1
|
Sousa CN, Teles P, Paquete ARC, Dias VFF, Manzini CSS, Nicole AG, Sousa RASS, de Souza LH, Ribeiro OMPL, Lira MN, de Queiroz Frazão CMF, Ramos VP, Leal L, Ribeiro RCHM, Magalhães ALP, de Sá Basílio Lins SM, Mendonça AEO, Delgado MF, Pressi MMT, Pressi NT, Campos L, Ozen N. Effects of Demographic and Clinical Character on Differences in Self-care Behaviour Levels with Arteriovenous Fistula by Haemodialysis Patients: An Ordinal Logistic Regression Approach. Ther Apher Dial 2022; 26:992-998. [PMID: 34981641 DOI: 10.1111/1744-9987.13788] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2021] [Revised: 12/07/2021] [Accepted: 12/29/2021] [Indexed: 11/30/2022]
Abstract
INTRODUCTION Haemodialysis (HD) patients should be trained to develop self-care behaviors in order to prevent and preserve their arteriovenous fistula (AVF). The aim of this study was identifying the factors that affect the levels of self-care behavior with AVF by HD patients. METHODS A cross-sectional study was conducted involving 89 patients. RESULTS Self-care levels were negatively affected by patients' location (Azores) and positively affected by marital status, education, employment, AVF duration and absence of complications with the AVF. Concerning the management of signs and symptoms, self-care levels were negatively affected by patients' location. Regarding prevention of complications, self-care levels were negatively affected by age and marital status and positively affected by marital status, employment, CKD etiology, AVF duration and previous AVF. CONCLUSION Further studies are required in order to confirm whether the considered factors affect levels of self-care behaviors with AVF, or whether other factors are needed as well.
Collapse
Affiliation(s)
- Clemente Neves Sousa
- CINTESIS - Center for Health Technology and Services Research Faculty of Medicine, Porto University.,Nursing School of Porto, Porto, Portugal
| | - Paulo Teles
- School of Economics and LIAAD-INESC Porto LA, Porto University, Porto, Portugal
| | | | | | | | | | | | | | - Olga Maria Pimenta Lopes Ribeiro
- CINTESIS - Center for Health Technology and Services Research Faculty of Medicine, Porto University.,Nursing School of Porto, Porto, Portugal
| | | | | | | | - Luciana Leal
- Federal University of Pernambuco, Recife, Brazil
| | | | | | | | | | | | | | | | | | - Nurten Ozen
- Florence Nightingale Hospital School of Nursing, Demiroglu Bilim University, Istanbul, Turkey
| |
Collapse
|
2
|
Lira MN, Sousa CN, Wanderley MCM, Pessoa NRC, Lemos KCR, Manzini CSS, Nicole AG, Morais SCRV, Frazão CMFDQ, Ramos VP, Teles P, Ribeiro OMPL, Dias VFF, de Souza LH, Ribeiro RCHM, Magalhães ALP, de Sá Basílio Lins SM, Pressi MMT, Dourado PBM, Delgado MF, Mendonça AEO, Pinheiro JAA, Ozen N. Scale of Assessment of Self-Care Behaviors with Arteriovenous Fistula in Hemodialysis: A Psychometric Study in Brazil. Clin Nurs Res 2021; 30:875-882. [PMID: 33491487 DOI: 10.1177/1054773821989800] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The purpose of this study was to evaluate the psychometric properties of the Brazilian Scale for the Assessment of Self-Care Behaviors with Arteriovenous Fistula in Hemodialysis. Cross-sectional validation study, followed the recommendation provided by Sousa and Rojjanasrirat. Content validity, explanatory and confirmatory factor analyses used to check validity and Cronbach's alpha was the reliability measure. Three hundred hemodialysis patients with arteriovenous fistula were included in the study. The expert committee assessed the content validity. Exploratory factor analysis confirmed the same two-factor structure found for the original scale, explaining 60.10% of the variance. Such solution was checked by confirmatory factor analysis with Cronbach's alpha equal to 0.920, 0.810, and 0.884 for the overall scale, the self-care in management of signs and symptoms and the self-care in prevention of complications subscales respectively. The scale has good psychometric properties to assess self-care behaviors and can be used with Brazilian patients on hemodialysis with arteriovenous fistula.
