{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,28]],"date-time":"2025-05-28T15:30:06Z","timestamp":1748446206881,"version":"3.37.3"},"reference-count":35,"publisher":"FapUNIFESP (SciELO)","issue":"2","license":[{"start":{"date-parts":[[2019,3,1]],"date-time":"2019-03-01T00:00:00Z","timestamp":1551398400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,3,1]],"date-time":"2019-03-01T00:00:00Z","timestamp":1551398400000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,3,1]],"date-time":"2019-03-01T00:00:00Z","timestamp":1551398400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta paul. enferm."],"abstract":"<jats:p>Resumo  Objetivo: Identificar a preval\u00eancia do diagn\u00f3stico de enfermagem ansiedade relacionada \u00e0 morte da NANDA-I em cuidadores familiares de doentes paliativos; e validar as caracter\u00edsticas definidoras associadas.  M\u00e9todos: Estudo transversal, explorat\u00f3rio e descritivo utilizando o Modelo de Valida\u00e7\u00e3o Cl\u00ednica de Fehring, em uma amostra de 111 cuidadores familiares de doentes paliativos. Foi calculada a sensibilidade, especificidade e valor preditivo das caracter\u00edsticas definidoras. As quest\u00f5es formuladas para operacionalizar as caracter\u00edsticas definidoras foram validadas por um painel de peritos.  Resultados: A preval\u00eancia do diagn\u00f3stico foi de 38,7% na amostra estudada. Foram alvo de valida\u00e7\u00e3o cl\u00ednica 17 caracter\u00edsticas definidoras, oito delas emergiram de uma pr\u00e9via revis\u00e3o da literatura. Nove caracter\u00edsticas foram classificadas como principais e oito secund\u00e1rias.  Conclus\u00e3o: O diagn\u00f3stico foi validado em cuidadores familiares de doentes paliativos. A valida\u00e7\u00e3o cl\u00ednica de novas caracter\u00edsticas definidoras confirmou a necessidade da sua revis\u00e3o de modo a estar adequado \u00e0 cl\u00ednica. A preval\u00eancia do diagn\u00f3stico na amostra estudada, indica que este \u00e9 um fen\u00f4meno relevante a que os profissionais devem estar particularmente atentos, de modo a implementar interven\u00e7\u00f5es espec\u00edficas para minimizar a ansiedade relacionada \u00e0 morte dos cuidadores familiares de doentes paliativos.<\/jats:p>","DOI":"10.1590\/1982-0194201900025","type":"journal-article","created":{"date-parts":[[2019,6,8]],"date-time":"2019-06-08T15:32:45Z","timestamp":1560007965000},"page":"178-185","source":"Crossref","is-referenced-by-count":5,"title":["Ansiedade relacionada \u00e0 morte em cuidados paliativos: valida\u00e7\u00e3o do diagn\u00f3stico de enfermagem"],"prefix":"10.1590","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1327-9533","authenticated-orcid":false,"given":"Rita Maria Sousa","family":"Abreu-Figueiredo","sequence":"first","affiliation":[{"name":"Escola Superior de Enfermagem S. Jos\u00e9 de Cluny,  Portugal; Universidade Cat\u00f3lica Portuguesa,  Portugal"}]},{"given":"Lu\u00eds Oct\u00e1vio de","family":"S\u00e1","sequence":"additional","affiliation":[{"name":"Universidade Cat\u00f3lica Portuguesa,  Portugal; Centro de Investiga\u00e7\u00e3o Multidisciplinar em Sa\u00fade,  Portugal"}]},{"given":"T\u00e2nia Marlene Gon\u00e7alves","family":"Louren\u00e7o","sequence":"additional","affiliation":[{"name":"Escola Superior de Enfermagem S. Jos\u00e9 de Cluny,  Portugal; Universidade Cat\u00f3lica Portuguesa,  Portugal"}]},{"given":"Sandra Sofia Barbosa Pinto de","family":"Almeida","sequence":"additional","affiliation":[{"name":"Universidade Cat\u00f3lica Portuguesa,  Portugal; Centro de Investiga\u00e7\u00e3o Multidisciplinar em Sa\u00fade,  Portugal"}]}],"member":"530","published-online":{"date-parts":[[2019,3]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"2566","DOI":"10.1002\/pon.4843","article-title":"Demoralization and death anxiety in advanced cancer","volume":"27","author":"An E","year":"2018","journal-title":"Psycho-Oncology"},{"issue":"1","key":"ref2","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1177\/0030222815574702","article-title":"Spousal death anxiety in old age: gender perspective","volume":"72","author":"Momtaz YA","year":"2015","journal-title":"Omega (Westport)"},{"key":"ref3","series-title":"Encyclopedia of personality and individual differences","first-page":"1","volume-title":"Death Anxiety Scale","author":"Abdel-Khalek A","year":"2017"},{"issue":"4","key":"ref4","first-page":"91","article-title":"Investigating the status of life satisfation quality of life and death anxiety according to the personality traits of the old living at home and