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Cruz Sequeira, Carlos Alberto

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  • Designing a Nurse-Led Program for Self-Management of Substance Addiction Consequences:
    Publication . Seabra, Paulo; Nunes, Inês Robalo; Sequeira, Rui; Sequeira, Ana; Simões, Ana Susete De Abreu; Filipe, Fernando Miguel; Amaral, Paula; Abram, Marissa D.; Sequeira, Carlos
    Therapeutic interventions for people with problematic use of psychoactive substances can help tackle specific needs related to substance addiction consequences. This modified e-Delphi study aimed to establish consensus on a training program for self-management of substance addiction consequences. The study was conducted between February and April 2022, with an experts’ sample of 28 participants in the first round and 24 in the second. A priori consensus criteria were defined for each round. The results revealed a very strong consensus was achieved on the structure of the program and on clinical areas, such as the problematic use of substances, general health knowledge, health-seeking behavior and adherence, self-knowledge and well-being, social role and personal dignity, and family process. Additionally, over 80% participant consensus was achieved on an extensive number of interventions categorized as psychoeducational, psychotherapeutic, socio therapeutic, brief interventions, social skills training, problem solving techniques, relaxation techniques, and counseling. These findings may be able to fulfill a gap concerning structured treatment approaches for people with problematic use of psychoactive substances. Supporting self-management of the consequences of substance addiction and its application can change nurses’ interventions.
  • Reliability and validity of the Positive Mental Health Questionnaire in a sample of Spanish university students
    Publication . Roldán-Merino, J.; Lluch-Canut, M. T.; Casas, I.; Sanromà-Ortíz, M.; Ferré-Grau, C.; Sequeira, Carlos; Falcó-Pegueroles, A.; Soares, D.; Puig-Llobet, M.
    WHAT IS KNOWN ON THE SUBJECT?: In general, the current studies of positive mental health use questionnaires or parts thereof. However, while these questionnaires evaluate aspects of positive mental health, they fail to measure the construct itself. WHAT DOES THIS PAPER ADD TO EXISTING KNOWLEDGE?: The widespread use and the lack of specific questionnaires for evaluating the positive mental health construct justify the need to measure the robustness of the Positive Mental Health Questionnaire. Also six factors are proposed to measure positive mental health. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: The availability of a good questionnaire to measure positive mental health in university students is useful not only to promote mental health but also to strengthen the curricula of future professionals.
  • Infusão endovenosa domiciliar: tecnologias educativas para o cuidado à pessoa com hemofilia
    Publication . Pacheco, Carla Renata da Silva; Primo, Cândida Caniçali; Fioresi, Mirian; Sequeira, Carlos; Nascimento, Luciana de Cássia Nunes; Lopes, Andressa Bolsoni; Sipolatti, Walckiria Garcia Romero
    Objetivo: Elaborar e validar tecnologias educativas para o cuidado domiciliar de pessoas com hemofilia em infusão endovenosa do fator de coagulação. Método: Estudo metodológico, desenvolvido em três etapas: elaboração de tecnologias educativas, avaliação de conteúdo e aparência por juízes e apreciação por pessoas com hemofilia. As tecnologias educativas − cartilha e infográfico − foram elaboradas mediante revisão de literatura. Na etapa de avaliação com juízes, foi utilizada a técnica Delphi em duas rodadas, por meio do Índice de Validade de Conteúdo, concordância superior a 0,80 em relação a clareza de linguagem, pertinência prática e relevância teórica. Na avaliação com o público-alvo, foi considerado o nível de concordância de respostas positivas maior ou igual a 80% nos itens de organização, o estilo de escrita, a aparência e a motivação para a leitura. Resultados: A cartilha apresentou índice de validade de conteúdo global de 0,88 na primeira rodada e 0,98 na segunda; e o infográfico, 0,88 na primeira rodada e 0,97 na segunda. Na apreciação das tecnologias educativas pelo público-alvo, o nível de concordância das respostas positivas foi superior a 80%. Conclusão: Este estudo elaborou tecnologias educativas, cartilha e infográfico, que poderão contribuir com a adesão ao tratamento e promoção do cuidado, por meio de padronização das orientações às pessoas com hemofilia em infusão endovenosa domiciliar.