Collapse
Affiliation(s)
- Marta Nunes Lira
- Getúlio Vargas Hospital, Recife, Brazil and UNISÃOMiguel Centro Universitário, Recife, Brazil
| | - Clemente Neves Sousa
- Nursing School of Porto, Porto, Portugal.,CINTESIS-Center for Health Technology and Services Research Faculty of Medicine, University of Porto, Porto, Portugal
| | | | | | | | | | - Andressa Garcia Nicole
- Espírito Santo Federal University, Espírito Santo, Brazil and School of Nursing University of São Paulo, Espírito, Brazil
| | | | | | | | - Paulo Teles
- School of Economics and LIAAD-INESC Porto LA, University of Porto, Porto, Portugal
| | - Olga Maria Pimenta Lopes Ribeiro
- Nursing School of Porto, Porto, Portugal.,CINTESIS-Center for Health Technology and Services Research Faculty of Medicine, University of Porto, Porto, Portugal
| | - Vanessa Filipa Ferreira Dias
- Institute of Health Sciences of Porto, University of Católica Porto, Porto, Portugal.,Unidade de Saúde Familiar Santo André de Canidelo, Vila Nova de Gaia, Portugal
| | - Lara Helk de Souza
- Faculty of Medicine of São José do Rio Preto (FAMERP), São Paulo, Brazil
| | | | | | | | | | | | | | | | | | - Nurten Ozen
- Florence Nightingale Hospital School of Nursing, Demiroglu Bilim University, Istanbul, Turkey
| |
Collapse
|
3
|
İkiz SN, Usta YY, Sousa CN, Teles P, Dias VFF, Magalhães ALP, de Sá Basílio Lins SM, Ribeiro OMPL. Validation of the scale of assessment of self-care behaviours for arteriovenous fistula in patients ongoing haemodialysis in Turkey. J Ren Care 2020; 47:279-284. [PMID: 33140539 DOI: 10.1111/jorc.12354] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2020] [Revised: 09/19/2020] [Accepted: 09/29/2020] [Indexed: 11/27/2022]
Abstract
BACKGROUND Several guidelines recommend that patients with chronic kidney disease treated by haemodialysis (HD) take care of their own arteriovenous fistula (AVF). The dialysis nurse plays an important role in the development of such self-care behaviours. A very small number of instruments are available to assess self-care behaviours with AVF in Turkey. OBJECTIVE Cultural adaptation and psychometric testing of the Turkish version of the scale of assessment of self-care behaviours with arteriovenous fistula in haemodialysis (ASBHD-AVF) patients. DESIGN Cross-sectional validation study. PARTICIPANTS AND MEASUREMENTS This study was conducted involving 160 patients in the Bolu region in Turkey. The guidelines provided by Sousa and Rojjanasrirat were taken into account in the scale translation, adaptation and validation process. Validity was analysed through content validity and construct validity. The latter was measured through principal component analysis with varimax rotation, considering only factor loadings of 0.30 or larger. Reliability analysis was based on internal consistency measured by Cronbach's α. RESULTS A two-factor structure was extracted explaining 59.01% of the total variance. Cronbach's α was 0.91, 0.85 and 0.84 for the overall scale, the self-care in prevention of complications subscale and the self-care in management of signs and symptoms subscale, respectively. CONCLUSIONS The Turkish version of the scale of ASBHD-AVF patients is a reliable and valid instrument and can therefore be used.
Collapse
Affiliation(s)
| | | | - Clemente Neves Sousa
- CINTESIS-Center for Health Technology and Services Research Faculty of Medicine, Porto University, Porto, Portugal.,Nursing School of Porto, Porto, Portugal
| | - Paulo Teles
- School of Economics and LIAAD-INESC Porto LA, University of Porto, Porto, Portugal
| | - Vanessa Filipa Ferreira Dias
- Institute of Health Sciences, University Católica Porto, Porto, Portugal.,Unidade de Saúde Familiar Santo André de Canidelo, Vila Nova de Gaia, Portugal
| | | | | | - Olga Maria Pimenta Lopes Ribeiro
- CINTESIS-Center for Health Technology and Services Research Faculty of Medicine, Porto University, Porto, Portugal.,Nursing School of Porto, Porto, Portugal
| |
Collapse
|
4
|
da Silva EL, Campos Júnior M, Monteiro SG, Costa GC, Magalhães ALP, Santos MDC, Caldas AJM, Pimentel MMG. Levels of mannose-binding lectin in individuals with visceral leishmaniasis in the northeast region of Brazil. Genet Mol Res 2015; 14:19094-101. [PMID: 26782561 DOI: 10.4238/2015.december.29.18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Visceral leishmaniasis (VL) is one of the seven priority endemic diseases in the world. The clinical outcome of many infections is not only dependent on the pathogenic organism, but also on the genetic variability of the host susceptibility to infection. Mannose-binding lectin (MBL) is a protein that plays an important role in the innate immune system. The aim of this study was to compare the serum levels of MBL between healthy controls and carriers of VL. The VL cases were recruited randomly from the main hospitals and referral outpatient clinics for VL in São Luís, and from home visits. Determination of MBL protein levels was performed by enzyme-linked immunosorbent assay. Of the 161 patients with VL and the 161 healthy controls, 60.9 and 67.1% had high levels of MBL, respectively. There was no significant difference in MBL levels between cases and controls. Low socioeconomic status and living conditions are conducive to the occurrence of VL. Owing to the small number of existing studies, it is extremely important to conduct further studies on MBL levels and susceptibility to VL, especially in regions where the disease is endemic, such as Maranhão, Brazil.
