scholarly journals Evidence of validity of the instrument interRAI emergency screener for psychiatry for the brazilian contexto

2021 ◽  
Vol 10 (13) ◽  
pp. e525101321185
Author(s):  
Luis Afonso Bataglin Cabral ◽  
Wagner de Lara Machado ◽  
Elton Luiz Ferlin ◽  
John P. Hirdes ◽  
Luiz Carlos Porcello Marrone ◽  
...  

Objective: The aim of this study was to carry out the translation and present the evidence of validity of the Brazilian version of the interRAI Emergency Screener for Psychiatry (ESP). Method: this is a cross-sectional study conducted in a municipal hospital in the metropolitan region of Porto Alegre, Rio Grande do Sul. A total of 161 patients were evaluated in the first 24 hours of emergency arrival using ESP. Exploratory factor analyses of the sections of the instrument and reliability analyses were conducted using Cronbach's alpha and McDonald's Omega. Results: the analyzes suggested a factorial structure adequate to the purpose of the instrument, with two sections (Mental State Indicators and Harm to Self and Others) having a two-factor solution, contrary to the expected one-factorial expectation. However, the two-factor sections have theoretical interpretability and consistency. The factor loadings of the items were adequate, all with values equal to or greater than 0.30. The interpreted factors showed internal consistency, assessed by Cronbach's Alpha and McDonald's Ommega indices, with values ranging between 0.60 and 0.94. Conclusion: the Brazilian version of the interRAI Emergency Screener for Psychiatry (ESP) demonstrates adequate psychometric properties through the internal structure of the instrument. Future studies should investigate the relationship of the scores produced by the instrument with clinical diagnosis and with covariates relevant to mental health outcomes.

2020 ◽  
Vol 9 (2) ◽  
pp. 1041-1046
Author(s):  
Adek Ardiansyah ◽  
Lilik Herawati ◽  
Damayanti Tinduh

This study aimed to analyze the relationship of insulin-like growth factor 1 with bone mass in obese female. This study used a cross sectional study method using 30 obese women aged 19-23 years, body mass index (BMI) 25-35 kg / m2, normal blood pressure, normal resting heart rate (RHR), normal hemoglobin (Hb). and fasting blood glucose (FBG) <100 mg / dL. Measurement of IGF-1 levels used the Enzym Link Immunosorbent Assay (ELISA) method. Measurement of bone mass using TANITA (Body Composition Analyzer DC3607601 (2) -1604 FA, TANITA Corporation of America, Inc., USA). The data analysis technique used the Pearson product-moment test with Statistical Package for Social Science (SPSS). The results showed that mean levels of IGF-1 (1.17 ± 0.10) ng / mL and bone mass (2.49 ± 0.06) kg (r = 0.712, P ≤ 0.001). Our findings suggest that there was a positive correlation between IGF-1 levels and bone mass


2018 ◽  
Vol 10 (2) ◽  
pp. 15-20
Author(s):  
Yustiari Yustiari ◽  
Syahrianti Syahrianti

The use of technology nowadays increasingly facilitates communication without being limited by space and time. At present print and electronic media is an environment that is close to teenagers. Television is an electronic media that is easily accessible to teenagers because of the large amount of information and news broadcast. This study aims to determine the relationship of exposure to pornography through television with teenage sexual behavior of SMAN 2 Kendari. Type of research is analytical, with the research design used is the Cross Sectional Study. The research sample was 69 people. With the inclusion criteria willing to take part in the study by signing the consent sheet and being a teenager attending school at SMAN 2 Kendari. Most respondents 36 people (53.1%) had exposure to pornography from low television media. Mild sexual behavior of 60 respondents (86.96%). The majority of sexual behavior that respondents often do when their boyfriend is holding hands 40 (57.9%). A total of 5 respondents (7.2%) did kisses involving the tongue during dating. Most respondents have peer behavior that is low (57.9%). Based on the results of the study there is a significant relationship between exposure to pornography from television media and teenage sexual behavior (p<0.05).


