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- Religiosity index and quality of life in the search for better blood pressure controlPublication . Guerra, Grazia Maria; Oliveira, Jefferson Carlos de; Fistarol, Isabela Ribeiro Braga; Vieira, Margarida; Deodato, Sérgio; Tsunemi, Miriam Harume; Bortolotto, Luiz AparecidoSystemic arterial hypertension (SAH) is a chronic non-communicable disease, and currently the relationships between religiosity, physical and mental health have been investigated. The objective of this study was to verify the association of the religiosity index through the DUREL scale with the best control of blood pressure (SBP ≤ 120 and DBP ≤ 80) and quality of life in hypertensive patients. A prospective longitudinal study was conducted with 56 hypertensive patients, who were followed up for 120 days and underwent a 20-day interval nursing visit, in which a counseling program was developed. The instrument for quality of life, the DUREL Religiosity Scale, was applied and Ambulatory Blood Pressure Monitor (ABPM) was performed at the beginning and end of the study. The study involved 30 women (55.6%) and 26 men (44.4%), mean age of 53.9 ± 10 years, mean BMI of 30.3±5 kg/m2, waist circumference (WC)=99.7±5cm; PAS=153.6±28mmHg; DBP=91.6±17mmHg and Heart Rate (HR)=69±13bpm. Regarding BP control (SBP ≤ 120 and DBP ≤ 80), at the end of 120 days, it was observed that only 4 (7.14%) patients controlled their BP by the clinic’s measurement and 25 patients by the measurement of the ABPM, those being 7 (12.5%) in the wake period and 18 (32.1%) in the sleep period. However, there was no association with the Index of Religiosity and quality of life when compared to the control variable of blood pressure. Given the data, it was determined that the religiosity index was not sensitive enough to identify patients with a better control of BP after 120 days of follow-up.
- Tradução e adaptação transcultural do instrumento “Spiritual Assessment Scale” no BrasilPublication . Freitas, Elizangela Oliveira; Vieira, Margarida; Tsunemi, Miriam Harumi; Pessini, Leocir; Guerra, Grazia MariaConsidera-se a espiritualidade parte integrante da assistência de enfermagem. Este estudo objetivou realizar a adaptação transcultural do instrumento “Spiritual Assessment Scale” (SAS) para o Brasil. Foi desenvolvido um instrumento específico para a adaptação transcultural basedo nos estudos de Lynn (escala de Likert). A primeira etapa consistiu na aplicação do instrumento desenvolvido pelos autores para avaliação da SAS com 6 experts da área de Espiritualidade e Enfermagem e com 11 pacientes da unidade de clínica médica, para avaliação do instrumento SAS com 21 questões. Após a realização de testes estatísticos, as questões estavam adequadas para a aplicação na pesquisa, como demonstrado pelo coeficiente alfa de Cronbach, que indicou uma confiabilidade aceitável do instrumento. Pode-se afirmar que em ambos os grupos (expert e pacientes) a consistência interna foi elevada, mantendo as características da escala original, após as etapas de tradução e adaptação para o Brasil.