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- Impact on the Mental and Physical Health of the Portuguese Population during the COVID-19 ConfinementPublication . Frade, Fátima; Jacobsohn, Lia; Gómez-Salgado, Juan; Martins, Maria do Rosário; Allande-Cussó, Regina; Ruiz-Frutos, Carlos; Frade, João Manuel GraçaConfinement of the population has been one of the measures implemented by different governments to address the COVID-19 health crisis, and it has led to social isolation together with a disruption of daily activities. The aim of the study is to analyze psychological distress during the COVID-19 pandemic in Portugal. During the quarantine, a cross-sectional study was carried out on a sample of 2120 subjects over 18 years of age, resident and born in Portugal. Data were collected using a self-developed questionnaire that considered socio-demographic variables, physical symptoms, health conditions, and history of contact with COVID-19, as well as psychological alterations. The General Health Questionnaire (GHQ-12) was also included. Univariate and bivariate statistical analyses were performed. Predictive capacity was studied using logistic regression models. The results showed a higher percentage of individuals presenting psychological distress (57.2.0%), with a higher percentage identified among women (79.0%), and in people with a higher educational level (bachelor’s + master’s and doctorate) (75.8%). The predictor variables with the greatest weight were sex, educational level (graduation, master’s, and doctorate), living with children or under 16 years of age, presence of symptoms, and quarantine in the last 14 days for having symptoms. Good self-assessment of health and working at home appear to be protective against psychological distress. These results highlight the impact of the COVID-19 pandemic on psychological distress and provide an opportunity to consider the need to implement specific multidisciplinary public health and mental health interventions in this pandemic situation.
- Nursing and vaccination: evolution of the compliance with the combined measles-mumps-rubella (MMR) vaccinePublication . Frade, João Manuel Graça; Frade, Maria de Fátima Graça; Henriques, Carolina Miguel Graça; Silva, Armando; Gonçalves, GuilhermeBackground: Immunization is an important activity performed by primary health care nurses in Portugal. Objectives: This study aims to assess the evolution of the compliance with the immunization strategy for the combined measles-mumps-rubella (MMR) vaccine. Methodology: A study was conducted with 411 individuals, born after 1970 in Portugal, by consulting immunization records (IRs) and health booklets (HBs). Results: The vaccination coverage rate was 38.88% in cohorts born before 1977 and higher than 95% in cohorts born after 1990. The administration according to the age criteria recommended by the Directorate-General for Health (DGS) was associated with the participants’ birth generation and improved over time (r = - 0.239, p = 0.001). Conclusion: In this sample, the MMR vaccine strategy complied with the objectives of the World Health Organization and DGS concerning the vaccination coverage rate and the adequacy of the immunization schedules according to the recommended age criteria.
- Vaccination nursing records: importance for monitoring the health of populationsPublication . Frade, João Manuel Graça; Henriques, Carolina Miguel Graça; Frade, FátimaBackground: Vaccination nursing records are a source of relevant information for adequate epidemiological surveillance of the implementation of the National Vaccination Program. Objectives: To evaluate the reliability and accuracy of vaccination nursing records related to the measles-mumps-rubella vaccination strategy (MMR). Methodology: The official vaccination records of 411 individuals, born between 1970 and 2004, were examined. We studied their vaccination, disease, and vaccination adverse reactions history. Results: There is a coincidence of vaccination information recorded in the Individual Vaccination Record and the Individual Health card in 96.22%. The followed vaccination schedules were associated with the birth generations to which individuals belong (r = 0.720; p = 0.020). Vaccination status was not associated with either the history of disease or the history of adverse reactions to vaccination (p > 0.05). Conclusion: Vaccination nursing records are reliable and accurate, allow the monitoring and surveillance of the health of populations, and ensure the success of the implementation of the National Vaccination Program in Portugal.
- A Parentalidade Mindful como prática parental: Análise de conceito.Publication . Frade, Fátima; Furtado Firmino, Cristiana; Sousa, Luís; Frade, João Manuel GraçaEsta análise de conceito do termo parentalidade mindful, tem o objetivo de perceber de que forma se caracteriza a parentalidade mindful nas práticas parentais dos pais de crianças e adolescentes. Foi realizada uma revisão integrativa da literatura para identificação e seleção dos artigos e uma análise de conceito de acordo com o método evolutivo de Rodgers. Foram selecionados dez artigos para revisão final e com base nos 4 elementos do modelo de Rodgers encontramos: 1) os conceitos relacionados, sendo eles parentalidade mindful, parentalidade atenta e parentalidade consciente 2) os atributos essenciais: ouvir atentamente os filhos; cultivar a abertura e aceitação sem julgamento; consciência emocional; autorregulação emocional; autocompaixão e compaixão 3) os antecedentes incluem o estilo parental, o género, o grau de escolaridade, ser autocompassivo, observador e empático; ter participado em programas de treino parental; 4) as consequências são a redução do stress parental, melhor comunicação pais-filhos, menos problemas de ansiedade e stress e aumento do bem-estar das crianças e adolescentes. Este estudo permite-nos compreender que a promoção da prática da parentalidade mindful, pode ser incluída na educação parental desenvolvida pelos enfermeiros como intervenção de enfermagem que prevê a disposição para melhorar a parentalidade.