Luís Manuel Mota de Sousa

Risk for Falls Among Community-Dwelling Older People: Systematic Literature Review

Objetivo: Identificar fatores de risco de queda em idosos residentes na comunidade para atualizacao da taxonomia II da NANDA Internacional. Metodo: Revisao sistematica da literatura, com pesquisa na plataforma EBSCOHost®, na CINAHL e MEDLINE, no periodo de dezembro de 2010 a dezembro de 2014. Utilizaram-se os descritores (Fall* OR Accidental Fall) AND (Community Dwelling OR Community Health Services OR Primary health care) AND (Risk OR Risk Assessment OR Fall Risk Factors) AND (Fall* OR Accidental Fall) AND (Community Dwelling OR older) AND Nurs* AND Fall Risk Factors. Resultados: Obteve-se uma amostra de 62 estudos e um total de 50 fatores de risco, dos quais, apenas 38 estao presentes na classificacao. Conclusoes: Sao propostas duas novas categorias de fatores: os psicologicos e socioeconomicos. Foram identificados novos fatores de risco de queda dos idosos residentes na comunidade, o que contribui para a atualizacao deste diagnostico na taxonomia II da NANDA Internacional. Palavras-chave: Acidentes por quedas. Fatores de risco. Diagnostico de enfermagem. Idoso.Objective To identify the risk factors for falls of the community-dwelling elderly in order to update the Taxonomy II of NANDA International. Method A systematic literature review based on research using the following platforms: EBSCOHost®, CINAHL and MEDLINE, from December 2010 to December 2014. The descriptors used were (Fall* OR Accidental Fall) AND (Community Dwelling OR Community Health Services OR Primary health care) AND (Risk OR Risk Assessment OR Fall Risk Factors) AND (Fall* OR Accidental Fall) AND (Community Dwelling OR older) AND Nurs* AND Fall Risk Factors. Results The sample comprised 62 studies and 50 risk factors have been identified. Of these risk factors, only 38 are already listed in the classification. Conclusions Two new categories of risk factors are proposed: psychological and socio-economical. New fall risk factors for the community-dwelling elderly have been identified, which can contribute to the updating of this nursing diagnosis of the Taxonomy II of NANDA International.

Nursing diagnosis "impaired walking" in elderly patients: integrative literature review

The impaired walking nursing diagnosis has been included in NANDA International classification taxonomy in 1998, and this review aims to identify the defining characteristics and related factors in elderly patients in recent literature. Integrative literature review based on the following guiding question: Are there more defining characteristics and factors related to the nursing diagnosis impaired walking than those included in NANDA International classification taxonomy in elderly patients? Search conducted in 2007-2013 on international and Portuguese databases. Sample composed of 15 papers. Among the 6 defining characteristics classified at NANDA International, 3 were identified in the search results, but 13 were not included in the classification. Regarding the 14 related factors that are classified, 9 were identified in the sample and 12 were not included in the NANDA International taxonomy. This review allowed the identification of new elements not included in NANDA International Taxonomy and may contribute to the development of taxonomy and nursing knowledge.

THE NURSING DIAGNOSIS 'IMPAIRED WALKING' IN ELDERLY: SYSTEMATIC LITERATURE REVIEW

Caminar es una funcion que requiere diferentes habilidades y puede ser muy complejo sobre todo para las personas mayores. Lo objetivo fue identificar las caracteristicas definitorias y factores relacionados de diagnosticos de enfermeria marcha comprometida en los ancianos. Revision sistematica de la literatura, con busqueda entre enero y marzo de 2014, en las plataformas electronicas EBSCO Host (r) , SCOPUS e ISI, a traves de la estrategia de busqueda walk* OR gait AND Nurs*. Se obtuvo una muestra de 36 estudios. Se identifico 17 y 34 caracteristicas que definen los factores relacionados. Se encontro que los factores 9 y 20 caracteristicas definitorias relacionados no se enumeran en el diagnostico de la NANDA Internacional. Mediante esta Revision fueron identificados nuevos indicadores clinicos y factores relacionados, en relacion a los clasificados hasta la fecha por la NANDA Internacional. Este estudio constituye una contribucion para el desarrollo de la taxonomia NANDA Internacional, que representa el conocimiento en Enfermeria, con implicaciones para la practica clinica, la educacion y las investigaciones futuras.Walk is an activity that requires different skills and can be highly complex particularly for the elderly. The aim was to identify the defined characteristics and related factors of the nursing diagnosis impaired walking in elderly. A Systematic literature review, based on a search done between January and March 2014, in the electronic platforms EBSCO Host ®

O DIAGNÓSTICO DE ENFERMERÍA 'DETERIORO DE LA DEAMBULACIÓN' EN ANCIANOS: REVISIÓN SISTEMÁTICA DE LA LITERATURA

Caminar es una funcion que requiere diferentes habilidades y puede ser muy complejo sobre todo para las personas mayores. Lo objetivo fue identificar las caracteristicas definitorias y factores relacionados de diagnosticos de enfermeria marcha comprometida en los ancianos. Revision sistematica de la literatura, con busqueda entre enero y marzo de 2014, en las plataformas electronicas EBSCO Host (r) , SCOPUS e ISI, a traves de la estrategia de busqueda walk* OR gait AND Nurs*. Se obtuvo una muestra de 36 estudios. Se identifico 17 y 34 caracteristicas que definen los factores relacionados. Se encontro que los factores 9 y 20 caracteristicas definitorias relacionados no se enumeran en el diagnostico de la NANDA Internacional. Mediante esta Revision fueron identificados nuevos indicadores clinicos y factores relacionados, en relacion a los clasificados hasta la fecha por la NANDA Internacional. Este estudio constituye una contribucion para el desarrollo de la taxonomia NANDA Internacional, que representa el conocimiento en Enfermeria, con implicaciones para la practica clinica, la educacion y las investigaciones futuras.Walk is an activity that requires different skills and can be highly complex particularly for the elderly. The aim was to identify the defined characteristics and related factors of the nursing diagnosis impaired walking in elderly. A Systematic literature review, based on a search done between January and March 2014, in the electronic platforms EBSCO Host ®

O diagnóstico de enfermagem ‘andar comprometido’ nos idosos: revisão sistemática da literatura

Caminar es una funcion que requiere diferentes habilidades y puede ser muy complejo sobre todo para las personas mayores. Lo objetivo fue identificar las caracteristicas definitorias y factores relacionados de diagnosticos de enfermeria marcha comprometida en los ancianos. Revision sistematica de la literatura, con busqueda entre enero y marzo de 2014, en las plataformas electronicas EBSCO Host (r) , SCOPUS e ISI, a traves de la estrategia de busqueda walk* OR gait AND Nurs*. Se obtuvo una muestra de 36 estudios. Se identifico 17 y 34 caracteristicas que definen los factores relacionados. Se encontro que los factores 9 y 20 caracteristicas definitorias relacionados no se enumeran en el diagnostico de la NANDA Internacional. Mediante esta Revision fueron identificados nuevos indicadores clinicos y factores relacionados, en relacion a los clasificados hasta la fecha por la NANDA Internacional. Este estudio constituye una contribucion para el desarrollo de la taxonomia NANDA Internacional, que representa el conocimiento en Enfermeria, con implicaciones para la practica clinica, la educacion y las investigaciones futuras.Walk is an activity that requires different skills and can be highly complex particularly for the elderly. The aim was to identify the defined characteristics and related factors of the nursing diagnosis impaired walking in elderly. A Systematic literature review, based on a search done between January and March 2014, in the electronic platforms EBSCO Host ®

Validation of the positive and negative affect schedule in people with chronic kidney disease

Aim: to analyze the psychometric properties of the Portuguese version of the Positive and Negative Affect Schedule scale in people with chronic kidney disease on hemodialysis. Method: this was a methodological study. A random sample of 171 people chronic kidney disease who receive hemodialysis in two clinics in the region of Lisbon, Portugal. Data was collected from May to June 2015. The psychometric properties were evaluated: Validity (construct, convergent and predictive), reliability (Cronbachs α) and stability (test-retest). Results: showed that the Positive and Negative Affect Schedule scale has two distinct dimensions of positive and negative affect, reliable and stable both when obtained by interview or by questionnaire. Conclusion: the validity and reproducibility of the Portuguese version of the Positive and Negative Affect Schedule scale in people with chronic kidney disease are consistent with the original version and the English version of this scale.

Validación del Índice de Bien-estar Personal en personas con enfermedad renal crónica

espanolObjetivo: verificar las propiedades psicometricas del Indice de bien-estar personal (IBP) en personas con enfermedad renal cronica en programa de hemodialisis. Metodo: Se trata de un estudio metodologico. La muestra aleatoria es constituida por 171 personas con Enfermedad Renal Cronica (ERC) sometida a hemodialisis en dos clinicas en la region de Lisboa, Portugal. La recogida de datos fue realizada entre mayo y junio de 2015. Se evaluaron las propiedades psicometricas: validad (constructo, predictiva convergente, y discriminativa), confiabilidad por medio de la consistencia interna (α de Cronbach) y estabilidad (Coeficiente de Correlacion de Spearman-Brown y Coeficiente de Correlacion Intraclasse (CCI)). Resultados: El IBP presenta una dimension ajustada a los datos. La satisfaccion con la salud es lo que mas contribuye para el IBP. Tiene validad convergente con Felicidad Subjetiva y Afecto Positivo y Afecto Negativo. Tiene poder discriminativo en la nacionalidad. El a Cronbach fue de 0,82. Teste Re-teste para cuestionario 0, 92 e CCI= 0,95, para entrevista 0,85 y CCI= 0,89. Conclusiones: La version portuguesa del IBP es valida y reproducible en personas con ERC, tanto por cuestionario como por entrevista. EnglishObjective: to verify the psychometric properties of the Personal Wellbeing Index (PWI) in people with chronic kidney disease on hemodialysis. Method: This is a methodological study. A random sample consisted of 171 people with Chronic Kidney Disease (CKD) who underwent hemodialysis in two clinics in the region of Lisbon, Portugal. Data collection was conducted from May to June 2015. The psychometric properties were evaluated: Validity (construct, convergent predictive and discriminative), reliability through internal consistency (Cronbach α) and stability (Spearman-Brown correlation coefficient and intraclass correlation coefficient (ICC)). Results: PWI has a dimension adjusted to the data set. Satisfaction with health is the largest contributor to the PWI. It shows convergent validity with Subjective Happiness and Positive Affect and Negative Affect. It has discriminative power of nationality. The Cronbach α was 0,82. Retest test for the questionnaire 0, 92 and ICC = 0,95, for the interview 0,85 and ICC = 0,89. Conclusions: The Portuguese version of PWI is valid and reproducible in people with CKD, both by questionnaire and by interview.