Mendes Dárcio Tadeu, Tibúrcio Priscila de Campos, Cirqueira Geni da Mota, Marcheti Priscila Maria, Zerbetto Sonia Regina, Fernandes Carla Sílvia, Nóbrega Maria do Perpétuo Socorro de Sousa
School of Nursing, University of São Paulo, Sao Paulo 05508-220, Brazil.
Integrated Health Institute, Federal University of Mato Grosso do Sul, Campo Grande 79070-900, Brazil.
Int J Environ Res Public Health. 2025 Mar 13;22(3):419. doi: 10.3390/ijerph22030419.
Psychic suffering is typical of the human condition and involves multideterminant factors in its origin, with significant influence from affective-relational-economic issues, invariably marked by negative and positive experiences.
The objective of this study is to describe the process of construction and content validation of a set of nursing actions to integrate a mobile educational technology to assist individuals in psychic distress in primary health care.
This was a methodological study in four stages: scope review, qualitative research, elaboration of a set of nursing actions and content validation. It was carried out from December/2022 to December/2023, with 16 Brazilian specialists, a minimum Content Validity Index of 80% and Cronbach's Alpha (α).
Six sets of actions were elaborated and evaluated: nursing actions in the initial assessment of the individual in psychic distress (99% α 0.47); nursing actions towards individuals in psychic distress with complaints associated with Depressive Disorder (93.4% α 0.84); nursing actions towards individuals in psychic distress with complaints associated with Anxiety Disorder (95.4% α 0.88); nursing actions towards individuals in psychic distress with Suicidal Ideation (96.3% α 0.71); nursing actions towards individuals in psychic distress resulting from the use of psychoactive substances (99.6% α 0.77) and; nursing actions towards individuals in psychic distress as a result of grief situations (98.6% α 0.28).
The set of actions proved to be validated and to have acceptable reliability, thus contributing to supporting the development of educational technology. The conclusions of this research highlight the possibility for nurses to conduct nursing actions in the care of people in psychic distress, in a non-specialized context. In addition, this is a resource to improve the routine mental health care of nurses who work in primary health care.
精神痛苦是人类状况的典型特征，其起源涉及多方面因素，情感 - 人际关系 - 经济问题有重大影响，且总是以消极和积极经历为显著标志。
本研究的目的是描述一套护理行动的构建过程和内容验证，该护理行动整合了移动教育技术，以协助初级卫生保健中处于精神痛苦的个体。
这是一项分四个阶段的方法学研究：范围审查、定性研究、一套护理行动的制定和内容验证。研究于2022年12月至2023年12月进行，有16位巴西专家参与，内容效度指数最低为80%，并计算了克朗巴哈系数（α）。
制定并评估了六套行动：对处于精神痛苦个体的初始评估中的护理行动（α为0.47，99%）；对伴有抑郁症相关主诉的精神痛苦个体的护理行动（α为0.84，93.4%）；对伴有焦虑症相关主诉的精神痛苦个体的护理行动（α为0.88，95.4%）；对有自杀意念的精神痛苦个体的护理行动（α为0.71，96.3%）；对因使用精神活性物质导致精神痛苦个体的护理行动（α为0.77，99.6%）；以及对因悲伤情况导致精神痛苦个体的护理行动（α为0.28，98.6%）。
这一套行动被证明是经过验证的，并且具有可接受的可靠性，从而有助于支持教育技术的发展。本研究的结论凸显了护士在非专业背景下对处于精神痛苦的人进行护理行动的可能性。此外，这是一种改善在初级卫生保健工作的护士日常心理健康护理的资源。
