Nurseostomy: an instrument for Nursing assessment of individuals with intestinal ostomy in a hospital setting / Nurseostomy: instrumento para avaliação de Enfermagem à pessoa com estomia intestinal em ambiente hospitalar

Objective: To describe the process of construction and validation of Nurseostomy, a nursing assessment instrument for individuals with intestinal ostomy in a hospital setting. Method: This is a methodological study developed following the recommendations of the Brazilian Consensus on Care for Adults with Elimination Ostomies to support the construction of the assistive technology and the validation of content, structure, and appearance with experts. The tool was developed using Microsoft Word®. The study participants were 17 stoma care nurse experts. Data collection took place between October and November 2022 using a Google Forms questionnaire. For data analysis, the Content Validity Index (CVI) was used, with a minimum agreement value of 0.8. Results: An instrument consisting of seven domains was developed according to the Wanda de Aguiar Horta theoretical framework. The global CVI was 0.91. Conclusion: The instrument was considered validated in all three axes (content, structure, and relevance) and shows potential for external validation and the development of clinical research. (AU)

Objetivo: Descrever o processo de construção e validação do Nurseostomy, instrumento de Enfermagem para avaliação da pessoa com estomia intestinal em ambiente hospitalar. Método: Trata-se de um estudo metodológico desenvolvido por meio das recomendações do Consenso Brasileiro de Cuidados às Pessoas Adultas com Estomias de Eliminação, para embasar a construção da tecnologia assistencial e a validação de conteúdo, estrutura e aparência com juízes. A ferramenta foi desenvolvida com o programa Microsoft Word®. Os participantes do estudo foram 17 juízes estomaterapeutas com expertise na área em estudo. A coleta de dados ocorreu entre outubro e novembro de 2022 mediante formulário do Google Forms. Para análise dos dados, utilizou-se o Índice de Validação de Conteúdo (IVC), com valor de concordância mínimo de 0,8. Resultados: Foi elaborado instrumento composto de sete domínios, de acordo com o referencial teórico Wanda de Aguiar Horta. O IVC global foi de 0,91. Conclusão: O instrumento foi considerado validado nos três eixos (conteúdo, estrutura e relevância), e apresenta potencial para validação externa e desenvolvimento de pesquisas clínicas. (AU)

Objetivo: Describir el proceso de construcción y validación del Nurseostomy, un instrumento de enfermería para la evaluación de personas con estomía intestinal en ambiente hospitalario. Método: Se trata de un estudio metodológico desarrollado a través de las recomendaciones del Consenso Brasileño de Cuidados a Personas Adultas con Estomías de Eliminación, para apoyar la construcción de la tecnología de atención y la validación de contenido, estructura y apariencia con los jueces. La herramienta se desarrolló a través del programa Microsoft Word®. Los participantes del estudio fueron 17 jueces estomaterapeutas expertos en el área estudiada. La recogida de datos se realizó entre octubre y noviembre de 2022 mediante un formulario de Google Forms. Para el análisis de los datos, se utilizó un índice de validez de contenido (IVC), con un valor mínimo de acuerdo de 0,8. Resultados: Se elaboró un instrumento compuesto por siete dominios, de acuerdo con la referencia teórica de Wanda Aguiar Horta. El IVC global fue de 0,91. Conclusión: Se concluye que el instrumento fue considerado valido en los tres ejes (contenido, estructura y relevancia), y presenta potencial para la validación externa y el desarrollo de la investigación clínica. (AU)

Nivel de conocimiento sobre educación y autocuidado de los pies en pacientes con Diabetes Mellitus que reciben atención multidisciplinaria

Introducción: Educación y autocuidado son pilares en el tratamiento de la Diabetes Mellitus (DM) y prevención de complicaciones como la enfermedad del pie relacionada a la diabetes (EPRD). Objetivo: Determinar el nivel de conocimiento de DM y el autocuidado de los pies en pacientes con DM tipo 2. Materiales y métodos: Estudio observacional descriptivo, prospectivo, corte transversal; realizado en pacientes adultos con DM tipo 2, que acudieron a consulta endocrinológica y podológica en Hospital Central del Instituto de Previsión Social, en un periodo de 9 meses, desde setiembre 2022 a junio 2023. Tras al menos 2 consultas en cada especialidad, se solicitó el llenado de los cuestionarios DKQ24 y APD-UMA para evaluar conocimiento sobre DM y autocuidado de los pies respectivamente. Resultados: Se incluyó a 103 pacientes, 57% mujeres, 63±11 años de Diabetes, 14±8,45; 29% educación primaria, índice de masa corporal 30,56±5,31, hipertensión arterial 83,5%, 11,6% tabaquistas, retinopatía 35,9%, pérdida de la sensibilidad protectora (PSP) en pies 53,4%, enfermedad arterial periférica 20,4%, deformidades 49,5% y lesiones previas 27,2% en pies; amputación menor 2,9%, amputación mayor 1 %. HBA1c media 8% (±1,3), clearence de creatininia 78,2 mg/dL/m2 (±21,42). Niveles de conocimiento: bueno 68 (66%), regular 34 (33%) y escasos 1(1%). Autocuidado de los pies: promedio de respuestas entre muy adecuadas y adecuadas: 87,4 (84,8%), regular: 9,4 (9,2%); entre inadecuadas y muy inadecuadas 7 (6,8%). Conclusión: Los pacientes con DM2 que acuden a consulta multidisciplinaria tienen un alto conocimiento sobre su patología y autocuidado de los pies, lo que ayudaría a la prevención de complicaciones, teniendo en cuenta que son un grupo de riesgo para EPRD.

Introduction: Education and self-care are pillars in the treatment of Diabetes Mellitus (DM) and prevention of complications such as diabetes-related foot disease (DPERD). Objetive: Determine the level of knowledge of DM and foot self-care in patients with type 2 DM. Materials and methods: Descriptive, prospective, cross-sectional observational study; performed in adult patients with type 2 DM, who attended an endocrinological and podiatric consultation at the Central Hospital of the Institute of Social Security, in a period of 9 months, from September 2022 to June 2023. After at least 2 consultations in each specialty, a filling out the DKQ24 and APD-UMA questionnaires to evaluate knowledge about DM and foot self-care respectively. Results: 103 patients were included, 57% women, 63±11 years of Diabetes, 14±8.45; 29% primary education, body mass index 30.56±5.31, high blood pressure 83.5%, 11.6% smokers, retinopathy 35.9%, loss of protective sensitivity (PSP) in feet 53.4%, peripheral arterial disease 20.4%, deformities 49.5% and previous injuries 27.2% in the feet; minor amputation 2.9%, major amputation 1%. HBA1c mean 8% (±1.3), creatinine clearance 78.2 mg/dL/m2 (±21.42). Knowledge levels: good 68 (66%), regular 34 (33%) and poor 1 (1%). Foot self-care: average of responses between very adequate and adequate: 87.4 (84.8%), regular: 9.4 (9.2%); between inadequate and very inadequate 7 (6.8%). Conclusion: Patients with DM2 who attend multidisciplinary consultation have an elevated level of knowledge about their foot pathology and self-care, which would help prevent complications, considering that they are a risk group for EPRD.

