elaborar y validar un instrumento de recolección de datos para consultas de enfermería con hombres en el contexto de la Atención Primaria de Salud.
Métodos:
estudio metodológico desarrollado en cuatro etapas. El primero consistió en la elaboración del instrumento, utilizando las bases de datos y el modelo teórico de Dorothea Orem. En la segunda y tercera etapas, se llevó a cabo la validación del contenido y la apariencia del instrumento por 23 enfermeras jueces. El índice de concordancia se utilizó para la evaluación. En la cuarta etapa, se llevó a cabo una prueba piloto con 20 hombres utilizando la Atención Primaria de Salud.
Resultados:
de los 145 indicadores preparados, organizados y presentados al proceso de validación, se excluyeron los ítems con índice de concordancia <0,80. El instrumento final consistió en 156 ítems. Se obtuvo un cálculo global de índice de concordancia de 0,88.
Conclusiones:
el instrumento final presentó la validez de contenido para la recopilación de datos con hombres en el contexto de la Atención Primaria de Salud.
Descriptores: Enfermería de Consulta; Salud del Hombre; Teoría de Enfermería; Estudios de Validación; Salud Pública
Autoría
Kelly Caroline dos Santos
Universidade Federal de São João del-Rei. Divinópolis, Minas Gerais, Brazil.Universidade Federal de São João del-ReiBrazilDivinópolis, Minas Gerais, BrazilUniversidade Federal de São João del-Rei. Divinópolis, Minas Gerais, Brazil.
Deborah Franscielle da Fonseca Corresponding author: Deborah Franscielle da Fonseca. E-mail: deborahfonseca@hotmail.com
Universidade Federal de São João del-Rei. Divinópolis, Minas Gerais, Brazil.Universidade Federal de São João del-ReiBrazilDivinópolis, Minas Gerais, BrazilUniversidade Federal de São João del-Rei. Divinópolis, Minas Gerais, Brazil.
Universidade Federal de São João del-Rei. Divinópolis, Minas Gerais, Brazil.Universidade Federal de São João del-ReiBrazilDivinópolis, Minas Gerais, BrazilUniversidade Federal de São João del-Rei. Divinópolis, Minas Gerais, Brazil.
Universidade Federal de São João del-Rei. Divinópolis, Minas Gerais, Brazil.Universidade Federal de São João del-ReiBrazilDivinópolis, Minas Gerais, BrazilUniversidade Federal de São João del-Rei. Divinópolis, Minas Gerais, Brazil.
Universidade Federal de São João del-Rei. Divinópolis, Minas Gerais, Brazil.Universidade Federal de São João del-ReiBrazilDivinópolis, Minas Gerais, BrazilUniversidade Federal de São João del-Rei. Divinópolis, Minas Gerais, Brazil.
Universidade Federal de São João del-Rei. Divinópolis, Minas Gerais, Brazil.Universidade Federal de São João del-ReiBrazilDivinópolis, Minas Gerais, BrazilUniversidade Federal de São João del-Rei. Divinópolis, Minas Gerais, Brazil.
Universidade Federal de São João del-Rei. Divinópolis, Minas Gerais, Brazil.Universidade Federal de São João del-ReiBrazilDivinópolis, Minas Gerais, BrazilUniversidade Federal de São João del-Rei. Divinópolis, Minas Gerais, Brazil.
Chart 1
Data collection tool for nursing consultation for men’s health care in the context of PHC, final version, Minas Gerais, Brazil, 2018
Chart 1
Data collection tool for nursing consultation for men’s health care in the context of PHC, final version, Minas Gerais, Brazil, 2018
Data collection tool for nursing consultation for men’s health care, based on Dorothea Orem’s Self-Care Theory
1. Identification data:
Name: _____________________________________ SIS (Brazilian Integrated Health System - Sistema Integrado de Saúde) number: _________ Date of birth: ___/___/___Age: ____ marital status: _____________ Schooling: _____________ Sexual orientation: ( ) Heterosexual ( ) Homosexual ( ) Bisexual Address:______________________________________Origin:___________State:____Country of birth:_____________ Occupation: ____________ If retired, what profession did you have before retirement? ___________ Monthly Family income: __ minimum wage(s). How many people live with this income? _______
2. Universal requirements:
2.1-Health promotion What is your perception of your health? _________________________________________________ What have you been doing to improve your health? ______________________________________ Vaccine status: complete scheme ( ) No ( ) Yes. If not, which one? ___________________________________ Smoking Smoker? ( ) No ( ) Yes. If so, number of cigarettes/day: ______ How long have you been smoking: ______ Have you tried to decrease or quit? ( ) No ( ) Yes. If so, for how long? _______ Alcoholism Alcoholic () No () Yes. If so, when was the last time you had drunk and in what quantity? ___________________ Over the past 30 days, how many days did you drink alcohol? ________ *Has anyone ever said you have a drinking problem? () No () Yes. *Have you ever felt that you should reduce the amount of drink or stop drinking? ( ) No ( ) Yes. *Do people upset you because they criticize your drinking? ( ) No ( ) Yes. *Have you ever felt guilty about the way you usually drink? ( ) No ( ) Yes. *Do you drink in the morning? (to wake up?) ( ) No ( ) Yes.