  • Mental Health Literacy: It Is Now Time to Put Knowledge into Practice
    Publication . Sampaio, Francisco; Gonçalves, Patrícia; Sequeira, Carlos
  • ‘Living Together With Dementia’: preliminary results of a training programme for family caregivers
    Publication . Sousa, Lia; Sequeira, Carlos; Ferré‐Grau, Carme; Graça, Luís
    The aim of this article was to present the preliminary results of a training programme for family caregivers of people with dementia at an early to moderate stage living at home - 'Living Together With Dementia'. In this randomised controlled trial, 27 family caregivers who met the inclusion criteria were recruited from the neurology outpatient consultation clinic of a hospital in the north of Portugal and randomised into two groups (control and experimental) between October 2015 and March 2016. The programme 'Living Together With Dementia' was applied to the participants of the experimental group. The strategies used, overload, difficulties and satisfaction of the caregivers were assessed at three different stages (at the beginning and end of the intervention, as well as at follow-up). For the data analysis, quantitative parametric measures were applied. The Health Ethical Commission of the Hospital Centre approved the study, and its protocol and Helsinki Declaration ethical principles were considered throughout the process. In the final assessment, an improvement in the overload and difficulties was confirmed, as was an increase in the caregivers' satisfaction level and an improvement in coping/problem-solving strategies. In the follow-up stage, the results tended to revert towards those of the initial assessment. The programme 'Living Together With Dementia' appeared to be a major contribution enabling family caregivers of people with dementia, although there is a need to develop an efficacy study using a more substantial sample. The programme contributed to a reduction in the overload and difficulties borne by the family caregivers of people with dementia at an early to moderate stage living at home and to increased caregiver satisfaction.
  • Análise da parametrização nacional do Sistema de Apoio à Prática de Enfermagem - SAPE
    Publication . Silva, Abel; Cardoso, Alexandrina; Sequeira, Carlos; Morais, Ernesto; Bastos, Fernanda; Pereira, Filipe Miguel Soares; Padilha, José Miguel Santos Castro; Cruz, Inês; Oliveira, Manuel Fernando; Brito, Alice; Silva, Maria Antónia; Machado, Natália; Sousa, Paula Cristina; Sousa, P.; Marques, Paulo
  • I Encontro Internacional de Literacia e Saúde Mental Positiva - Conference Proceedings
    Publication . Sequeira, Carlos; Carvalho, Daniel; Soares, Joana; Araújo, Odete; Valentim, Olga; Pires, Regina
  • Nurses' Knowledge and Practices in Cases of Acute and Chronic Confusion: A Questionnaire Survey
    Publication . Sampaio, Francisco M. C.; Sequeira, Carlos
    PURPOSE: This study aimed to describe nurses’ knowledge and practices toward patients with acute or chronic confusion. DESIGN AND METHODS: A cross-sectional design was used, and 249 nurses engaged in clinical practice fulfilled an online self-report questionnaire. FINDINGS: Tools for diagnosing acute confusion/delirium are never used by 57.80%of the nurses. Between 80%and 81%of nursing interventions involvemanaging patients’ physical environment and between 62% and 71% deal with managing communication. Theoretical training in the use of tools for assessing and intervening in cases of confusion was significantly associated with nurses’ knowledge and practices. PRACTICE IMPLICATIONS: These results suggest the need for increased investment in nurses’ training.
  • Modelos de avaliação em saúde mental: entre fatores de risco e fatores de proteção
    Publication . Valente, Geilsa Soraia Cavalcanti; Cortez, Elaine Antunes; Sequeira, Carlos
    Objetivos: Identicar e analisar os modelos existentes de avaliação da saúde mental nas dimensões negativas e/ou positivas. Método: Revisão sistemática de literatura, realizada nas bases Medline, Lilacs e Pubmed. Resultados: Foram selecionados 119 estudos, extraindo-se 63 instrumentos que atendiam ao critério de inclusão, restando 27 instrumentos disponíveis online para acesso livre. Conclusão: A maioria dos instrumentos avalia ou a dimensão negativa ou a positiva. Existem poucos instrumentos que avaliam as duas dimensões concomitantemente o que ratica a relevância da criação de um instrumento que avalie a saúde mental geral que contribua para o cuidado dos indivíduos.