RESULTADOS DE ENFERMERÍA RELACIONADOS CON EL CUIDADOR FAMILIAR: VALIDACIÓN DE CONTENIDO POR EXPERTOS BRASILEÑOS Y COLOMBIANOS

Diaz, Leidy Johanna Rueda; Cruz, Diná de Almeida Lopes Monteiro da; Silva, Rita de Cassia Gengo e

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Original Article • Texto contexto - enferm. 26 (02) • 2017 • https://doi.org/10.1590/0104-07072017004820015 copiar

RESULTADOS DE ENFERMERÍA RELACIONADOS CON EL CUIDADOR FAMILIAR: VALIDACIÓN DE CONTENIDO POR EXPERTOS BRASILEÑOS Y COLOMBIANOS

Autoría SCIMAGO INSTITUTIONS RANKINGS

RESUMEN

Objetivo:

estimar la validez de contenido de cuatro resultados de enfermería relacionados con el cuidador familiar.

Método:

once expertos brasileros y colombianos participaron en el estudio. Ninguno de los 61 indicadores de los cuatro resultados de enfermería fueron consideraos irrelevantes, 42 (68,9%) fueron considerados principales y 19 (31,1%) fueron considerados secundarios.

Resultados:

los indicadores con mayores puntuaciones de validez fueron: familia compartiendo las responsabilidades del ofrecimiento de cuidados para el Bienestar del cuidador (IVC=0,85), ruptura de la dinámica familiar para Ruptura del estilo de vida del cuidador (IVC=0,85); bienestar percibido y rabia para Salud emocional del cuidador (IVC=0,79) y salud general percibida para Salud física del cuidador (IVC=0,79).

Conclusión:

los resultados de enfermería tuvieron adecuada validez de contenido. Se recomienda que la validación de contenido seguida por la validación clínica y de constructo se realice en diferentes culturas y escenarios de cuidado.

DESCRIPTORES:
Resultados de enfermería; Cuidadores familiares; Estudios de validación; Evaluación en enfermería; Clasificación.

NOC Outcomes	NOC indicators	Primary indicators	Secondary indicators	Irrelevant indicators
Caregiver physical health	16	7 (44%)	9 (66%)	-
Caregiver emotional health	15	11 (73%)	4 (27%)	-
Caregiver lifestyle disruption	16	10 (63%)	6 (37%)	-
Caregiver well-being	14	14 (100%)	-	-

Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Campus Universitário Trindade, 88040-970 Florianópolis - Santa Catarina - Brasil, Tel.: (55 48) 3721-4915 / (55 48) 3721-9043 - Florianópolis - SC - Brazil
E-mail: textoecontexto@contato.ufsc.br

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[1] Correspodence: Leidy Johanna Rueda Díaz Universidad Industrial de Santader, Escuela de Enfermería Carrera 32 No. 29-31 Piso 5 680002 - Apartado aéreo No. 40598, Bucaramanga, Colômbia E-mail: johanna100603@gmail.com

Indicators	Weighted mean (SD)
	Brazil		Colombia		Total		p-value*
	n=5		n=6		n=11		p-value*
Perceived general health	0.95	(0.11)	0.92	(0.13)	0.93	(0.12)	0.64
Physical comfort	0.90	(0.14)	0.92	(0.13)	0.91	(0.13)	0.83
Sleep-rest pattern	0.85	(0.22)	0.92	(0.13)	0.89	(0.17)	0.67
Nutritional state	1	(0)	0.79	(0.25)	0.89	(0.21)	0.08
Cognitive state	0.95	(0.11)	0.83	(0.20)	0.89	(0.17)	0.28
Energy level	0.85	(0.22)	0.83	(0.20)	0.84	(0.20)	0.84
Mobility level	0.95	(0.11)	0.75	(0.27)	0.84	(0.23)	0.20
Physical fitness	0.80	(0.21)	0.75	(0.22)	0.77	(0.21)	0.70
Medication use	0.80	(0.21)	0.75	(0.32)	0.77	(0.26)	0.92
Gastrointestinal function	0.95	(0.11)	0.58	(0.38)	0.75	(0.34)	0.04
Cardiac function	0.90	(0.14)	0.63	(0.31)	0.75	(0.27)	0.09
Pulmonary function	0.90	(0.14)	0.63	(0.31)	0.75	(0.27)	0.09
Blood pressure	1	(0)	0.50	(0.42)	0.73	(0.39)	0.03
Physical function	0.70	(0.21)	0.67	(0.30)	0.68	(0.25)	0.85
Weight	0.75	(0.18)	0.58	(0.41)	0.66	(0.32)	0.57
Resistance to infection	0.75	(0.25)	0.50	(0.35)	0.61	(0.32)	0.22

