de Enfermagem e investigar a relacao entre esse consumo e o bem-estar espiritual e as caracteristicas sociodemograficas/religiosas dos estudantes. METODOS: Trata-se de um estudo epidemiologico, observacional e seccional, realizado com 100 graduandos do curso de Enfermagem de uma universidade do sul de Minas Gerais. A coleta de dados foi realizada no segundo semestre de 2011 e utilizou um questionario sociodemografico, a Escala de Bem-estar Espiritual e o Teste de Triagem do Envolvimento com Alcool, Tabaco e outras Substâncias. O tratamento estatistico dos dados foi realizado utilizando-se a analise univariada, por meio do teste qui-quadrado e analise multipla, por meio da regressao logistica dicotomica. RESULTADOS: O alcool demonstrou ser a substância mais utilizada pelos estudantes (84%), o que, por sua vez, apresentou relacao significativa com a espiritualidade deles, visto que possuir bem-estar espiritual negativo (OR: 3,325; IC95%: 1,059-10,441) e nao ter pratica religiosa frequente (OR: 3,392; IC95%: 1,064-10,811) aumenta as chances de consumo abusivo dessa substância. CONCLUSAO: Iniciativas preventivas ao consumo de drogas psicoativas, vinculadas a pratica de atividades espirituais, podem ser utilizadas como estrategias para a promocao de habitos saudaveis e para a manutencao da saude e tambem como recurso na formacao profissional de estudantes de Enfermagem

Teaching the nursing process to undergraduates with the support of computer technology

Objective: To evaluate the virtual learning environment for the teaching of nursing process to undergraduate students. Methods: This was an exploratory study of cross-sectional design. The population consisted of 42 students divided into groups A and B, with 21 each, randomly selected. Data were collected using the web platform and exercises related to program content, including identifi cation and classifi cation of nursing diagnoses, both in the virtual environment as well as in a printed version. Results: We found a signifi cant association between the variables “has a microcomputer” and “preference for the exercises on the web platform” (p = 0.0044) and between “has a microcomputer” and “Internet access” (p = 0.000001). The majority of the students preferred to perform the exercises in a virtual environment for its convenience, speed and practicality (61.9%). Conclusion: The use of virtual environment for teaching and learning was positively evaluated by students, but the results pointed to the need for adequacies of educational technology resources.Objective: To evaluate the virtual learning environment for the teaching of nursing process to undergraduate students. Methods: This was an exploratory study of cross-sectional design. The population consisted of 42 students divided into groups A and B, with 21 each, randomly selected. Data were collected using the web platform and exercises related to program content, including identifi cation and classifi cation of nursing diagnoses, both in the virtual environment as well as in a printed version. Results: We found a signifi cant association between the variables “has a microcomputer” and “preference for the exercises on the web platform” (p = 0.0044) and between “has a microcomputer” and “Internet access” (p = 0.000001). The majority of the students preferred to perform the exercises in a virtual environment for its convenience, speed and practicality (61.9%). Conclusion: The use of virtual environment for teaching and learning was positively evaluated by students, but the results pointed to the need for adequacies of educational technology resources.

Efficacy of different instruments for the identification of the nursing diagnosis spiritual distress

Neste estudo, visou-se identificar o diagnostico de enfermagem sofrimento espiritual, em 120 pacientes com insuficiencia renal cronica, utilizando-se diferentes instrumentos, e avaliar a eficacia de tais instrumentos no apoio dessa identificacao. Os dados foram coletados separadamente, por dois enfermeiros, por meio de questionario contendo informacoes sociodemograficas e as caracteristicas definidoras de sofrimento espiritual, alem do questionamento direto ao paciente sobre a presenca do diagnostico e os instrumentos: escala de avaliacao da espiritualidade, escala de espiritualidade de Pinto e Pais-Ribeiro e escala de bem-estar espiritual. O estudo encontrou que entre 25,8 e 35,8% dos pacientes possuiam o diagnostico. A avaliacao diagnostica desenvolvida pelos enfermeiros peritos nao apresentou divergencia entre ambos e obteve coeficiente de concordância perfeito (96,7%) com a opiniao do paciente; essa demonstrou concordância substancial com a subescala de bem-estar existencial (83,3%) e com a escala de espiritualidade de Pinto e Pais-Ribeiro (87,5%) que demonstraram ser uteis para a identificacao diagnostica.The study aims to identify the nursing diagnosis Spiritual distress in 120 patients with Chronic Renal Insufficiency, using different instruments, and to evaluate the effectiveness of these instruments in support of this identification. Data were collected separately by two nurses using a questionnaire containing sociodemographic information and the defining characteristics of Spiritual distress, as well as direct questioning to the patient regarding the presence of the diagnosis and the instruments: the Spirituality Rating Scale; Pinto and Pais-Ribeiros Spirituality Scale; and the Spiritual Well-being Scale. The study found that 25.8% to 35.8% of the patients had the diagnosis. The diagnostic evaluation developed by the expert nurses presented no divergence between the two and obtained a perfect concordance coefficient (96.7%) with the opinion of the patient; this demonstrated substantial concordance with the Existential Well-being Sub-scale (83.3%) and with the Pinto e Pais-Ribeiros Spirituality Scale (87.5%), which demonstrated their usefulness for diagnostic identification.

Quality of life, depressive symptoms and religiosity in elderly adults: a cross-sectional study

Quality of life and depression are relevant to the health of the elderly. Studies indicate a positive association between religiosity and health. This study investigated quality of life, depressive symptoms and their relationship with religiosity in the elderly. The study included 287 older people from a unit of the Family Health Strategy. Data were collected by means of the instruments: John Flanagans Quality of Life Scale, the short Geriatric Depression Scale and the Duke University Religion Index. The elderly showed high levels of religiosity, which, according to Pearsons product-moment correlation coefficient, was positively associated with quality of life (p<0.004), but not related to depressive symptoms. Results indicated a high degree of satisfaction among the elderly subjects with their quality of life, whereas 83% showed mild depression. In conclusion, religiosity is related to improvement in quality of life in the elderly. DESCRIPTORS: Nursing. Aging. Quality of life. Depression. Religion.Qualidade de vida e depressao sao relevantes na saude do idoso. Estudos indicam uma associacao positiva entre religiosidade e saude. Este estudo investigou a qualidade de vida, os sintomas depressivos e a relacao destes com a religiosidade em idosos. Participaram do estudo 287 idosos de uma unidade da Estrategia Saude da Familia. Na coleta de dados, utilizaram-se os instrumentos: Escala de Qualidade de Vida de Flanagan, Escala de Depressao Geriatrica Abreviada e Escala de Religiosidade de Duke. Os idosos apresentaram elevado indice de religiosidade, o que, de acordo com o Coeficiente de Correlacao de Pearson, se associou de forma positiva a qualidade de vida (p<0,004), mas nao teve relacao com os sintomas depressivos. Os resultados indicaram alto grau de satisfacao em relacao a qualidade de vida, embora 83% dos idosos tenham apresentado depressao leve. Conclui-se que a religiosidade esta relacionada a melhores indices de qualidade de vida em idosos.