Consulta de enfermagem a pessoas em situação de estomia intestinal: construção de um instrumento e validação de seu conteúdo

• Ano de defesa: 2013
• Autor(a) principal: Santos, João Carlos dos
• Orientador(a): Souza, Maria de Fátima de
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: www.teses.ufc.br
• Palavras-chave em Português: Self-care. Nursing consultation. Colostomy; Cuidados pessoais com a saúde - Avaliação - Fortaleza(CE); Serviços de enfermagem - Avaliação - Fortaleza(CE); Ostomizados - Saúde e higiene - Fortaleza(CE); Colostomia - Fortaleza(CE)
• Link de acesso: http://www.repositorio.ufc.br/handle/riufc/8047

Intestinal ostomies are surgical interventions carried out in the colon or small intestine which consist in externalizing an intestinal segment through the stomach wall, therefore creating an artificial opening for the discharge of body waste. A nursing consultation, which is a nurse’s exclusive job, is used primarily to further improve health and good quality of life. An adequate instrument for these consultations will contribute to a systemized work which will meet the specific needs of each health condition. In this context, the objective of this study was to construct and validate the content of an instrument to be used in nursing consultation aimed at people suffering from intestinal stoma, based on Orem’s Self-care Theory, as this one has shown to be the most adequate theory. In this developmental study the instrument for nursing consultation was constructed based on literature, Orem’s theory and on the researcher’s experience. Pasquali’s methodology for analysis of the content of instruments was used to validate the content of the instrument. This analysis is done by specialists in the area studied who are called “judges” due to their task of judging the items of the instrument. Six judges took part in this study and the questionnaires were given back within an average of nine days. Descriptive statistics was used for evaluation and the results were given in frequency and percentage. A percentage ≥ 80% of agreement among the judges, together with the analysis of the observations and suggestions presented by them, resulted in maintaining, reformulating or excluding the item. Some questions were reformulated for the construction of the final instrument. These reformulations were based on the percentages of the answers, and on the observations and suggestions presented by the judges. Questions considered irrelevant received no significant percentage or observations which could lead to their exclusion. The study showed the inexistence of a standard instrument to be used in nursing consultation to patients suffering from intestinal stoma; that the method for validation of the content of instruments through evaluation by judges consists in an adequate method for the consolidation of an instrument to be used in the daily professional practice; the final version of the instrument to be used in nursing consultation to people suffering from intestinal stoma is ready to be used in the professional practice; this instrument has been submitted to a process of evaluation for validation of its use in patients attended to at the proctology ward at the Walter Cantídio University Hospital at the Federal University of Ceará.