2021 ◽  
Vol 1 (1) ◽  
pp. 1-6
Author(s):  
Kusuma Wijaya Ridi Putra ◽  
Riesmiyatiningdyah Riesmiyatiningdyah ◽  
Agus Sulistyowati

Introduction: The problem that is often experienced by young women is anemia. This anemia condition causes them to feel lethargic, dizzy, and a pale face. This situation causes them to be less eager to carry out activities and interfere with their learning concentration. Objective: This study aimed to determine the reliability test results of the questionnaire on the level of knowledge about anemia in adolescents. Methods: This study used a cross-sectional study method. This research was conducted on February 28, 2021. The study population was all adolescents in the Islamic Boarding School of Tahfizh Putri Alfirdaus Hidayatullah, Sekardangan, Sidoarjo. The sampling technique used was total sampling. The sample size of the study was 24 adolescents. This study used a modified questionnaire for adolescent knowledge about anemia (Zulaekah, 2007). The questionnaire used in this study only used 8 items from the original questionnaire. The data analysis carried out was Mean, Standard Deviation, and Cronbach's Alpha. Results: Based on the results of the reliability test on the adolescent knowledge level questionnaire, it was found that Cronbach's Alpha was .594. This illustrates that the questionnaire is good enough to be used as an instrument in research. Conclusion: A modified questionnaire about the level of adolescent knowledge about anemia can be used in a study.


2021 ◽  
pp. 1-8
Author(s):  
M. F.S. Bersani ◽  
F.S. Bersani ◽  
F. Sciancalepore ◽  
M. Salzillo ◽  
M. Cesari ◽  
...  

Background: Studies increasingly suggest that chronic exposure to psychological stress can lead to health deterioration and accelerated ageing, thus possibly contributing to the development of frailty. Recent approaches based on the deficit accumulation model measure frailty on a continuous grading through the “Frailty Index” (FI), i.e. a macroscopic indicator of biological senescence and functional status. OBJECTIVES: The study aimed at testing the relationship of FI with caregiving, psychological stress, and psychological resilience. DESIGN: Cross-sectional study, with case-control and correlational analyses. PARTICIPANTS: Caregivers of patients with dementia (n=64), i.e. individuals a priori considered to be exposed to prolonged psychosocial stressors, and matched controls (n=64) were enrolled. MEASUREMENTS: The two groups were compared using a 38-item FI condensing biological, clinical, and functional assessments. Within caregivers, the association of FI with Perceived Stress Scale (PSS) and Brief Resilience Scale (BRS) was tested. RESULTS: Caregivers had higher FI than controls (F=8.308, p=0.005). FI was associated directly with PSS (r=0.660, p<0.001) and inversely with BRS (r=-0.637, p<0.001). Findings remained significant after adjusting for certain confounding variables, after excluding from the FI the conditions directly related to psychological stress, and when the analyses were performed separately among participants older and younger than 65 years. CONCLUSIONS: The results provide insight on the relationship of frailty with caregiving, psychological stress, and resilience, with potential implications for the clinical management of individuals exposed to chronic emotional strain.


2021 ◽  
pp. tobaccocontrol-2020-056160
Author(s):  
Yanhui Liao ◽  
Jinsong Tang ◽  
Ann McNeill ◽  
Brian C Kelly ◽  
Joanna E Cohen

BackgroundSharing and gifting cigarettes are common in China. These social practices promote cigarette consumption, and consequently may reduce quit rates in China. This study investigated sharing and gifting cigarettes, and the relationship of observing pictorial health warnings to attitudes towards sharing and gifting cigarettes in China.MethodsWe conducted an online nationwide cross-sectional study of 9818 adults in China. Experiences of sharing and gifting cigarettes, and attitudes towards sharing and gifting cigarettes before and after viewing text and pictorial health warnings on the packages were assessed, and compared between smokers and non-smokers.ResultsMost current smokers reported experiences of sharing (97%) and gifting (around 90%) cigarettes. Less than half of non-smokers reported sharing cigarettes and receiving gifted cigarettes, but over half (61.4%) gave cigarettes as a gift to others. More than half of non-smokers but less than 10% of smokers disagreed with sharing and gifting cigarettes. After observing both text and pictorial health warnings on the packages, disagreement with sharing and gifting cigarettes increased by more than 10 percentage points among both smokers and non-smokers.ConclusionHaving pictorial health warnings on cigarette packages may reduce sharing and gifting cigarettes in China.


