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http://hdl.handle.net/20.500.12253/1271
2024-03-29T10:05:56ZEmotions and Coping: “What I Feel about It, Gives Me More Strategies to Deal with It?”
http://hdl.handle.net/20.500.12253/1483
Title: Emotions and Coping: “What I Feel about It, Gives Me More Strategies to Deal with It?”
Authors: Sousa, Cristina de; Vinagre, Helena; Viseu, João; Ferreira, João; José, Helena; Rabiais, Isabel; Almeida, António; Valido, Susana; Santos, Maria João; Severino, Sandy; Sousa, Luís
Abstract: Background: Personal emotions and affects have been identified and studied in the context
of pandemics, as well as coping strategies centered on emotional regulation or the balance between
positive and negative emotions. Objectives: The objectives of this paper are to identify an emotion
and affect structure in our sample and analyze the relationship of these dimensions with resilient
coping in the context of the COVID-19 pandemic. Method: This study employed a cross-sectional
design that involved a non-probabilistic sample with 598 participants over the age of 18, with
51.1% being female, and an average age of 40.73 years. First, the emotional structure was identified
through principal component analysis (PCA). Secondly, a linear regression analysis was performed
to investigate emotional dimensions as predictors of coping. Results: A valid and reliable emotional
structure with four dimensions was identified. The regression model revealed that coping is positively
associated with the active and positive dimension and negatively correlated with the negative and
moral dimensions. Conclusions: Emotional dimensions are predictors of coping, with moral and
negative dimensions having a negative effect, while active and positive dimensions have a positive
effect. When designing interventions for coping strategies, multiple dimensions of emotions and
affective states in people who are in vulnerable situations must be considered.2024-01-01T00:00:00ZDepression and Anxiety of Portuguese University Students: A Cross-Sectional Study about Prevalence and Associated Factors
http://hdl.handle.net/20.500.12253/1482
Title: Depression and Anxiety of Portuguese University Students: A Cross-Sectional Study about Prevalence and Associated Factors
Authors: Amaro, Pedro; Fonseca, César; Afonso, Anabela; Jacinto, Gonçalo; Gomess, Luís; José, Maria Helena; Silva, Celso; Lino, Andreia; Arco, Helena; Nabais, João; Lopes, Manuel; Pereira, Anabela; Fragoeiro, Isabel; PInho, Lara Guedes
Abstract: Background. The mental health of university students has worsened over time, and it is young people who have suffered the most from the COVID-19 pandemic in terms of mental health. Anxiety and depression are the most common symptoms reported by university students and are often the cause of disabilities, either in academic performance or in other spheres of life. Aim. The aim of this study was to both assess the prevalence of depressive and anxiety symptoms in Portuguese university students and analyze the factors associated with these symptoms. Methods. A quantitative cross-sectional study with a sample of 3,399 university students from seven Portuguese higher education institutions was conducted. The following questionnaires were used: the generalized anxiety disorder assessment scale (GAD-7), the patient health questionnaire (PHQ-9), and a study-created sociodemographic questionnaire. The Kendall correlation coefficient, chi-square test of independence, Spearman correlation coefficient, Shapiro-Wilk test, Mann–Whitney-Wilcoxon test, and Kruskall-Wallis test were used to analyze the association between variables. The statistical analysis was done using the software R Statistics (Version 4.0.4), using a significance level of 0.05. Results. Mild to severe anxiety symptoms were reported by 75% of the participants, and 61.2% described mild to severe depressive symptoms. Of the sample, 19.5% reported a previous diagnosis of a mental disorder, with 38.7% diagnosed after the pandemic began. Additionally, 23% reported taking medication for mental health issues, and 26.7% had considered self-harm or harbored thoughts of being “better off dead.” The study found lower anxiety and depressive symptoms (p < 0 05) among men, students with higher socioeconomic status, those who frequently traveled home, individuals without prior mental health diagnoses, those with better academic performance, and those who avoided substances like coffee, tobacco, cannabis, and other illegal psychoactive substances. Interestingly, students in romantic relationships exhibited more anxiety symptoms (p < 0 05).