If the individual answers “yes” to two or more questions with an asterisk (*), you should suspect alcohol abuse and conduct a fuller substance abuse
assessment.
If not: Ask the reason for this ( ) psychosocial, ( ) health, ( ) legal decision. Have you had any treatment for alcoholism? ( ) No ( ) Yes. Are you involved in recovery activities? ( ) No ( ) Yes. Is there any family history of drinking problems? ( ) No ( ) Yes. Illicit drug use? ( ) No ( ) Yes. If so, type of substance: __________________________________ Time of use: ________________ Are you involved in recovery activities or wish to cease use? ( ) No ( ) Yes
2.2- Nutrition and hydration What foods are present in your diet (food recall)? _______________________________________ ______________________________________________________________________________________________ How many meals do you eat per day? _____What is the interval between meals? _____How much fluid do you drink per day? Do you have any food preferences? _____________ Has there been weight loss or gain in the last year? ( ) No ( ) Yes. Do you use ultra-processed foods? ( ) No ( ) Yes. If so, which ones?___________________________________
2.3- Eliminations Urinary elimination- Frequency:___Color:________ Smell:________Pain? ( ) No ( )Yes. Incontinence? ( ) No ( )Yes Fecal elimiation - Frequency:_______Color: ____________Smell: ________Pain? ( ) No ( ) Yes. Incontinence? ( ) No ( ) Yes. Constipation? ( ) No ( ) Yes. Diarrhea? ( ) No ( ) Yes
2.4- Activity and rest Do you perform any physical activity? ( ) Yes, which one (s)? ________________________________Frequency? ____( ) No, why? ______________________________________________ Do you have trouble initiating and maintaining sleep?__________ Do you wake up at night? ( ) No ( ) Yes. If so, how many times? ____When you wake up in the morning, do you feel rested? ( ) No ( ) Yes.
2.5 Self-Perception Are you satisfied with your life? ( ) No ( ) Yes. Would you like to change something in your life? ( ) No ( ) Yes.
2.6- Roles and relationships How is your relationship with your family? _________________And with your friends and co-workers? _______________ What is your social support network? _________________ Does any family situation bother you or cause discomfort? ( ) No ( ) Yes.
2.7-Sexuality Do you have an active sex life? ( ) No ( ) Yes. Number of sexual partners in the last year: ___Do you use condom? ( ) No ( ) Yes. Have you had any IST? ( ) No ( ) Yes. If so, which one (s)? __________________________________ Did you get treatment? ( ) Not ( ) Yes. Do you have difficulty having sex? ( ) No ( ) Yes. If so, which one and how long? ________________________
2.8- Life principles Do you have a religious belief? ( ) No ( ) Yes. Do you seek support in your faith during difficult times? ( ) No ( ) Yes. What does spirituality or religion mean to you in your daily life? ________________________________________ What are your sources of hope? _________________________________ Do you express a desire to increase hope? ( ) No ( ) Yes
2.10 Comfort House: ( ) own ( ) rented; ( ) masonry ( ) wood ( ) other. How many rooms? ___Number of people living in the residence? ____Basic Sanitation: Treated Water: ( ) No ( ) Yes. Plumbing: ( ) No ( ) Yes. Can you perform self-care (bathing, brushing your teeth, changing clothes) alone? ( ) No ( ) Yes.
3. Developmental requirements
Childhood/adolescent diseases or trauma: ______________________________________________ Severe illness or chronic degenerative diseases/disease sequel: _____________________________________ Hospitalizations? ( ) No ( ) Yes. If so, reason/place/duration/when? __________________Surgeries? ( ) No ( ) Yes, If so, type/place/reason/when? _____________________________ Have you ever had an accident with venomous animals? ( ) No ( ) Yes. If so, which one: ___________________________ Have you ever had an accident at work? ( ) No ( ) Yes. If so, which one (s): ____________________________________ Have you had any kind of car accident? ( ) No ( ) Yes. If so, which one (s): ___________________________________
4. Health deviations
4.1- Health-disease process
Current complain? ______________________ Do you have any disease? ( ) No ( ) Yes, which one (s)? ________________________
Are you taking any medicine/ tea or medicinal plant? ( ) No ( ) Yes. If so, describe them: 100
NAME
DOSE
ROUTE OF ADM.
