ESSFP - Artigos em Revistas Científicas Internacionais com Arbitragem Científica
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- Enfermeiros de atenção primária à saúde: atitudes frente à pessoa com transtorno mentalPublication . Nobrega, Maria Do Perpétuo Socorro De Sousa; Fernandes, Carla Sílvia; Zerbetto, Sonia; Sampaio, Francisco; Carvalho, J.C.; Cristina De Sousa Chaves, SuellenObjetivo: Identificar as atitudes dos enfermeiros que atuam na Atenção Primária à Saúde frente à pessoa com transtorno mental e as variáveis relacionados aos cuidados de saúde prestados. Metodologia: Estudo descritivo, correlacional, com 250 enfermeiros de 69 Unidades Básica de Saúde do município de São Paulo. A coleta de dados ocorreu entre abril e agosto de 2019 por meio da escala “Opiniões acerca da Doença Mental”. Os dados foram analisados por meio do teste de KrusKal-Wallis, com nível de confiança de 95% e significância estatística de p<0,05. Resultados: A média global da escala foi 197, que demonstra atitudes negativas especialmente nas dimensões de Autoritarismo (44,6), Restrição Social (42,0), e positiva na dimensão Benevolência (51,7). Conclusão: Os enfermeiros apresentam, tendencialmente, perfil atitudinal estigmatizante. É necessária intervenção formativa e permanente para que seja possível reduzir o estigma e melhorar o cuidado de base comunitária preconizado nas diretrizes da Rede de Atenção Psicossocial.
- Patient-centered care for patients with depression or anxiety disorder: an integrative reviewPublication . Pinho, Lara Guedes de; Lopes, Manuel; Correia, Tânia; Sampaio, Francisco; Arco, Helena; Mendes, Artur; Marques, Maria do Céu; Fonseca, CésarPeople have specific and unique individual and contextual characteristics, so healthcare should increasingly opt for person-centered care models. Thus, this review aimed to identify and synthesize the indicators for the care process of the person with depression and/or anxiety disorders, based on patient-centered care, going through the stages of diagnostic assessment and care planning, including intervention. An integrative literature review with research in seven scientific databases and a narrative analysis were carried out. Twenty articles were included, with indicators for diagnostic evaluation and care/intervention planning being extracted. Care planning focused on people with depression and/or anxiety disorder must be individualized, dynamic, flexible, andparticipatory. It must respond to the specific needs of the person, contemplating the identification of problems, the establishment of individual objectives, shared decision making, information and education, systematic feedback, and case management, and it should meet the patient’s preferences and satisfaction with care and involve the family and therapeutic management in care. The existence of comorbidities reinforces the importance of flexible and individualized care planning in order to respond to the specific health conditions of each person.
- The use of mental health promotion strategies by nurses to reduce anxiety, stress, and depression during the COVID-19 outbreak: a prospective cohort studyPublication . Pinho, Lara Guedes de; Correia, Tânia Sofia Pereira; Sampaio, Francisco; Sequeira, Carlos; Teixeira, L.; Lopes, Manuel; Fonseca, César João Vicente daObjectives: To evaluate and compare nurses' depression, anxiety and stress symptoms at the beginning of the COVID-19 pandemic and after six months; to evaluate and compare the frequency of use of mental health promotion strategies during the same period; and to identify the relationship between the frequency of use of mental health promotion strategies, during the same period, with nurses’ depression, anxiety and stress symptoms. Methods: Data collection was carried out in two moments: at baseline and after six months. An online questionnaire was applied to nurses to assess the frequency of use of some mental health promotion strategies and their depression, anxiety, and stress symptoms (through the Depression Anxiety Stress Scales – short version (DASS-21)). Results: The anxiety and stress symptoms significantly decreased over time. The physical activity increased, and a decrease was observed in the remote social contacts after six months. The stress, anxiety and depression scores were significantly lower in nurses who frequently or always used all strategies compared to participants who never or rarely used them, except for one strategy (rejecting information about COVID-19 from unreliable sources). Conclusions: Mental health promotion strategies, such as physical activity, relaxation activity, recreational activity, healthy diet, adequate water intake, breaks between work shifts, maintenance of remote social contacts, and verbalization of feelings/emotions, are crucial to reduce nurses’ stress, anxiety and depression symptoms during the COVID-19 outbreak.
