Browsing by Author "Domingues, Tiago Dias"
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- Angústia espiritual e bem-estar espiritual em doentes com cancro submetidos a quimioterapiaPublication . Martins, Helga; Caldeira, Sílvia; Domingues, Tiago DiasIntrodução: A espiritualidade é uma dimensão do ser humano relevante na vida das pessoas, sobretudo nos doentes com cancro, que podem manifestar angústia espiritual e ter o seu bem estra espiritual comprometido. Objetivo: Avaliar a angústia espiritual e bem-estar espiritual em doentes com cancro submetidos a quimioterapia. Metodologia: Estudo quantitativo e transversal, desenvolvido num Hospital de dia de Oncologia num centro hospitalar de Portugal. Foram incluídos doentes com cancro a realizar quimioterapia em regime ambulatório; sabendo ler e escrever; com idade igual ou superior a 18 anos. Constituiu-se uma amostra de conveniência com 150 participantes. Os dados foram recolhidos por questionário que incluía o instrumento “Questionário de Bem-estar espiritual” (Gouveia et al., 2009) e a “Escala de angústia espiritual” (Ku et al., 2010), entre julho e outubro de 2018. A análise estatística realizada no SPSS (versão 21). Obteve-se parecer favorável da comissão e ética Resultados: Participantes maioritariamente do sexo feminino (64,7%), com idade superior a 60 anos (55,3%), casados (68,0%), reformados (41,3%), católicos (86,7%), e com o diagnóstico de cancro da mama (35,3%) e colorretal (26,0%). A maioria (64%) obteve scores razoáveis de bem-estar espiritual: 23,3 % com bom, 10,7 % medíocre e 2,0% excelente. Ainda, 49,3% obtiveram scores moderados de angústia espiritual, 44,0 % medíocre e 6,7 % elevado. Conclusão: O bem-estar espiritual foi, maioritariamente, razoável, mas o número de participantes com nível moderado de angústia espiritual deve alertar os enfermeiros para uma avaliação adequada que possa antecipar diagnósticos e planeamento de intervenções, no seio da equipa multidisciplinar.
- Angústia espiritual e envolvimento religioso em pessoas com cancro submetidas a quimioterapia: estudo correlacionalPublication . Martins, Helga; Domingues, Tiago Dias; Caldeira, SílviaIntrodução: O cancro é a segunda causa de morte em Portugal (Ministério da Saúde, 2018). Afeta todas as dimensões do ser humano, nomeadamente a dimensão espiritual (OMS, 2014). As pessoas com cancro podem ter angústia espiritual (Ordons et al., 2018), mas sabendo que a religião católica é a mais frequente entre os portugueses, parece importante determinar o papel do envolvimento religioso nos doentes que vivenciam angústia espiritual. Objetivo: Avaliar a relação entre a angústia espiritual e o envolvimento religioso em pessoas com cancro submetidas a quimioterapia. Método: Estudo quantitativo, prospetivo correlacional. Como critérios de inclusão considerou-se: pessoas com cancro em quimioterapia em regime ambulatório; saber ler e escrever; e idade igual ou superior a 18 anos. A amostra foi de conveniência, composta por 150 participantes. A recolha de dados decorreu entre julho e outubro de 2018, num hospital no sul de Portugal, através de um questionário que incluía a “Escala de Angústia Espiritual” e a “Escala da Crença para Ação”. Utilizou-se o SPSS versão 21.0 para o tratamento dos dados. Obteve-se a autorização da Comissão de Ética da instituição onde decorreu o estudo. Resultados: Os participantes foram maioritariamente mulheres (64,7%), casados (68,0%) e com a idade média de 59,5 anos. A religião predominante foi a Católica (86,7%), e o cancro da mama (35,3%) e colorretal (26,0%) foram os tipos de cancro predominantes. Verificou-se que 49.3% dos participantes apresentaram scores moderados de angústia espiritual, 44.0% com baixo, e 6,7% elevados. Quanto ao envolvimento religioso o score médio foi de 29,5 o que significa que o envolvimento religioso apresentou valores baixos. Foi estabelecida uma correlação significativa negativa fraca entre a angústia espiritual e o envolvimento religioso (coeficiente de Pearson de 0,3). Conclusão: Contatou-se uma relação negativa entre o envolvimento religioso e a angústia espiritual, apesar de fraca. Estes resultados apontam para a necessidade da englobar as crenças espirituais e religiosas na abordagem holística aos doentes oncológicos, particularmente nos que são religiosos.
- Attitudes and behaviors towards vaccination in Portuguese nursing studentsPublication . Marques-Vieira, Cristina Maria Alves; Domingues, Tiago Dias; Tholl, Adriana Dutra; Nitschke, Rosane Gonçalves; Pérez-Rivas, Francisco Javier; Ajejas-Bazán, María Julia; Roquette-Viana, Maria ClaraKnowing the attitudes and behaviors of nursing students in relation to vaccination is important because they will soon be determinant for the health literacy of the population. Vaccination remains the most effective response in the fight against communicable diseases, including COVID-19 and influenza. The objective of this study is to analyze the attitudes and behaviors of Portuguese nursing students with regard to vaccination. A cross-sectional study was carried out, with data collection from nursing students at a university in Lisbon, Portugal. A sample of 216 nursing students was obtained, representing 67.1% of the students enrolled in this university. What stands out from the results of the questionnaire “Attitudes and Behaviors in Relation to Vaccination among Students of Health Sciences” is that for the majority of students the answers were positive; in addition, 84.7% had a completed vaccination schedule for COVID-19. Being a nursing student, being in the final years of the course and being a woman are the factors that most influence the positive attitude of the students. The results obtained are motivating, because these students will be the future health professionals most likely to integrate health promotion programs through vaccination.