2019 ◽  
Author(s):  
Ευφροσύνη Κλεάνθους

Η μέτρηση της έκβασης του ασθενούς έχει λάβει εξέχουσα θέση στην αξιολόγηση των συστημάτων υγείας τα τελευταία 30 χρόνια ενώ παράλληλα άρχισε να φαίνεται ότι η φροντίδα της ψυχικής υγείας πρέπει να παρέχεται βάσει των αναγκών των ασθενών, με απώτερο στόχο να βελτιωθεί η ποιότητα ζωής τους. Κύριος σκοπός της παρούσας έρευνας ήταν η αξιολόγηση των αναγκών, της ποιότητας ζωής και της λειτουργικότητας των ψυχικά πασχόντων που λαμβάνουν φροντίδα σε δομές ψυχικής υγείας στην Κύπρο. Επιπλέον, η έρευνα αποσκοπούσε στην διερεύνηση της σχέσης μεταξύ των μεταβλητών που μελετήθηκαν. Μέθοδος: Πραγματοποιήθηκε μια συγχρονική μελέτη (cross-sectional study). Η συλλογή των δεδομένων πραγματοποιήθηκε σε δομές ψυχικής υγείας στην Κύπρο,κοινοτικές αλλά και νοσοκομειακές, με την χρήση ενός ερωτηματολογίου το οποίο περιλάμβανε την ελληνική μετάφραση του εργαλείου Camberwell Assessment ofNeed Short Appraisal Schedule (CANSAS), την Κλίμακα Αξιολόγησης τηςΠοιότητας Ζωής του Παγκόσμιου Οργανισμού Υγείας (WHOQOL-BREF), και τηνΚλίμακα Ολικής Εκτίμησης της Λειτουργικότητας (GAS). Αποτελέσματα: Το δείγμα αποτελείτο από 202 ασθενείς οι οποίοι λαμβάνουν φροντίδα σε εξωτερικές και νοσοκομειακές δομές των Υπηρεσιών Ψυχικής Υγείαςτης Κύπρου. Η μέση ηλικία των ασθενών ήταν 46,4 έτη. Το 53,5% των ασθενών ήταν άνδρες Το 58,4% των ασθενών έπασχαν από ψυχωσικές διαταραχές, το 34,7%έπασχαν από διαταραχές διάθεσης και το 6,9% έπασχαν από αγχώδεις διαταραχές. Ομέσος αριθμός ετών με τη νόσο ήταν 17,1 χρόνια. Ο συντελεστής εσωτερικήςαξιοπιστίας Cronbach’s alpha του ερωτηματολογίου αναγκών του Camberwell στην παρούσα μελέτη ήταν 0,75 γεγονός που δηλώνει αποδεκτή αξιοπιστία. Σε ότι αφορά στις ανάγκες σύμφωνα με το CANSAS, η μέση τιμή των εκλαμβανόμενων συνολικών αναγκών από τους ψυχικά πάσχοντες στην Κύπρο ήταν 9,56, η μέση τιμή των καλυμμένων αναγκών ήταν 4,08 και η μέση τιμή των ακάλυπτων αναγκών 5,51. Στηνπαρούσα έρευνα οι πέντε πιο συχνά αναφερόμενες ακάλυπτες ανάγκες ήταν 1)σεξουαλική έκφραση, 2) ψυχολογική ανησυχία ή ψυχική αναστάτωση, 3) οικείες σχέσεις, 4) συντροφικότητα και 5) καθημερινές δραστηριότητες σε φθίνουσα σειρά.Οι πέντε λιγότερο αναφερόμενες ακάλυπτες ανάγκες ήταν οι ανάγκες για 1)αυτοφροντίδα, 2) στέγαση, 3) χρήση τηλεφώνου, 4) φροντίδα παιδιών, 5) χρήση 7αλκοόλ. Το 18,2% δήλωσαν ότι δεν είναι καθόλου ικανοποιημένοι την ποιότητα ζωής τους γενικά, το 22,7% ότι είναι λίγο ικανοποιημένοι, το 29,3% ότι είναι μέτρια ικανοποιημένοι, το 21,2% δήλωσαν ότι είναι πολύ ικανοποιημένοι και το 8,6% ότι είναι υπερβολικά ικανοποιημένοι. Το 19,9% δήλωσαν ότι δεν είναι καθόλου ικανοποιημένοι με την υγεία τους, το 17,3% ότι είναι λίγο ικανοποιημένοι, το 34,2%ότι είναι μέτρια ικανοποιημένοι, το 18,9% δήλωσαν ότι είναι πολύ ικανοποιημένοι και το 9,7% ότι είναι υπερβολικά ικανοποιημένοι. Οι περισσότεροι ασθενείς είχαν σοβαρή διαταραχή της λειτουργικότητας (42,6%), το 28,7% είχαν μέτρια διαταραχή της λειτουργικότητας, το 19,8% είχαν ήπια διαταραχή της λειτουργικότητας, το 6,9%είχαν βαριά διαταραχή της λειτουργικότητας και το 2% είχαν καλή λειτουργικότητα.Η μείωση της βαθμολογίας των ακάλυπτων αναγκών σχετίζονταν με αύξηση της βαθμολογίας αυτοεκτίμησης της ποιότητας ζωής. Η μείωση της βαθμολογίας των ακάλυπτων αναγκών σχετίζονταν με αύξηση της βαθμολογίας λειτουργικότητας. Η αύξηση της βαθμολογίας των καλυμμένων αναγκών σχετίζονταν με αύξηση της βαθμολογίας ικανοποίησης για την υγεία.Συμπεράσματα: Τα εργαλεία εκτίμησης των αναγκών, της ποιότητας ζωής και της λειτουργικότητας μπορούν να χρησιμοποιηθούν για εκτίμηση της κλινικής αποτελεσματικότητας και του κόστους των παρεμβάσεων, την παρακολούθηση της υγείας του πληθυσμού των ψυχικά πασχόντων, στον σχεδιασμό υπηρεσιών για κάλυψη των αναγκών τους, στην βελτίωση της ποιότητας της παρεχόμενης φροντίδας καθώς και ως ενίσχυση στην διαδικασία λήψης αποφάσεων στην καθημερινή κλινική πρακτική. Η ικανοποίηση των κοινωνικών αναγκών, πέρα από τη μείωση των συμπτωμάτων, φαίνεται να έχει ιδιαίτερη σημασία για την εξασφάλιση καλύτερης ποιότητας ζωής και καλύτερης ψυχοκοινωνικής λειτουργικότητας για τα άτομα με ψυχικές διαταραχές. Τα αποτελέσματα από την χρήση των εργαλείων στον πληθυσμό των ψυχικά πασχόντων στην Κύπρο φαίνεται να συμβαδίζουν με δεδομένα από άλλες διεθνείς έρευνες.


