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Abstract(s)
Introdução e objetivos: A investigação e a prática de cuidados, no domínio da qualidade de vida das pessoas portadoras de úlcera venosa de perna, têm evidenciado a necessidade de construção e validação de instrumentos, para uma avaliação precisa e eficiente da qualidade de vida e da adesão terapêutica. Com o intuito de dar resposta a estas necessidades, procedemos à validação cultural da Venous Leg Ulcer Quality of Life e à construção e validação da escala multidimensional da adesão terapêutica, em pessoas portadoras de úlcera venosa de perna.
Metodologia: Este estudo metodológico, incidiu sobre 170 pessoas portadoras de úlcera venosa de perna, residentes no distrito de Leiria. Na validação da escala da qualidade de vida, seguimos a mesma metodologia dos autores da escala original, a quem foi solicitada autorização. O formulário inclui ainda, a escala de adesão terapêutica, construído neste estudo, as características sociodemográficas e clinicas e caraterização da úlcera. A amostra foi obtida por amostragem do tipo não probabilística acidental, após o cumprimento dos procedimentos éticos e formais necessários para o efeito.
Resultados: A predominância do sexo masculino de 55,9% (95) foi verificada na amostra. O coeficiente de alfa de Cronbach, observado nas três dimensões da escala da qualidade de vida (0,931; 0,927 e 0,913), e nas três dimensões da escala da adesão terapêutica (0,821; 0,863 e 0,897), permite afirmar que os instrumentos apresentam boa consistência interna e igualmente boa validade convergente e discriminante das escalas em estudo. As pessoas portadoras de úlcera venosa de perna, apresentam em média boa qualidade de vida em todas as suas dimensões. É na dimensão estilos de vida saudáveis que apresentam melhor adesão terapêutica.
Conclusão: As escalas validadas apresentam boas características psicométricas, permitindo as suas utilizações na prática de cuidados e na investigação.
Introduction and Objectives: Research and practice of care on quality of life of people with venous leg ulcers, have highlighted the need for development and validation of tools, for an efficient and accurate assessment of quality of life and adherence to the therapy. In order to meet these needs, we performed a validation of the Venous Leg Ulcer cultural Quality of Life and the creation and validation of a multidimensional scale of adhesion to therapy in people with venous leg ulcers. Methodology: This methodological research was performed on 170 people with venous leg ulcers, residents in the district of Leiria. In the validation of the quality of life scale, we followed the same methodology the authors of the original scale, who was requested authorization. The form also includes the scale adhesion, constructed in this study, the sociodemographic and clinical description and the characterization of the ulcer. The sample was obtained by a non-probabilistic accidental sampling, after meeting the ethical and formal procedures necessary for this purpose. Results: The male predominance of 55.9% (95) was found in the sample. The Cronbach alpha coefficient observed in the three dimensions of quality of life scale (0.931, 0.927 and 0.913), and the three dimensions of scale adherence (0.821, 0.863 and 0.897), to suggest that the instruments have good consistency internal and equally good convergent and discriminant validity of the scales under study. People with venous leg ulcer on average, have good quality of life in all its dimensions. It is the dimension healthy lifestyles that have better adhesion to the therapy. Conclusion: The validated scales have good psychometric properties, allowing its use in care practice and research
Introduction and Objectives: Research and practice of care on quality of life of people with venous leg ulcers, have highlighted the need for development and validation of tools, for an efficient and accurate assessment of quality of life and adherence to the therapy. In order to meet these needs, we performed a validation of the Venous Leg Ulcer cultural Quality of Life and the creation and validation of a multidimensional scale of adhesion to therapy in people with venous leg ulcers. Methodology: This methodological research was performed on 170 people with venous leg ulcers, residents in the district of Leiria. In the validation of the quality of life scale, we followed the same methodology the authors of the original scale, who was requested authorization. The form also includes the scale adhesion, constructed in this study, the sociodemographic and clinical description and the characterization of the ulcer. The sample was obtained by a non-probabilistic accidental sampling, after meeting the ethical and formal procedures necessary for this purpose. Results: The male predominance of 55.9% (95) was found in the sample. The Cronbach alpha coefficient observed in the three dimensions of quality of life scale (0.931, 0.927 and 0.913), and the three dimensions of scale adherence (0.821, 0.863 and 0.897), to suggest that the instruments have good consistency internal and equally good convergent and discriminant validity of the scales under study. People with venous leg ulcer on average, have good quality of life in all its dimensions. It is the dimension healthy lifestyles that have better adhesion to the therapy. Conclusion: The validated scales have good psychometric properties, allowing its use in care practice and research
Description
Keywords
Qualidade de vida Adesão terapêutica Pessoa Úlcera venosa de perna Quality of life Therapeutic adherence Person Venous leg ulcer