The effect of Orem self-care model on the improvement of symptoms and quality of life in patients with diabetes: A scoping review / Efecto del modelo de autocuidado de Orem en el mejoramiento de los síntomas y en la calidad de vida de pacientes con diabetes: Una revisión de alcance / Efeito do modelo de autocuidado de Orem na melhora dos sintomas e na qualidade de vida de pacientes com diabetes: uma revisão de escopo

Objective: to evaluate the association of Orem self-care model improvement of symptoms and quality of life in patients with diabetes. Methods. A scoping review was carried on bibliographic databases: PubMed-Medline, Scopus, SID and Magiran. The inclusion criteria encompassed studies examining the impact of the Orem self-care model on diabetic patients. Studies considered for inclusion needed to have full-text availability and be written in either English or Persian, with key words including "Models", "Nursing", "Quality of Life", and "Diabetes Mellitus". CONSORT checklist and STROBE statement were selected for quality assessment. Results. A total of 9 studies were included, all using quantitative methodology and focusing on adults or older adults. The majority of articles focused on quality of life and diabetic symptoms. 8 studies showed positive outcomes after implementation of the model. The findings indicate that this model led to an enhanced level of self-efficacy, improved quality of life, and better self-care practices among diabetic patients.Conclusion.Orem self-care model can reduce the diabetic symptoms and improve the quality of life, self-efficacy and self-care in these patients.

Objetivo. Evaluar la asociación del modelo de autocuidado de Orem en el mejoramiento de los síntomas y en la calidad de vida en pacientes con diabetes. Método. Se realizó una revisión de alcance empleando las bases bibliográficas PubMed-Medline, Scopus, SID y Magiran. Los criterios de inclusión abarcaron estudios que examinaran el impacto del modelo de autocuidado de Orem en pacientes diabéticos. Los estudios considerados para su inclusión debían tener disponibilidad de texto completo y estar escritos en inglés o persa, con palabras clave como: "Models", "Nursing", "Quality of Life" y "Diabetes Mellitus". Se utilizaron para la evaluación de la calidad de los estudios la lista de comprobación CONSORT y la declaración STROBE. Resultados. Se incluyeron un total de 9 estudios, todos ellos con metodología cuantitativa y centrados en adultos y en ancianos. La mayoría de los artículos se estudiaron la calidad de vida y los síntomas diabéticos. 8 estudios mostraron resultados positivos tras la aplicación del modelo de Orem. Los hallazgos indican que este modelo condujo a un mayor nivel de autoeficacia, mejor calidad de vida y mejores prácticas de autocuidado entre los pacientes diabéticos. Conclusión.El modelo de autocuidado de Orem puede ayudar a disminuir los síntomas diabéticos y mejorar la calidad de vida, la autoeficacia y el autocuidado en estos pacientes.

Objetivo. Avaliar a associação do modelo de autocuidado de Orem na melhora dos sintomas e na qualidade de vida de pacientes com diabetes. Métodos. Foi realizada uma revisão de escopo usando os bancos de dados PubMed-Medline, Scopus, SID e Magiran. Os critérios de inclusão incluíram estudos que examinaram o impacto do modelo de autocuidado de Orem em pacientes diabéticos. Os estudos considerados para inclusão tinham que estar disponíveis em texto completo e escritos em inglês ou persa, com palavras-chave como: "Models", "Nursing", "Quality of Life" e "Diabetes Mellitus". A lista de verificação CONSORT e a declaração STROBE foram usadas para avaliar a qualidade dos estudos. Resultados. Foram incluídos 9 estudos, todos com metodologia quantitativa e com foco em adultos e idosos. A maioria dos artigos estudou a qualidade de vida e os sintomas diabéticos. Oito estudos mostraram resultados positivos após a aplicação do modelo de Orem. Os achados indicam que esse modelo levou a um nível mais alto de autoeficácia, melhor qualidade de vida e melhores práticas de autocuidado entre os pacientes diabéticos. Conclusão. O modelo de autocuidado de Orem pode ajudar a diminuir os sintomas da diabetes e melhorar a qualidade de vida, a autoeficácia e o autocuidado desses pacientes.

Efecto de un programa de autocuidado en hábitos de vida saludable con relación a la obesidad en personal de salud de una institución de tercer nivel / Efeito de um programa de autocuidado nos hábitos de vida saudáveis em relação à obesidade em profissionais de saúde de uma instituição terciária / Effect of a self-care program on healthy lifestyle habits in relation to obesity in health personnel of a tertiary institution

Introducción. A nivel mundial, la obesidad es considerada como un problema de salud pública debido a que afecta a la población de todas las edades, incluso al mismo personal que trabaja en instituciones de salud, situación que repercute en su ámbito personal, familiar, pero sobre todo laboral, causando en el trabajador dificultad para realizar algunos procedimientos, ausentismo laboral, discapacidad parcial o total y/o necesidad de cuidado, entre otros.  Objetivo.  Evaluar el efecto de una intervención de autocuidado en hábitos de vida saludable con relación a la obesidad en personal de salud de una institución de tercer nivel.  Metodología. Estudio cuasi experimental, muestra 30 trabajadores con sobrepeso o algún grado de obesidad de una institución de salud de tercer nivel. Se impartieron 10 temas con relación a la obesidad, para cambiar hábitos deficientes por hábitos saludables, además de 10 sesiones de actividad física.    Resultados. Al final de la intervención, dos personas bajaron el nivel de su índice de masa corporal, una persona con obesidad grado III y una de grado II bajaron a peso normal. En cuanto a las medidas antropométricas posterior a la intervención, hubo reducción en cada uno de los parámetros, referente a la evaluación del cuestionario hábitos de vida saludable, relacionados con la obesidad posterior a la intervención, se encontraron cambios positivos en cada una de las dimensiones. Sin embargo, tanto en la reducción de IMC, así como en las dimensiones del cuestionario, la diferencia encontrada, no fue estadísticamente significativa.  Conclusiones. Los resultados sugieren que una intervención educativa en hábitos de vida saludable vinculados con la obesidad en personal de salud, son eficaces para contribuir al autocuidado de los trabajadores en el ámbito laboral

Introduction. Worldwide, obesity is considered a public health problem because it affects the population of all ages, including the same personnel who work in health institutions, a situation that has repercussions in their personal and family environment, but above all at work, causing the worker difficulty in performing some procedures, absenteeism, partial or total disability and/or need for care, among others. Objective. To evaluate the effect of a self-care intervention on healthy life habits in relation to obesity in health personnel of a third level institution. Methodology. Quasi-experimental study, sample of 30 workers with overweight or some degree of obesity in a tertiary health institution. Ten topics related to obesity were taught in order to change deficient habits for healthy habits, in addition to 10 sessions of physical activity. Results. At the end of the intervention, two people lowered their body mass index level, one person with grade III obesity and one with grade II obesity lowered to normal weight. Regarding the anthropometric measures after the intervention, there was a reduction in each one of the parameters, regarding the evaluation of the healthy life habits questionnaire, related to obesity after the intervention, positive changes were found in each one of the dimensions. However, both in the reduction of BMI and in the dimensions of the questionnaire, the difference found was not statistically significant. Conclusions. The results suggest that an educational intervention on healthy lifestyle habits related to obesity in health personnel is effective in contributing to the self-care of workers in the workplace

