Background Falling is the leading cause of physical disability, mortality and social exclusion in older adults. In Brazil and Portugal, falls cause thousands of hospitalisations every year. Fear of falling (FOF) causes loss of confidence in accomplishing daily tasks, restriction in social activities and increased dependence. Aim To compare the prevalence of FOF between Brazilian and Portuguese community‐dwelling older adults and the factors associated with FOF. Methods A secondary analysis of cross‐sectional survey data collected from older adults residing in Brazil (n = 170; M age=70.44 years) and Portugal (n = 170; M age=73.56 years). Results The prevalence of FOF was significantly higher (p = 0.015) among Portuguese (n = 133, 54.1%) versus Brazilian (n = 113, 45.9%) older adults. FOF among Brazilian older adults was associated with being 76 + years of age and female. Among Portuguese older adults, factors associated with FOF were intake of daily medications, having fallen within the past year, and visual difficulties. Conclusions Fear of falling is linked with modifiable and non‐modifiable factors. Timely assessments of FOF and factors associated with FOF are essential. Implications for practice Primary care nurses should assess and address FOF in older people with interdisciplinary practitioners.
BACKGROUND: Chronic kidney disease patients undergoing hemodialysis have a high symptom burden that contributes to increased suffering and diminishes their quality of life. Cardiovascular, musculoskeletal and psychosocial disorders affect their physical and functional capacity anxiety, stress and depression. AIM: To determine the prevalence of stress/anxiety and depression in people with chronic kidney disease and to verify the association between stress/anxiety and depression with pain and quality of life. METHODS: A cross-sectional, descriptive and correlational study; A random sample of 183 patients who underwent hemodialysis; application of the depression and stress anxiety scale (DASS-21), brief pain inventory (BPI), and Medical Outcomes Study Short-Form 12-Item Health Survey (SF-12). RESULTS: The sample consisted mostly of men (59.6%), married (53.8%), Portuguese nationality (78.7%), mean age 59.17 years (SD ± 14.64), hemodialysis treatment 70.9 months (SD ± 54.2). 76% were retired and 24% had a regular job. The prevalence of stress and anxiety was 24% and depression was 37.2%. CONCLUSIONS: Stress / anxiety and depression are prevalent in people with chronic kidney disease. Stress / anxiety and depression are associated with high levels of pain, which impacts on activities of daily living, presenting low levels of quality of life in the physical and mental components.
Objetivo: Analisar as propriedades psicométricas da versão reduzida da escala portuguesa Positive and Negative Affect Schedule em pessoas com doença renal crónica submetidas a hemodiálise. Métodos: Estudo Psicométrico. Utilizou-se uma amostra aleatória composta por 183 pessoas submetidas a hemodiálise em duas clínicas e um serviço de nefrologia na região de Lisboa, Portugal. Os dados foram recolhidos de maio a junho de 2015. Foram avaliadas as propriedades psicométricas: validade (construto, convergente e preditiva), confiabilidade (α de Cronbach) e estabilidade (teste-reteste). Resultados: A versão reduzida da escala portuguesa Positive and Negative Affect Schedule apresenta duas dimensões distintas de afeto positivo e negativo, confiáveis e estáveis, obtidas por entrevista e por questionário. Conclusões: Verificou-se que a validade e reprodutibilidade da versão reduzida da escala portuguesa Positive and Negative Affect Schedule em pessoas com doença renal crónica são consistentes com a versão original e com a versão da escala portuguesa. Palavras-Chave: Emoções; insuficiência renal crónica; estudos de validação; psicometria; enfermagem. RESUMEN Objetivo: analizar las propiedades psicométricas de la versión reducida de la escala portuguesa Positive and Negative Affect Schedule en personas con enfermedad renal crónica sometidas a hemodiálisis. Métodos: estudio psicométrico. Se utilizó una muestra aleatoria de 183 personas sometidas a hemodiálisis en dos clínicas y un servicio de nefrología en la región de Lisboa, Portugal. Los datos se recolectaron de mayo a junio de 2015. Se evaluaron las propiedades psicométricas: validez (constructo, convergente y predictivo), confiabilidad (α de Cronbach) y estabilidad (test-retest). Resultados: La versión reducida da escala portuguesa Positive and Negative Affect Schedule tiene dos dimensiones distintas de afecto positivo y negativo, siendo confiable y estable, obtenida por entrevista y cuestionario. Conclusiones: La validez y la reproducibilidad de la versión reducida de la escala portuguesa Positive and Negative Affect Schedule en personas con enfermedad renal crónica fueron consistentes con la versión original y la versión de la escala portuguesa.