2021 ◽  
Author(s):  
Pooja Sahni ◽  
Jyoti Kumar

History is replete with examples where humans have sought refuge in nature for psychological restoration. In this cross-sectional study we explore the relationship of nature experience and mindfulness. Nature experience is assessed through “nature in the neighbourhood”, “frequency of visit” to nature-rich spaces, as well as one's inherent connection with nature described as “nature relatedness”. The study sample consisted of 334 Indian adults. The findings from this study show that frequency of visit to nature-rich spaces has a significant positive association with mindfulness. The hierarchical regression analysis suggests an interaction effect of “nature relatedness” in the association of the presence of nature rich spaces in the neighbourhood, frequency of visit as well as mindfulness. Interestingly, when childhood experiences were explored they had a significant association with “nature relatedness” and mindfulness. The evidence from this research suggests that nature experience may find its application as one of the mindfulness techniques prescribed for self-management of mental health problems.


2018 ◽  
Vol 5 (3) ◽  
pp. 192-200
Author(s):  
Javaria Mukhtar ◽  
Muhammad Hussain ◽  
Kousar Perveen ◽  
Muhammad Afzal ◽  
Syed Amir Gilani

Inter-professional learning is helpful for students to identify other professionals for team work and collaboration which results in improved patient care out come and also improve Communication among health professionals and patients. The purpose of this study was to explore the relationship between readiness and perception of students towards inter-professional learning. A correlation, cross-sectional study was done with Two hundred and eighty five undergraduate Nursing and Paramedical students from Jan, 2018 to May, 2018. Convenient sampling was used to collect data. The Readiness for Inter-Professional Learning Scale (RIPLS) and Interdisciplinary Education Perception Scale (IEPS) were used to measure the readiness and perception of students regarding inter-professional leaning. The data were analyzed using software Statistical Package for Social Science (SPSS) (Version 21). Spearman rho correlation test was used to explore the relationship of variables. The results showed statically significant positive correlation between the readiness and Perception of students regarding inter-professional learning (p=.000). This study indicated that there is strong positive correlation between readiness and perception of students towards inter-professional learning but students have least response towards team work and collaboration. Study suggests that inter-professional education should introduce in the curriculum of nursing and paramedical students to promote team work and share learning.Int. J. Soc. Sc. Manage. Vol. 5, Issue-3: 192-200


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