Subjective wellbeing, sense of humor and psychological health in hemodialysis patients

Objective: To investigate the relationship between satisfaction with life in general, sense of humor, and anxiety, depression and stress with subjective happiness in chronic kidney disease patients undergoing hemodialysis. Material and Methods: A cross-sectional and correlational study was developed in two units of the Diaverum dialysis clinic and one hospital unit, with 183 chronic kidney disease patients undergoing hemodialysis. An instrument was used to characterize the sociodemographic and clinical profile of the sample (age, gender, nationality, education, occupation, marital status, dialysis sessions length, presence of hypertension and diabetes): the subjective happiness scale; the satisfaction with life in general; depression, anxiety and stress scale 21; and multidimensional sense of humor scale. Inferential procedures included Spearman correlation coefficients, and multiple linear regression adjusting to age, marital status, professional activity and diabetes.Results: Subjective Happiness was positively correlated with satisfaction with life in general, and the three dimensions of Sense of Humor. Nevertheless, subjective happiness was negatively correlated with stress / anxiety and depression. Satisfaction with life in general, humor production and social use of humor, and attitude towards humor had a positive relationship with subjective happiness. However, depression had a negative relationship with subjective happiness. Conclusions: Higher levels of subjective happiness were associated with higher levels of satisfaction with life in general, and sense of humor, however they were also associated with lower levels of depression in patients undergoing hemodialysis

Subjective Wellbeing Assessment in People with Chronic Kidney Disease Undergoing Hemodialysis

The aim of this study was to analyze the relationship between satisfaction with life in general and the sociodemographic and emotional factors and components of quality of life in people with chronic kidney disease undergoing hemodialysis. A cross-sectional and correlational study was performed on a sample of 171 people with chronic kidney disease in two hemodialysis units at a Clinic in Lisbon between May and June 2015. Subjective wellbeing (personal wellbeing index) is positively related with subjective happiness, positive affect, and quality of life and is negatively associated with negative affect. Subjective happiness, negative affect, and the physical component of quality of life influence subjective wellbeing. These conclusions can assist us in understanding that people with chronic kidney disease (CKD) encounter greater feelings of wellbeing, mainly related to pleasant affect (subjective happiness and positive affect)

Visualização de filmes humorísticos: repercussão na qualidade de vida na pessoa com doença renal crónica

As intervenções terapêuticas baseadas no humor e no riso parecem ser um importante fator na promoção da saúde dos indivíduos em programas de hemodiálise por ser benéfico a sua utilização em situações como ansiedade, stress e insónia, assim como na melhoria de sintomatologia física. Na realidade, é evidente o caráter protetor da visualização de filmes de humor sobre a componente física da qualidade de vida, constatando-se diminuições significativas dos valores da pressão arterial sistólica e pressão arterial diastólica no grupo de intervenção. Por esse motivo os enfermeiros devem prescrever a visualização de filmes humorístiscos durante a sessão de hemodiálise dado que esta, além de ser um meio de distração, melhora a qualidade de vida de pessoas submetidas a hemodiálise. Esta componente da intervenção de enfermagem Humor é segura, poderá ser recomendada como estratégia de melhoria de qualidade de vida no grupo estudado

Short version of the portuguese scale Positive And Negative Affection Schedule for people undergoing hemodialysis

Objetivo: Analisar as propriedades psicométricas da versão reduzida da escala portuguesa Positive and Negative Affect Schedule em pessoas com doença renal crónica submetidas a hemodiálise. Métodos: Estudo Psicométrico. Utilizou-se uma amostra aleatória composta por 183 pessoas submetidas a hemodiálise em duas clínicas e um serviço de nefrologia na região de Lisboa, Portugal. Os dados foram recolhidos de maio a junho de 2015. Foram avaliadas as propriedades psicométricas: validade (construto, convergente e preditiva), confiabilidade (α de Cronbach) e estabilidade (teste-reteste). Resultados: A versão reduzida da escala portuguesa Positive and Negative Affect Schedule apresenta duas dimensões distintas de afeto positivo e negativo, confiáveis e estáveis, obtidas por entrevista e por questionário. Conclusões: Verificou-se que a validade e reprodutibilidade da versão reduzida da escala portuguesa Positive and Negative Affect Schedule em pessoas com doença renal crónica são consistentes com a versão original e com a versão da escala portuguesa./Objective: To analyze the psychometric properties of the Portuguese short version of the Positive and Negative Affect Schedule in people with chronic kidney disease undergoing hemodialysis. Methods: Psychometric Study. A random sample of 183 people undergoing hemodialysis in two clinics and a nephrology service in the region of Lisbon, Portugal, was used. Data were collected from May to June 2015. Psychometric properties were evaluated: validity (construct, convergent and predictive), reliability (Cronbach's α) and stability (test-retest). Results: The Portuguese short version of the Positive and Negative Affect Schedule has two distinct dimensions of positive and negative, reliable and stable, obtained by interview and questionnaire. Conclusions: The validity and reproducibility of the Portuguese short version of the Positive and Negative Affect Schedule in people with chronic kidney disease were consistent with the original version and the version of the Portuguese scale