TIME
TIME OF USE
WHO INDICATED
Do you have any kind of allergy? ( ) No ( ) Yes, which one (s)? _____________________________
Have you undergone examinations recently? ( ) No ( ) Yes, which one (s)? ____________________________________________________________
4.2- Nutrition and hydration Oral cavity: ( ) Healthy ( ) Injured. If so, place (s) ________________________________________________ Teething: ( ) complete ( ) incomplete ( ) dental prosthesis. Hygiene: ( ) preserved () precarious. Lips: ( ) Hydrated ( ) Dry
4.3- Eliminations and exchange Skin and mucous membranes: ( ) Hypocolored ( ) Ichteric ( ) Edema in upper limb ( ) Edema in lower limb. Cardiovascular: 2N BNRNF ( ) Yes ( ) No / Pulse: ( ) Full ( ) Fine ( ) Rhythmic ( ) Arrhythmic. Pulmonary apparatus: Decreased vesicular murmurs: ( ) Yes ( ) No; Adventitious noises? ( ) No ( ) Yes. If so, place (s): ______________________________ Cough? ( ) Drought ( ) productive. Abdomen: ( ) Globous ( ) Excavated ( ) Distended ( ) Tense ( ) Tympanic ( ) Massive ( ) Painful. Intestinal Noises: ( ) hypoactive ( ) active ( ) hyperactive
4.4- Activity and rest Do you have any cardiovascular changes? ( ) No ( ) Yes. If so, which one (s)? _____________________ Musculoskeletal? ( ) No ( ) Yes. If so, which one (s)? ____________________Of mobility? ( ) No ( ) Yes. If so, which one (s)?_________________
4.5- Perception and cognition Eyes: Decreased visual acuity? () No () Yes; ( ) right eye () left eye. Do you use glasses/contact lenses? ( ) No ( ) Yes. Ear: Decreased hearing acuity? ( ) No ( ) Yes; ( ) dirt ( ) secretion ( ) hyperemia. Nose: ( ) Deviation of septum ( ) Dirt ( ) Secretions. Speech: Do you have changes in speech? ( ) No ( ) Yes. If so, which one (s)? _____________________________ Tact: ( ) No changes ( ) Decreased pain perception ( ) Decreased thermal perception ( ) Tactile perception decreased. Risk for falls? ( ) No ( ) Yes
4.6- Self-perception Perceived change in mood/feelings over the past year: ( ) is optimistic ( ) refers to discouragement ( ) sadness almost everyday ( ) recurring negative feelings ( ) constant fear ( ) frequent irritability ( ) dull affect ( ) others
4.7- Roles and relationships Social interaction: ( ) relates to their peers in a balanced way ( ) does not make friends with facilities () prefers to be alone ( ) does not adapt easily to new places or situations.
4.8- Sexuality Report: ( ) Absence of sexual interest ( ) Erectile dysfunction ( ) Premature ejaculation ( ) Sexual stimulant use, frequency of use: ________________________ ____________________________________________________________
4.9- Life principles Spiritual Support: do you realize unbelievers in the last month? ( ) Yes ( ) No ( ) Has no religious belief. Problem solving: ( ) makes decisions quickly ( ) takes time to make decisions ( ) often asks for help from family and friends ( ) cannot make decisions. Feeling anguished trying to come up with a decision? ( ) Yes ( ) No
4.10- Coping What situations cause stress? ____________________________________ Do you face stressful situations? ________________________________ Have you sought help (medication/therapy) to cope with chronic stress/sadness? ( ) No ( ) Yes. If so, which one (s)? ___________________________Continued treatment (help)? () No ( ) Yes
4.11- Safety and protection When sick, do you stick to treatment? ( ) No ( ) Yes. Self-medication? ( ) No ( ) Yes. Use of orthosis? ( ) No ( ) Yes. Gear Shift? ( ) No ( ) Yes. If so, walking aids? ______________Vulnerability for domestic accidents? ( ) No ( ) Yes; and for work accidents? ( ) No ( ) Yes. Do you perform or have you ever performed prostate specific antigen (PSA) examination? ( ) No ( ) Yes. Date/Results: _________________________ Have you ever thought/attempted self-extermination? ( ) No ( ) Yes. Availability of firearm (s)? ( ) No ( ) Yes. History of violent behavior? ( ) No ( ) Yes
4.12- Comfort
Complaints of pain? ( ) No ( ) yes, place(s): _________________________________________
( ) To act, do for others (has a deficit in self-care and needs someone to do it) ( ) To support physically or emotionally (has a deficit in self-care and needs physical and emotional support to perform it) ( ) To provide an environment that promotes personal development (requires the environment to be appropriate) ( ) To teach (does not know how to perform self-care, needs someone to teach it) ( ) To guide (knows how to perform self-care, but needs someone to guide you to improve it)
6. Nursing System
User classification
Health deviation(s)
( ) Fully compensatory
( ) Partially compensatory
( ) Support and education
Nurse’s impressions, observations or complications: ____________________________________________
Date: _____/_____/_______Time:_______ Signature and Stamp: _________________________________________