city of Kermanshah","volume":"4","author":"Tabar M","year":"2018","journal-title":"Int Educ Res J"},{"issue":"1","key":"ref5","first-page":"34","article-title":"Death anxiety, depression, and coping in family caregivers","volume":"10","author":"Semenova VA","year":"2016","journal-title":"J Soc Behav Health Sci"},{"issue":"2","key":"ref6","doi-asserted-by":"crossref","DOI":"10.1111\/ecc.12606","article-title":"Anxiety, depression and quality of life in family caregivers of palliative cancer patients during home care and after the patient's death","volume":"27","author":"Gotze H","year":"2018","journal-title":"Eur J Cancer Care (Engl)"},{"issue":"1","key":"ref7","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1177\/0269216317722123","article-title":"Death anxiety interventions in patients with advanced cancer: A systematic review","volume":"32","author":"Grossman CH","year":"2018","journal-title":"Palliat Med"},{"issue":"9","key":"ref8","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1080\/07481187.2011.583200","article-title":"Confronting suffering and death at the end of life: the impact of religiosity, psychosocial factors, and life regret among hospice patients","volume":"35","author":"Neimeyer RA","year":"2011","journal-title":"Death Stud"},{"issue":"3","key":"ref9","first-page":"291","article-title":"Death anxiety, coping and spirituality among cancer patients","volume":"6","author":"Kumar CR","year":"2015","journal-title":"Indian J Posit Psychol"},{"issue":"4","key":"ref10","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1136\/bmjspcare-2012-000420","article-title":"Determinants of death anxiety in patients with advanced cancer","volume":"5","author":"Neel C","year":"2015","journal-title":"BMJ Support Palliat Care"},{"key":"ref11","article-title":"Hopelessness, death anxiety, and social support of hospitalized patients with gynecologic cancer and their caregivers","author":"Uslu-Sahan F","year":"2018","journal-title":"cancer nurs. Cancer Nurs"},{"issue":"2","key":"ref12","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1080\/07481187.2010.535390","article-title":"Fear of death, mortality communication, and psychological distress among secular and religiously observant family caregivers of terminal cancer patients","volume":"35","author":"Bachner YG","year":"2011","journal-title":"Death Stud"},{"key":"ref13","first-page":"A1","article-title":"Death anxiety recognition in a palliative care setting","volume":"3;3","author":"Nemeth E","year":"2013","journal-title":"BMJ Support Palliat Care"},{"issue":"1","key":"ref14","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1016\/j.jpainsymman.2014.04.012","article-title":"Initial validation of the Death and Dying Distress Scale for the assessment of death anxiety in patients with advanced cancer","volume":"49","author":"Krause S","year":"2015","journal-title":"J Pain Symptom Manage"},{"issue":"3","key":"ref15","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1177\/0269216313507757","article-title":"Managing Cancer And Living Meaningfully (CALM): phase 2 trial of a brief individual psychotherapy for patients with advanced cancer","volume":"28","author":"Lo C","year":"2014","journal-title":"Palliat Med"},{"issue":"4","key":"ref16","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1590\/1983-1447.2015.04.53339","article-title":"Knowledge produced from the outcomes of the \u201cNursing Outcomes Classification - NOC\u201d: integrative review","volume":"36","author":"Silva NC","year":"2015","journal-title":"Rev Ga\u00facha Enferm"},{"key":"ref17","series-title":"Diagn\u00f3sticos de Enfermagem da NANDA-I: Defini\u00e7\u00f5es e Classifica\u00e7\u00e3o 2018-2020","author":"Herdman T","year":"2018","edition":"11th ed"},{"issue":"3","key":"ref18","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1016\/S1130-8621(07)71787-4","article-title":"Revisi\u00f3n de la etiqueta diagn\u00f3stica ansiedad ante la muerte","volume":"17","author":"Tom\u00e1s-S\u00e1bado J","year":"2007","journal-title":"Enferm Cl\u00edn"},{"issue":"1","key":"ref19","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1111\/2047-3095.12154","article-title":"The difficulty of selecting the NANDA-I Nursing Diagnosis (2015-2017) of \u201cDeath Anxiety\u201d in Japan","volume":"29","author":"Shimomai K","year":"2018","journal-title":"Int J Nurs Knowl"},{"issue":"6 Pt 1","key":"ref20","first-page":"625","article-title":"Methods to validate nursing diagnoses","volume":"16","author":"Fehring RJ","year":"1987","journal-title":"Heart