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- Evaluation of the Psychometric Properties of NOC Outcomes “Anxiety Level” and “Anxiety Self-Control” in a Portuguese Outpatient SamplePublication . Sampaio, Francisco; Araújo, Odete; Sequeira, Carlos; Lluch-Canut, Teresa; Martins, TeresaPURPOSE To adopt the language and to evaluate the psychometric properties of “Anxiety level” and “Anxiety self‐control” NOC outcomes in Portuguese adult patients. METHODS Methodological design. FINDINGS The final European Portuguese version of the NOC outcome “Anxiety level,” composed by 16 indicators, proved excellent internal consistency. Exploratory factor analysis (EFA) was forced to three factors. The NOC outcome “Anxiety self‐control,” composed of nine indicators, demonstrated a questionable internal consistency. EFA was forced to two factors. CONCLUSIONS European Portuguese versions of the studied NOC outcomes proved to be tools with acceptable psychometric properties for evaluating anxiety in Portuguese patients. IMPLICATIONS FOR NURSING PRACTICE This study contributed to the development of NOC language and to the enrichment of nursing's body of knowledge.
- Cognitive insight in psychotic patients institutionalized and living in the community: an examination using the Beck Cognitive Insight ScalePublication . Pinho, Lara Guedes de; Sampaio, Francisco; Sequeira, Carlos; Martins, Teresa; Ferré-Grau, CarmeImproving cognitive insight can reduce delusions in patients with psychotic disorders. Although institutionalized patients usually have more severe delusions than outpatients, little is known about the differences in cognitive insight between these two groups. In this study, we evaluated the psychometric properties of the Beck Cognitive Insight Scale (BCIS) for a sample of Portuguese patients with psychotic disorders and compared the cognitive insight of institutionalized patients with patients living in the community. Participants in this study were 150 patients diagnosed with psychotic disorder (78 institutionalized patients and 72 outpatients). The tested model of the BCIS was a very good fit. Our study shows that patients living in the community showed higher levels of cognitive insight (total BCIS and self-reflectiveness) than institutionalized patients. Future studies assessing cognitive insight should take into account differences between the cognitive insights of institutionalized psychotic patients and psychotic patients living in the community.
- 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.