Adaptação transcultural da Infiltration Scale para o português

Abstract

Objective: To translate, adapt and evaluate the psychometric properties of the Infiltration Scale for the Portuguese culture. Methods: A methodological study of trans-cultural adaptation to evaluate the psychometric properties of the Infiltration Scale, conducted in a cohort study with 110 adults undergoing intravenous therapy. Results: In the translation and cultural adaptation, language adjustments were discussed by researchers and a panel of experts, achieving an agreement of 85.71% for clinical criteria, except for "Possible numbness". The scale identified infiltration in 48 patients (60% prevalence). Edema was the most evident sign in the insertion site and areas adjacent to the venous catheter. The internal consistency, determined by Cronbach's alpha, was 0.85. Conclusion: The scale adapted to the Portuguese culture presented linguistic equivalence to the original, proved valid and reliable, with good internal consistency for assessing infiltration. The systematic evaluation of infiltration using the scale can support decision-making and the implementation of preventive measures. ResumoObjetivo: Traduzir, adaptar e avaliar as propriedades psicométricas da Infiltration Scale para a cultura portuguesa. Métodos: Estudo metodológico de adaptação transcultural com avaliação das propriedades psicométricas da Infiltration Scale em uma coorte com 110 adultos submetidos à terapia intravenosa. Resultados: Na tradução e adaptação cultural, as adequações linguísticas foram discutidas pelos investigadores e um painel de especialistas, havendo concordância em 85,71% dos critérios clínicos, exceto "Possible numbness". A escala captou infiltração em 48 pacientes (prevalência de 60%). O edema foi o principal sinal evidenciado na inserção e áreas adjacentes ao cateter venoso. A consistência interna, determinada pelo alfa de Cronbach, foi de 0,85. Conclusão: A escala adaptada para a cultura portuguesa apresentou equivalência linguística em relação à original, mostrou-se válida e fidedigna, com boa consistência interna para avaliar a infiltração. A avaliação sistemática da infiltração com recurso a escala poderá subsidiar a tomada de decisão e implementação de medidas preventivas.

Double-chamber syringe versus classic syringes for peripheral intravenous drug administration and catheter flushing: a study protocol for a randomised controlled trial

“…The main primary outcomes are the catheter-related complications, such as vascular trauma (phlebitis and infiltration) and occlusion. Specific scales for phlebitis [47] and infiltration [48] assessment will be used and data analysed in terms of mean scores, standard deviations, and proportions. The occlusion will be rated by the ward nurses on the participants' case report forms (CRFs) and analysed as proportions.…”

“…The unblinded visits will be performed by the ward nurses when the intravenous medications are administered (Table 1, type 4 visits). At this moment, the outcomes assessed will be phlebitis [47], infiltration [48], occlusion, catheter and insertion site analysis (main outcomes), as well as other reasons for catheter removal, maintenance time of the catheter, insertion attempts, and total number of catheters used (secondary outcomes; if applicable, i.e. when there is a need for new catheterization).…”

Double-Chamber Syringe Versus Classical Syringes For Peripheral Intravenous Drug Administration And Catheter Flushing: A Study Protocol For A Randomised Controlled Trial

“…The main primary outcomes are the catheter-related complications, such as vascular trauma (phlebitis and infiltration) and occlusion. Specific scales for the phlebitis [48] and infiltration [49] assessment will be used and data used in terms of mean scores, standard deviations and proportions.…”

“…(see Table 1 in the Supplementary Files) The unblinded visits will be performed by the ward nurses when the intravenous medications are administered (Table 1 -Type 4 visits). At this moment, the outcomes assessed will be phlebitis [48], infiltration [49], occlusion, catheter and insertion site analysis (main outcomes), as well as other reasons for catheter removal, time maintenance of the catheter, insertion attempts, and total number of catheters used (secondary outcomes; if applicable, i.e. when there is a need for a new catheterization).…”

Effectiveness of near-infrared light or ultrasonography on peripheral venous catheterization: systematic review protocol

“…Phlebitis is the most commonly reported local complication, with incidence rates up to 70% (Braga, 2017;Oliveira & Parreira, 2010), which facilitates bacterial colonization, and may result in local site infections, bloodstream infections, and sepsis. Equally relevant, local infiltration is a recurrent complication of peripheral venous catheterization, with incidence rates around 60% (Braga, Salgueiro-Oliveira, Henriques, Arreguy-Sena, & Parreira, 2016;Royal College of Nursing, 2016). In clinical settings, health professionals must deal with difficult venous accesses due to the patient's age, physical characteristics, clinical status, and medication, which hinder PVC insertion (Royal College of Nursing, 2016).…”