Introdução. A nível mundial, a obesidade é considerada um problema de saúde pública porque afecta a população de todas as idades, incluindo o próprio pessoal que trabalha nas instituições de saúde, situação que tem repercussões no seu ambiente pessoal e familiar, mas sobretudo no trabalho, causando ao trabalhador dificuldade na realização de alguns procedimentos, absentismo, incapacidade parcial ou total e/ou necessidade de cuidados, entre outros. Objectivos. Avaliar o efeito de uma intervenção de autocuidado sobre hábitos de vida saudáveis em relação à obesidade em profissionais de saúde de uma instituição de cuidados terciários. Metodologia. Estudo quase-experimental, amostra de 30 trabalhadores com excesso de peso ou algum grau de obesidade numa instituição de saúde terciária. Foram ensinados dez temas relacionados com a obesidade, com o objetivo de mudar hábitos deficientes por hábitos saudáveis, além de 10 sessões de atividade física. Resultados. No final da intervenção, duas pessoas baixaram o índice de massa corporal, uma pessoa com obesidade de grau III e uma com obesidade de grau II passaram para o peso normal. Relativamente às medidas antropométricas após a intervenção, verificou-se uma redução em cada um dos parâmetros, e relativamente à avaliação do questionário de hábitos de vida saudáveis relacionados com a obesidade após a intervenção, verificaram-se alterações positivas em cada uma das dimensões. No entanto, tanto na redução do IMC como nas dimensões do questionário, a diferença encontrada não foi estatisticamente significativa. Conclusões. Os resultados sugerem que uma intervenção educativa sobre hábitos de vida saudáveis ligados à obesidade no pessoal de saúde é eficaz para contribuir para o autocuidado dos trabalhadores no local de trabalho

Contexto cultural e impacto del autocuidado en la calidad de vida de los estudiantes de medicina. Enfoque de métodos mixtos / Cultural context and self-care impact on medical students’ quality of life. A mixed-methods approach

Resumen Antecedentes: La educación médica puede dificultar que los estudiantes realicen acciones para mejorar su salud. Objetivo: Evaluar la influencia del contexto universitario en los comportamientos de autocuidado y la calidad de vida. Material y métodos: Se empleó un enfoque de métodos mixtos, combinando encuestas para evaluar el autocuidado y la calidad de vida, con entrevistas en profundidad para explorar influencias culturales y percepciones. Se llevaron a cabo análisis estadísticos y codificación de datos cualitativos; los métodos se integraron a través del análisis de redes. Resultados: Las puntuaciones de autocuidado superaron los 50 puntos y las de calidad de vida, los 60 puntos. El contexto de los estudiantes de medicina está moldeado por motivaciones, expectativas, habilidades y metas que influyen en la formación de la identidad y contribuyen a la profesión médica. Conclusiones: Existe una conexión positiva entre prácticas de autocuidado y la calidad de vida; sin embargo, el estrés académico pueden interrumpir potencialmente las rutinas de autocuidado. Además, se destaca la asociación entre la obesidad y la afectación en la calidad de vida, lo que enfatiza la necesidad de acciones de promoción de la salud.

Abstract Background: Medical education can make it difficult for students to take actions to improve their health. Objective: To evaluate the influence of the university context on self-care behaviors and quality of life. Material and methods: A mixed-methods approach was used, with surveys being combined to assess self-care and quality of life, with in-depth interviews to explore cultural influences and perceptions. Statistical analysis and qualitative data coding were carried out, with methods being integrated through network analysis. Results: Self-care scores exceeded 50 points, and quality of life scores exceeded 60 points. Medical students’ context is shaped by motivations, expectations, skills, and goals that influence identity formation and contribute to the medical profession. Conclusions: There is a positive connection between self-care practices and quality of life. However, academic stress can potentially disrupt self-care routines. Furthermore, an association between obesity and a decrease in quality of life stands out, which emphasizes the need for health promotion actions.

Development of self-care scale for patients with lymphedema after breast cancer surgery and verification of its reliability and validity / 现代临床护理

Objective To develop a self-care scale for patients with lymphedema after breast cancer surgery and verify its reliability and validity.Methods Based on the model of knowledge,belief and practice,a questionnaire item pool was constructed after literature reviews and qualitative interviews.A questionnaire-based scale was drafted based on the established item pool by carrying out two rounds of consultation with 15 clinical nursing specialists,nursing administrators and nursing educators from 8 provinces or cities in China.Reliability and validity of the scale were tested using convenience sampling,involving 444 patients with breast cancer surgery related lymphedema from 7 general hospitals in Hubei and Henan provinces,China,between May and July 2023.Results The response rates for the two rounds of expert consultation were 93.75%and 93.33%,respectively.The authority coefficients of the two rounds were 0.86 and 0.89,respectively,and the coordination coefficients for the 2 rounds were 0.130 and 0.379,respectively.In the first round,the average importance rating was from 4.33 to 4.93 with the coefficient of variation from 0.05 to 0.19,and the full score ratio from 53.33%to 93.33%.In the second round,the average importance rating ranged from 2.86 to 4.93 with the coefficient of variation from 0.05 to 0.36,and the full score ratios from 7.14%to 92.86%.A total of 421 patients completed the survey.The overall Cronbach's α coefficient of the scale was 0.943,the overall split-half reliability was 0.824,the scale-level content validity index(S-CVI)was 0.912,and the item-level content validity index(I-CVI)of the total scale ranged from 0.857 to 1.000.The KMO value of exploratory factor analysis was 0.919,the Bartrett spherical test value was 4671.724(P<0.001),and the cumulative variance contribution rate was 64.155%.Confirmatory factor analysis showed a good model fit.After the reliability and validity tests,the scale was finalised and determined to consist of three dimensions with 33 items:knowledge(9 items),attitude(6 items)and behaviour(18 items).Conclusion The self-care scale for the patients with lymphedema after breast cancer surgery has demonstrated good reliability and validity,and makes it an effective assessment tool for the patients with lymphedema after breast cancer surgery.

Correlation analysis of self-care contribution and binary coping among spouse caregivers of middle-aged and young stroke patients / 中国实用护理杂志

Objective:To investigate the self-care contribution and binary coping level of spouse caregivers for middle-aged and young stroke patients and explore the relationship between the two, in order to improve the quality of self-care contribution of spouse caregivers to middle-aged and young stroke patients.Methods:A cross-sectional survey was conducted among 200 middle-aged and young stroke patients ′ spouse caregivers in the People ′s Hospital of Xinjiang Uygur Autonomous Region from January to June 2023 by the general data questionnaire, the Caregiver Contribution to Self-care of Stroke Patient Scale, the Dyadic Coping Inventory. The correlation between self-care contributions and binary coping strategies of spousal caregivers was analyzed, and the factors that affect their self-care contributions were screened. Results:Finally, 192 middle-aged and young stroke patients ′ spouse caregivers were included, including 70 males and 122 females, aged 18-59 years old. The total score of self-care contribution of spousal caregivers of middle-aged and young stroke patients was (75.43 ± 6.80) points, and the total score of binary coping was (117.12 ± 9.59) points, both of which were positively correlated ( r=0.691, P<0.05). Hierarchical regression analysis showed that after controlling for the influence of general data, binary coping could explain 28.4% variation in the self-care contribution of spouse caregivers of middle-aged and young stroke patients ( P<0.05). Conclusions:The duality coping level positively predicts the quality of spouse caregivers ′ self-care contribution to middle-aged and young stroke patients. Medical staff should assess the dual coping level of middle-aged and young stroke patients and their spouses, and carry out targeted dual intervention measures to improve the quality of caregivers' contribution to stroke patients ′ self-care.

