Construção, validação e adequação cultural do protocolo COMPASSO: Adesão ao autocuidado em diabetes

Abstract

Objective: To develop, validate the content and conduct the cultural adaptation of the Compasso protocol for promoting adherence to self-care practices in diabetes via telephone intervention. Methods: Methodological research for tool development, following three stages: protocol development; content validation; and cultural adaptation. Fourteen professionals affiliated to the fields of healthcare, applied linguistics and statistics participated in the stages of development and content validation, while 341 individuals with diabetes mellitus took part in the adaptation stage. Data for validation and adaptation were collected through the web platform e-Surv and analyzed in the R environment. Results: The Compasso protocol includes the following domains: behavioral and psychosocial aspects, support network, barriers, and self-care practices. The assessment of the protocol presented good agreement between the evaluators, with a mean CVI 0.96. Conclusion: The content of the Compasso protocol was considered to be validated and culturally adequate to promote adherence to the practices of diabetes self-care via telephone intervention. ResumoObjetivo: Realizar a construção, validação de conteúdo e adequação cultural do protocolo Compasso para promover a adesão às práticas de autocuidado em diabetes via intervenção telefônica. Métodos: Pesquisa metodológica de elaboração de instrumentos abrangendo as etapas: construção do protocolo; validação de conteúdo; adequação cultural. Participaram das fases de construção e validação um total de 14 profissionais das áreas da Saúde, Linguística e Estatística, e, da fase de adequação, 341 usuários com diabetes mellitus. Os dados para validação e adequação foram coletados através da plataforma web e-Surv e analisados no ambiente R. Resultados: O protocolo Compasso aborda os seguintes domínios: aspectos comportamental e psicossocial, rede de apoio, barreiras e práticas do autocuidado. A avaliação do protocolo apresentou boa concordância entre os avaliadores, com IVC médio de 0,96. Conclusão: Considera-se validado o conteúdo do protocolo Compasso e adequado culturalmente para promover a adesão às práticas de autocuidado em diabetes via intervenção telefônica.

Checklist para identificação de crianças de risco para alterações de linguagem oral: nova proposta

“…Indica-se para futuros estudos a inclusão de pessoas leigas potencialmente relacionadas com a população do estudo. A inclusão de pessoas leigas asseguraria a adaptação de frases e termos técnicos que não estejam claros 22 . Nesta etapa, em relação à versão preliminar, a maioria dos fonoaudiólogos avaliou positivamente, sugerindo a inserção de explicações mais detalhadas quanto à forma de aplicação e a utilização de termos e expressões menos técnicas (Tabela 1).…”

Effectiveness of patient-directed nursing protocols with diabetic complications Eficácia dos / protocolos de enfermagem direcionados ao paciente com complicações diabéticas

“…It was found that one of the articles addressed, although superficially and indirectly, nursing care directed to people with amputations due to diabetic complications. Determine the use of a telenursing protocol in home monitoring 10 Assess unified hyperglycemia and insulin, diabetic ketoacidosis in an infusion protocol 11 Compare the safety and efficacy of 2 insulin titration methods used in hyperglycemic crises 12 Carry out the construction, content validation and cultural adequacy assessment of the Compasso protocol to promote adherence to diabetes self-care practices via telephone intervention 13 Investigate the feasibility, safety and efficacy of the hospital treatment protocol for diabetics directed by nurses 14 Evaluate the performance of an insulin infusion protocol 15 Describe a new model of chronic diabetes care 16 Comparatively evaluate the efficacy and safety of blood glucose and control by a protocol guided by a nurse with therapy guided by a doctor 17 Evaluate the effectiveness of a protocol managed by nurses to prevent hypoglycemia during subcutaneous administration 18 Analyze the nursing consultation with the application of the Staged Diabetes Management Protocol in two family health units in the city of Picos-PI 19 Determine whether the addition of bolus of fast-acting insulin for enteral coverage improves glycemic control 20 Assess the loyalty of general practitioners to a long-term pragmatic protocol 21 Determine whether a weight-based hypoglycemia treatment using glucose effectively treats adults with type 1 diabetes mellitus 22 Examine whether there is a direct relationship between the cost of hospitalization, length of stay, excess days of hospitalization and blood glucose levels, using a standardized glycemic protocol 23 Assess changes in HbA1c, blood pressure and LDLc levels 24 Contextualize pre-and post-amputation hospital services and protocols, and evaluate the referral process of the amputee for rehabilitation and prosthesis usage in the Unified Health System, followed by postdischarge 25 Target public Nurses, doctors, pharmacists, residents and medical assistants 9 People with chronic diseases 10 ICU professionals 11 Adults treated for at least 4 hours with an intravenous insulin infusion 12 Diabetic patients 13,18,21,24 Diabetic nurses / patients…”

Adesão e empoderamento de usuários com diabetes mellitus para práticas de autocuidado: ensaio clínico randomizado

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