Collapse
Affiliation(s)
- E L da Silva
- Departamento de Enfermagem, Universidade Federal do Maranhão, São Luís, MA, Brasil
| | - M Campos Júnior
- Laboratório de Genética Humana, Instituto Oswaldo Cruz, Fiocruz, Rio de Janeiro, RJ, Brasil
| | - S G Monteiro
- Programa de Pós-Graduação em Biologia Parasitária, Universidade Ceuma, São Luís, MA, Brasil
| | - G C Costa
- Departamento de Patologia, Universidade Federal do Maranhão, São Luís, MA, Brasil
| | - A L P Magalhães
- Grupo de Estudos e Pesquisas em Administração e Gerência do Cuidado em Enfermagem e Saúde, Departamento de Enfermagem, Universidade Federal de Santa Catarina, Florianópolis, SC, Brasil
| | - M D C Santos
- Centro de Pesquisa Clínica, Hospital Universitário da Universidade Federal do Maranhão, São Luís, MA, Brasil
| | - A J M Caldas
- Departamento de Enfermagem, Universidade Federal do Maranhão, São Luís, MA, Brasil
| | - M M G Pimentel
- Laboratório de Genética Humana, Departamento de Genética, Universidade Estadual do Rio de Janeiro, Rio de Janeiro, RJ, Brasil
| |
Collapse
|
5
|
Ishikawa EAY, Silveira FT, Magalhães ALP, Guerra júnior RB, Melo MN, Gomes R, Silveira TGV, Shaw JJ. Genetic variation in populations of Leishmania species in Brazil. Trans R Soc Trop Med Hyg 2002; 96 Suppl 1:S111-21. [PMID: 12055823 DOI: 10.1016/s0035-9203(02)90061-1] [Citation(s) in RCA: 40] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
The population structure of strains of Leishmania (Viannia) braziliensis sensu lato from Pará State and Paraná State in Brazil, of L. (V.) shawi and L. (Leishmania) amazonensis from Pará State, and the relationships of type strains of the subgenera L. (Viannia) and L. (Leishmania) were examined by the random-amplified polymorphic deoxyribonucleic acid (RAPD) technique. Four different primers (M13-40, QG1, L15996 and delta gt11R) were used. The bands were analysed using the neighbor-joining (NJ) and unweighted pair-group method with arithmetic averages (UPGMA) algorithms of the MEGA package. The topology of the NJ and UPGMA trees was very similar but they were not always identical. Both trees differentiated the standard strains of the different species. Strains from the same location were grouped together only in the UPGMA phenogram of the M13-40 primer. L. (V.) braziliensis isolates from Paraná State were genetically closer to those from Paragominas, Pará State than to those from the Amazonian regions of Carajás in Pará State and Peru. The relationship was not dependent on geographical distance. It is postulated that the groups arose from different origins, in which the Amazonian stocks were related to Psychodopygus sand flies while the Paraná strains originated from a gene pool transmitted by Lutzomyia sand flies such as Lutzomyia (Nyssomyia) whitmani. Transmission by Ps. complexus in Paragominas is considered to be a secondary adaptation from the Lutzomyia leishmanial gene pool. Although the vectors of L. (V.) braziliensis are poorly known in the Amazon region, there is strong evidence that the major vectors are all Psychodopygus spp. There was a high degree of genetic variability amongst the L. (V.) shawi strains and there was no clear grouping according to the strains' origins. The genetic variability amongst L. (L.) amazonensis strains from the same locations was much lower but they formed 2 groups which coincided with their origin. Our results support the clonal population structure of Leishmania isolates and suggest that their distribution is related to the origin of the gene pool as well as to present vector and reservoir movements.
Collapse
Affiliation(s)
- E A Y Ishikawa
- Divisão de Parasitologia, Instituto Evandro Chagas, Fundação Nacional de Saúde, Belém, Pará, Brazil
| | | | | | | | | | | | | | | |
Collapse
|