Impacte das dotações de enfermagem na qualidade dos cuidados de saúde e na qualidade de vida

Os resultados desta investigação podem ter um efetivo contributo na tomada de decisão, seja política ou ao nível das organizações de saúde, seja no planeamento estratégico, tático ou operacional, direcionando o modo como os cuidados de enfermagem podem ser uma importante valia para os resultados em saúde. A literatura demonstra que as organizações de saúde que investem em adequadas dotações de enfermagem, também investem numa efetiva gestão da qualidade, apresentando melhores resul- tados no que se refere a indicadores sensíveis aos cuidados de enferma- gem. A responsabilização é outro fator importante: saber que algo deve ser feito não quer dizer que o seja. É importante atender aos indicadores sensíveis aos cuidados de enfermagem e acompanhar a sua evolução, de modo a intervir atempadamente e com adequabilidade. De salientar que a responsabilização deve ser aplicada quer ao nível organizacional e do serviço, quer individualmente a cada profissional

The organisation of physiotherapy for people with multiple sclerosis across Europe: a multicentre questionnaire survey

Background Understanding the organisational set-up of physiotherapy services across different countries is increasingly important as clinicians around the world use evidence to improve their practice. This also has to be taken into consideration when multi-centre international clinical trials are conducted. This survey aimed to systematically describe organisational aspects of physiotherapy services for people with multiple sclerosis (MS) across Europe. Methods Representatives from 72 rehabilitation facilities within 23 European countries completed an online web-based questionnaire survey between 2013 and 2014. Countries were categorised according to four European regions (defined by United Nations Statistics). Similarities and differences between regions were examined. Results Most participating centres specialized in rehabilitation (82 %) and neurology (60 %), with only 38 % specialising in MS. Of these, the Western based Specialist MS centres were predominately based on outpatient services (median MS inpatient ratio 0.14), whilst the Eastern based European services were mostly inpatient in nature (median MS inpatient ratio 0.5). In almost all participating countries, medical doctors - specialists in neurology (60 %) and in rehabilitation (64 %) - were responsible for referral to/prescription of physiotherapy. The most frequent reason for referral to/prescription of physiotherapy was the worsening of symptoms (78 % of centres). Physiotherapists were the most common members of the rehabilitation team; comprising 49 % of the team in Eastern countries compared to approximately 30 % in the rest of Europe. Teamwork was commonly adopted; 86 % of centres based in Western countries utilised the interdisciplinary model, whilst the multidisciplinary model was utilised in Eastern based countries (p = 0.046). Conclusion This survey is the first to provide data about organisational aspects of physiotherapy for people with MS across Europe. Overall, care in key organisational aspects of service provision is broadly similar across regions, although some variations, for example the models of teamwork utilised, are apparent. Organisational framework specifics should be considered anytime a multi-centre study is conducted and results from such studies are applied.PubMedWoSScopu

COVID-19 symptoms at hospital admission vary with age and sex: results from the ISARIC prospective multinational observational study

