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Constru??o e valida??o de tecnologia educativa para o cuidado de pessoas com estomia intestinal / Construction and validation of educational technology for the care of people with intestinal ostomy

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Previous issue date: 2017-12-19 / Viver com a condi??o de ter uma estomia ocasiona diversas altera??es na vida das pessoas e de seus familiares. Nesta situa??o surgem dificuldades em que muitas vezes nem o paciente e a fam?lia est?o preparados para agir diante do problema. Tudo isso gera a necessidade de aquisi??o de novas habilidades para o autocuidado. Reconhecendo a import?ncia do material educativo com enfoque na promo??o do cuidado desses pacientes, o presente estudo objetivou construir uma cartilha educativa e analisar as evid?ncias de valida??o para o cuidado de pessoas com estomia intestinal. Trata-se de uma pesquisa metodol?gica do tipo de desenvolvimento. Para facilitar a compreens?o do m?todo, optou-se por dividi-lo em duas etapas: a primeira consistiu de uma revis?o de literatura, um estudo qualitativo com 30 pessoas com estomia intestinal do Centro Especializado em Reabilita??o e Habilita??o do Rio Grande do Norte ? CERHRN e constru??o da cartilha educativa, e a segunda consistiu da valida??o de conte?do, apar?ncia e adequabilidade do material por nove ju?zes especialistas, bem como valida??o quanto ? sua organiza??o, estilo da escrita, apar?ncia e motiva??o da cartilha com 25 pessoas da popula??o-alvo. O estudo foi realizado no CERHRN com autoriza??o da diretoria e ap?s aprova??o do Comit? de ?tica em Pesquisa/UFRN sob n? CAAE 65942517.9.0000.5537. Foi utilizado o ?ndice de Validade de Conte?do (IVC) para medir a concord?ncia dos ju?zes quanto ? representatividade dos itens em rela??o ao conte?do em estudo. O instrumento de avalia??o dos especialistas continha itens de avalia??o da escala Likert com quatro itens. O ?ndice foi calculado por meio do somat?rio de concord?ncia dos itens marcados como ?3? (adequado) e ?4? (totalmente adequado) pelos especialistas, dividido pelo total de respostas. Quanto aos objetivos da cartilha, todos os ju?zes validaram os itens, classificando-os como ?adequado? ou ?totalmente adequado?, o que conferiu um IVC de 1,00 para os objetivos propostos. Com rela??o ? estrutura e apresenta??o da cartilha, ela foi considerada validada, atingindo IVC total de 0,84. No quesito relev?ncia, o IVC total foi de 0,97 e o IVC geral da cartilha educativa foi de 0,89, confirmando a valida??o junto aos especialistas da ?rea. Ap?s as sugest?es feitas pelos ju?zes, foi realizada a adequa??o do material educativo, incorporando as sugest?es, a fim de atender ?s necessidades e expectativas a que se prop?e. N?o houve nenhuma resposta negativa nos itens avaliados pelo p?blico-alvo. Todos os itens da organiza??o, estilo da escrita, apar?ncia e motiva??o do material foram considerados validados, pois atingiram ?ndice de concord?ncia total de 99%. Acredita-se que a constru??o e valida??o da cartilha educativa para o cuidado de pessoas com estomia intestinal possam contribuir positivamente para a ades?o ?s pr?ticas de autocuidado dessas pessoas e tamb?m para os familiares e cuidadores que desempenham ou auxiliam nesse cuidado di?rio. Posteriormente, o material educativo foi encaminhado ? revis?o de portugu?s e ? gr?fica para impress?o. A tecnologia educativa ser? disponibilizada nos locais de atendimento ao estomizado, por?m, somente ser? fornecida ao paciente que demonstrar interesse. / Living with the condition of having an oedematum causes several changes in the lives of people and their families. In this situation, difficulties arise in which often the patient and the family are not prepared to act in the face of the problem. All this generates the need to acquire new skills for self-care. Recognizing the importance of educational material with a focus on promoting the care of these patients, the present study aimed to construct an educational booklet and analyze the evidence of validation for the care of people with intestinal stomies. It is a methodological research of the type of development. To facilitate the understanding of the method, it was chosen to divide it into two stages: the first consisted of a literature review, a qualitative study with 30 people with intestinal stomies of the Specialized Center for Rehabilitation and Qualification of Rio Grande do Norte - CERHRN and the construction of the educational booklet, and the second consisted of validation of content, appearance and suitability of the material by nine expert judges, as well as validation as to its organization, writing style, appearance and motivation of the booklet with 25 people of the target population. The study was carried out at the CERHRN with the authorization of the board of directors and after approval of the Research Ethics Committee / UFRN under CAAE number 65942517.9.0000.5537. The Content Validity Index (CVI) was used to measure the judges' agreement on the representativeness of the items in relation to the study content. The evaluation instrument of the specialists contained items of evaluation of the Likert scale with four items. The index was calculated by means of the sum of the items marked "3" (appropriate) and "4" (fully appropriate) by the experts, divided by the total answers. As for the objectives of the booklet, all the judges validated the items, classifying them as "adequate" or "totally adequate", which gave an IVC of 1.00 for the proposed objectives. Regarding the structure and presentation of the booklet, it was considered validated, reaching a total CVI of 0.84. Regarding relevance, the total IVC was 0.97 and the general IVC of the educational booklet was 0.89, confirming the validation among the specialists in the area. After the suggestions made by the judges, the adequacy of the educational material was carried out, incorporating the suggestions, in order to meet the needs and expectations proposed. There was no negative response to items evaluated by the target audience. All items of the organization, writing style, appearance and motivation of the material were considered validated, as they reached a total agreement index of 99%. It is believed that the construction and validation of the educational booklet for the care of people with intestinal stomies can contribute positively to the adherence to the self-care practices of these people and also to the relatives and caregivers who perform or assist in this daily care. Subsequently, the educational material was sent to the Portuguese revision and to the printing press. The educational technology will be made available at the stomatal care facilities, but will only be provided to the patient who shows interest.

Identiferoai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/24866
Date19 December 2017
CreatorsSena, Julliana Fernandes de
Contributors06605883403, Ara?jo, Gabriela de Sousa Martins Melo de, 05671050405, Silva, Mirian Alves da, 33576521453, Assun??o, Isabelle Katherinne Fernandes Costa
PublisherPROGRAMA DE P?S-GRADUA??O EM ENFERMAGEM, UFRN, Brasil
Source SetsIBICT Brazilian ETDs
LanguagePortuguese
Detected LanguageEnglish
Typeinfo:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis
Sourcereponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN
Rightsinfo:eu-repo/semantics/openAccess

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