Rev Bras Cir Plást. 2013;28(2):270-5 270 Ferreira LF et al. Brazilian version of the Breast Evaluation Questionnaire: cultural adaptation and validationTradução para a língua portuguesa, adaptação cultural e validação do Breast Evaluation Questionnaire ABSTRACT Background: Measurable data on plastic surgery outcomes are scarce. In recent years, ques tionnaires to measure quality of life have been used globally. In Brazil, there are no questionnaires validated and adapted in the Brazilian population that specifically assess quality of life after breast surgery. The aim of this study was to translate the Breast Evaluation Questionnaire (BEQ 55) into Portuguese, and culturally adapt and validate the translation for use in Brazil. Methods: Two translations, two revisions by a multidisciplinary group, and two back translations of the questionnaire were performed. Cultural adaptation was performed by applying the questionnaire to groups of 20 patients from the plastic surgery outpatient clinic. The questionnaire included relevant modifications for better understanding of the questions. To test the questionnaire's reproducibility and validity, 20 patients were interviewed on two separate occasions. On the first occasion, they were interviewed by different interviewers, and on the second occasion (after 7 days and after 14 days), by only one. In addition, the Short-Form 36 was applied during the first interview. Results: During cultural adaptation, questions were modified to facilitate the patients' understanding. A new group was tested to confirm that items were understood. Internal consistency of the questionnaire ranged between 0.931 and 0.936. The interobserver reproducibility coefficient was 0.962, and the intraobserver reproducibility coefficient was 0.919. Only the domains of the SF-36 regarding functional capacity, general health status, and emotional aspects correlated with the total score of the BEQ 55. Conclusions: The BEQ 55 questionnaire was successfully translated and adapted. The Brazilian version was called "Questionário de Avaliação das Mamas (BEQ-Brasil)" and was demonstrated to be valid and reproducible.

ResumoO objetivo do trabalho foi analisar aspectos psicossociais relevantes no comportamento e na saúde das crianças institucionalizadas em Casa de Passagem, além de observar as interferências psicológicas, sociais e educacionais que a institucionalização pode promover. O estudo foi realizado em dois momentos, com o intuito de analisar o funcionamento institucional e as condições atuais e pregressas dos usuários. No primeiro momento, foram realizados exame clínico para avaliação de condições gerais de saúde e perfil nutricional, além de desenho com tema livre a fim de fornecer dados psicoafetivos. No segundo momento, desenvolveu-se ação lúdica para apresentação de teatro de fantoches com temática educativa. Do ponto de vista institucional, a Casa de Passagem está organizada em conformidade com os objetivos de seu projeto de criação. O perfil geral das crianças revelou um predominância de meninos, entre oito e 11 anos de idade e abrigados há menos de um ano. Uma porcentagem significativa de crianças ignorava seu nome completo, sua idade, o nome de seus pais, a série que cursavam e os dias do mês e da semana em que se encontravam. Isso sugeriu uma situação de desorientação, descaso individual e a falta de vínculo e apoio familiar. Foi possível compreender o papel crucial da família na formação do indivíduo influenciando desde o comportamento, aspectos psicológicos, nutricionais, entre outros. Qualquer quebra na estrutura familiar pode prejudicar o crescimento e a formação da criança. AbstractThe objective of this study was analyzing the social aspects that interfered with the behavior and healthy development of the children residing in a public institution, besides observing the psychological, social and educational interferences such a refuge can produce.

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