Made available in DSpace on 2015-12-06T23:45:39Z (GMT). No. of bitstreams: 0 Previous issue date: 2012 / Introdução: Na avaliacao da qualidade de vida de vitimas de queimadura, instrumentos confiaveis sao essenciais. Uma extensa revisao de literatura revelou que a atencao a sexualidade de pacientes com queimadura, raramente e foco desses estudos. O Burn Sexuality Questionnaire (BSQ), instrumento especifico, e unico em avaliar a sexualidade no contexto da qualidade de vida da vitima de queimadura. Constituido de 24 itens, 17 avaliam o comportamento do queimado quanto a imagem corporal e conforto social. OBJETIVOS: Traduzir o BSQ para a lingua portuguesa, adapta-lo culturalmente no Brasil e testar a reprodutibilidade, confiabilidade e validade de face conteudo e de construto. METODOS: Seguindo metodologia de GUILLEMIN, BOMBARDIER, BEATON (1993), o questionario foi traduzido para o portugues, adaptado culturalmente e testado em relacao a reprodutibilidade, validade de face, conteudo e construto. A versao traduzida foi aplicada em 80 pacientes brasileiros, sobreviventes de queimadura. RESULTADOS: A consistencia interna foi testada pelo alfa de Cronbach (0,87). A correlacao linear de Person foi significativa nos tres momentos das entrevistas na analise da reprodutibilidade. Realizou-se a validacao de construto correlacionando o BSQ com o questionario Burn Specific Health Scale-Revised (BSHS-R). Observou-se correlacao significativa entre o dominio Conforto Social do BSQ com os dominios Afeto e Imagem Corporal (p=0,025), Habilidades para Funcoes Simples (p=0,008), Trabalho (p=0,016) e Tratamento (p=0,037) do questionario BSHS-R. Este instrumento foi denominado BurnSexQ-EPM/UNIFESP. CONCLUSAO: O BSQ foi traduzido para o portugues e adaptado culturalmente no Brasil. E instrumento reprodutivel, apresenta validade global de face, de conteudo e validade de construto para o dominio Conforto Social / INTRODUCTION: In measuring the quality of life of burn victims, it is essential that we find reliable and valid means. An extensive literature review reveals that sexuality concerns of patient with burns are rarely a focus. The Burn Sexuality Questionnaire (BSQ) is a specific instrument; the only to assess sexuality in the context of burn victim quality of life. It is a 24-item questionnaire, which 17 of then assesses behavioral components of body image and social comfort among burn survivors. OBJECTIVE: The aim of this study is to translate and culturally adapt the BSQ into Brazilian Portuguese, assess reliability, face, content and construct validity. METHODS: After translation and cultural adaptation, we tested the final version for reliability and for face, content and construct validities, according to standard procedures. The Portuguese version was applied to 80 Brazilians burn survivors. RESULTS: Internal consistency was determined by calculating Cronbach’s alpha. Total Cronbach’s alpha was 0.87. Pearson’s correlation was significant between scores for different time points. Construct validity was demonstrated with the correlation of the BSQ with Burn Specific Health Scale-Revised (BSHS-R) questionnaire. It showed significant correlation between the BSQ social comfort domain and the BSHS-R affect and body image (p=0.025), simple function ability (p=0.008), work (p=0.016), and treatment (p=0.037) domains. It was denominated BurnSexQEPM/UNIFESP. CONCLUSIONS: The BSQ was translated and cultural adapted into Brazilian Portuguese. It is a reliable tool with global face and content validity; and it has construct validity for the social comfort domain. KEY WORDS: Health questionnaires, Outcome measures, Burn, Sexuality, Cross-Cultural Adaptation. / BV UNIFESP: Teses e dissertações

Made available in DSpace on 2015-12-06T23:46:08Z (GMT). No. of bitstreams: 0 Previous issue date: 2013 / A queimadura e uma experiencia traumatica com importante repercussao social, economica e de Saúde publica que necessita de atencao de orgaos governamentais de forma multidisciplinar, estando entre as principais causas de morbidade e mortalidade devido a complexidade do tratamento. Objetivo: Avaliar a qualidade de vida, autoestima, capacidade funcional e dor em pacientes apos queimadura. Metodos: Estudo transversal, analitico e multicentrico. Foram incluidos no estudo 30 pacientes com idades entre 18 e 59 anos, com 6 a 24 meses de tempo apos a queimadura. Utilizou-se instrumento para coleta de dados demograficos e clinicos. A avaliacao foi realizada por meio dos questionarios SF-36, instrumento especifico para queimaduras BSHS-R, Escala de autoestima de Rosenberg/UNIFESP-EPM, instrumento de avaliacao da capacidade funcional HAQ-20, e para avaliacao da dor, a Escala Visual Analogica. Para a analise estatistica foram utilizados o Teste t de Student, Analise de Variancia (ANOVA), teste de Tukey, Kruskal-Wallis, Dunn e Spearman's. Resultados: Dos 30 pacientes, 56,7 % eram do genero masculino, com idade media de 36,1 anos. A principal causa da queimadura foi o liquido inflamavel (50 % dos pacientes) e a media da superficie corporea queimada foi de 21 %. Houve diferenca estatisticamente significante entre os generos nos dominios do SF-36 Aspecto Emocional (p = 0,023) e Saúde Mental (p = 0,047). Em ambos os dominios os homens apresentaram melhores resultados. Tambem tiveram diferenca estatisticamente significante os dominios do SF-36 Dor (p=0,025), Vitalidade (p=0,041) e Saúde Mental (p=0,023) com relacao ao consumo de alcool e tambem com as escalas BSHS-R (P=0,015), Rosenberg (p=0,044) e a EVA (p=0,007). O uso de drogas apresentou diferenca estatisticamente significante com relacao ao dominio Dor do SF-36 (P=0,008). Conclusao: A qualidade de vida de pacientes apos queimadura apresentou correlacao positiva com a autoestima, capacidade funcional e dor / Background: Burn injury is a traumatic experience that has social, economic and public health implications and deserves the attention of governmental agencies and multidisciplinary teams. Objective: To evaluate quality of life, self-esteem, functional ability, and pain in burn patients. Methods: This was a multicenter, cross-sectional, analytical study. Thirty patients aged 18 to 59 years, who had suffered burn injury during the past 6 to 24 months, were included in the study. A questionnaire was used to collect clinical and demographic data. Patients were assessed with the Short Form 36 Health Survey (SF-36), Burn Specific Health Scale-Revised (BSHS-R), Rosenberg Self-Esteem Scale (RSE)/EPMUNIFESP, Health Assessment Questionnaire (HAQ-20), and Visual Analog Scale (VAS) for pain. Statistical analysis was performed using Student’s t-test, analysis of variance (ANOVA), Tukey’s test, KruskalWallis test, Dunn’s test, and Spearman's test. Results: Most of the patients (56.7 %, n=17) were men and the mean age was 36.1 years. Buns were mainly caused by flammable liquids (50 % of patients) and the mean burn size was 21 % total body surface area. Men reported significantly better health status on the role emotional (p=0.023) and mental health (p=0.047) SF-36 subscales. A significant association was found between “alcohol use” and SF-36 scores on the bodily pain (p=0.025), vitality (p=0.041), and mental health (p=0.023) subscales, BSHS-R scores (p=0.015), RSE scores (p=0.044), and VAS pain scores (p=0.007), and between “drug use” and SF-36 scores on bodily pain (p=0.008). Conclusion: Burn injuries had a negative impact on the health-related quality of life, functional ability, selfesteem, and pain. / BV UNIFESP: Teses e dissertações