Browsing by Author "Sousa, Lisete Maria Ribeiro de"
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- Clinical indicators of sexual dysfunction in pregnant women: integrative literature reviewPublication . Carteiro, Dora Maria Honorato; Sousa, Lisete Maria Ribeiro de; Caldeira, Sílvia Maria AlvesObjective: to identify the nursing diagnosis clinical indicators of sexual dysfunction in pregnant women. Method: it is an integrative literature review, with research in databases using the keywords “sexual*”, “pregnan*” and “function*”. Studies included had an abstract available for analysis, referring to pregnant women over 18 years old, written in Portuguese, French, Spanish and English, with publication date between 2010 and 2014. Studies that reporting pregnant women with an associated pathology were excluded. Results: sexual dysfunction in pregnant women is consistent in the literature. Nine defining characteristics were identified and 16 related factors, some not classified in NANDA International. Conclusion: clinical indicators can be added to the nursing diagnosis to favor an accurate diagnosis and effective interventions in the surveillance of pregnancy as a period of healthy sexual experience.
- Disfunção sexual em grávidas no terceiro trimestre de gravidezPublication . Carteiro, Dora Maria Honorato; Caldeira, Sílvia; Sousa, Lisete Maria Ribeiro de
- Propriedades psicométricas do Female Sexual Function Index em grávidasPublication . Carteiro, Dora Maria Honorato; Berenguer, Silvia Maria Alves Caldeira; Sousa, Lisete Maria Ribeiro deIntrodução: A alteração na reposta sexual na grávida pode variar da insatisfação à disfunção. A subjetividade na avaliação da função sexual dificulta o diagnóstico, pelo que instrumentos de mensuração validados assumem uma pertinência relevante (Machado, 2014). O Female Sexual Function Index (FSFI) é um instrumento multidimensional que permite mensurar a função sexual feminina. Da sua aplicação obtemos um valor global e índices específicos para as dimensões desejo, excitação, lubrificação, orgasmo, satisfação e dor (Pacagnella, Martinez, & Vieira, 2009). Objetivos: Avaliar as propriedades psicométricas do FSFI numa amostra de grávidas. Metodologia: Estudo metodológico com uma amostra de conveniência de 306 grávidas, que frequentaram a consulta de enfermagem de saúde materna em 2 Agrupamentos de Centros de Saúde da Administração Regional de Saúde de Lisboa e Vale do Tejo. Os dados foram colhidos através de um questionário que, além dos dados demográficos e saúde, incluiu o FSFI. Foi efetuada análise da consistência interna através do cálculo do coeficiente alfa de Cronbach, avaliação do coeficiente de correlação de Spearman e análise fatorial exploratória. Estudo autorizado e com parecer positivo da comissão de ética. Resultados: Os resultados mostram uma boa consistência interna com um valor do coeficiente alfa de Cronbach para o índice no global de 0,88 e em cada domínio, desejo (0,82); excitação (0,90); lubrificação (0,92); orgasmo (0,89); satisfação (0,66) e dor (0,93). Os resultados obtidos corroboram com Pechorro et al. (2012), num estudo com mulheres portuguesas, onde obtiveram valores semelhantes. Segundo a classificação de Pestana e Velosa (2010), as correlações foram médias e fracas, excitação/desejo (0,61), orgasmo/excitação (0,54), orgasmo/lubrificação (0,53), lubrificação/excitação (0,52), satisfação/ excitação e satisfação/orgasmo (0,51) e dor/desejo (0,23). A análise fatorial identificou os 6 fatores correspondentes às dimensões do índice (excitação, dor, lubrificação, desejo, satisfação e orgasmo) com base no critério que estipula que se devem reter tantos fatores quantos os necessários para se atingir uma percentagem de variância total por eles explicada, superior a 65%. Os 6 fatores explicam 66,4% da variância total. Conclusões: As propriedades psicométricas encontradas são semelhantes às da escala original, o que remete para a sua adequação na avaliação da função sexual durante a gravidez em mulheres portuguesas. Este instrumento constitui um contributo para os profissionais de saúde, nomeadamente aqueles responsáveis pela consulta de enfermagem de vigilância da grávida, na medida em que a sua aplicação pode favorecer uma avaliação mais objetiva de um fenómeno que tem sido descrito como subjetivo e, por vezes, difícil de abordar e mesurar.
- The nursing diagnosis ‘impaired walking’ in elderly: systematic literature reviewPublication . Marques-Vieira, Cristina Maria Alves; Sousa, Luís Manuel Mota de; Sousa, Lisete Maria Ribeiro de; Caldeira, SílviaWalk 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®, SCOPUS and ISI, and using the search strategy walk* OR gait AND Nurs*. A sample of 36 studies was obtained. A total of 17 defined characteristics and 34 related factors were identified. Among all, nine defined characteristics and 20 related factors are not listed in the diagnosis of NANDA International. This research identified new defined characteristics and related factors not listed in NANDA International. This study is a contribution to the development of the taxonomy of NANDA International, which should represent nursing knowledge, and this highlights some implications for clinical practice, education and further research.
- Validation of the falls efficacy scale - international in a sample of Portuguese elderlyPublication . Marques-Vieira, Cristina Maria Alves; Sousa, Luís Manuel Mota de; Sousa, Lisete Maria Ribeiro de; Berenguer, Sílvia Maria Alves CaldeiraOBJECTIVE: to translate and adapt Falls Efficacy Scale - International (FES-I). To analyze the psychometric properties of the FES-I Portugal version. METHOD: psychometric study. Sample consisting of 170 elderly people residing in the Autonomous Region of Madeira. A two- part form was used (sociodemographic characterization and FES-I Portugal). The cross-cultural adaptation was performed and the following psychometric properties were evaluated: validity (construct, predictive, and discriminant), reliability (Cronbach's alpha), and inter-rater reliability. RESULTS: the results allow us to verify a dimension of less demanding physical activities and another of more demanding physical activities. The inter-rater reliability study was 0.62, with an interclass correlation coefficient of 0.859, for a 95% confidence interval. The internal consistency of the Portuguese version was 0.962. CONCLUSION: the validity and reliability of the FES-I Portugal are consistent with the original version and proved to be appropriate instruments for evaluating the "impaired walking" and "risk of falls" nursing diagnoses in the older people.
- Validation of the international 7-item falls efficacy scale in portuguese community-dwelling older adultsPublication . Marques-Vieira, Cristina Maria Alves; Sousa, Luís Manuel Mota de; Baixinho, Cristina Rosa Soares Lavareda; Reis, Maria Gorete Mendonça dos; Pérez-Rivas, Francisco Javier; Sousa, Lisete Maria Ribeiro deObjective: to determine the psychometric properties of the international 7-item Falls Efficacy Scale. Method: a psychometric study. Convenience sample consisting of 170 older adults living in the Madeira Autonomous Region, Portugal. A two-part instrument was used (sociodemographic characterization and the Falls Efficacy Scale-International-Portugal). The starting point was the translation and transcultural adaptation already carried out for the Falls Efficacy Scale – International (16 items). Construct validity (factorial analysis and discriminant validity) and the reliability (Cronbach’s α) of the 7-item scale were evaluated. Previous authorization was obtained from the Ethics Commission and from the people involved. Results: in the exploratory factorial analysis, the International 7-item Falls Efficacy Scale presents an explained variance of 65.8%. The Spearman’s correlation between the score obtained based on the 7 items and the score obtained based on the 16 items is significant and very strong (r=0.987, p<0.0001). Internal consistency was 0.958. Conclusion: the validity and reliability study of the International 7-item Falls Efficacy Scale revealed that it is an adequate scale for the evaluation of the fear of falling in the community-dwelling older adults.