ESS (DCETS) - Artigos em Revistas Científicas Internacionais com Arbitragem Científica
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- Comfort experience in palliative care: a phenomenological studyPublication . Coelho, Adriana; Parola, Vítor; Escobar-Bravo, Miguel; Apóstolo, JoãoPalliative care aims to provide maximum comfort to the patient. However it is unknown what factors facilitate or hinder the experience of comfort, from the perspective of inpatients of palliative care units. This lack of knowledge hinders the development of comfort interventions adjusted to these patients. The aim of this research is to describe the comfort and discomfort experienced by inpatients at palliative care units.
- A randomized controlled trial of a nursing psychotherapeutic intervention for anxiety in adult psychiatric outpatientsPublication . Sampaio, Francisco Miguel Correia; Araújo, Odete; Sequeira, Carlos; Lluch-Canut, Teresa; Martins, TeresaAim To evaluate the short‐term efficacy of a psychotherapeutic intervention in nursing on Portuguese adult psychiatric outpatients with the nursing diagnosis “anxiety.” Background Several efficacious forms of treatment for anxiety are available, including different forms of psychotherapy and pharmacotherapy. However, literature tends to favour findings from studies on the efficacy of psychotherapies and therapies provided by nurses to the detriment of those arising from studies on the efficacy of nursing psychotherapeutic interventions (interventions which are classified, for instance, on Nursing Interventions Classification). Design Randomized controlled trial. Methods The study was performed, between November 2016 ‐ April 2017, at a psychiatry outpatient ward. Participants were randomly allocated to an intervention group (N = 29) or a treatment‐as‐usual control group (N = 31). Patients in the intervention group received psychopharmacotherapy with interventions integrated in the Nursing Interventions Classification for the nursing diagnosis “anxiety.” A treatment‐as‐usual control group received only psychopharmacotherapy (if applicable). Anxiety level and anxiety self‐control were the primary outcomes. Results Patients from both groups had reduced anxiety levels, between the pre‐test and the posttest assessment; however, according to analysis of means, patients in the intervention group displayed significantly better results than those of the control group. Furthermore, only patients in the intervention group presented significant improvements in anxiety self‐control. Conclusion This study demonstrated the short‐term efficacy of this psychotherapeutic intervention model in nursing in the decrease of anxiety level and improvement of anxiety self‐control in a group of psychiatric outpatients with pathological anxiety. Trial Registration Number: NCT02930473.
- The effects of guided imagery on comfort in palliative carePublication . Coelho, Adriana; Parola, Vítor; Sandgren, Anna; Fernandes, Olga; Kolcaba, Katharine; Apóstolo, JoãoGuided imagery (GI) is a nonpharmacological intervention that is increasingly implemented in different clinical contexts. However, there have been no studies on the effect of GI on the comfort of inpatients of palliative care (PC) units. Therefore, the aim of this study was to evaluate the effects of GI on the comfort of patients in PC. A 1-group, pretest-posttest, pre-experimental design was used to measure differences in heart rate, respiratory rate, pain, and comfort in patients (n = 26) before and after a 2-session GI program. The intervention featuring GI increased comfort, measured by an Abbreviated Holistic Comfort Scale and the visual analog comfort scale (P < .001), and decreased heart rate (P < .001), respiratory rate (P < .001), and pain, as measured by the (numerical) visual analog pain scale (P < .001). This study demonstrates that the use of an intervention featuring GI increases the comfort of oncology patients admitted to a PC unit. The use of GI by nurses is inexpensive, straightforward to implement, and readily available and may result in the provision of comfort care.