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  • A systematic literature review toward the characterization of comfort
    Publication . Pinto, Sara; Caldeira, Sílvia; Martins, José Carlos
    Comfort integrates the taxonomies and the classifications of nursing knowledge. Its meaning is not yet clear, although it is an important construct from which theories are developed. This article aims to analyze comfort in nursing scientific literature. The results highlight a particular interest in comfort at crisis situations such as illness, palliative care, or intensive care. Comforting seems to be a complex intervention. More studies are needed to achieve its operational assimilation and implementation in clinical practice, as well as the evaluation of its efficiency and effectiveness.
  • Childhood obesity and reduction of hours of sleep: results from cross-sectional study
    Publication . Marques, Goreti; Matos, Maria; Afonso, Claúdia; Conceição, Ana Paula da; Martins, Tânia; Pinto, Sara; Festas, Constança; Pinheiro, Ana Rita
    Childhood obesity is a prevalent condition in modern societies which can negatively impact people’s health during life. Although there are several factors contributing to obesity, sleep duration has been pointed out as an important risk factor. This study, held in the district of Porto, Portugal, aimed to analyze the association between sleep duration and the nutritional status of school-aged children studying in Portugal. 1396 students from 35 and 3 public and private schools, respectively, were contacted, of which 829 participated in this study (9.2±0.38 years old; 50.3% male; 49.7% female). Age, sex, sleep duration, height, weight and body composition were registered trough a questionnaire. According to the obtained z-score for Body Mass Index (BMI), 22.9% of the children were overweight and 15.2% were obese. The mean of sleep duration was 9.7±1.08 hours and z-score for BMI was 0.78±1.21, demonstrating a statistically significant (p<0.01) weak negative correlation (r=-0.15) between sleep duration and z-score of BMI. Results were also stratified and analyzed by sex, and the same finding was observed. Therefore, the results suggest a negative association between sleep duration and overweight/obesity in these children. Although more studies are necessary, this finding highlights the need of a global approach which includes sleep assessment and counselling when promoting an appropriate nutritional status.
  • Is impaired comfort a nursing diagnosis?
    Publication . Pinto, Sara Maria Oliveira; Caldeira, Sílvia Maria Alves; Martins, José Carlos
    OBJECTIVE: Discussion of the “Impaired Comfort” nursing diagnosis. METHODS: Discussion paper based on the authors’ ongoing PhD research about the development of comfort as a complex intervention. FINDINGS: When the patient has impaired comfort, the nursing intervention should be specific to the etiological factor. Some arguments are raised about impaired comfort as a nursing diagnosis and the discussion is led about the possibility of the referred diagnosis being considered a syndrome. CONCLUSIONS: New proposals are presented for the nursing classification based on theoretical knowledge development and current scientific evidence. IMPLICATIONS FOR NURSING: The results can contribute to better decision- making and clinical reasoning, namely in terms of the nursing process, and contribute to safer, rational, efficient, and effective nursing care.
  • Cancer, health literacy and happiness: perspectives from patients under chemotehrapy
    Publication . Pinto, Sara; Caldeira, Sílvia; Martins, José Carlos
    Cancer is a dreaded disease that affects all dimensions of human life. In this context, issues related to the quality of life—as happiness, perception about health status, or health literacy—are important. This study aims to analyze the following topics the perception: the Portuguese cancer patients have about their health status while undergoing chemotherapy, the satisfaction with the information relating to their health, their level of happiness, and their vision of the future. An observational, cross-sectional, and descriptive study was developed. Data were collected between May and July 2012 in the day hospital of a central hospital in northern Portugal. The sample was composed of 92 cancer patients who were asked to answer a questionnaire during chemotherapy. The results indicate that, despite this life-threatening disease, patients consider themselves fairly happy and have an optimistic view of the future. Information about their health condition and religious beliefs was important coping mechanisms to help dealing with the suffering caused by the disease. The study highlights the importance of providing care in a holistic way. Nurses must be alert and available to listen, answer questions, provide supporting structures, or refer to other professionals when needed.