Knowledge scale of Nursing students about sexuality of people with spinal cord injury

Hencklein, Luana Cristina; Campos, Daniel Gonçalves; Silva, Juliany Lino Gomes; Silva, Ruana Luiz Ferreira da; Spagnol, