Objective. To evaluate changes in the quality of life of patients with chronic wounds. Methods. Quantitative research with a cross-sectional design performed with 100 patients with chronic wounds from a university hospital and a Basic Health Unit in southern Brazil. The mean values of the domains of the instruments Wound Quality of Life (Wound-QoL) and Freiburg Life Quality Assessment Wound were compared with sociodemographic variables of age, sex and education. Results. The average age of the participants was 60.98 years old; 41% had diabetic ulcers and 83% treated the wounds for more than 24 months. The total quality of life value was below the mean with 37.50/100 with (Wound-QoL) and 44.20/100 with (FLQA-Wk). The variables of gender, and educational level were not correlated with either of the two instruments used to assess the quality of life. The age variable was significantly correlated with the satisfaction item of the FLQA-Wk. Conclusion. The quality of life of patients with chronic wounds was considered poor. The age variable was correlated with the satisfaction domain, showing that the older the age, the lower the satisfaction. The use of instruments to evaluate the quality of life of patients with chronic wounds may help an effective treatment plan.
RESUMOObjetivo: traduzir e adaptar culturalmente o instrumento Wound Quality of Life para a língua portuguesa do Brasil. Métodos: estudo metodológico que seguiu as etapas de tradução, síntese, retrotradução, revisão pelo comitê de especialistas e pré-teste conforme metodologia internacional recomendada. Pré-teste realizado em hospital público no estado do Paraná com 40 participantes, entre outubro e dezembro de 2015. Determinou-se a validade de conteúdo pela taxa de concordância entre o comitê. Resultados: o questionário demonstrou ser confiável com consistência interna satisfatória (Alfa de Cronbach=0,878699) e com boa praticabilidade evidenciada pelo tempo aproximado de preenchimento pelos participantes igual a sete minutos. Conclusão: a versão adaptada é semântica e culturalmente similar à versão original e apresentou medidas psicométricas confiáveis e satisfatórias para a população brasileira com feridas crônicas. Palavras-chave: Ferimentos e Lesões; Qualidade de Vida; Comparação Transcultural; Inquéritos e Questionários; Pesquisa Metodológica em Enfermagem. ABSTR ACT
Objective: to evaluate the criterion validity and reliability of the Portuguese-Brazilian version of the Wound Quality of Life. Methods: methodological research with 100 participants. For criterion and reliability validation, the items in the Wound Quality of Life questionnaires were correlated with the Freiburg Life Quality Assessment Wound - Wound Version, using the Spearman correlation test and Cronbach’s alpha. Results: the validity of concurrent criteria had a strong magnitude (0.85) when correlated with the Freiburg Life Quality Assessment Wound; the internal consistency had a Cronbach’s alpha of 0.84. Conclusion: the validated questionnaire has good psychometric properties, is brief, easy to apply and reliable for assessing the quality of life of patients with wounds that are difficult to heal.
Patients with liver metastasis of colorectal cancer (CRC) experience important lifestyle changes that impair the quality of life (QoL). The use of instruments is important to assess the cancer patients' QoL. To develop a Brazilian translation of the European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire Colorectal Liver Metastases (QLQ-LMC21) questionnaire, and to investigate psychometric validity in patients with CRC with liver metastases, patients with liver metastasis from CRC answered the Brazilian versions of EORTC core Quality of Life Questionnaire-Core 30 (QLQ-C30) and the QLQ-LMC21 module, a demographic data questionnaire and a questionnaire to assess understanding against the translated QLQ-LMC21. Data collection was performed in three Southern hospitals in Brazil, from August 2017 to August 2019. Descriptive analyses and Spearman's correlation tests were performed for construct and criterion validity. The Cronbach's alpha test was performed to assess reliability. Significant values were p < 0.05. Ten patients participated in the study for the pilot test and 106 for validation, with a mean age of 58.2 + 12.4 years old. The translated questionnaire was easy to understand for the participants in the pilot test phase, with no need for modification. In the validation of the convergent construct, all the correlations were significant (p < 0.001) and with coefficients above 0.53. In the discriminant validity, among items of different scales, the values of the divergent correlations were pain scale (0.005 to 0.186) and fatigue (−0.01 to 0.186), all non-significant. In the criterion validation, the correlations were significant, p < 0.05, and higher among similar scales of the QLQ-LMC21 and QLQ-C30, p-value < 0.001. The total internal consistency of the questionnaire was adequate, with a Cronbach's alpha value of 0.790. The Brazilian version of the QLQ LMC21 proved to be a valid reliable questionnaire to be used in conjunction with the QLQ-C30.
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