Effect of cognitive-behavioral intervention under the family-based care model on continuing care of patients after aortic dissection surgery / 实用医学杂志

Objective To investigate the effect of cognitive-behavioral intervention under the family-centered care(FCC)model on continuing care of patients after aortic dissection surgery.Methods One hundred and six patients undergoing aortic dissection in the Department of Cardiac Surgery of the hospital from January 2021 to December 2022 were evenly divided into control group and observation group by using random number table method,with 53 cases in each group.The control group was given routine continuing care,and the observation group was treated with continuing care with the cognitive behavior intervention under the FCC mode based on the control group,and both groups intervened for 8 weeks.The control group was treated with routine continuity care,while the observation group received continuity care with cognitive-behavioral intervention based on the FCC model in addition to routine continuing care,with a intervention duration of 8 weeks for both groups.The two groups were compared in terms of blood pressure,body mass index(BMI),self-care ability(measured using the Self-Care Ability Scale-ESCA),quality of life(measured using the Short Form-36 Health Survey-SF-36),and levels of depression and anxiety(measured using the Hospital Anxiety and Depression Scale-HADS)before and after the intervention.Results The level of blood pressure,BMI,and level of depression and anxiety after the intervention were all significantly lower than before the intervention(P<0.05)and the scores by ESCA and SF-36 were signifi-cantly higher than before intervention(P<0.05).The blood pressure and BMI in the observation group were both significantly better than in the control group[(116.47±28.23)mmHg vs.(124.48±29.81)mmHg and(25.33±1.11)kg/m2 vs.26.18±1.35)kg/m2,t = 7.193,2.454,P<0.01,respectively].The scores of self-care ability and quality of life in the observation group were higher than in the control group[(121.15±29.69)vs.(106.68±24.71)and(67.92±13.69)vs.(60.81±10.77),t = 8.243,7.436,P<0.01,respectively].The scores of depression and anxiety in the observation group were significantly lower than in the control group[(11.07±4.00)vs.(12.20±4.28)and(12.39±3.59)vs.(13.45±4.15),t = 3.873,2.852,P<0.01,respectively].Conclusion The cognitive-behavioral intervention under the FCC mode can significantly improve blood pressure,BMI,and psychological condition,as well as enhance patients'self-care ability and quality of life,when applied in the continuity of care for patients after aortic dissection.Therefore,it is worth promoting and applying in clinical practice.

The self-care nursing competency: Framing the mirrored care theory

@#<p style="text-align: justify;" data-mce-style="text-align: justify;">Caring for ourselves mirrors our caring for others. This mirrored care theory serves as the embodiment of a nurse possessing a selfcare nursing competency capable of mirroring competent patient care. The key concept of the theory is self-care nursing competency. Nursing has been established within this theory to help nurses achieve patient care competencies and impact the nursing profession. Self-care nursing competency contains three domains: self-awareness, self-regarding behavior, and self love. Moreover, Hawthorne nurses are the nurse managers and leaders who must integrate and apply the self-care nursing competency and the concept of the mirrored care theory in the nursing curricula, policies, and programs. These managers and leaders should constantly monitor and appraise the system. Consequently, the mirrored care theory shall rationalize the inclusion of self-care nursing competency in the nursing scope and standards of practice. When nurses possess self-care nursing competency, they are more competent in caring for others since they develop a sense of purpose, decrease experiences of burnout and dissatisfaction, and increase their morale. With this, the quality of care given by the nurses to themselves reflects the quality of care given to their clients. Hence, the mirrored care theory shall serve as a basis of caring not only for the patients but for the nurses as well.<br></p>

The effect of telemedicine on self-care activities of patients with Type 2 Diabetes Mellitus and patient satisfaction during the Coronavirus-19 (COVID-19) pandemic: A repeated cross-sectional study

Introduction@#Patients with diabetes require regular follow-ups to achieve optimal glycemic targets. The coronavirus- 19 (COVID-19) pandemic resulted in interruptions in healthcare delivery placing greater importance on patient’s self-management of their condition. Telemedicine bridged the gap between the physician and patient that was created by community quarantines. @*Objective@#To determine if there is a difference in patient’s self-care activities before and after using telemedicine using the Diabetes Self-Management Questionnaire (DSMQ). @*Methodology@#A descriptive repeated cross-sectional study of patients with type 2 diabetes mellitus at the University of Santo Tomas Hospital who consulted via telemedicine using different available platforms were included. Self-care was measured using the DSMQ. Patient satisfaction with telemedicine was also assessed using a patient satisfaction survey. @*Results@#An improvement in self-care practices was seen as significantly higher mean DSMQ scores after telemedicine consultations (6.79 ± 1.33 to 7.32 ± 1.21, p = 0.0015), with the highest scores on dietary control and physical activity. There was a statistically significant reduction in HbA1c on follow up (8.37 ± 2.31 to 7.31 ± 1.36; p<0.00001). Those with well-controlled diabetes (n = 14) at baseline remained to have good control while the proportion of those with poorly controlled diabetes (n = 34) showed improved glycemic control on follow up (p = 0.0045). Most patients were highly satisfied with telemedicine. @*Conclusion@#The use of telemedicine by patients with diabetes showed numerical improvement in both self-care practices and glycemic control. These findings imply that telemedicine may be mainstreamed as part of diabetes care among Filipinos.

Translation, cross-cultural adaptation, and validation of health and self-management in diabetes questionnaire (HASMID-10) into Brazilian Portuguese

ABSTRACT BACKGROUND: Considering the ability of the health and self-management in diabetes questionnaire (HASMID-10) to verify the impact of self-management on diabetes, we highlight its relevance to scientific research and clinical applicability. However, to date, no study has been conducted to scientifically support its use in other languages. OBJECTIVE: To translate, cross-culturally adapt, and validate the HASMID-10 into the Brazilian Portuguese. DESIGN AND SETTING: A translation, cross-cultural adaptation, and validation study conducted at Ceuma University. METHODS: Study was conducted in accordance with the Guidelines for the Process of Cross-Cultural Adaptation of Self-Report Measures and Consensus-based Standards for the Selection of Health Measurement Instruments. We included participants of both sexes diagnosed with diabetes, aged between 18 and 64 years, and without cognitive deficits or any other limitations that would prevent them from answering the questionnaire. We assessed participants using the problem areas in diabetes (PAID) scale and HASMID-10. We assessed reliability using a test-retest model with a 7-day interval between assessments. We used intraclass correlation coefficient (ICC), 95% confidence interval (CI), standard error of measurement (SEM), minimum detectable difference (MDD), Spearman correlation coefficient, and floor and ceiling effects. RESULTS: Sample comprised 116 participants, most of whom were women, overweight, non-practitioners of physical activity, and nonsmokers. We observed significant correlations (P = 0.006; rho = −0.256) between the HASMID-10 and PAID, adequate reliability (ICC = 0.780) and internal consistency (Cronbach's alpha = 0.796). No ceiling or floor effects were observed. CONCLUSION: HASMID-10 has adequate measurement properties and may be used for Brazilians.