Indicators	Weighted mean (SD)
	Brazil		Colombia		Total		p-value*
	n=5		n=6		n=11		p-value*
Perceived spiritual well-being	0.95	(0.11)	0.92	(0.13)	0.93	(0.12)	0.64
Anger	1	(0)	0.88	(0.21)	0.93	(0.16)	0.18
Guilt	0.95	(0.11)	0.88	(0.21)	0.91	(0.17)	0.56
Frustration	1	(0)	0.83	(0.30)	0.91	(0.23)	0.18
Ambivalence about situation	0.95	(0.11)	0.88	(0.21)	0.91	(0.17)	0.56
Perceived burden	0.95	(0.11)	0.88	(0.14)	0.91	(0.13)	0.33
Sense of control	0.95	(0.11)	0.79	(0.25)	0.86	(0.21)	0.24
Self-esteem	1	(0)	0.75	(0.27)	0.86	(0.23)	0.08
Depression	0.75	(0.25)	0.96	(0.10)	0.86	(0.21)	0.11
Satisfaction with life	0.90	(0.14)	0.79	(0.33)	0.84	(0.26)	0.83
Resentment	0.90	(0.14)	0.75	(0.32)	0.82	(0.25)	0.48
Certainty about the future	0.90	(0.22)	0.67	(0.38)	0.77	(0.33)	0.24
Perceived adequacy or resources	0.75	(0.25)	0.79	(0.25)	0.77	(0.24)	0.77
Psychotropic medication use	0.88	(0.14)	0.67	(0.30)	0.75	(0.26)	0.26
Perceived social connectedness	0.80	(0.27)	0.63	(0.34)	0.70	(0.31)	0.33

Indicators	Weighted mean (SD)
	Brazil		Colombia		Total		p-value*
	n=5		n=6		n=11		p-value*
Disruption of family dynamics	0.95	(0.11)	0.88	(0.14)	0.91	(0.13)	0.33
Disruption of routine	0.95	(0.11)	0.83	(0.30)	0.89	(0.23)	0.56
Financial burden from caregiving	0.90	(0.14)	0.88	(0.21)	0.89	(0.17)	1
Role responsibilities	0.90	(0.14)	0.88	(0.21)	0.89	(0.17)	1
Role performance	0.95	(0.11)	0.83	(0.30)	0.89	(0.23)	0.56
Relationship with family members	0.90	(0.14)	0.83	(0.20)	0.86	(0.17)	0.61
Social support	0.88	(0.14)	0.80	(0.27)	0.83	(0.22)	0.79
Disruption of living environments	0.90	(0.22)	0.75	(0.22)	0.82	(0.23)	0.23
Diversional activities	0.90	(0.22)	0.75	(0.32)	0.82	(0.28)	0.34
Relationship with friends	0.95	(0.11)	0.71	(0.33)	0.82	(0.28)	0.20
Role flexibility	0.80	(0.33)	0.75	(0.32)	0.77	(0.31)	0.76
Opportunities for privacy	0.85	(0.22)	0.71	(0.25)	0.77	(0.24)	0.32
Social interactions	0.80	(0.21)	0.75	(0.32)	0.77	(0.26)	0.92
Sleep	0.75	(0.25)	0.75	(0.39)	0.75	(0.32)	0.84
Work productivity	0.80	(0.21)	0.63	(0.26)	0.70	(0.25)	0.25
Relationship with a pet	0.90	(0.14)	0.42	(0.20)	0.64	(0.30)	0.00

Indicators	Weighted mean (SD)
	Brazil		Colombia		Total		p-value*
	n=5		n=6		n=11		p-value*
Family sharing of responsibilities for caregiving	1.00	(0)	0.88	(0.14)	0.93	(0.12)	0.08
Social relationships	0.95	(0.11)	0.88	(0.21)	0.91	(0.17)	0.56
Availability for respire	0.95	(0.11)	0.88	(0.14)	0.91	(0.13)	0.33
Ability to cope	1	(0)	0.83	(0.20)	0.91	(0.17)	0.08
Lifestyle	0.95	(0.11)	0.83	(0.26)	0.89	(0.21)	0.48
Psychological health	0.85	(0.22)	0.88	(0.21)	0.86	(0.21)	0.83
Performance of usual roles	0.9	(0.14)	0.83	(0.20)	0.86	(0.17)	0.61
Social support	0.75	(0.25)	0.96	(0.10)	0.86	(0.21)	0.11
Health professional support	0.8	(0.11)	0.92	(0.20)	0.86	(0.17)	0.12
Financial resources for caregiving	0.9	(0.14)	0.83	(0.30)	0.86	(0.23)	1
Physical health	0.75	(0.35)	0.92	(0.13)	0.84	(0.26)	0.52
Support to instrumental activities of daily living	0.8	(0.33)	0.83	(0.20)	0.82	(0.25)	0.92
Caregiver role	0.65	(0.29)	0.92	(0.20)	0.80	(0.27)	0.07