Adaptação transcultural do Instrumento de Evaluación de la Experiencia del Paciente Crónico para o português do Brasil em pacientes com doença renal crônica

• Autor(a) principal: Bezerra, Thaíse Alves
• Data de Publicação: 2020
• 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/123456789/20335
• topic: Enfermagem; Insuficiência renal crônica; Assistência centrada no paciente; Estudos de validação; Nursing; Chronic renal failure; Patient-centered care; Validation studies; Enfermería; Insuficiencia renal crónica; Atención centrada en el paciente; Estudios de validación; CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM

Introduction: Patients with chronic kidney disease face several changes in lifestyle, due to the restrictions imposed by the disease, therapeutic and clinical control needs and the higher probability of frequent hospitalizations. Moreover, hemodialysis treatment requires a continuous interaction with professionals and social and health services. In this sense, there is need to use specific instruments that assess the experience of these patients regarding the health care received. Objective: To perform the cross-cultural adaptation of the Instrumento de Evaluación de la Experiencia del Paciente Crónico for the Portuguese of Brazil in patients with chronic kidney disease. Method: This is a methodological study of cross-cultural adaptation, carried out in the following stages: translation, back translation, consolidation of the translated version and semantic and content evaluation. Data collection occurred with 132 patients, through interviews conducted in the four hospitals that offer hemodialysis in Campina Grande Paraíba, from July to October 2019. Psychometric tests were performed for validation and reliability of the instrument. This study was approved by the Research Ethics Committee with CAAE n. 95989118.8.0000.5188. Results: Translation and back-translation showed few alterations. The last version of the instrument was submitted to a pre-test, in which suggestions were presented to improve the understanding of some items. In the one-dimensional structure, the factor explained 37% of the variance and the items factored with loads greater than 0.30. The communality was from 0.094 to 0.454, the composite reliability of 0.952 and the mean variance extracted was 0.740. The one-dimensionality was supported by the confirmatory factor analysis. Cronbach’s alpha was 0.75. The theory of response to the item met the one dimensionality, with item 11 as the most discriminating (3,821). Regarding the difficulty parameter, category 5 (levels 4 and 5) was the most difficult. Conclusion: The instrument adapted for the Portuguese of Brazil is valid to evaluate the experience of chronic renal patients, being considered an important tool to be inserted in the integrated health care strategies of this population.