Evaluation of the usability of the Quali+ mobile application for people with high blood pressure / Evaluación de la usabilidad de la aplicación móvil Quali+ para personas con hipertensión arterial / Avaliação da usabilidade do aplicativo móvel Quali+ para pessoas com hipertensão arterial

ABSTRACT Objective: To evaluate the usability of the "Quali+" mobile application prototype for people with high blood pressure. Method: Descriptive, cross-sectional study of heuristic evaluation of a mobile application prototype carried out between June and July 2021, in a university hospital. Participants were 22 people with arterial hypertension in the city of Campina Grande, PB, Brazil. To measure usability, the Smartphone Usability questionnaiRE instrument was applied. Levels (70 points have good usability. Descriptive statistics were used. Results: The overall usability average was 105.8(7.44 points, with the lowest score being 83 and the highest being 113. Usability was at the highest level(80 points). Conclusion: The usability evaluation showed that, although it is a prototype, the application has good usability and can be considered for routine use in health self-management. Future research is needed to verify its effectiveness.

RESUMEN Objetivo: Evaluar la usabilidad del prototipo de aplicación móvil "Quali+" para personas con hipertensión arterial. Método: Estudio descriptivo, transversal, de evaluación heurística de un prototipo de aplicación móvil realizado entre junio y julio de 2021, en un hospital universitario. Los participantes fueron 22 personas con hipertensión arterial en la ciudad de Campina Grande, PB, Brasil. Para medir la usabilidad se aplicó el instrumento Smartphone Usability QuestionnaiRE. Los niveles ( 70 puntos tienen buena usabilidad. Se utilizó estadística descriptiva. Resultados: Los principales hallazgos del estudio deben presentarse de manera concisa y clara, sin excesivos detalles. Los resultados deben estar alineados con la sección de resultados del artículo completo, proporcionando información más detallada sobre los análisis estadísticos realizados y los principales resultados encontrados. Conclusión: La evaluación de la usabilidad mostró que, aunque se trata de un prototipo, la aplicación tiene una buena usabilidad y puede considerarse para uso rutinario en la autogestión de la salud. Se necesita investigación futura para verificar su eficacia.

RESUMO Objetivo: Avaliar a usabilidade do protótipo de aplicativo móvel "Quali+" para pessoas com hipertensão arterial. Método: Estudo descritivo, transversal, de avaliação heurística de um protótipo de aplicativo móvel realizado entre junho e julho de 2021, em hospital universitário. Participaram 22 pessoas com hipertensão arterial, na cidade de Campina Grande, PB, Brasil. Para mensuração da usabilidade, aplicou-se o instrumento Smartphone Usability questionnaiRE. Níveis (70 pontos apresentam boa usabilidade. Utilizou-se da estatística descritiva. Resultados: A média geral de usabilidade foi 105,8(7,44 pontos, obtiveram-se como menor escore 83 e, maior 113. A usabilidade se enquadrou no nível mais elevado (80 pontos). Conclusão: A avaliação da usabilidade constatou que, ainda que se trate de um protótipo, o aplicativo apresenta boa usabilidade, podendo ser considerado para o uso rotineiro na autogestão em saúde. Pesquisas futuras são necessárias para verificar a eficácia.

Autocuidado e hábitos de vida de acadêmicos de enfermagem durante a pandemia de Sars-Cov-2 / Self-care and lifestyle habits of nursing students during the Sars-Cov-2 pandemic / Hábitos de autocuidado y estilo de vida de estudiantes de enfermería durante la pandemia Sars-Cov-2

Objective: to understand how the Covid-19 pandemic has interfered with the self-care and lifestyle of university students. Method: exploratory descriptive research carried out with nursing students from four higher education institutions in the state of Paraná. Data were collected using an electronic form available on Google Forms; those of a quantitative nature were subjected to descriptive and inferential analysis, and the answers to open questions analyzed using the Iramuteq Software. Results: 58 nursing students participated in the study, the majority of whom were female (82.76%), with an average age of 22 years, the majority lived with their family. Statistically significant association was observed between Age and "Made friends during remote classes"; Sex and "substance use"; and Year of graduation with eating habits and "Made friends during remote classes". Conclusion: the pandemic especially influenced eating habits, self-care, sleep quality and alcohol and tobacco use among nursing students.

Objetivos:comprender cómo la pandemia de Covid-19 ha interferido en el autocuidado y estilo de vida de los estudiantes universitarios. Método: investigación descriptiva exploratoria realizada con estudiantes de enfermería de cuatro instituciones de educación superior del estado de Paraná. Los datos fueron recopilados mediante un formulario electrónico disponible en Google Forms; los de carácter cuantitativo fueron sometidos a análisis descriptivo e inferencial, y las respuestas a preguntas abiertas analizadas mediante el Software Iramuteq. Resultados: Participaron del estudio 58 estudiantes de enfermería, la mayoría del sexo femenino (82,76%), con una edad promedio de 22 años, la mayoría vivía con su familia. Se observó asociación estadísticamente significativa entre Edad y "Hizo amigos durante las clases remotas"; Sexo y "consumo de sustancias"; y Año de graduación con hábitos alimentarios y "Hice amigos durante clases remotas". Conclusión: la pandemia influyó especialmente en los hábitos alimentarios, el autocuidado, la calidad del sueño y el consumo de alcohol y tabaco entre los estudiantes de enfermería.

Identificação de sinais precoces de alteração/ transtornos mentais em puérperas para promoção do autocuidado / Identification of early signs of change/mental disorders in puerpera to promote self-care / Identificación de signos tempranos de cambio/trastornos mentales en mujeres puerperales para promover el cuidado personal

Objetivo: identificar sinais precoces de alterações e/ou transtornos mentais em puérperas para promoção do autocuidado. Método: a população estudada foram puérperas atendidas na unidade básica de saúde. Resultados: as puérperas participantes enquadram-se como mulheres em idade reprodutiva, classificadas como mães adolescentes e mães adultas jovens. São mulheres que reconhecem a necessidade da prática do autocuidado, mas que possuem alguns entraves ligados às mais diferentes realidades e cotidiano em que estas estão inseridas, tornando fatores de risco para transtornos/alterações mentais durante o ciclo gravídico-puerperal. Conclusão: a efetivação da assistência integral à saúde das mulheres, ocorridas durante o pré-natal, parto e nascimento, são condições essenciais para a prevenção de transtornos e doenças mentais ocorridos numa fase tão ímpar que é o período puerperal

Objective: to identify early signs of changes and/or mental disorders in postpartum women to promote self-care. Method: the population studied were postpartum women treated at the basic health unit. Results: the participating puerperal women are classified as women of reproductive age, classified as adolescent mothers and young adult mothers. These are women who recognize the need to practice self-care, but who have some obstacles linked to the most different realities and daily life in which they are inserted, making them risk factors for mental disorders/changes during the pregnancy-puerperal cycle. Conclusion: the effectiveness of comprehensive care for women's health, which occurs during prenatal care, childbirth and birth, are essential conditions for the prevention of disorders and mental illnesses that occur in such a unique phase that is the puerperal period

