ADHERENCE TO SELF-CARE IN PATIENTS WITH NEUROGENIC LOWER URINARY TRACT DYSFUNCTION: INSTRUMENT VALIDATION

Candido, Cínthia Ferreira; Nunes, Alessandra Sant’Anna; Silva, Fernanda Henriques da; Mello, Livia Fajin de; Moraes, Advi Catarina Barbachan; Peres, Ellen Marcia

doi:10.1590/ce.v28i0.91027

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Sumário

ORIGINAL ARTICLE • Cogit. Enferm. 28 • 2023 • https://doi.org/10.1590/ce.v28i0.91027 copy

ADHERENCE TO SELF-CARE IN PATIENTS WITH NEUROGENIC LOWER URINARY TRACT DYSFUNCTION: INSTRUMENT VALIDATION

Authorship SCIMAGO INSTITUTIONS RANKINGS

HIGHLIGHTS

The nurse is fundamental in education and adherence to self-catheterization.
Functional capacity can impair patient compliance.
The instrument helps in the care practice of health professionals.

ABSTRACT

Objective:

To build and validate the content of the instrument for adherence to self-care for patients with Neurogenic Lower Urinary Tract Dysfunction who perform intermittent self-catheterization as to appearance and content.

Method:

Methodological study of instrument content validation, composed of three stages: literature review, instrument construction and instrument validation, respectively. The analysis was performed using the Agree model, and by calculating the content validation index, between 2020 and 2021.

Results:

Agree II, showed a result of 85.6% and 84.5% for validation of the scope and purpose and stakeholder domains. In content validation, the family history item was removed from the instrument with a content vanity index of 0.77.

Conclusion:

The instrument will contribute to offering subsidies for professional practice and to patients with the dysfunction.

DESCRIPTORS:
Urinary Bladder, Neurogenic; Intermittent Urethral Catheterization; Self-care; Cooperation and Adherence to Treatment; Nursing Theory

Domains that compose the instrument of adherence to self-care in patients with NLUTD.
Domain Three: Identification Data	Name, social name; CPF; date of birth; address; occupation; self-reported color; education; family income; employment relationship.
Domain Four: Previous Pathological History	SAH; DM; stroke; CHF; asthma; COPD; AC; spinal cord injury; Parkinson’s disease; myelomeningocele; spina bifida; multiple sclerosis; HTLV; Abdominoperineal amputation.
Domain Five: History of Current Illness	Diagnosis of the associated disease; diagnosis of the NLUTD; start of outpatient follow-up and start of CIC training; Need for further training after reassessment; caliber of catheter used; date of last hospitalization; urinary complaints; frequency of consultations and performance of tests.
Domain Six: Family History	Systemic Arterial Hypertension; Diabetes Mellitus; Stroke; Acute Myocardial Infarction; Cancer, and degree of kinship affected by the disease.
Domain Seven: Lifestyle habits/relevant information about the systems	Alcoholism, smoking, and use of illicit drugs; habits related to food and number of meals per day; physical activity; sleep pattern; speech and/or communication impairment; amount of fluid ingested per day; elimination pattern (urinary, bowel, difficult elimination, use of laxatives); level of consciousness; spiritual support.
Domain Eight: Functional Assessment Scale	Katz Assessment Form for Activities of Daily Living.
Domain Nine: Therapeutic Adherence Scale	Morisky’s Therapeutic Adherence Scale.
Domain ten: Technical evaluation of clean intermittent catheterization	Patient privacy; number of times performing CIC per day; hygiene (hand and genital hygiene); use of lubricants or hydrophilic catheters; difficulty in performing the procedure in public restrooms; use of appropriate materials when leaving home; interference in social and work activities; complications associated with CIC; perceived difficulties in performing the procedure; psychological factors influencing non-adherence to CIC; need for further CIC training.

Item	CVI - CONTENT VALIDITY INDEX
Item	Validation of the item	Clarity	Accuracy	Relevance
Domain three	1.00	1.00	1.00	1.00
Domain four	1.00	0.88	0.88	1.00
Domain five	1.00	1.00	1.00	1.00
Domain six	0.77	0.88	0.88	0.77
Domain seven	1.00	1.00	1.00	1.00
Domain eight	1.00	-	-	-
Domain nine	1.00	-	-	-
Domain ten	1.00	1.00	1.00	1.00

Universidade Federal do Paraná Av. Prefeito Lothário Meissner, 632, Cep: 80210-170, Brasil - Paraná / Curitiba, Tel: +55 (41) 3361-3755 - Curitiba - PR - Brazil
E-mail: cogitare@ufpr.br

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[1] Corresponding author: Alessandra Sant’Anna Nunes Universidade do Estado do Rio de Janeiro Av. Boulevard vinte e oito de setembro, 157 E-mail: asantnunes@gmail.com