Validação da escala Índice de Estresse Parental para o português do Brasil

Abstract

Objective: To present the cultural adaptation and validation of the Parenting Stress Index for Brazilian Portuguese. Methods: Methodological research. For the validation, the scale was applied to 53 mothers of premature infants at the outpatient monitoring clinic of a public teaching hospital in Paraná between November 2013 and July 2014. For the data analysis, descriptive and inferential statistics were used. Results: The reliability was satisfactory for the complete scale (α=0.91) and the domains: Child domain (α=0.87) and parents' domain (α=0.88). The principal components explained 64.57% of total item variation, being 45.16% from the child's domain and 17.80% from the parents' domain. Conclusion: The scale was appropriate to assess maternal stress after hospital discharge, endorsing its use in the Brazilian context in new studies to enhance its reliability and validity. ResumoObjetivo: Apresentar a adaptação cultural e validação do instrumento Parental Stress Index para o português do Brasil. Métodos: Pesquisa metodológica com a aplicação da escala em validação à 53 mães de prematuros no ambulatório de seguimento de um hospital público de ensino no Paraná, no período de novembro de 2013 a julho de 2014. A análise de dados utilizou estatística descritiva e inferencial. Resultados: A confiabilidade do instrumento foi satisfatória em seu conjunto (α=0,91) e em seus domínios: Domínio da criança (α=0,87) e domínio dos pais (α=0,88). Os componentes principais explicaram 64,57% da variação total dos itens, sendo 45,16% do domínio da criança e 17,80% do domínio dos pais. Conclusão: A escala mostrou-se adequada para avaliar o estresse materno após a alta hospitalar, referendando-se seu uso no contexto brasileiro em novos estudos para ampliar sua confiabilidade e validade.

Psychometric properties of parental stress scales used in paediatric health care settings: A systematic review1

“…Eleven instruments were identified, seven of which were specifically designed to measure parental stress in the healthcare setting: the Parental Stressor Scale: Paediatric Intensive Care Unit (PSS:PICU) (Alzawad et al., 2020; Carter & Miles, 1989; Rei & Fong, 1996; Yacoub et al., 2013; Yam et al., 2004); the abbreviated 7‐item version of the PSS:PICU (A‐PSS:PICU) (Rodríguez‐Rey & Alonso‐Tapia, 2016); the Parental Stressor Scale: General Paediatric Care Unit (PSS:GCU) (Agazio & Buckley, 2012); the Parental Stressor Scale Infant Hospitalisation (PSSIH) (Navarro‐Tapia et al., 2019); the Parental Stressor Scale: Neonatal Intensive Care Unit (PSS: NICU) (Aftyka et al., 2019; Barr, 2017; Domínguez‐Martínez & Cortés‐Escárcega, 2019; Franck et al., 2005; Masri et al., 2019; Månsson et al., 2016; Miles et al., 1993; Montirosso et al., 2012; Souza et al., 2011; Turan & Başbakkal, 2006); the Neonatal Unit Parental Stress scale (NUPS) (Reid et al., 2007); and the Paediatric Inventory for Parents (PIP) (Casaña‐Granell et al., 2018; Del Rincón et al., 2007; Larson et al., 2020; Olsson et al., 2018; Streisand et al., 2001). Also included were four generic instruments for measuring parental stress, adapted and validated for use in the healthcare setting: the Parental Stress Index (PSI) (Pereira et al., 2016) and its abbreviated version the Parental Stress Index‐Short Form (PSI‐SF) (Çekiç & Hamamcı, 2017; Dardas & Ahmad, 2013; Park & Chae, 2020; Touchèque et al., 2016; Yeh et al., 2001; Zaidman‐Zait et al., 2010); the Parental Stress Scale (PSS) (Leung & Tsang, 2010; Nielsen et al., 2020; Park et al., 2021; Zelman & Ferro, 2018); and the Perceived Stress Scale (PSS) (Remor, 2006).…”

“…The studies were published between 1989 and 2021. In terms of language of publication, 12 were in English (Agazio & Buckley, 2012; Alzawad et al., 2020; Barr, 2017; Carter & Miles, 1989; Franck et al., 2005; Larson et al., 2020; Miles et al., 1993; Reid et al., 2007; Rodríguez‐Rey & Alonso‐Tapia, 2016; Streisand et al., 2001; Zaidman‐Zait et al., 2010; Zelman & Ferro, 2018); seven in Spanish (Casaña‐Granell et al., 2018; Del Rincón et al., 2007; Domínguez‐Martínez & Cortés‐Escárcega, 2019; Navarro‐Tapia et al., 2019; Remor, 2006; Rei & Fong, 1996; Rodríguez‐Rey & Alonso‐Tapia, 2016); three in Chinese (Leung & Tsang, 2010; Yam et al., 2004; Yeh et al., 2001); two in Portuguese (Pereira et al., 2016; Souza et al., 2011); two in Korean (Park et al., 2021; Park & Chae, 2020); two in Turkish (Çekiç & Hamamcı, 2017; Turan & Başbakkal, 2006); three in Arabic (Dardas & Ahmad, 2013; Masri et al., 2019; Yacoub et al., 2013); three in German (Nielsen et al., 2020; Urlesberger et al., 2016; Vrijmoet‐Wiersma et al., 2010); two in Swedish (Olsson et al., 2018; Månsson et al., 2016); one in French (Touchèque et al., 2016); one in Polish (Aftyka et al., 2019); and one in Italian (Montirosso et al., 2012). In all of them, the study population was parents of paediatric patients facing an illness or hospitalisation.…”

A influência do método canguru no estado de humor e autoestima das mães de recém-nascidos prematuros / The influence of the kangaroo care in the mood state and self-esteem of mothers of preterm infants

“…Além disso, apesar de a escala para a avaliação de estado de humor utilizada ser um método confiável para identificar as diferenças entre os grupos, existem outras escalas descritas na literatura que poderiam ter fornecidos informações complementares, tais como o Índice de Estresse Parenteral. Entretanto, esta escala é apenas aplicada logo após a alta hospitalar (41) e como nesta pesquisa foram avaliados apenas os efeitos a curto prazo do MC e na UTIN, o Índice de Estresse Parenteral não seria viável. Outros estudos podem ser realizados com o objetivo de avaliar os efeitos a longo prazo do método canguru.…”

Description of the use of integrative mixed method in neonatal nursing

“…Quantitative data were collected sequentially in two moments: first, during hospitalization with application of the Parental Stress Scale (PSS: NICU) (12) and collection of secondary data by analysis of medical records for gathering maternal and clinical sociodemographic data of the premature newborn. Then, after hospital discharge, the Parenting Stress Index (PSI) scale (13) was applied to premature infants' mothers during the return visit at the preterm follow-up clinic. With application of these instruments, was obtained data on the profile of mothers and premature infants, as well as the level of maternal stress at hospitalization and after discharge.…”