Objetivos: identificar signos tempranos de cambios y/o trastornos mentales en puérperas para promover el autocuidado. Metodo: la población estudiada fueron puérperas atendidas en la unidad básica de salud. Resultados: las puérperas participantes se clasifican en mujeres en edad reproductiva, clasificadas en madres adolescentes y madres adultas jóvenes. Se trata de mujeres que reconocen la necesidad de practicar el autocuidado, pero que tienen algunos obstáculos ligados a las más diversas realidades y al cotidiano en que están insertas, convirtiéndolas en factores de riesgo para trastornos/alteraciones mentales durante el ciclo embarazo-puerperio. Conclusión: la eficacia de la atención integral a la salud de la mujer, que se da durante la atención prenatal, el parto y el parto, son condiciones indispensables para la prevención de los trastornos y enfermedades mentales que se dan en una fase tan singular que es el puerperio

Nurses' perspectives on the use of mobile applications for self-care in chronic illnesses / Perspectivas de enfermeras sobre el uso de aplicaciones móviles para el autocuidado en enfermedades crónicas / Perspectivas dos enfermeiros sobre o uso de aplicativos móveis para o autocuidado nas doenças crônicas

ABSTRACT Objective: to analyze the nurses' perspective on the possibility of incorporating the use of mobile applications into their care practice as a strategy for promoting self-care in people with chronic diseases. Method: an exploratory-descriptive study with a qualitative approach. Data were collected between the months of February and March 2023 with 10 nurses who were Master's degree students in Community Nursing in the Family Health Nursing area from a higher education institution in Nursing in Portugal. The data were analyzed using the content analysis technique proposed by Bardin. The MAXQDA software program was used to facilitate and accelerate qualitative data analysis through coding and categorization. Results: the results were organized into two main categories: challenges for managing the therapeutic regimen and self-care; and strategies for promoting self-care in chronic diseases from the perspective of nurses. The challenges during the Covid-19 pandemic generated elements which hinder and facilitate management of the therapeutic regimen and self-care in people with chronic diseases. From the nurses' perspective, the use of mobile applications can facilitate promoting self-care in people with chronic illnesses. Conclusion: chronic disease control heavily depends on people's behaviors and self-management of the disease. The nurses in this study considered that the use of mobile applications can help both healthcare professionals and people with chronic illnesses in promoting health and in the self-care process.

RESUMEN Objetivo: analizar la perspectiva de los enfermeros sobre la posibilidad de incorporar el uso de aplicaciones móviles en su práctica de cuidado como estrategia para promover el autocuidado en personas con enfermedades crónicas. Método: estudio exploratorio-descriptivo, con enfoque cualitativo. Los datos fueron recolectados entre los meses de febrero y marzo de 2023, con 10 enfermeros, estudiantes de maestría en Enfermería Comunitaria en el área de Enfermería en Salud de la Familia, de una institución de educación superior en Enfermería en Portugal. Los datos fueron analizados mediante la técnica de análisis de contenido propuesta por Bardin. El software MAXQDA se utilizó para facilitar y acelerar el análisis de datos cualitativos mediante codificación y categorización. Resultados: los resultados fueron organizados en dos categorías principales: Desafíos para el manejo del régimen terapéutico y el autocuidado; Estrategias para promover el autocuidado en enfermedades crónicas desde la perspectiva del enfermero. Los desafíos durante la pandemia de Covid-19 generaron elementos que dificultan y facilitan el manejo del régimen terapéutico y el autocuidado en personas con enfermedades crónicas. Desde la perspectiva de las enfermeras, el uso de aplicaciones móviles puede facilitar la promoción del autocuidado en personas con enfermedades crónicas. Conclusión: el control de las enfermedades crónicas depende en gran medida de los comportamientos de las personas y del autocontrol de la enfermedad. Los enfermeros de este estudio consideraron que el uso de aplicaciones móviles puede ayudar tanto a los profesionales de la salud como a las personas con enfermedades crónicas en la promoción de la salud y en el proceso de autocuidado.

RESUMO Objetivo: analisar a perspectiva dos enfermeiros sobre a possibilidade de incorporar na sua prática assistencial a utilização de aplicativos móveis como estratégia para a promoção do autocuidado em pessoas com doenças crônicas. Método: estudo exploratório-descritivo, de abordagem qualitativa. Os dados foram coletados entre os meses de fevereiro e março de 2023, com 10 enfermeiras, alunas do mestrado em Enfermagem Comunitária na área de Enfermagem de Saúde Familiar, de uma instituição de ensino superior em Enfermagem em Portugal. Os dados foram analisados através da técnica de análise de conteúdo proposta por Bardin. Foi utilizado o software MAXQDA, para facilitar e acelerar a análise qualitativa de dados através de codificações e categorização. Resultados: os resultados foram organizados em duas principais categorias: Desafios para a gestão do regime terapêutico e do autocuidado; Estratégias para promoção do autocuidado nas doenças crônicas na perspectiva das enfermeiras. Os desafios durante a pandemia de Covid-19 geraram elementos dificultadores e facilitadores para a gestão do regime terapêutico e autocuidado em pessoas com doenças crônicas. Na perspectiva das enfermeiras a utilização dos aplicativos móveis pode facilitar a promoção do autocuidado em pessoas com doenças crônicas. Conclusão: o controle da doença crônica depende fortemente dos comportamentos das pessoas e da autogestão da doença. As enfermeiras deste estudo, consideraram que o uso de aplicativos móveis, podem auxiliar tanto o profissional de saúde quanto a pessoa com doença crônica na promoção da saúde e no processo do autocuidado.

Autogestão do diabetes na adolescência: experiência de jovens adultos e pais portugueses / Autogestión de la diabetes en la adolescencia: experiencias de jóvenes adultos y padres portugueses / Self-management of diabetes in adolescence: experience of Portuguese young adults and their parents

Resumo Objetivo Identificar os fatores que facilitam ou dificultam a construção da autonomia na adolescência através da experiência de jovens adultos com diabetes tipo 1 e seus pais. Métodos Estudo de natureza qualitativa, descritiva e exploratória. Foram realizadas duas entrevistas de grupo focal, uma com nove jovens adultos peritos na gestão de sua doença e outra com sete pais. Para análise dos dados, foram usados análise de conteúdo temática e categorial, com particularidades de entrevista de grupo focal, e recurso ao software NVIVO 12. Resultados Emergiram duas grandes categorias e dez subcategorias relativas aos fatores que facilitaram (sistemas de suporte, conhecimentos, alimentação, bomba de insulina, responsabilização precoce pela gestão da terapêutica, características dos jovens), e dificultaram (regime terapêutico, estigma, atitude dos profissionais de saúde, características dos jovens, conhecimento) o desenvolvimento da autonomia na gestão da doença. Conclusão A autonomia na gestão do diabetes envolve vários desafios aos adolescentes, o que requer adequação de atitudes e intervenções de profissionais. Além da gestão tradicional da condição de saúde, é essencial abordar temas relacionados com a socialização dos adolescentes, procurando estratégias inovadoras que promovam o coping e a qualidade de vida. Os resultados deste estudo possibilitam refletir sobre a relação terapêutica com os adolescentes, salientando a importância de individualizar cuidados e respostas inovadoras às suas necessidades específicas.