- Impact of COVID-19 outbreak on nurses’ mental health: a prospective cohort studyPublication . Sampaio, Francisco; Sequeira, Carlos; Teixeira, L.Objectives: To evaluate variations in nurses’ sleep quality and symptoms of depression, anxiety and stress during the COVID-19 outbreak, and to evaluate whether the presence of potential risk factors influenced these symptoms over time. Methods: This prospective cohort study surveyed nurses three times – surveying personal factors, working conditions, family dynamics, and attitude towards COVID-19 – between March 31 and May 4, 2020. Nurses’ mental health was assessed through Depression Anxiety Stress Scales – short version (DASS-21); their sleep quality was assessed through a 5-point Likert scale question. Results: Nurses' sleep quality and symptoms of depression, anxiety and stress presented a positive variation over the COVID-19 outbreak. The only factors which are directly related to the COVID-19 outbreak and that were associated with the positive variation in nurses’ symptoms of depression, anxiety and stress were the fear to infect others and the fear to be infected (higher fear of being infected or to infect someone corresponded to increased symptoms of depression, anxiety and stress). Conclusions: Although the COVID-19 outbreak seems to have had an immediate impact on nurses' mental health, a psychological adaptation phenomenon was also observed. Future research should focus on assessing nurses’ symptoms of depression, anxiety and stress, after the COVID-19 pandemic, in order to compare and contrast the findings with the results of our study.
- Portuguese nurses’ stress, anxiety, and depression reduction strategies during the COVID-19 outbreakPublication . Pinho, Lara Guedes de; Sampaio, Francisco; Sequeira, Carlos; Teixeira, L.; Fonseca, César João Vicente da; Lopes, ManuelThe COVID-19 pandemic has contributed to mental health problems worldwide. Nurses are particularly prone to stress because they directly care for individuals with suspected or confirmed cases of COVID-19. The aims of this study were (a) to explore the association between the mental health promotion strategies used by nurses during the COVID-19 outbreak and their symptoms of depression, anxiety, and stress; (b) to compare the symptoms of depression, anxiety, and stress of mental health nurses to those of non-mental health nurses; and (c) to compare the frequency of use of mental health strategies of mental health nurses to those of non-mental health nurses. A cross-sectional study was conducted with a sample of 821 nurses. Univariate and multivariate regression models were developed to identify potential protective factors of depression, anxiety, and stress. The chi-square test was also used to compare the use of strategies among mental health and non-mental health nurses. Portuguese nurses demonstrated high symptoms of depressive symptoms, stress, and anxiety. Healthy eating, physical activity, rest between shifts, maintaining social contacts, verbalizing feelings/emotions, and spending less time searching for information about COVID-19 were associated with better mental health. Mental health nurses had less depression, anxiety, and stress, and used more strategies to promote mental health than other nurses. We consider it important to promote nurses’ mental health literacy by encouraging them to develop skills and strategies aimed at improving their resilience and ability to deal with difficult situations while caring for the population.
- Sleep and awakening quality during COVID-19 confinement: complexity and relevance for health and behaviorPublication . Paiva, Teresa; Reis, Cátia; Feliciano, Amélia; Canas-Simião, Hugo; Machado, Maria Augusta; Gaspar, Tânia; Tomé, Gina; Branquinho, Cátia; Silva, Maria Raquel; Ramiro, Lúcia; Gaspar, Susana; Bentes, Carla; Sampaio, Francisco; Pinho, Lara; Pereira, Conceição; Carreiro, Alexandra; Moreira, Susana; Luzeiro, Isabel; Pimentel, Joana; Videira, Gabriela; Fonseca, Júlio; Bernarda, Ana; Vaz Castro, Joana; Rebocho, Sofia; Almondes, Katie; Canhão, Helena; Matos, Margarida GasparObjective: The aim of this study was to evaluate sleep and awakening quality (SQ and AQ) during COVID-19 in a large and diversified population in order to identify significant associations and risks in terms of demography, health and health-related behaviors, sleep variables, mental health, and attitudes. Methods/Results:Online surveys were used for data collection, received from 5479 individuals from the general population, sleep disorder patients, and COVID-involved (medical doctors (MDs) and nurses) and COVID-affected professionals (teachers, psychologists, and dentists). SQ and AQ were worse in adults, females, and high-education subjects. Feeling worse, having economic problems, depression, anxiety, irritability, and a high Calamity Experience Check List (CECL) score during COVID were significantly associated with poor SQ and AQ. Shorter sleep duration, increased latency, poor nutrition, low physical activity, increased mobile and social network use, more negative and less positive attitudes and behaviors were associated with poor AQ. Conclusions: The SQ logistic regression showed gender, morbidities, CECL, and awakenings as relevant, whereas, for AQ, relevant variables further included age and physical activity. Aiming to have a high stress compliance, each individual should sleep well, have important control of their mood, practice positive behaviors while dismissing negative behaviors and attitudes, practice exercise, have adequate nutrition, and beware of technologies and dependences.
