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Authors
Abstract(s)
Introdução: O aumento da longevidade, a procura cada vez maior de pessoas idosas aos serviços de saúde e o aumento do número de pessoas idosas a viver com doença crónica faz-nos refletir sobre a importância de garantir cuidados de enfermagem que respondam às reais necessidades do idoso em contexto hospitalar. O Conforto, é uma das necessidades das pessoas idosas com doença crónica hospitalizadas (Sousa, 2014) e a inexistência de um instrumento que permita medir esse nível, foi a principal motivação para o desenvolvimento deste estudo. Partindo das necessidades de Conforto encontradas por Sousa (2014), propôs-se como finalidade deste trabalho disponibilizar um instrumento de avaliação do Conforto das pessoas idosas com doença crónica hospitalizadas; construir um instrumento capaz de medir o nível de Conforto dessas pessoas; identificar as características sociodemográficas e de saúde da amostra em estudo; validar esse instrumento e conhecer o nível de Conforto da amostra em estudo. Metodologia: Procedeu-se a um estudo de investigação metodológico (Polit & Hungler, 2004). Resultados: O instrumento foi validado com uma amostra de 240 pessoas idosas com doença crónica hospitalizadas com uma média de idades 78,41 anos (DP = 8,363). Após a análise fatorial o instrumento ficou com 22 itens distribuídos por 4 fatores (psicoespiritual, físico, social e ambiental) com uma variância explicada de 45,409%. O coeficiente do α de Cronbach calculado (0,819) permitiu afirmar que o instrumento apresenta uma boa consistência interna. Tendo presente que os valores poderão oscilar entre 1 e 5, pode referir-se que as pessoas idosas com doença crónica hospitalizadas apresentam uma boa média de conforto (M = 3,11 e DP = 0,18). Conclusões: O instrumento é válido e psicometricamente adequado, no entanto sugere-se a aplicação da escala a uma amostra maior em contexto de serviços de medicina e outros.
Introdution: Increased longevity, the growing demand of older people to health services and the increasing number of elderly people living with chronic illness makes us reflect on importance of providing nursing care that respond to the real needs of the elderly in hospital context. The Comfort is one of the needs of the elderly hospitalized with chronic disease (Sousa, 2014) and the lack of an instrument to measure this level, was the main motivation for the development of this study. Starting from the comfort needs encountered by Sousa (2014), has set itself the objective of this study provide an assessment instrument Comfort of the elderly hospitalized with chronic illness; build a tool to measure the comfort level of this patients; identify the sociodemographic and health characteristics of the sample under study; validate a tool to measure the comfort level of the elderly hospitalized with chronic disease and meet the comfort level of the sample under study. Methodology: There has been conducted a methodological research study (Polit & Hungler, 2004). Results: The instrument was validated with a sample of 240 older people with chronic illness hospitalized with an average age 78.41 years (Std = 8,363). After the factor analysis the instrument was left with 22 items distributed in four factors (psycho-spiritual, physical, social and environmental) with an explained variance of 45.409%. The Cronbach α coefficient calculated (0.819) allowed us to state that the instrument has good internal consistency. Bearing in mind that the values may range between 1 and 5, noted that the elderly hospitalized with chronic disease have a good average comfort (M = 3,11 and Std = 0,18). Conclusions: The instrument is valid and psychometrically appropriate, however it is suggested the application of the scale to a larger sample in several hospital services.
Introdution: Increased longevity, the growing demand of older people to health services and the increasing number of elderly people living with chronic illness makes us reflect on importance of providing nursing care that respond to the real needs of the elderly in hospital context. The Comfort is one of the needs of the elderly hospitalized with chronic disease (Sousa, 2014) and the lack of an instrument to measure this level, was the main motivation for the development of this study. Starting from the comfort needs encountered by Sousa (2014), has set itself the objective of this study provide an assessment instrument Comfort of the elderly hospitalized with chronic illness; build a tool to measure the comfort level of this patients; identify the sociodemographic and health characteristics of the sample under study; validate a tool to measure the comfort level of the elderly hospitalized with chronic disease and meet the comfort level of the sample under study. Methodology: There has been conducted a methodological research study (Polit & Hungler, 2004). Results: The instrument was validated with a sample of 240 older people with chronic illness hospitalized with an average age 78.41 years (Std = 8,363). After the factor analysis the instrument was left with 22 items distributed in four factors (psycho-spiritual, physical, social and environmental) with an explained variance of 45.409%. The Cronbach α coefficient calculated (0.819) allowed us to state that the instrument has good internal consistency. Bearing in mind that the values may range between 1 and 5, noted that the elderly hospitalized with chronic disease have a good average comfort (M = 3,11 and Std = 0,18). Conclusions: The instrument is valid and psychometrically appropriate, however it is suggested the application of the scale to a larger sample in several hospital services.
Description
Keywords
Doente idoso crónico Hospitalização Conforto em enfermagem Validação Escala Chronically ill elderly Hospitalization Comfort in nursing Validation Scale