Resumen Objetivo Identificar los factores que facilitan o dificultan la construcción de la autonomía en la adolescencia a través de la experiencia de jóvenes adultos con diabetes tipo 1 y sus padres. Métodos: Estudio de naturaleza cualitativa, descriptiva y exploratoria. Se realizaron dos entrevistas de grupo focal, una con nueve jóvenes adultos expertos en la gestión de su enfermedad y otra con siete padres. Para el análisis de datos se utilizó el análisis de contenido temático y categorial, con particularidades de entrevista de grupo focal y recurso del software NVIVO 12. Resultados Surgieron dos grandes categorías y diez subcategorías relativas a los factores que facilitaron el desarrollo de la autonomía en la gestión de la enfermedad (sistemas de apoyo, conocimientos, alimentación, bomba de insulina, responsabilización temprana de la gestión de la terapéutica, características de los jóvenes) y los que la dificultaron (régimen terapéutico, estigma, actitudes de los profesionales de la salud, características de los jóvenes, conocimientos). Conclusión La autonomía en la gestión de la diabetes incluye muchos desafíos para los adolescentes, lo que requiere adaptación de actitudes e intervenciones de profesionales. Además de la gestión tradicional del estado de salud, es esencial abordar temas relacionados con la socialización de los adolescentes y buscar estrategias innovadoras que promuevan el coping y la calidad de vida. Los resultados de este estudio permiten reflexionar sobre la relación terapéutica con los adolescentes y destacar la importancia de individualizar los cuidados y las respuestas innovadoras para sus necesidades específicas.

Abstract Objective To identify the factors that facilitate or hinder the construction of autonomy in adolescence through the experience of young adults with type-1 diabetes and their parents. Methods This was a qualitative, descriptive, and exploratory study. Two focus group interviews were conducted: one with nine young adults who were experts in managing their illness and the other with seven parents. Thematic and categorical content analysis was used for data analysis, with particularities of a focus group interview and the use of the NVIVO 12 software. Results Two major categories and ten subcategories related to factors that facilitated (support systems, knowledge, diet, insulin pump, early responsibility for managing therapy, and characteristics of young people) and hindered (therapeutic regimen, stigma, attitude of health professionals, characteristics of young people, and knowledge) the development of autonomy in disease management emerged. Conclusion Autonomy in the management of diabetes involves several challenges for adolescents, which requires adaptation of attitudes and interventions by professionals. In addition to the traditional management of the health condition, addressing issues related to the socialization of adolescents is essential, looking for innovative strategies that promote coping and quality of life. The results of this study make it possible to reflect on the therapeutic relationship with adolescents, emphasizing the importance of individualizing care and innovative responses to their specific needs.

Autogestão ineficaz de linfedema em mulheres mastectomizadas: análise de conceito / Autogestión ineficaz de linfedema en mujeres mastectomizadas: análisis de concepto / Ineffective self-management of lymphedema in mastectomized women: concept analysis

Resumo Objetivo Analisar o conceito de "autogestão ineficaz do linfedema" em mulheres mastectomizadas. Métodos Trata-se de uma análise do conceito proposto por Walker e Avant operacionalizada por meio de uma revisão integrativa da literatura, organizada em oito etapas e baseada nas seguintes questões norteadoras: Qual é a definição de autogestão ineficaz em mulheres mastectomizadas? Quais os antecedentes, atributos e consequências da autogestão ineficaz em mulheres mastectomizadas? Como a autogestão ineficaz de linfedema tem sido definida no contexto de mulheres que passaram por mastectomia? A busca de artigos foi realizada em cinco bases de dados eletrônicas, sem limite de data, no período de julho de 2022 a fevereiro de 2023. Resultados Foram identificados 30 antecedentes e 19 consequentes; os mais frequentes entre eles foram respectivamente os seguintes: falta de apoio familiar/social e diminuição da qualidade de vida. Os atributos definidores mais frequentemente identificados foram os seguintes: edema, inchaço no braço, sensação de peso no membro, dor, dormência e diminuição da função do membro. Foram ainda elaborados os casos modelo e contrário para auxiliar na decisão sobre o uso do conceito. Conclusão Os conceitos resultantes da análise contribuem para clarificar os termos e o desenvolvimento da linguagem na enfermagem, devendo ser validados por juízes e prática clínica para melhor aplicação na oncologia clínica.

Resumen Objetivo Analizar el concepto de "autogestión ineficaz de linfedema" en mujeres mastectomizadas. Métodos Se trata de un análisis del concepto propuesto por Walker y Avant, realizado mediante una revisión integradora de la literatura, organizado en ocho etapas y basado en las siguientes preguntas orientadoras: ¿Cuál es la definición de autogestión ineficaz en mujeres mastectomizadas? ¿Cuáles son los antecedentes, atributos y consecuencias de la autogestión ineficaz en mujeres mastectomizadas? ¿Cómo se define la autogestión ineficaz de linfedema en el contexto de mujeres que pasaron por una mastectomía? La búsqueda de artículos fue realizada en cinco bases de datos electrónicas, sin límite de fecha, en el período de julio de 2022 a febrero de 2023. Resultados Se identificaron 30 antecedentes y 19 consecuentes. El antecedente más frecuente fue falta de apoyo familiar/social y el consecuente, reducción de la calidad de vida. Los atributos definidores identificados más frecuentemente fueron los siguientes: edema, hinchazón en el brazo, sensación de peso en el miembro, dolor, adormecimiento y reducción de la función del miembro. Además, se elaboraron los casos modelo y contrarios para ayudar en la decisión sobre el uso del concepto. Conclusión Los conceptos resultantes del análisis contribuyen a clarificar los términos y el desarrollo del lenguaje en enfermería y deben ser validados por jueces y práctica clínica para una mejor aplicación en la oncología clínica.

Abstract Objective To analyze the concept of "ineffective self-management of lymphedema" in mastectomized women. Methods This is an analysis of the concept proposed by Walker and Avant, operationalized through an integrative literature review, organized into eight stages, and based on the following guiding questions: What is the definition of ineffective self-management in mastectomized women? What are the antecedents, attributes, and consequences of ineffective self-management in mastectomized women? How has ineffective self-management of lymphedema been defined in the context of women who have undergone mastectomy? The search for articles was carried out in five electronic databases, with no date limit, from July 2022 to February 2023. Results Antecedents (30) and consequents (19) were identified. Among them, the most frequent were the following, respectively: lack of family and/or social support and decreased quality of life. The most frequently identified defining attributes were the following: edema, swelling in the arm, feeling of heaviness in the limb, pain, numbness, and reduced function of the limb. Model and contrary cases were also designed to help decide on the use of the concept. Conclusion The concepts resulting from the analysis contribute to clarifying the terms and development of language in nursing, and should be validated by judges and clinical practice for better application in clinical oncology.