- Cancer nanopharmaceuticals: physicochemical characterization and in vitro/in vivo applicationsPublication . Zielińska, Aleksandra; Szalata, Marlena; Gorczyński, Adam; Karczewski, Jacek; Eder, Piotr; Severino, Patrícia; Cabeda, JM; Souto, Eliana B.; Słomski, RyszardPhysicochemical, pharmacokinetic, and biopharmaceutical characterization tools play a key role in the assessment of nanopharmaceuticals’ potential imaging analysis and for site-specific delivery of anti-cancers to neoplastic cells/tissues. If diagnostic tools and therapeutic approaches are combined in one single nanoparticle, a new platform called nanotheragnostics is generated. Several analytical technologies allow us to characterize nanopharmaceuticals and nanoparticles and their properties so that they can be properly used in cancer therapy. This paper describes the role of multifunctional nanoparticles in cancer diagnosis and treatment, describing how nanotheragnostics can be useful in modern chemotherapy, and finally, the challenges associated with the commercialization of nanoparticles for cancer therapy.
- Patient-centered care for people with depression and anxiety: an integrative review protocolPublication . Pinho, Lara Guedes de; Correia, Tânia Sofia Pereira; Lopes, Manuel; Fonseca, César João Vicente da; Marques, Maria do Céu; Sampaio, Francisco; Arco, HelenaIntroduction: Depression and anxiety are mental diseases found worldwide, with the tendency to worsen in the current pandemic period. These illnesses contribute the most to the world’s rate of years lived with disability. We aim to identify and synthesize indicators for the care process of the person with depression and/or anxiety disorders, based on patient-centered care, going through the stages of diagnostic assessment, care planning, and intervention. Methods and analysis: An integrative literature review will be conducted, and the research carried out on the following databases: MEDLINE, PsycINFO, Scopus, and Psychology and Behavioral Sciences Collection, CINAHL, Web of Science, TrialRegistry, and MedicLatina. The research strategy contains the following terms MesH or similar: “patient-centered care”, “depression”, and “anxiety”. Two independent revisers will perform the inclusion and exclusion criteria analysis, the quality analysis of the data, and its extraction for synthesis. Disagreements will be resolved by a third revisor. All studies related to diagnostic assessment, care planning, or intervention strategies will be included as long as they focus on care focused on people with depression and anxiety, regardless of the context. Given the plurality of the eligible studies, we used the narrative synthesis method for the analysis of the diagnostic assessment, the care and intervention planning, and the facilitators and barriers.
- Gender differences in mental health, academic life satisfaction and psychological vulnerability in a sample of college freshmen: a cross-sectional studyPublication . Nogueira, Maria; Sequeira, Carlos; Sampaio, FranciscoGender differences among undergraduates are mainly found in the prevalence of common mental disorders such as depression, anxiety, somatic complaints, and sexual violence. However, there is a lack of information in the literature about gender differences in academic life satisfaction and psychological vulnerability among freshmen. Thus, this study aimed to identify gender differences in demographics, mental health, academic life satisfaction, and psychological vulnerability of freshmen. A cross-sectional study was conducted on a sample of 560 Portuguese freshmen. An online survey was used to collect data in all 29 Lisbon District colleges. Data were collected through a demographic and academic data questionnaire, the Mental Health Inventory (MHI-38), the Academic Life Satisfaction Scale (ALLS), the Psychological Vulnerability Scale (PVS), and a question to assess students’ perception of their vulnerability. We found significant gender-related differences (p < .05) in all subscales of MHI-38, the ALLS-Personal Satisfaction subscale, and the self-perception of vulnerability. Overall, freshmen women presented worse scores in all subscales of MHI-38, in ALLS-Personal Satisfaction subscale, and a higher self-perception of vulnerability. These findings emphasize the need to design and implement mental health promotion activities, mainly focused on the needs of freshmen women, in colleges.
- Development and psychometric properties of the Therapeutic Relationship Assessment Scale‐NursePublication . Ferreira Coelho, Joana Catarina; Sampaio, Francisco; Nogueira, Maria José Carvalho; Sequeira, Carlos; Lleixá-Fortuño, Mar; Roldan-Merino, JuanIntroduction: The therapeutic relationship (TR) is essential to providing psychiatric and mental health nursing care. Nevertheless, no assessment tools exclusive for assessing nursing TR were found in the literature. Aim: To describe and evaluate the psychometric properties (reliability and construct validity) of a scale that allows assessing the quality of TR established between the nurse and the patient. Method: A survey method was adopted, using a convenience sample of 356 mental health nurses. Internal consistency was assessed by Cronbach's alpha and Omega index. Results: A total of 221 mental health nurses participated in the study (response rate = 62.08%). The scale's final structure has 25 items. Cronbach's alpha was 0.93, ranging from 0.78 to 0.88 for each of the factors. The cumulative variance explained in a four-factor structure was 71.12%. Discussion: The Therapeutic Relationship Assessment Scale (TRAS)-Nurse presents good psychometric properties. In the light of Benner's theory, it can be an useful tool for novice nurses to better understand what aspects they should pay attention to for establishing a successful TR. Implications for Practice: Mental health nurses can use the TRAS-Nurse, thus having a scale available that allows them to self-assess the quality of TR they establish with their patients.
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