Translation into Brazilian Portuguese, cultural adaptation and validation of the Prosthesis Evaluation Questionnaire

Abstract

BACKGROUND: Quality of life has been one of the main issues for patients with a chronic condition.OBJECTIVE: To translate, adapt and validate a Brazilian Portuguese version of the Prosthesis Evaluation Questionnaire (PEQ).METHODS: The questionnaire was translated into Portuguese, back translated into English, and cross-culturally adapted to the Brazilian Population. Sixty-five transtibial unilateral amputees were recruited. The sample comprised 45 men and 20 women with a mean age of 44 years, 47 with traumatic amputations, 14 with vascular dysfunction and 4 with other reasons for amputation, and all of them fitted with prostheses. Patients were interviewed twice, at baseline and again after 15 days. The Brazilian Portuguese version of the SF-36 (a generic Quality of Life outcome measure) and the FIM (a Functional Independence Measure) were also administered.RESULTS: The internal consistency of the nine PEQ scales was tested by computing Cronbach's Alpha coefficients (0.65 - 0.89: high values). Student's t test coefficients were used for interobserver evaluation (0.35 to 084: reliable values with one exception- the Residual Limb Health scale), and Intraclass Correlation Coefficients (ICC), which ranged from 0.65 to 0.92: reliable values. Student's t test coefficients and ICCs were also used for intraobserver evaluation (0.42 to 0.83, except the Residual Limb Health scale and 0.80 to 0.94, respectively: reliable values). Correlations between PEQ, SF-36 and FIM were tested using Pearson's correlation coefficients, which were not statistically significant (p > 0, 01).CONCLUSION: The Brazilian-Portuguese version of the PEQ has high internal consistency and is a reliable quality of life measure for use in amputee patients, but is not associated with the SF-36 or FIM.

Protocol Proposal For The Care Of The Person With Venous Ulcer

“…Regarding medication for the treatment of the lesion, it is important to emphasize that antibiotics should be used only in cases of infections and with the certification of results of cultures of biopsied tissue, considering a large number of patients who develop resistance to these medications [12]. Phlebotropes act in the macrocirculation, improving venous tone, and in the microcirculation, reducing capillary hyperpermeability, and may be an alternative for patients who present with pain and edema.…”

“…The effectiveness of protocols for the prevention and treatment of chronic injuries is evidenced by a study by the Federal University of Minas Gerais, which obtained 100% epithelized wounds using a protocol that systematized the assistance provided [12].…”

Satisfação e ajuste à prótese de indivíduos com amputação de membro inferior

“…O PEQ foi desenvolvido por Legro et al [22] no ano de 1998 e validado no Brasil por Conrad et al [23] em 2015. Trata-se de um questionário específico para indivíduos com amputação de membro inferior, contendo 84 questões subjetivas recorrendo a uma escala visual analógica linear (0-100mm).…”

“…A subescala de utilidade aborda conteúdos sobre a facilidade de o indivíduo caminhar em geral ou em espaços apertados, escadas, rampas e superfícies escorregadias; a de saúde do membro residual aborda questões sobre suor, cheiro, erupções cutâneas, pelos encravados e bolhas; a de deambulação fala sobre o ajuste, peso, conforto em pé e sentado, energia, desequilíbrio e sensações no coto; já a de aparência aborda o aspecto da prótese, estragos nas roupa e escolha de sapatos; a subescala de sons pergunta sobre a frequência e o incômodo dos sons produzidos pela prótese e a de frustação sobre a frequência e o grau de frustação; a de reação entendida aborda questões sobre a reação de estranhos, parceiros e familiares ao uso da prótese pelo amputado; a de carga social aborda perguntas sobre a aceitação da família e o impedimento de viver socialmente; e, por fim, a subescala de bemestar pergunta sobre o grau de satisfação desde a amputação e a sua percepção da sua qualidade de vida. Além dessas subescalas, há perguntas individuais que avaliam a satisfação e também a dor, a transferência, a opinião sobre o protético, a eficácia da prótese e questões de interesse particular, que não foram abordados no estudo [22,23].…”

Análise de concordância em estudos clínicos e experimentais

“…[11][12][13][14] There are a number of different algorithms for calculating ICCs to assess correlation and agreement. However, for the purposes of this text, it is the algorithms for complete agreement that matter.…”