Translation, transcultural adaptation into Brazilian Portuguese and concurrent validity of the rheumatoid arthritis assessment scale (RAKAS-13/Brazil)

Abstract Background Knowledge of patients about Rheumatoid Arthritis (RA) is a necessary aspect to better approach self-management support in a patient-centered manner. The research instrument known as the Rheumatoid Arthritis Knowledge Assessment Scale (RAKAS), consisting of 13 items, is simple, reliable and reproducible, and can be applied in both clinical practice and research protocols. Objectives This study aimed to translate and culturally adapt the RAKAS vocabulary into Brazilian Portuguese and to evaluate its concurrent validity. Methods The RAKAS was translated into Brazilian Portuguese and administered to 52 elderly women with RA recruited between May 2021 and May 2022. Concurrent validity was assessed using the Spearman's correlation coefficient between RAKAS and Patient Knowledge Questionnaire (PKQ). Results The participants considered RAKAS-13/BRAZIL easy to understand and did not report any doubts in answering the final version. Concurrent validity of the RAKAS-13/BRAZIL was low compared to the PKQ (ρ = 0.283, p = 0.038). Conclusion The Brazilian Portuguese version of the RAKAS (RAKAS-13/BRASIL) proved to be a questionnaire that was easy and quick to administer to assess patient knowledge about Rheumatoid Arthritis, despite its low correlation with the PKQ in the present study.

Criação e desenvolvimento de grupos de apoio para o autocuidado em hanseníase em um estado do Nordeste brasileiro / Creation and development of support groups for leprosy self-care in a state in the northeast of Brazil

Resumo Objetivo Compreender a criação e desenvolvimento de grupos de apoio para o autocuidado em hanseníase em um estado do Nordeste brasileiro. Métodos Estudo qualitativo realizado em três grupos no Nordeste do Brasil, entre fevereiro e dezembro de 2019. A coleta de dados englobou entrevistas, observação participante e análise documental. Os dados foram analisados segundo a técnica de análise de conteúdo a partir dos temas preestabelecidos: implantação, organização e continuidade dos grupos. Resultados A implantação dos grupos apresentou como motivos comuns a necessidade de ampliação dos cuidados, e de otimização do tempo de trabalho. O estigma e questões da organização dos serviços foram obstáculos para a implantação. O fator mais relevante para a continuidade dos grupos foi o envolvimento dos coordenadores nas atividades. O apoio de atores externos como ONG e universidades foram relevantes para a implantação e continuidade. Considerações finais As similaridades e diferenças dos grupos relacionam-se aos participantes, à indução e apoio da política de saúde e às interferências de atores externos. Grupos de apoio para o autocuidado em hanseníase são espaços que potencializam a prática de cuidado. O estudo contribui com a implantação ou reorganização de grupos de apoio ao autocuidado.

Abstract Objective To understand the creation and development of support groups for leprosy in a state in the northeast of Brazil. Methods Qualitative study conducted with three groups in northeast Brazil, from February to December 2019. Data collection included interviews, participant observation, and document analysis. Data were analyzed using the content analysis technique, considering preestablished topics: implementation, organization, and continuity of the groups. Results The most common reasons presented by the groups for the implementation were the needs to expand care and optimize working time. The stigma and service organization issues were obstacles to implementation. The most relevant factor for the continuity of groups was the involvement of the coordinators in the activities. Support from external actors, such NGOs and universities, was relevant to implementation and continuity. Final considerations Similarities and differences among groups are related to participants, actions to foster the groups, health policy support, and interference from external actors. Support groups for leprosy self-care are spaces that strengthen the practice of care. This study contributed to implement or reorganize self-care support groups.

Low back pain self-management mobile applications: a systematic review on digital platforms / Aplicaciones móviles para el autocontrol del dolor lumbar: revisión sistemática en plataformas digitales / Aplicativos móveis de autogerenciamento da dor lombar: revisão sistemática em plataformas digitais

ABSTRACT Objective: To identify and analyze the features and quality of self-management support of mobile applications available in Brazil for chronic low back pain in adults. Method: A systematic review on the Apple Store® and Google Play® digital platforms. The Self-Management Support Assessment Tool scale was used to assess self-management support and the Institute for Healthcare Informatics Functionality Score scale was used to assess functionality. Results: Seventeen applications were selected, which included around seven self-management skills. The applications that met the majority of self-management support skills were Pathways, Branch, Pancea, Pain Navigator, and Curable. The Curable, Branch and MoovButh applications had the highest scores, with ten features on the functionality scale. Conclusion: Some applications have the potential to complement in-person treatment in terms of validity, acceptability and clinical usefulness in pain management. However, barriers such as lack of partnership between healthcare providers and patients, limited evidence-based content, social support, cultural relevance, cost, language, security and privacy can limit their sustained use. PROSPERO Registration: CRD42022382686.

RESUMEN Objetivo: Identificar y analizar las características y la calidad del soporte de autogestión de aplicaciones móviles disponibles en Brasil para el dolor lumbar crónico en adultos. Método: Revisión sistemática en las plataformas digitales Apple Store® y Google Play®. Se utilizó la escala Self-Management Support Assessment Tool para evaluar el apoyo a la autogestión y la escala Institute for Healthcare Informatics Functionality Score para evaluar la funcionalidad. Resultados: Se seleccionaron 17 aplicaciones, que incluían alrededor de siete habilidades de autogestión. Las aplicaciones que cumplieron con la mayoría de las habilidades de apoyo a la autogestión fueron Pathways, Branch, Pancea, Pain Navigator y Curable. Las aplicaciones Curable, Branch y MoovButh obtuvieron las puntuaciones más altas, con diez características en la escala de funcionalidad. Conclusión: Algunas aplicaciones tienen potencial para complementar el tratamiento presencial en términos de validez, aceptabilidad y utilidad clínica en el manejo del dolor. Sin embargo, barreras como la falta de asociación entre los profesionales de la salud y los pacientes, el contenido limitado basado en evidencia, el apoyo social, la relevancia cultural, el costo, el idioma, la seguridad y la privacidad pueden limitar su uso sostenido. Registro PROSPERO: CRD42022382686.

RESUMO Objetivo: Identificar e analisar os recursos e a qualidade do suporte de autogerenciamento dos aplicativos móveis disponíveis no Brasil para dor lombar crônica em adultos. Método: Revisão sistemática nas plataformas digitais Apple Store® e Google Play®. Utilizaram-se a escala Self-Management Support Assessment Tool para avaliar o suporte ao autogerenciamento e a escala Institute for Healthcare Informatics Functionality Score para avaliar a funcionalidade. Resultados: Foram selecionados 17 aplicativos, que incluíram cerca de sete habilidades de autogerenciamento. Os aplicativos que atendiam à maioria das habilidades de suporte ao autogerenciamento foram Pathways, Branch, Pancea, Pain Navigator e Curable. Os aplicativos Curable, Branch e MoovButh apresentaram as maiores pontuações, com dez funcionalidades na escala de funcionalidade. Conclusão: Alguns aplicativos têm potencial para complementar o tratamento presencial em termos de validade, aceitabilidade e utilidade clínica no manejo da dor. No entanto, barreiras como falta de parceria entre profissionais de saúde e pacientes, conteúdo limitado baseado em evidências, apoio social, relevância cultural, custo, idioma, segurança e privacidade podem limitar o seu uso sustentado. Registro PROSPERO: CRD42022382686.