Lung"},{"year":"1994","author":"Fehring R","series-title":"The Fehring Model. tenth conference of North American Nursing Diagnosis Association","key":"ref21"},{"issue":"3","key":"ref22","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1111\/j.2047-3095.2012.01213.x","article-title":"Methods for Establishing the accuracy of clinical indicators in predicting nursing diagnoses","volume":"23","author":"Lopes MV","year":"2012","journal-title":"Int J Nurs Knowl"},{"issue":"1","key":"ref23","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1111\/2047-3095.12105","article-title":"Clinical Validation of the Nursing Diagnosis Spiritual Distress in Cancer Patients Undergoing Chemotherapy","volume":"28","author":"Caldeira S","year":"2017","journal-title":"Int J Nurs Knowl"},{"issue":"4","key":"ref24","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1111\/2047-3095.12139","article-title":"Clinical Validation of the Nursing Diagnosis of Sexual Dysfunction in Pregnant Women","volume":"28","author":"Carteiro D","year":"2017","journal-title":"Int J Nurs Knowl"},{"key":"ref25","series-title":"Death Anxiety Handbook","first-page":"31","volume-title":"A Revised Death Anxiety Scale","author":"Thorson JA","year":"1994"},{"key":"ref26","first-page":"5","article-title":"Tradu??o e adapta??o da Vers?o Revista da Escala de Ansiedade Perante a Morte (Revised Death Anxiety Scale - DAS_R)","volume":"12","author":"Loureiro L","year":"2004","journal-title":"Refer\u00eancia (Coimbra)"},{"key":"ref27","series-title":"Strategies for Clinical Thinking to Achieve Positive Health Outcomes","volume-title":"Diagnostic Reasoning and Accuracy of Diagnostic Human Responses","author":"Lunney M","year":"2009"},{"year":"2014","author":"Mangueira SO","series-title":"Revis\u00e3o do Diagn\u00f3stico de Enfermagem processos familaires disfuncionais relacionados a abuso de \u00e1lcool [tese]","key":"ref28"},{"year":"2017","series-title":"Health at a Glance 2017: OECD Indicators","key":"ref29"},{"issue":"5","key":"ref30","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1016\/j.jpainsymman.2016.12.327","article-title":"Family Caregiver Participation in Palliative Care Research: challenging the Myth","volume":"53","author":"Aoun S","year":"2017","journal-title":"J Pain Symptom Manage"},{"issue":"3","key":"ref31","first-page":"218","article-title":"Medidas de Acur\u00e1cia diagn\u00f3stica na pesquisa cardiovascular","volume":"29","author":"Borges LS","year":"2016","journal-title":"Int J Cardiovasc Sci"},{"issue":"4","key":"ref32","doi-asserted-by":"crossref","DOI":"10.1111\/opn.12206","article-title":"The preliminary effects of laughter therapy on loneliness and death anxiety among older adults living in nursing homes: A nonrandomised pilot study","volume":"13","author":"Kuru Al\u0131c\u0131 N","year":"2018","journal-title":"Int J Older People Nurs"},{"issue":"12","key":"ref33","doi-asserted-by":"crossref","first-page":"599","DOI":"10.12968\/ijpn.2013.19.12.599","article-title":"Spiritual support interventions in nursing care for patients suffering death anxiety in the final phase of life","volume":"19","author":"Kisvetrov\u00e1 H","year":"2013","journal-title":"Int J Palliat Nurs"},{"issue":"4","key":"ref34","first-page":"105","article-title":"[Using logotherapy to relieve death anxiety in a patient with recurrent cancer: a nursing experience]","volume":"60","author":"Tang PL","year":"2013","journal-title":"Hu Li Za Zhi"},{"issue":"8","key":"ref35","doi-asserted-by":"crossref","first-page":"905","DOI":"10.1007\/s00520-009-0724-1","article-title":"What do palliative care patients and their relatives think about research in palliative care?-a systematic review","volume":"18","author":"White C","year":"2010","journal-title":"Support Care Cancer"}],"container-title":["Acta Paulista de Enfermagem"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/ape\/v32n2\/1982-0194-ape-32-02-0178.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,2,7]],"date-time":"2020-02-07T14:18:54Z","timestamp":1581085134000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0103-21002019000200178&tlng=pt"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3]]},"references-count":35,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2019,3]]}},"alternative-id":["S0103-21002019000200178"],"URL":"https:\/\/doi.org\/10.1590\/1982-0194201900025","relation":{},"ISSN":["1982-0194","0103-2100"],"issn-type":[{"type":"electronic","value":"1982-0194"},{"type":"print","value":"0103-2100"}],"subject":[],"published":{"date-parts":[[2019,3]]}}}