- Avaliação das características definidoras do diagnóstico de enfermagem angústia espiritual em mulheres com cancro de mama: estudo transversalPublication . Martins, Helga; Domingues, Tiago Dias; Vieira, Margarida; Caldeira, Sílvia
- Religious commitment in cancer patients: a cross- sectional studyPublication . Martins, Elga; Domingues, Tiago Dias; Vieira, Margarida; Caldeira, Sílvia
- Religious commitment in cancer patients: a cross-sectional studyPublication . Martins, Helga; Domingues, Tiago Dias; Vieira, Margarida; Caldeira, SílviaBackground/aims: Patients who go through the experience of having cancer usually face a difficult and stressful time. Religion and spirituality are coping strategies that these patients often use to overcome this life event. The aim of this study is to assess religious commitment among cancer patients. Methods: Cross-sectional and prospective study, conducted in a hospital in the south of Portugal. Data collection was conducted between February and June, 2019. Patients with 18 years old and over with all types of cancer were considered eligible to participate. A random sampling technique was implemented to recruit the participants. Data collection instrument was a questionnaire that took 10 minutes to fill, and included the Portuguese version of Belief into Action Scale (BIAC) to assess religious commitment. BIAC is composed of nine items and the scores ranged between 9 and 90. The data was analyzed using SPSS 23. The study was approved by the Ethics Committee of the institution where the study was conducted. Results: A total of 278 participants were included (females n=164, 59 %; males n=113 41%); age mean was 60.47 years old (±SD 11.59); amplitude ranged between 27 to 83; 94.4 % had a religious affiliation and the majority were Christian. The BIAC mean total score was 26.63 (±SD 12.56). However, females (Mean= 29.33, SD= ±12.47) scored higher religious commitment than males (Mean= 22.76, SD=±11.76). Cronbach Alpha was 0.85, which showed a good internal reliability. The item with the lowest score was item 3 (Mean=1.51) and the highest item 4 (Mean=6.27). Conclusions: Although the scores of religious commitment were not high, the religious and spiritual dimension of cancer patients is a crucial dimension in dealing with this life-threatening disease, especially in female patients. Healthcare providers should increase awareness of patients’ religious and spiritual practice and belief in order to promote and enhance holistic care.
- Spiritual distress in women with breast cancer: a cross-sectional studyPublication . Martins, Elga; Domingues, Tiago Dias; Vieira, Margarida; Caldeira, Sílvia
- Spiritual distress in women with breast cancer: a cross-sectional studyPublication . Martins, Helga; Domingues, Tiago Dias; Vieira, Margarida; Caldeira, SílviaBackground/aims: Breast cancer is the leading cause of cancer in women and the second most common cancer overall (Bray et al., 2018). Cancer affects all dimensions of patients’ life and is a condition for spiritual distress, that is expressed by cancer patients as suffering and related to lack of meaning in life. The aim of this study is to assess spiritual distress in women with breast cancer. Methods: Cross-sectional and prospective study, using a random sample of women with breast cancer undergoing chemotherapy. Participants from a south hospital in Portugal were invited to participate in this study and fulfilled a questionnaire comprising the “Spiritual Distress Scale” (SDS). This scale is composed of 30 items and scores range between 30 and 120. Data collection was performed from February to June, 2019. Statistical analysis was performed using SPSS 23. Ethical approval was obtained from the institution. Results: Participants were 102 women; mean age of 60.29 (sd=± 11.37); 62% were married; with a religious affiliation (96.8%); and with stage III (45.1%) and stage II of breast cancer (33.3%). The mean score of SDS was 56.61 (sd=± 14.24). In this study 39% women with breast cancer experienced moderate spiritual distress and 4% experienced high levels of spiritual distress. Cronbach’s Alpha was 0.90. Conclusions: Women with breast cancer experience spiritual distress at some level. The scores of the SDS are calling for an urgent inclusion of spiritual care, that could include the assessment, diagnosis, intervention and assessing the outcomes. Also, this scale is a reliable instrument to be used in nursing care aiming to assess spiritual distress and to drive nursing intervention. The inclusion of spirituality could be, then, facilitated by nurses using this scale and including in nursing records.
- Spiritual well-being and religious commitment of cancer patients under chemotherapyPublication . Martins, Helga; Domingues, Tiago Dias; Caldeira, Sílvia
- Validation of the Belief Into Action Scale (BIAC) in Portuguese cancer patients receiving chemotherapyPublication . Martins, Helga; Caldeira, Sílvia; Domingues, Tiago Dias; Vieira, Margarida; Koenig, Harold G.Background: A large proportion of the world's population have religious beliefs, with 84.0% indicating an affiliation with a specific religious group. Few comprehensive measures to assess religious involvement currently exist in Portugal, particularly for the assessment of religiosity in cancer patients. Objective: To translate, adapt, and validate the 10-item Belief Into Action Scale (BIAC) in Portuguese cancer patients undergoing chemotherapy. Method: The methodological guidelines provided by Sousa and Rojjanasrirat were used to examine the psychometric properties of the BIAC. Results: The linguistic and conceptual equivalence of the scale was determined. The internal consistency was acceptable (Cronbach's alpha = .86). Varimax rotation with Kaiser normalization identified two factors made up of nine items. Conclusion: The European Portuguese version of the BIAC is a reliable and valid measure for assessing religiosity in cancer patients receiving chemotherapy to provide holistic care.