Banca de DEFESA: SUENIA SILVA DE MESQUITA XAVIER

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
DISCENTE : SUENIA SILVA DE MESQUITA XAVIER
DATA : 26/02/2018
HORA: 13:30
LOCAL: Departamento de Enfermagem
TÍTULO:

VALIDATION OF THE SCALE OF THE OSTOMATE`S ADAPTATION LEVEL (SOAL) IN THE LIGHT OF ROY´S THEORY

PALAVRAS-CHAVES:

Stoma. Nursing models. Psychological Adaptation. Validation Studies.

PÁGINAS: 100
GRANDE ÁREA: Ciências da Saúde
ÁREA: Enfermagem
RESUMO:

Ostomy is the surgical opening of any of the hollow viscera to the exterior of the body, with the purpose of supplying alimentary or disposal needs. Undergoing an ostomy can lead the patient to regard life as limited given that the physical alterations crossover from the physiological field to the psychosocial field, requiring adaptation of the individual faced with the new reality. Thus, the usage of an instrument based on a theory of nursing that focuses on adaptation, such as the Roy’s Adaptation Model (RAM), can complement the Systematization of Nursing Care (SNC) and ostomy patient care. In this sense, the objective of this study was to analyze the validity of the Adaptation Level of People with Stoma Scale (ALPSS) based on the perspective of Roy’s model. This work is characterized as a methodological study of the ALPSS validation, developed in four phases: the first phase refers to the theoretical pole that consisted of two rounds of the instrument submission to the judges, the realization of the pilot test and lexical and grammatical correction; the second phase constituted the experimental pole that involved planning the application of the instrument, application and data collection, with the instrument being applied to 200 people with stoma at the Child and Adult Rehabilitation Center of Rio Grande do Norte (acronym in Portuguese, CRI/CRA); the third phase within the analytic pole, involved the carrying out of a statistical analysis, using the statistical software SPSS, 20.0 version, and Cronbach’s alpha for the internal item consistency analysis, Pearson correlation and T test for the instrument precision analysis, and Kruskal-Wallis test for the verification of evidence of criterion validity; lastly, in the fourth phase the association between the sociodemographic, clinical and health characteristics was made, as well as the ALPSS dimensions using the Mann-Whitney test. Results of this study showed, in the first phase 13 items received improvement suggestions, 3 items were unified by their similarity of approach and 1 item was excluded. After the adjustments made in the first phase, the judges unanimously agreed on representativeness of the items and the permanence of the modes. The final version of the instrument was composed of 32 items distributed in four adaptive modes, following Cronbach’s alpha rates: physiological mode (α = 0,680), self-concept (α =0,889), role function (α =0,749), and interdependence (α =0,793). In addition, a global rating for Alpha of 0,980 was found. Also verified was the relation between sex, age, income, stoma time, permanence criteria and presence of complications and APS domains. Thus, the alternative hypothesis of the study is accepted, in that the instrument presented strong evidence of validation. The expectation is that using an instrument built on a scientifically valid theory, contributes to the care of people with stomas and the development of nursing as a science.

MEMBROS DA BANCA:
Interno - 347971 - BERTHA CRUZ ENDERS
Externo à Instituição - CRISTINA KATYA TORRES TEIXEIRA MENDES - UFPB
Externo ao Programa - 2140865 - GABRIELA DE SOUSA MARTINS MELO DE ARAUJO
Presidente - 2882013 - ISABELLE KATHERINNE FERNANDES COSTA ASSUNCAO
Externo ao Programa - 2474945 - IZAURA LUZIA SILVERIO FREIRE
Externo à Instituição - MIRIAN ALVES DA SILVA - UFPB