Moreover, participants who believed they had experienced moral or sexual harassment displayed higher levels of anxiety and depressive symptoms (p < 0 001). Conclusions. There was a decrease in the mental health of university students after the pandemic compared to prepandemic studies, and the proportion of students with anxiety and depressive symptoms was
alarming. There is an urgent need to implement programs in universities to promote students’ mental health2024-01-01T00:00:00ZCannulation Technique of Vascular Access in Haemodialysis and the Impact on the Arteriovenous Fistula Survival: Protocol of Systematic Review
http://hdl.handle.net/20.500.12253/1480
Title: Cannulation Technique of Vascular Access in Haemodialysis and the Impact on the Arteriovenous Fistula Survival: Protocol of Systematic Review
Authors: Peralta, Ricardo; Sousa, Luís M. M.; Cristóvão, António F.
Abstract: first_pagesettingsOrder Article Reprints
Open AccessStudy Protocol
Cannulation Technique of Vascular Access in Haemodialysis and the Impact on the Arteriovenous Fistula Survival: Protocol of Systematic Review
by Ricardo Peralta 1,*ORCID,Luís Sousa 2ORCID andAntónio Filipe Cristóvão 1
1
Lisbon School of Nursing, University of Lisbon, 1600-096 Lisbon, Portugal
2
Comprehensive Health Research Centre, University of Évora, 7000-811 Évora, Portugal
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2021, 18(23), 12554; https://doi.org/10.3390/ijerph182312554
Received: 3 October 2021 / Revised: 18 November 2021 / Accepted: 25 November 2021 / Published: 29 November 2021
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Abstract
Background: Based on a literature review of various studies, comparisons between BH and RL are inconclusive regarding some outcomes. However, in the last 5 years, some studies have been published that may contribute to clarifying which cannulation technique (CT) allows better fistula survival. Aim: To review which cannulation technique allows better primary patency of the arteriovenous fistula in haemodialysis patients. Methods: We will include all randomised controlled trials and observational studies that include comparisons among CTs and thus define the benefits and risks of each CT. A PRISMA-compliant systematic review and meta-analysis will be performed in accordance with the quality and homogeneity of studies. A comprehensive search strategy will be applied to the CINAHL, MEDLINE and Embase electronic databases from January 2000 to September 2021. The primary outcome is the arteriovenous fistula primary patency. To assess the risk of bias in randomised controlled trials or quasi-experimental studies, we will use the tool Revised Cochrane Risk-of-Bias Tool for Randomized Trials (RoB 2). For nonrandomised studies, the Risk of Bias In Non-Randomized Studies of Interventions (ROBINS-I) will be used. Discussion: The evidence generated from this systematic review of current evidence could inform the design and implementation of continuous quality improvement programs in cannulation techniques in haemodialysis patients, as well as contributing to improving the curricula within haemodialysis courses. This protocol was registered with the National Institute for Health Research PROSPERO database prior to commencement (registration number CRD42021237050).2021-11-01T00:00:00ZNursing students’ perceptions of spiritual needs at the end of life. A qualitative study
http://hdl.handle.net/20.500.12253/1438
Title: Nursing students’ perceptions of spiritual needs at the end of life. A qualitative study
Authors: García-Navarro, E. Begõna; García-Navarro, Sonia; José, Helena; Sousa, Luís; Cáceres-Titos, Maria José; Ortega-Galan, Ángela
Abstract: Spirituality is defined as the meaning of life, being the very essence of life made
up of all of the aspects inherent to it. During end-of-life processes, this need is
shown to be particularly altered in patients and yet it is an aspect that the health
professionals accompanying patients in this situation report being least equipped
to address, alongside therapies that could help to meet these needs, such as art
therapy. An exploratory qualitative study was conducted, adheres to the guidelines
of COREQ (41). The study population were final year students undertaking a
nursing degree at the University of Huelva, Spain. The sample was selected via
intentional sampling using snowball recruitment from the study population.
Stratification according to gender was performed due to the feminised nature of
the population. Sample size was determined progressively during the research,
with recruitment ceasing at 13 informants once information saturation was
achieved. Inclusion criteria required that participants were to be final year students
enrolled on a nursing degree who had provided consent to participate voluntarily
in the research. The analysis Realized was interpretive phenomenological (IPA) as
described by Smith (43–45). The present study revealed that students perceive
their training on spiritual care to be deficient. Despite them reporting that they
possess the skills and tools to provide end-of-life care, this is not enough to
provide effective accompaniment, given that this moment brings them into touch
with their own insecurities. Students verbalized the need to learn strategies to
address this shortcoming regarding final accompaniment, for instance, through
art, with creativity being one of the skills with the potential to uncover the meaning
of life.2023-07-01T00:00:00Z