Introduction: Humour being a widely studied concept, still hasn’t reach consensus in the scientific community. Analysing this concept becomes paramount for a subsequent inclusion in the Nursing Process, competing to improve the quality of care provided. Objectives: To develop a range analysis protocol proposing the mapping of the studies conducted in the context of humor in the field of health care. Methods: This protocol has been structured according to the methodology defined by the Joanna Briggs Institute (JBI). For the construction of the research guiding question, the PCC strategy was adopted: adult people (Population), concept of humor (Concept), health care (Context). The sample will consist of studies that address any of the characteristics inherent in humor, understood as antecedents, attributes, and consequences, regardless of the health context in which they are developed. This research will not be limited in temporal or linguistic terms. Considerable research in online databases (7) will be integrated by bibliographical research. We will also use databases for research grey literature as well consulting aspects in the field of humor to collaborate in the research. Results: The data will be presented in tabular and narrative form. Conclusion: The protocol development allows an understanding of the humor concept in health care, however it is a scoping review which provide a breath but not deep knowledge about humor as topic. Despite this, it is suitable for the definition of a nursing diagnosis.
Objetivo: Avaliar a prevalência de dor crónica e dor intradialítica em pessoas em programa hemodiálise, bem como a eficácia da terapia analgésica. Métodos: Estudo transversal e correlacional. Uma amostra aleatória composta por 183 pessoas submetidos a hemodiálise em duas clínicas e um serviço de nefrologia na região de Lisboa, Portugal. Aplicados Brief Pain Inventory, que analisa a influência da dor na vida da pessoa e Escala Visual Analógica para avaliar a dor intradialítica. Resultados: A amostra foi constituída em sua maioria por homens (59,6%) de nacionalidade portuguesa (78,7%), média de idade de 59,17 anos (± 14,64). A dor crónica ocorre em 56,6% das pessoas e a dor intradialítica em 30,1%. As causas da dor crónica foram musculoesqueléticas (68,7%) e dor associada ao acesso vascular (17,2%). A localização nos membros inferiores foi a mais comum (43,4%). O uso de analgésicos para dor crónica foi elevado (58,2%) e foram ainda utilizados o repouso (24,1%) e massagem/relaxamento (6,3%). O alívio da dor crónica verificou-se em 63% das pessoas, referindo alívio de mais de 50%. Conclusões: A dor de origem musculoesquelética é um sintoma frequente nesta amostra. A utilização de fármacos na gestão da dor crónica foi a estratégia mais aplicada. Descritores: Insuficiência renal crónica; diálise renal; qualidade de vida; dor. RESUMEN Objetivo: Evaluar la prevalencia de dolor crónico y dolor intradiálisis en personas en programa de hemodiálisis, así como la efectividad de la terapia analgésica. Métodos: Estudio transversal y correlacional. Una muestra aleatoria de 183 personas sometidas a hemodiálisis en dos clínicas y un servicio de nefrología en la región de Lisboa, Portugal. Aplicado Brief Pain Inventory, que analiza la influencia del dolor en la vida de una persona y la escala analógica visual para evaluar el dolor intradialítico. Resultados: La muestra consistió principalmente en hombres (59,6%) de nacionalidad portuguesa (78,7%), media de edad de 59,17 años (± 14,64). El dolor crónico ocurre en el 56,6% de las personas y el dolor intradialítico en el 30,1%. Las causas del dolor crónico fueron musculoesqueléticas (68,7%) y dolor asociado con el acceso vascular (17,2%). La ubicación en los miembros inferiores fue la más común (43,4%). El uso de analgésicos para el dolor crónico fue alto (58.2%) y también fueran utilizados reposo (24,1%) y masaje/relajación (6,3%). El alivio del dolor crónico ocurrió en el 63% de las personas, informando un alivio de más del 50%. Avaliação e efetividade da analgesia...
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