IntroductionHeart transplantation is the therapeutic procedure indicated to increase the survival of patients with refractory heart failure. Improvement in overall functioning and quality of life are expected factors in the postoperative period.ObjectiveTo identify and evaluate mental disorders and symptoms, such as depression and anxiety, quality of life and coping strategies in the post-surgical situation of heart transplantation.MethodsA cross-sectional, quantitative study with patients who have undergone heart transplantation. Participants answered to the Sociodemographic Questionnaire, Beck Depression Inventory (BDI-II), Beck Anxiety Inventory (BAI), MINI International Neuropsychiatric Interview, Escala Modos de Enfrentamento de Problemas (Ways of Coping Scale) (EMEP) and World Health Organization Quality of Life-BREF (WHOQOL-BREF). For data analysis, the significance level was considered P≤0.05.ResultsA total of 33 patients participated in the study. The BDI-II results indicated that 91% (n=30) of the patients presented a minimal level. In BAI, 94% (n=31) of the patients demonstrated minimal level of anxiety symptoms. WHOQOL-BREF showed a perception of quality of life considered good in all domains. The EMEP data have registered a problem-focused coping strategy. According to MINI, a single case of major depressive episode, current and recurrent was recorded.ConclusionAlthough most participants in the sample had symptoms of depression and anxiety, only one patient was identified with moderate symptoms in both domains. The most used strategy was coping focused on the problem. Patients have classified the perceptions of quality of life as 'good', pointing out satisfaction with their health.
Stress is a psychological change that is becoming ever more frequent among medical school students than that of the general population, and these stress levels may affect academic performance. When the individual learning style does not fit into the method used by the student's university, the clash may become another stress factor. We evaluated preferred learning styles (Honey-Alonso Learning Styles Questionnaire) and stress levels (Lipp Inventory of Stress Symptoms for Adults) among medical students from two universities in the state of São Paulo that apply different teaching methods. The results showed that and the majority of the students were found to exhibit the reflexive learning style at both schools (60.4% at UNOESTE and 32.7% in FACERES) and high stress levels overall among the students (68.2% at UNOESTE and 74.0% at FACERES) in the resistance phase (81%), and there was a predominance of psychological symptoms of stress over physical symptoms at both universities (75.86% of students at UNOESTE and 86.48% at FACERES). Female students were found to exhibit higher stress levels than their male counterparts (72% and 55%, respectively). However, we didn´t find any statistical association between stress level and learning style. This is the first study to compare stress levels, learning styles, and teaching methodologies at two different medical schools.
Objective(s) To develop a questionnaire that assesses the level of comprehension and decision-making capacity of patients with breast cancer about palliative care and advance care planning. Methods: Questionnaire items were based on the scientific literature. Delphi Consensus, a three-round survey with experts (n = 14), evaluated the relevance, clarity, and redundancies of the items. A pretest with breast cancer patients (n = 15) evaluated whether they comprehended each item and identified doubts or discomforts. Results: The initial questionnaire was composed of 38 items. After the Delphi, 18 items were restructured, six were added, and 16 were removed. In the pretest phase, all items with the survey header, guidelines, and Likert model were evaluated. All items accomplished ≥80% cut-off score and were kept as in the original version. The final version of the questionnaire have 28 itens and five domains: determination, responsibility, independence, self-knowledge, and knowledge of reality. Conclusions: This study represents the first step in the development of a questionnaire that may be used in oncology clinical practice. The main findings revealed that Delphi and pretesting increased the quality of the questionnaire, making it compelling to assess breast cancer patients’ comprehension and decision-making capacity about PC and ACP.
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