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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

Self care of the woman in the whitewashing of the mastectomy: study of appearance validation and content of the educative technology / Autocuidado da mulher na reabilitaÃÃo da mastectomia: estudo de validaÃÃo de aparÃncia e conteÃdo de uma tecnologia educativa

Mariza Silva de Oliveira 28 August 2006 (has links)
CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel Superior / As tecnologias educativas merecem discussÃo e reflexÃo quanto à sua validaÃÃo e implementaÃÃo na prÃtica assistencial. A reabilitaÃÃo com o auxÃlio de tecnologias educacionais pode ser bastante eficaz, pois motiva a mulher a se cuidar e adquirir conhecimentos necessÃrios e adequados para serem adotados na efetividade do seu autocuidado. Objetivou-se validar um manual educativo direcionado para a promoÃÃo do autocuidado de mulheres mastectomizadas, identificar aspectos que podem ser aperfeiÃoados e/ou modificados e avaliar o manual educativo proposto quanto à legibilidade e validade de conteÃdo e de aparÃncia. Trata-se de uma pesquisa de desenvolvimento metodolÃgico. O referencial teÃrico-metodologico foi adotado com base nos critÃrios do modelo de Pasquali (1998) composto por trÃs conjuntos de procedimentos: teÃricos, empÃricos e analÃticos. Como se trata de um manual educativo, usou-se apenas os procedimentos teÃricos. A coleta de dados foi realizada de abril a junho de 2006 em dois momentos metodolÃgicos. Primeiro, a avaliaÃÃo dos quatorze juÃzes-especialistas (profissionais); segundo, a anÃlise semÃntica de nove mulheres mastectomizadas escolhidas conforme critÃrios preestabelecidos para ambos. Os dados foram extraÃdos por meio de questionÃrios individuais na forma de escala Likert com itens distribuÃdos em trÃs blocos de anÃlise. Os dados receberam tratamento descritivo, sendo calculada a adequaÃÃo da representaÃÃo comportamental dos itens, a correlaÃÃo linear de Pearson dos itens avaliados pelos juÃzes e a avaliaÃÃo do Ãndice de Legibilidade de Flesch do material (ILF), utilizando o Revisor Gramatical AutomÃtico para PortuguÃs (ReGra). Na validaÃÃo de aparÃncia, os juÃzes-especialistas sugeriram vÃrias alteraÃÃes, mas houve tendÃncia dos juÃzes optarem pelas respostas em concordÃncia. A maioria das respostas ficou entre totalmente adequado (142) e adequado (120), nÃo havendo indicaÃÃo significativa de discordÃncia, pois dos 22 itens e das quatro opÃÃes de respostas, apenas cinco itens obtiveram escores inadequados. Quanto à adequaÃÃo comportamental dos 22 itens, quatorze atingiram a meta proposta de 80% de concordÃncia entre os juÃzes, quatro tiveram Ãndices limÃtrofes e quatro tiveram Ãndices abaixo do parÃmetro adotado. Na correlaÃÃo linear de Pearson, os avaliadores analisaram alguns itens de forma linearmente dependente uns com os outros, a indicar que o instrumento de avaliaÃÃo quanto aos aspectos referentes ao manual està adequado. Quanto à anÃlise semÃntica, 114 respostas ficaram em totalmente adequado e 114 em adequado. Nesse grupo nÃo houve indicaÃÃo significativa de discordÃncia, pois dos 26 itens e das quatro opÃÃes de respostas, apenas um item obteve escore inadequado. Em relaÃÃo ao ILF, os resultados variaram de 43 a 64, ou seja, leitura fÃcil e difÃcil, apropriado para o ensino fundamental completo ou mÃdio incompleto. Conclui-se que o manual educativo à um recurso que pode ser usado de forma positiva no processo de reabilitaÃÃo da mastectomizada caso as mensagens sejam apreendidas por ela; os profissionais devem considerar a escolaridade e habilidade de leitura do paciente, pois a leitura à um processo complexo e a compreensÃo de textos envolve questÃes relacionadas ao leitor e à sua interaÃÃo. Espera-se que a aplicaÃÃo do conhecimento adquirido nesse estudo proporcione impactos positivos para a enfermagem e para a saÃde da mulher mastectomizada e garanta-lhe melhor qualidade de vida. / The educative technologies deserve quarrel and reflection how much to its validation and implementation in the practical assistencial. The rehabilitation with the aid of educational technologies can be sufficiently efficient, therefore it motivates the woman if to take care and to acquire knowledge necessary and adequate to be adopted in the effectiveness of its self care one. It was objectified to validate a directed educative manual for the promotion of the self care of mastectomizadas women, to identify aspects that can be perfected e/or modified and to evaluate the educative manual considered how much to the legibility and validity of content and appearance. One is about a research of methodological development. The referencial theoretician-methodological was adopted on the basis of the criteria of the model of Pasquali (1998) composed for three sets of procedures: theoreticians, empiricists and analytical. As one is about an educative manual, one used only the theoretical procedures. The collection of data was carried through of April the June of 2006 at two methodological moments. First, the evaluation of the fourteen judge-specialists (professional); second, the analysis semantics of nine mastectomizadas women chosen as criteria preset for both. The data had been extracted by means of individual questionnaires in the form of Likert scale with item distributed in three blocks of analysis. The data had received treatment descriptive, being calculated the adequacy of the mannering representation of the item, the linear correlation of Pearson of the item evaluated for the judges and the evaluation of the Index of Legibility of Flesch of the material (ILF), using the Automatic Grammatical to Revise for Portuguese (ReGra). In the appearance validation, the judge-specialists had suggested some alterations, but it had trend of the judges to opt to the answers in agreement. The majority of the answers was enters total adequate (142) and adequate (120), not having significant indication of discord, therefore of the 22 item and the four options of answers, but five item had gotten you prop up inadequate. How much to the mannering adequacy of the 22 item, fourteen had reached the goal proposal of 80% of agreement between the judges, four had had bordering indices and four had had indices below of the adopted parameter. In the linear correlation of Pearson, the appraisers had analyzed some item of form linearly dependent ones with the others, to indicate that the evaluation instrument how much to the referring aspects to the manual is adjusted. How much to the analysis semantics, 114 answers had been in total adequate and 114 in adequate. In this group it did not have significant indication of discord, therefore of the 26 item and the four options of answers, but an item got props up inadequate. In relation to the ILF, the results varied of 43 the 64, that is, easy and difficult reading, appropriate for education basic complete or incomplete mdium. One concludes that the educative manual is a resource that can be used of positive form in the process of rehabilitation of the mastectomizada case the messages is apprehended by it; the professionals must consider the instruction level and ability of reading of the patient, therefore the reading is a complex process and the understanding of texts involves questions related to the reader and its interaction. One expects that the application of the knowledge acquired in this study provides positive impacts for the nursing and the health of the mastectomizada woman and it guarantees to it quality to of life better.

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