Talita Prado Simão

Effectiveness of prayer in reducing anxiety in cancer patients

OBJECTIVEnTo evaluate the effect of prayer on anxiety in cancer patients undergoing chemotherapy.nnnMETHODnQuasi-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.nnnRESULTSnThe 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).nnnCONCLUSIONnPrayer, 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 OBJECTIVESnTo culturally adapt and test the psychometric properties of the Brazilian version of the Spiritual Distress Scale.nnnBACKGROUNDnIn 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.nnnDESIGNnMethodological and cross-sectional study.nnnMETHODSnCultural 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).nnnRESULTSnReliability 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.nnnCONCLUSIONnThe 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.nnnRELEVANCE TO CLINICAL PRACTICEnThe existence of an internationally validated instrument that assesses spiritual distress will assist healthcare professionals and researchers in recognising this phenomenon in clinical practice.

The contribution of the Rasch Model to the clinical validation of nursing diagnoses: integrative literature review

PURPOSEnTo analyze the knowledge related to the use of the Rasch model in validation of nursing diagnoses.nnnMETHODSnIntegrative literature review with search in LILACS, PUBMED, CINAHL, and SCOPUS.nnnFINDINGSnFive studies comprised the sample, which analyzed unidimensionality, local independence, item calibration, item reliability, separation of items and people, and differential item functioning for analyzing nursing diagnoses.nnnCONCLUSIONSnThe Rasch model seems to be a useful method to validate nursing diagnoses and probably also for the validation of nursing outcomes in the Nursing Outcomes Classification. The use of this model is promising, considering the advantages that it can be used in studies with several methodological designs.nnnIMPLICATIONS FOR NURSINGnMethods that are able to provide more robust evidence of nursing diagnosis validity are needed to support highly accurate diagnostic findings in clinical practice.

Correspondence Between NANDA International Nursing Diagnoses and Outcomes as Proposed by the Nursing Outcomes Classification

The accurate identification of the nursing diagnoses and the corresponding measurement of their indicators will depend on the elements in the standardized language systems.nnnOBJECTIVEnTo analyze the correspondence between elements of four NANDA-I nursing diagnoses and outcomes suggested by the nursing outcomes classification (NOC) for the resolution of these diagnoses.nnnMETHODnA methodological study consisting of cross-mapping was performed in the first stage between definitions, defining characteristics (DCs), and related factors (RFs) of impaired oral mucous membrane, impaired tissue integrity, spiritual distress, and delayed surgical recovery and outcome definitions and indicators to measure results of diagnoses resolution and an analysis of its relevance by experts in the second stage.nnnRESULTSnIt found partial correspondence between outcome indicators, DCs, RFs, and definitions.nnnCONCLUSIONnThe data evidence the relevance of this review for a reliable application of these taxonomies and demonstrated partial correspondence between concepts analyzed. A identificação precisa dos diagnósticos de enfermagem e a medida correspondente dos seus indicadores dependerá dos elementos nos sistemas de linguagem padronizados.

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

OBJECTIVEnTo evaluate the effect of prayer on anxiety in cancer patients undergoing chemotherapy.nnnMETHODnQuasi-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.nnnRESULTSnThe 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).nnnCONCLUSIONnPrayer, 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

OBJECTIVEnTo evaluate the effect of prayer on anxiety in cancer patients undergoing chemotherapy.nnnMETHODnQuasi-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.nnnRESULTSnThe 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).nnnCONCLUSIONnPrayer, 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.