Adaptação transcultural da Bakas Caregiving Outcome Scale em cuidadores informais de pacientes com sequela de acidente vascular encefálico

• Autor(a) principal: Costa, Tatiana Ferreira da
• Data de Publicação: 2018
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UFPB
• Texto Completo: https://repositorio.ufpb.br/jspui/handle/123456789/13552
• topic: Enfermagem; Acidente vascular encefálico; Cuidadores; Estudos de validação; Nursing; Stroke; Caregivers; Validation studies; Enfermería; Accidente vascular encefálico; Cuidadores; Estudios de validación; CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM

Introduction: Sequelae resulting from stroke often leads to dependence on others, which most often falls to an informal caregiver. It is necessary to use specific scales to detect the presence of overload in these caregivers, in the sense of to prevent consequences on their physical and mental health. Objective: To perform BCC transcultural adaptation in informal caregivers of patients with stroke sequelae to Brazilian Portuguese. Method: Methodological study of cross-cultural adaptation, which followed the following steps: Translation; Backtranslation; Consolidation of the translated version; and Semantic and content evaluation. Data were collected from 151 informal caregivers of patients with a stroke sequelae through home interviews, from September to December 2017. Psychometric tests were performed for validation and reliability of the scale and evaluation of the mean of BCOS items and their different groups. The research began after approval by the Ethics Committee in Research with CAAE of nº 71855817.0.0000.5188. Results: Translation and back translation showed few changes. Due to incomprehension of some items in the semantic and content validation was necessary its more detailed description. The last version of the scale was submitted to a pretest, which did not present comprehension problems. With the one-dimensional structure, the items factored with loads above 0.40, whose factor explained 42.54% of the variance. The commonality was of 0,167 to 0,505, the composite reliability (CC) of 0.92 and the mean variance extracted (VME) of 0.66. Unidimensionality was supported by confirmatory factor analysis. Cronbach's alpha was 0.89, with values between 0.89 and 0.90 excluding each item. The BCOS presented convergent validity with affection and negative experience of subjective well-being (BES) and with the stress, anxiety and depression scale (EADS-21) and divergent with affection and positive experience of BES. The overall BCOS mean was 48.62, and that of the items ranged from 2.77 to 4.00. BCOS was associated with sex and length of care Conclusion: Adapted BCOS is a valuable screening tool for nurses to identify caregiver overload and priority areas for interventions.