This work aimed to draft and validate a checklist of the production processes of pediatric diets for use in hospital lactaries. A bibliographic search was carried out in order to draft the instrument. Content validation was performed with 5 experts, using the Delphi technique and the 5-point Likert scale. Appearance validation was performed by 3 nutritionists, in the same environment, day, and time. The instrument included a header, a guide to completion instructions, and 225 assessment items that obtained validated content. The minimum and maximum values for the content validity index (CVI) were 0.88 and 0.96, respectively. The intraclass correlation coefficient (ICC) and Cronbach’s alpha (α) was >0.80 in more than 90% of the items evaluated. The minimum and maximum values for the Appearance Validity Index (AVI) were, respectively, 0.73 and 0.93. The Kruskal Wallis test showed no significant difference during the evaluations (p-value>0.05) for the blocks of the routine version and the management version. The instrument versions presented in more than 80% of the α and ICC blocks > 0.80. Therefore, the instrument presented validated content and appearance, presenting reproducibility and reliability in terms of the feasibility of use in a nutritionist’s practice.
Resumo Este trabalho visou elaborar e validar uma lista de verificação dos processos produtivos de dietas pediátricas para uso em lactários hospitalares. Para a elaboração do instrumento realizou-se pesquisa bibliográfica. A validação do conteúdo foi realizada com 5 especialistas, pela Técnica Delphi - utilizando a escala Likert de 5 pontos. A validação de aparência foi realizada por 3 nutricionistas, no mesmo ambiente, dia e horário. O instrumento incluiu cabeçalho, guia de instruções de preenchimento e 225 itens de avaliação que obtiveram o conteúdo validado. Os valores mínimos e máximos para o índice de validade de conteúdo (IVC) foi, respectivamente, 0,88 e 0,96. O coeficiente de correlação intraclasse (CCI) e Alfa de Cronbach (α) foi >0,80 em mais de 90% dos itens avaliados. Os valores mínimos e máximos para o índice de validade de aparência (IVA) foi, respectivamente, 0,73 e 0,93. O teste de Kruskal Wallis não apresentou diferença significativa durante as avaliações (p valor>0,05) para os blocos da versão rotina e versão gestão. As versões do instrumento apresentaram em mais de 80% dos blocos α e CCI>0,80. Portanto, o instrumento apresentou conteúdo e aparência validados tendo reprodutibilidade e confiabilidade, ou seja, viabilidade de utilização na prática do nutricionista.
Alzheimer’s disease is the most common dementia among the elderly, but unfortunately, the early symptoms are mistaken for natural aspects of age. Thus, knowledge is an excellent tool to get a diagnosis still in the early stage.
Aims: Therefore, this article addresses the psychological reactions of family caregivers of individuals with that disorder and coping conditions experienced by them.
Methods: To this end, an exploratory descriptive study of qualitative approach with semi-structured interviews with primary caregivers of individuals with Alzheimer took place, and some of the participants were appointed by indicated Regional Tocantinense Association Brasilian Alzheimer’s - ABRAZ, not exceeding the expected number, the researchers received help in the indication of caregivers who were already part of this research.
Results: Regarding the coping conditions, there was family resilience, some resorted even psychological aid, since the change in routine was essential for the welfare of the elderly. Five respondents knew little about the disease before diagnosis, however, they began to delve into the matter with a view to aid in the treatment. Thus the knowledge acquired over time only came to add, thereby contributing to an improvement in the quality of life in both parties.
Conclusion: The look of psychology facing the coping experienced by caregivers of individuals with Alzheimer’s is of paramount importance, as well as knowledge of caregivers about the disease, although acquired over time, contributed to an improvement in the quality of life of both parties.
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