Loading...
6 results
Search Results
Now showing 1 - 6 of 6
- Mental health, sexuality and old agePublication . Silva, Rosa Carla Gomes da; Candeias, Analisa Lia Silva; Santos, Silvana Sidney Costa; Sá, Luís Octávio de; Araújo, Beatriz RodriguesDuring the aging process, there is the emergence of various human answers in elderly people, and these answers need of a differentiated intervention. Sexuality, sexual health and mental health in elderly people have a relationship that awake the interest of health professionals and nurses. The objectives of this paper are: to understand to what extent sexuality during old age can be a field of attention of nurses; to explore the relationship existing between the experiences of sexuality of elderly people and the mental health; to propose a set of guiding principles for the practice related to this theme. This is a qualitative study from the opinions of nurses who were experts in the context of clinical practice/teaching. Content analysis was used. The corpus of analysis gave rise to categories that allowed us to infer that sexuality in old age is taken as a field that deserves the attention of nurses, and its balanced experience proves to be essential for the promotion and maintenance of mental health. The proposed interventions are focused on demystification, sensitization and empowerment of elderly people towards the information and abilities for the management of behaviors. The experts have considered that, through the nursing action focused on sexuality, sexual health and mental health, the elderly person benefits from effective health gains.
- Death anxiety in palliative care: validation of the nursing diagnosisPublication . Abreu-Figueiredo, Rita Maria Sousa; Sá, Luís Octávio de; Lourenço, Tânia Marlene Gonçalves; Almeida, Sandra Sofia Barbosa Pinto deObjective: To identify the prevalence of the NANDA-I nursing diagnosis of death anxiety among family caregivers of palliative patients and to validate the associated defining characteristics. Methods: This was a cross-sectional, exploratory, and descriptive study using Fehring's clinical diagnostic validity model in a sample of 111 family caregivers of palliative patients. The sensitivity, specificity, and predictive value of the defining characteristics were calculated. Questions formulated to operationalize the defining characteristics were validated by a panel of experts. Results: The prevalence of the diagnosis was 38.7% in the study sample, and 17 defining characteristics were subjected to clinical validation, of which eight emerged from a previous literature review. Of the 17 defining characteristics, nine were classified as primary and eight as secondary. Conclusion: The diagnosis was validated in family caregivers of palliative patients. The clinical validation of new defining characteristics confirmed the need to review these characteristics to ensure their clinical suitability. The prevalence of the diagnosis in the study sample indicates that death anxiety is a relevant phenomenon among family caregivers of palliative patients that professionals should be particularly aware offing order to implement specific interventions to minimize this condition.
- Content validation of an instrument to assess the impact of neurocognitive disorders in the familyPublication . Silva, Mafalda Sofia Gomes Oliveira da; Sá, Luís Octávio deBackground: The diagnosis of a chronic and disabling disease implies profound changes in family dynamics, with increased demands for the provision of nursing care to the family. Objectives: To validate the content of the scale to assess the impact of neurocognitive disorder on the family through the Delphi panel. Methodology: The methodology used was the Delphi method, using a panel of 42 experts in the area to gather consensus about the pertinence and content of a set of items. Data collection and analysis in the first round took place at the beginning of April and the second round at the end of June 2018. Results: Of the 86 items presented to experts, adaptations in 10 items were suggested to make them clearer and easier to understand. The final version consists of 68 items. Conclusion: The results of the study made it possible to find, among experts, the consensus that allows validating the content of the proposal for an instrument to assess the impact of neurocognitive disorders in the family
- Review of nursing diagnosis validation studies: caregiver role strainPublication . Lourenço, Tânia Marlene Gonçalves; Abreu-Figueiredo, Rita Maria Sousa; Sá, Luís Octávio deObjective: To analyze the nursing diagnosis NANDA-I - Caregiver Role Strain validation studies. Methods: Integrative literature review. Research of studies carried out between 2000 and 2018 with the descriptors: caregivers, nursing diagnosis and validation study in the following databases: Web of Science, EBESCOhost, Scielo Brasil and Portugal, LILACS, RCAAP, CAPES, NANDA-I website, and in the bibliographic references of the articles. Articles in Portuguese, English or Spanish were included. Results: The sample consisted of seven validation studies, with heterogeneity in the methodologies used. The populations where the diagnosis was clinically validated focused on caregivers for the elderly and people with chronic illness. The most prevalent defining characteristics were Stress and Apprehension related to the future. Conclusions: This diagnosis requires further validation studies among different populations in search of greater accuracy and a reduction in the number of defining characteristics, facilitating the use of taxonomy.
- Adherence to the therapeutic medication and biopsychosocial aspects of elderly integrated in the home-based long-term carePublication . Monterroso, Lígia Eduarda Pereira; Sá, Luís Octávio de; Joaquim, Natércia Maria TeixeiraObjective: To evaluate the association between the biopsychosocial aspects and the adherence to the therapeutic medication of elderly integrated into the home-based long-term care teams. Methods: A cross-sectional, quantitative study, with a sample of 198 eldery. Interviews took place between May 2012 and May 2013 in Portugal. For therapeutic characterization, the data were collected using two questionnaires and one interview. Data analysis made with the Statistical Package for Social Sciences version 20.0. Descriptive statistics were used to present the results and the Chi-Square test to evaluate the association between variables. Results: It was observed that 49% of the elderly do not adhere to the therapeutic medication and the level of adherence showed a statistically significant association with nutritional status (p = 0.002), instrumental autonomy (p = 0.030) and social isolation (p = 0.046). Conclusions: Due to the multiplicity of aspects involved in adherence, it is suggested that they be considered in the nursing interventions that promote therapeutic control measures.
- Medication adherence in elderly people integrated in the long-term care domiciliary teamsPublication . Monterroso, Lígia Eduarda Pereira; Joaquim, Natércia; Sá, Luís Octávio deTheoretical framework: An increased number of diseases and comorbidities leads to polymedication, which may interfere with Medication Adherence (MA) among the elderly. Objectives: To describe the socio-demographic and economic characteristics of the elderly supported by the Integrated Long-Term Care Teams; characterise the level of MA of the population under study; and identify the variables influencing non-adherence. Methodology: A descriptive/exploratory correlational study, using a quantitative method, was conducted in a sample of 55 elderly people. Results: Sample with 78±7.9 years old, mainly female (69.1%). Using the measurement scale of adherence to treatment, it was found that 72.7% of elderly people did not adhere to the medication treatment and that 83.6% take three or more medicines. Using the Katz index, it was found that 25.5% of seniors were highly dependent. Using the Mini-Mental State Examination, 47.3% patients revealed moderate dementia. Using the Geriatric Depression Scale, 45.5% revealed moderate depression. A statistically significant association was only found between MA and mental status. Individuals with moderate dementia had a lower level of adherence. Conclusion: The low level of MA is influenced by cognitive factors that should be considered while planning interventions to promote the MA among the elderly.