Background: The ISARIC prospective multinational observational study is the largest cohort of hospitalized patients with COVID-19. We present relationships of age, sex, and nationality to presenting symptoms. Methods: International, prospective observational study of 60 109 hospitalized symptomatic patients with laboratory-confirmed COVID-19 recruited from 43 countries between 30 January and 3 August 2020. Logistic regression was performed to evaluate relationships of age and sex to published COVID-19 case definitions and the most commonly reported symptoms. Results: ‘Typical’ symptoms of fever (69%), cough (68%) and shortness of breath (66%) were the most commonly reported. 92% of patients experienced at least one of these. Prevalence of typical symptoms was greatest in 30- to 60-year-olds (respectively 80, 79, 69%; at least one 95%). They were reported less frequently in children (≤ 18 years: 69, 48, 23; 85%), older adults (≥ 70 years: 61, 62, 65; 90%), and women (66, 66, 64; 90%; vs. men 71, 70, 67; 93%, each P < 0.001). The most common atypical presentations under 60 years of age were nausea and vomiting and abdominal pain, and over 60 years was confusion. Regression models showed significant differences in symptoms with sex, age and country. Interpretation: This international collaboration has allowed us to report reliable symptom data from the largest cohort of patients admitted to hospital with COVID-19. Adults over 60 and children admitted to hospital with COVID-19 are less likely to present with typical symptoms. Nausea and vomiting are common atypical presentations under 30 years. Confusion is a frequent atypical presentation of COVID-19 in adults over 60 years. Women are less likely to experience typical symptoms than men

Validación del Brief Pain Inventory en personas con enfermedad renal crónica

Objective: Verify the psychometric properties of the Portuguese version of the Brief Pain Inventory in persons with chronic kidney disease who are undergoing hemodialysis. Method: This is a methodological study. The selected sample is comprised of 171 persons with chronic kidney disease who experience pain for at least 24 hours and are undergoing hemodialysis at two clinics in Lisbon, Portugal. The data were collected between May and June 2015. The psychometric properties that were evaluated include validity (construct, convergent and discriminant), reliability (Cronbach’s α) and stability (test-retest). Results: Information was obtained that adequately supports a bi-factor structure (pain interference and degree of pain severity), with reliability (α = 0.90 and α = 0.80, respectively) and stability. The measures registered correlate positively with the negative effect, and negatively, with measures of quality of life, which support concurrent validity. The existence of support for predictive validity was verified. Conclusions: The "pain severity" and "pain interference" measures obtained with the Brief Pain Inventory are valid and reproducible in persons with chronic kidney disease who experienced pain during the 24 hours before the questionnaire was used and the interview was conducted.Objetivos: comprovar as propriedades psicométricas da versão portuguesa do Brief Pain Inventory em pessoas com doença renal crônica submetidas a hemodiálise. Materiais e método: estudo metodológico. A amostra selecionada está composta por 171 pessoas com doença renal crônica que apresentam dor durante, pelo menos, 24 horas e realizam hemodiálise em duas clínicas de Lisboa, Portugal. Os dados foram coletados entre maio e junho de 2015. Foram avaliadas as seguintes propriedades psicométricas: validade (constructo, convergente e discriminante), confiabilidade (Alfa de Cronbach) e estabilidade (teste-reteste). Resultados: obteve-se informação que apoia adequadamente uma estrutura bifatorial (interferência da dor e grau de severidade da dor), com confiabilidade (α = 0,90 e α = 0,80, respectivamente) e estabilidade. As medidas registradas estão correlacionadas de forma positiva com o afeto negativo, e de forma negativa, com as medidas de qualidade de vida, que sustentam a validade concorrente. Comprovou-se a existência de apoio para validade preditiva. Conclusões: as medidas do “grau de severidade da dor” e “interferência da dor” obtidas por meio do Brief Pain Inventory são válidas e reproduzíveis em pessoas com doença renal crônica que apresentaram dor nas últimas 24 horas, quando se utiliza o questionário e a entrevista.Objetivo: comprobar las propiedades psicométricas de la versión portuguesa del Brief Pain Inventory, en personas con enfermedad renal crónica sometidas a hemodiálisis. Método: estudio metodológico. La muestra seleccionada está compuesta por 171 personas con enfermedad renal crónica que presentan dolor durante al menos 24 horas y realizan hemodiálisis en dos clínicas de la región de Lisboa, Portugal. Los datos se recogieron entre mayo y junio del 2015. Se evaluaron las siguientes propiedades psicométricas: validez (constructo, convergente y discriminante), confiabilidad (α de Cronbach) y estabilidad (test-retest). Resultados: se obtuvo información que apoya adecuadamente una estructura bifactorial (interferencia del dolor y grado de severidad del dolor), con confiabilidad (α = 0,90 y α = 0,80, respectivamente) y estabilidad. Las medidas registradas están correlacionadas de forma positiva con el afecto negativo, y de forma negativa, con las medidas de calidad de vida, que sustentan la validez concurrente. Se comprobó la existencia de apoyo para la validez predictiva. Conclusiones: las medidas del “grado de severidad del dolor” e “interferencia del dolor” que se obtuvieron a través del Brief Pain Inventory son válidas y reproducibles en personas con enfermedad renal crónica que presentaron dolor en las últimas 24 horas, cuando se utiliza el cuestionario y la entrevista.doi: 10.5294/aqui.2017.17.1.

