Browsing by Author "Pinto, Igor"
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- Conditioning factors for the development of the self-care competence in the person with a tracheostomyPublication . Queirós, Sílvia; Santos, Célia; Brito, Alice; Pinto, IgorBackground: The development of the self-care competence in the person with a stoma promotes a healthy transition to a life with a stoma. Studies suggest the existence of factors conditioning the development of the ostomy self-care competence. Objectives: To identify the conditioning factors for the development of the self-care competence in the person with a tracheostomy. Methodology: A quantitative, descriptive, and cross-sectional study was conducted in a nonprobability sample composed of 80 participants. Data were collected using the “Assessment Form of the Self-Care Competence in the Person with a Tracheostomy. Results: The conditioning factors for the development of the tracheostomy self-care competence were: being a man, having low schooling, having had an emergency surgery, having a temporary ostomy, and having a caregiver. The postoperative period proved to be a facilitating factor. Conclusion: The recognition of the existence of factors conditioning the development of the tracheostomy self-care competence allows nurses to identify conditions of vulnerability in their patients and adapt their interventions with a view to enhancing their autonomy.
- Desenvolvimento da competência de autocuidado da pessoa com ostomia de eliminação intestinal : validação do formulárioPublication . Pinto, IgorDesenvolvimento da Competência de Autocuidado da Pessoa com Ostomia de Eliminação Intestinal: Validação do Formulário No processo de ensino/aprendizagem para capacitar a pessoa para o autocuidado, o enfermeiro assume um papel significativo no atendimento a pessoas portadoras de ostomia, em especial na identificação das suas necessidades. Este estudo de investigação surgiu com os objetivos de validar o formulário “Desenvolvimento da competência de autocuidado da pessoa com ostomia de eliminação intestinal”, assim como descrever essa mesma competência numa amostra de 225 pessoas do norte do país, portadoras de ostomia ou a aguardar a sua confeção. Trata-se de um estudo quantitativo e metodológico para validação de um instrumento de medida, escrito na língua original e ainda um estudo observacional, descritivo e transversal, onde a variável principal é a competência de autocuidado. No estudo das propriedades psicométricas realizámos o estudo da fidelidade recorrendo à consistência interna, à fidelidade interjuízes e ao teste das duas metades. A análise da validade de constructo foi efetuada utilizando o teste da correlação entre os vários domínios da escala, a análise dos componentes principais e a validade convergente-descriminante dos itens. Para terminar o estudo das propriedades métricas, avaliamos a sensibilidade clínica do instrumento considerando algumas variáveis secundárias, nomeadamente o tipo de ostomia quanto à duração, a existência de prestador de cuidados e os anos de escolaridade. Após a realização dos testes, concluímos que o formulário é um instrumento válido e fiável, no qual podemos assumir como rigorosos os dados recolhidos com a sua aplicação. Considerando o segundo objetivo, comprovamos que este estudo contribuiu para um maior conhecimento da competência de autocuidado da pessoa à ostomia e verificamos que a amostra demonstrou uma competência parcial para esse autocuidado. No entanto, nos domínios da Interpretação e da Tomada de Decisão, a demonstração é inferior, sendo os domínios que apresentam scores médios mais baixos. O presente instrumento mostrou assim ser uma ferramenta vantajosa para um processo de diagnóstico de enfermagem mais rigoroso, completo e personalizado.
- Development of a Form to Assess the Self-Care Competence of the Person with a TracheostomyPublication . Queirós, Sílvia; Santos, Célia; Brito, Alice; Pinto, IgorBackground: The development of the self-care competence in the person with a tracheostomy is described as a key driver for a healthy transition to life with a tracheostomy. An instrument for assessing the self-care competence of the person with a tracheostomy contributes to nurses’ decision-making and promotes the quality of care. Objectives: To develop a tool for assessing the self-care competence of the person with a tracheostomy. Methodology: A methodological study was conducted. Content validity was obtained through the judgment of experts, with a focus group methodology. Reliability was assessed using Cronbach’s alpha coefficient. The instrument was applied to a sample of 80 participants, using a non-probability convenience sampling technique. Results: The study resulted in a form with 39 indicators, divided into 6 areas, which showed good internal consistency (alpha = 0.89) and recognised content validity. Conclusion: The final version of the form is applicable, and has the potential to be used in future studies on its validity.
- Psychometric Properties of the Form Development of Self-Care Competence of the Person with a Bowel Elimination OstomyPublication . Pinto, Igor; Santos, Célia; Brito, Alice; Queirós, SílviaBackground: The use of an instrument to assess the self-care competence in patients with bowel elimination ostomy allows for the systematic identification of their specific needs, ensuring the continuity of nursing care. Although an instrument that assesses the domains that integrate this competence has been developed in Portugal, it has not yet been validated. Objectives: To assess the psychometric properties of the form Development of Self-Care Competence of the Person with a Bowel Elimination Ostomy. Methodology: Methodological study aimed at analyzing the psychometric properties of a measurement instrument, written in Portuguese. Results: The Cronbach’s alpha was 0.95 and the inter-rater reliability showed a correlation greater than or equal to 0.98. A statistically significant correlation was found in the split-half test, as well as in the clinical sensitivity analysis. Conclusion: The form presented good psychometric indicators, which suggests that it is a useful tool to be used in the nursing diagnosis process, thus contributing to the optimization of nursing care.
- Risk factors associated with the development of elimination stoma and peristomal skincomplicationsPublication . Pinto, Igor; Queirós, Sílvia; Queirós, Cármen; Silva, Carla; Santos, Célia; Brito, AliceBackground: Stoma formation leads to changes that are influenced by several factors, namely the presence of stoma and/or peristomal skin complications. It is estimated that 80% of ostomy patients have at least one stoma-related complication throughout their life. Objectives: To identify the risk factors associated with the development of elimination stoma and peristomal skin complications. Methodology: Literature review, based on the methodological strategy of the Joanna Briggs Institute for scoping reviews. A total of 1,492 articles were identified, of which 22 were included for analysis. Results: Most of the risk factors for the development of complications are non-modifiable. Pre and postoperative education, stoma site marking, and follow-up after hospital discharge are some of the nursing-sensitive factors. Conclusion: The identification of risk factors associated with the development of stoma complications allows nurses to early identify patients’ vulnerability indicators and intervene more effectively.