Development and validation of an elimination ostomy adjustment scale

Abstract

Enquadramento: Uma ostomia representa uma potencial ameaça na vida das pessoas que se manifesta por desajustes físicos, emocionais e sociais, podendo a intervenção específica de Enfermagem influenciar positivamente a adaptação às mudanças, ajudando-as a incorporá-las no seu dia-a-dia. Objetivos: Construção e validação de um instrumento psicométrico denominado Escala de Adaptação a Ostomia de Eliminação (EAOE), pelas pessoas portadoras. Metodologia: A escala gerou-se a partir da literatura de Enfermagem e de outros instrumentos de medida, com a participação de um painel de peritos. Constituíram a amostra, 256 pessoas com ostomia de eliminação digestiva ou urinária, seguidas em consulta de Enfermagem de estomaterapia. A validade de construto estudou-se pela análise fatorial de componentes principais, com rotação varimax. Resultados: A análise revelou boa qualidade dos itens (KMO=0,812), extraindo-se seis fatores que explicam 52,38% da variância total da escala. A fiabilidade estimou-se pelo coeficiente alfa de Cronbach, (escala global=0,87; subescalas entre 0,85 e 0,61). Conclusão: A escala revela boa validade e fidelidade, esperando-se que outros estudos se desenvolvam, complementando a sua análise psicométrica. Palabras clave: ostomía; adaptación; estudios de validación; atención de Enfermería. Theoretical framework: An ostomy represents a potential threat to people's lives and is translated into physical, emotional and social maladjustments. The specific Nursing intervention may positively affect the adjustment to changes, helping people integrate them in their daily lives. Objectives: Development and validation of a psychometric instrument designated as Escala de Adaptação a Ostomia de Eliminação (EAOE) (Elimination Ostomy Adjustment Scale) in ostomy patients. Methodology: The scale was developed based on the Nursing literature, as well as other measuring instruments, with the participation of a panel of experts. The sample was composed of 256 patients with intestinal or urinary elimination ostomies, who were followed up in a stoma therapy Nursing consultation. Construct validity was assessed using the principal components analysis, with varimax rotation. Results: The analysis showed good item quality (KMO=0.812). Six factors were retained, which explained 52.38% of the total scale variance. Reliability was assessed using Cronbach's alpha (global scale=0.87; subscales= 0.85-0.61). Conclusion: The scale showed good validity and reliability. Further studies should be developed, thus complementing its psychometric analysis.

Construct validity and reliability of the Brazilian version of Hypertension Knowledge-Level Scale

“…The statements that obtained the highest number of negative correlations were 1 (subdimension "definition", in relation to questions 5,6,12,13, 19); 7 (subdimension "medical treatment", in relation to questions 8,10,16,18, 19), 12 (subdimension "medication adherence", in relation to questions 1,9,11,18,19,20), 16 ( subdimension "lifestyle", in relation to questions 6,7,8,9,17,18,19,20), and 17 (subdimension "lifestyle", in relation to questions 2,5,11,15,16,22).…”

Development of a Form to Assess the Self-Care Competence of the Person with a Tracheostomy

“…Efetivamente, a realização de uma ostomia, provisória ou definitiva, visa a melhoria da condição de saúde ou da qualidade de vida da pessoa. Contudo, os desafios que a formação de um estoma acarreta podem ter um impacto significativo em vários aspetos da vida da pessoa, nomeadamente ao nível fisiológico, social, psicológico, cultural (Sousa, Santos, & Graça, 2015) e, particularmente, no seu autocuidado. De facto, a presença de uma ostomia requer um reajuste no desempenho de algumas atividades de vida diárias de autocuidado da pessoa, bem como o desenvolvimento de novas competências, especificamente no que concerne ao autocuidado à sua ostomia.…”

Construction and Validation of Simulated Scenario for Nursing Care to Colostomy Patients

“…Indications for this type of procedure include: trauma, congenital diseases, inflammatory diseases, chronic pathologies, neoplasias, among others. 1 The ostomies generate alterations of the biological functions, repercussions in the emotional, physical and social aspects, being able to generate suffering and need of adaptation to face this new condition. 1 When submitted to a temporary or permanent ostomy, patients present a series of changes in life habits such as alterations in body image, leisure activities, family, sexual and social relationships, affecting their autonomy and quality of life.…”

“…1 The ostomies generate alterations of the biological functions, repercussions in the emotional, physical and social aspects, being able to generate suffering and need of adaptation to face this new condition. 1 When submitted to a temporary or permanent ostomy, patients present a series of changes in life habits such as alterations in body image, leisure activities, family, sexual and social relationships, affecting their autonomy and quality of life. Not only the alteration of their self-image, but also the use of the excrement collecting devices influence the quality of life of the patients.…”