Validation of the Subjective Happiness Scale in people with Chronic Kidney Disease

Objetivo: Verificar las propiedades psicométricas de la Subj ective Happiness Scale (SHS), en personas con Enfermedad Renal Crónica (ERC), en hemodiálisis. Método: Estudio metodológico cuya muestra aleatoria estuvo constituida por 171 personas con ERC que realizan hemodiálisis en dos clínicas de la región de Lisboa (Portugal). Los datos se obtuvieron entre Mayo y Junio del 2015. Las propiedades psicométricas estudiadas fueron la validez (constructo, convergente, discriminante), la fiabilidad (consistencia interna (α de Cronbach)) y la estabilidad (Coeficiente de Correlación Intra-clase y de Correlación de Spearman-Brown). Resultados: Los resultados confirman la estructura uni-factorial, presentando una fiabilidad con α=0,90. La escala presenta una correlación positiva con la Escala de Satisfacción con la Vida (r=0,60; p<0,001), lo que sirve para certificar su validez de criterio. Conclusión: la versión portuguesa de la SHS es válida, fiable y reproducible en personas con ERC que realizan hemodiálisis.RESUMO: Objetivo: Validar as propriedades psicométricas da Subjective Happiness Scale (SHS) em pessoas com Doença Renal Crônica (DRC) em programa de hemodiálise. Método: Trata-se de um estudo metodológico. A amostra randomizada foi constituída por 171 pessoas com DRC submetida a hemodiálise em duas clinicas na região de Lisboa, Portugal. Os dados foram colhidos de maio a junho de 2015. Foram avaliadas as propriedades psicométricas: validade (construto, convergente e discriminativa), fidedignidade por meio da consistência interna (α de Cronbach) e estabilidade (Coeficiente de Correlação Intraclasse e Coeficiente de Correlação de Spearman-Brown). Resultados: Os resultados suportam a estrutura unifatorial, com uma confiabilidade (α=0,90). Além disso, esta escala está positivamente correlacionada com a Escala de Satisfação com a Vida (r=0,60; p<0,001), apoiando assim a sua validade de critério. Conclusões: A versão portuguesa da SHS é válida e reprodutível em pessoas com DRC.ABSTRACT: Objective: To explore the psychometric properties of the Subjective Happiness Scale (SHS) in patients with Chronic Kidney Disease (CKD) under hemodialysis. Methods: This is a methodological study. The random sample included 171 patients with CKD under hemodialysis program in two clinics in the region of Lisbon, Portugal. Data was collected between May and June 2015. The following psychometric properties were evaluated: validity (construct, convergent and discriminant), reliability through internal consistency (Cronbach α) and stability (intraclass correlation coefficient and Spearman-Brown correlation coefficient). Results: The results support the unifactorial structure, with reliability (α = 0.90). In addition, this scale is positively correlated with the Satisfaction Life Scale (r = 0.60; p <0.001), supporting the validity criteria. Conclusions: The Portuguese version of the SHS is valid and reproducible in patients with CK

VALIDAÇÃO DA POSITIVE AND NEGATIVE AFFECT SCHEDULE EM PESSOAS COM DOENÇA RENAL CRÔNICA

Objetivo : analizar las propiedades psicométricas de la versión portuguesa de la escala Positive And Negative Affect Schedule en personas con enfermedad renal crónica en programa de hemodiálisis. Método : este estudio tiene carácter metodológico cuya muestra fue aleatoria y constituida por 171 personas con enfermedad renal crónica que realizan hemodiálisis en dos clínicas de la región de Lisboa. La recogida de datos se realizó entre Mayo y Junio de 2015. Se comprobaron las siguientes propiedades psicométricas: validez (constructo, convergente y predictiva), fiabilidad (α de Cronbach) y estabilidad (teste-reteste). Resultados : permitieron comprobar que la escala Positive and Negative Affect Schedule presenta dos dimensiones diferentes de afecto; el positivo y el negativo, y que estes se presentan fiables y estables tanto mediante la utilización de entrevista como de cuestionário. Conclusiones : la validez y reproductibilidad de la versión portuguesa de la escala Positive And Negative Affect Schedule en personas con enfermedad renal crónica son coincidentes con la versión original y portuguesa de la escala