Loading...
5 results
Search Results
Now showing 1 - 5 of 5
- Formulário de avaliação da dependência no autocuidadoPublication . Pereira, Soraia; Martins, Teresa; Puga Machado, Paulo AlexandreIntrodução: A avaliação da capacidade de autocuidado da pessoa dependente, com recurso a instrumentos de medida e a avaliação do nível e tipo de dependência, pode possibilitar aos enfermeiros uma melhor compreensão da natureza dos problemas que afetam a dependência e o estabelecimento de um plano de ação orientado para a promoção da autonomia. O presente trabalho apresenta como objetivo o estudo das propriedades psicométricas de uma versão reduzida do Formulário da Avaliação da Dependência no Autocuidado (FADA), constituído por um total de 27 atividades de avaliação, distribuídos por 10 domínios de autocuidado. Metodologia: O método de amostragem utilizado foi o não probabilístico, do tipo acidental. Para além do formulário referido foram ainda utilizados o Índice de Barthel (IB), a Escala de Lawton e Brody (ELB) e a versão em português do instrumento Appraisal of Self-Care Agency Scale (ASA-A). Resultados: A versão reduzida do FADA apresenta relações significativas entre todos os domínios de autocuidado, e entre os instrumentos IB e ELB. Já ao nível do ASA-A não se observaram relações estatisticamente significativas. O formulário apresenta ainda uma elevada fiabilidade, com uma consistência interna traduzida pelo coeficiente de alfa de Cronbach de 0,97. Discussão: O nível de especificação do FADA permite compreender o tipo de dependência que a pessoa possui, e a sua construção feita por domínios específicos de autocuidado e de acordo com a CIPE, permite uma maior relação entre os focos de atenção de enfermagem e seus registos. A versão reduzida do FADA apresenta relações significativas entre todos os domínios de autocuidado, o que nos faz pensar na multidimensionalidade do autocuidado. A versão reduzida do FADA revela-se, pois, um instrumento válido e fiável, ao mesmo tempo que ostenta robustez e um grande poder discriminativo, auxiliando a prática da enfermagem.
- Self‐Care Dependency Evaluation Form: Psychometric properties of the revised version with 27 itemsPublication . Parente, Paulo; Costa, Andreia; Pereira, Soraia; Puga Machado, Paulo Alexandre; Martins, Teresa; Pereira, Filipe Miguel Soares; Silva, AbelAbstract Introduction: The Self-Care Dependency Evaluation Form assesses dependency in performing self-care activities, but its original version is extensive and provides redundant information. The present study aims to scrutinise the items of the scale with the purpose of creating a revised version and to evaluate its psychometric properties. Methods: The study was conducted in two phases. In the first phase, an exploratory and correctional analysis of the items of the original form was performed from a database with 282 participants, followed by a review by a panel of experts who analysed the discriminatory ability and the contribution and relevance of each item, which resulted in the revised version. In the second phase, a new study with a sample comprising 150 participants was conducted to test the psychometric properties of the revised version. All ethical aspects and matters of confidentiality and privacy were assured. Results: The scale with 27 items shows good internal consistency, ranging from 0.67 (taking medication) to 0.96 (walking). It was moderately correlated with the Barthel Index and the Lawton and Brody Scale, proven to be a discriminatory measurement instrument. Discussion/Conclusion: This measure will enable health professionals to better evaluate self-care activities and provide more efficient, simple and effective prescriptions.
- Avaliação da dependência no autocuidado: estudo exploratório do fenómeno em contexto comunitárioPublication . Pereira, Soraia; Martins, Teresa; Machado, Paulo Alexandre PugaThe assessment of the dependent person’s self-care ability, through measurement instruments, and the assessment of the level and kind of dependency, may provide nurses a more assertive method for understand the nature of the problems that affect dependency and for establish an action plan tailored to the development of new practices centered on the dependent person, looking forward to promote autonomy. Within this context, and in order to develop nursing practice in self-care dependency context, this paper serves the goal of the characterization of dependent people in self-care in a community context and the analysis of the different domains of self-care according to sociodemographic and clinical variables. It was used the non-probabilistic sampling method, of the accidental type and for data collection was used the reduced version of the Self-Care Dependency Assessment Form. The results found show that women and the elderly are more dependent, and that the dependence settles mainly gradually. Regarding the level of dependence by self-care domain, the one that registered the highest level of dependence was self-care “taking medication”, followed by “dressing and undressing” and self-care “taking a bath”. The “global level of dependence” has an average of 2.64 and a standard deviation of 0.83, which reveals high degrees of dependence on self-care. With current demographic changes and consequent health needs and their implications for health policy preparation and planning, the measurement and evaluation of the dependent person and their caregiver is becoming increasingly essential, enabling a holistic and adjusted approach.
- Maintaining Effects of Pulmonary Rehabilitation at Home in Chronic Obstructive Pulmonary Disease: A Systematic Literature ReviewPublication . Pinto, Duarte; Spencer, Lissa; Pereira, Soraia; Puga Machado, Paulo Alexandre; Sousa, P.; Padilha, José Miguel Santos CastroTo systematize strategies that may support patients with Chronic Obstructive Pulmonary Disease to maintain the effects of pulmonary rehabilitation over time. This systematic literature review was conducted, and the evidence was electronically searched in the Web of Science, Scopus, and EBSCO databases. This review included randomized controlled clinical trials, published until September 2019, that addressed components of an unsupervised home-based pulmonary rehabilitation program, maintenance strategies following outpatient pulmonary rehabilitation programs, as well as data on outcomes for quality of life, exercise performance, and dyspnea. A final sample of 5 articles was obtained from a total of 1693 studies. Data for final synthesis were grouped into 2 categories: components of unsupervised home-based pulmonary rehabilitation programs and maintenance strategies. An unsupervised home-based pulmonary rehabilitation program should consist of an educational component, an endurance training component, and a strength training component. When patients are transferred to the home environment, it is important to include more functional exercises specifically adapted to the patient’s condition, goals, and needs.
- Avaliação da dependência no autocuidado da pessoa dependentePublication . Pereira, Soraia; Martins, Teresa; Puga Machado, Paulo Alexandre