This study aimed to investigate the psychometric properties of Trail Making Test (TMT), Continuous Reaction Time (CRT), Finger Tapping Test (FTT), Digit Span Test (DST), and Mini-Mental State Examination (MMSE) in Brazilian patients with metastatic cancer. Cognitive performance of 178 patients with metastatic cancer and 79 controls was assessed using the TMT, CRT, FTT, DST, and MMSE. Discriminant validity, concurrent validity, and reliability (39 patients were retested after 3-7 days) were investigated. Discriminant validity between groups was observed in TMT, DST, and MMSE. Measures of concurrent validity and cognitive performance were positively correlated with physical performance, education level, and better performance on MMSE. Negative correlations were observed between cognitive function, pain, anxiety, and depression. All tests but FTT demonstrated very good reliability. Thus, all neuropsychological tests but FTT showed psychometric properties that permit their use in clinical and research purposes in patients with metastatic cancer.

<p>La calidez es un fenómeno subjetivo fundamental en las relaciones personales. La calidez se contagia y, así, puede ser un factor favorecedor en el cuidado, mas no existe consenso en su definición ni dominios. Medir la calidez es significativo, pues es un predictor de satisfacción usuaria; sin embargo, no se encontraron modos de medirla, lo que motivó esta revisión. <em>Objetivos:</em> Identificar en la revisión teórica comportamientos<br />que representen la calidez del enfermero y operar el constructo calidez en enfermería y variables relacionadas. <em>Método</em>: Revisión integrativa que abarcó la exploración y análisis de la evidencia sobre calidez, la cual corresponde a la primera etapa del proyecto de investigación titulado: <em>Construcción y validación de una escala de medición de la calidez presente en los enfermeros</em>, donde se pretende construir y validar una<br />escala que permita medir este fenómeno. Se revisaron definiciones de calidez en diccionarios, textos y artículos de diversas bases de datos. Los descriptores utilizados fueron: <em>calidez, calidez y enfermería</em>, en español e inglés. Para definir el constructo y sus variables se complementó el modelo de tres fases de Luiz Pasquali con los procedimientos<br />de Ethel Bauzer y Floyd Fowler. <em>Resultados</em>: Se formuló el constructo <em>calidez en enfermería</em>, se identificaron 2 dominios, 28 variables verbales, 9 no verbales y 93 comportamientos. <em>Conclusiones</em>: Los resultados de la fase teórica del modelo aplicado permitieron formular constructo, dominios y variables de <em>calidez en enfermería</em>. Estos aportes son de interés para la gestión del cuidado enfermero y enseñanza, pues<br />se relacionan directamente con la satisfacción usuaria.</p>

Objectives: to verify the effects of hierarchization and in vivo exposure for fear of pain, avoidance of movement, and anxiety in chronic low back pain. Methods: quasi-experimental study. The 27 patients who participated graded the damage associated with the movements in each of the 40 activities of daily living depicted in pictures using a scale from 0 to 100. The patients chose five out of all the activities that received a score higher than 50 to carry out the exposure. The intensities of fear and anxiety were measured before and after each exposure session. Results: the frequencies of the gender were equal, and the mean age was 44.9 years. The activities chosen more frequently for the exposure were shoveling (33.3%) and running (33.3%). There was reduction of fear and anxiety before and after exposure (p<0.001). Conclusions: hierarchization and in vivo exposure were effective in reducing fear and anxiety.

Objective: To compare the relief of symptoms provided by palliative care consultation team (PCCT) compared to the traditional care team (TC), in patients with advanced cancer in the first 48 hours of hospitalization. Method: Allocated to PCCT Group and TC Group, this study assessed 290 patients according to the Edmonton Symptom Assessment System (ESAS) within the first 48 hours of hospitalization. The main outcome was a minimum 2-point reduction in symptom intensity. Results: At 48 hours, the PCCT Group had a 2-point reduction in the mean differences (p <0.001) in pain, nausea, dyspnea, and depression; and TC Group, on nausea and sleep impairment (p <0.001). Multiple Logistic Regression found for the PCCT Group a greater chance of pain relief (OR 2.34; CI 1.01-5.43; p = 0.049). Conclusion: There was superiority of the PCCT Group for pain relief, dyspnea and depression. There is a need for more studies that broaden the understanding of team modalities.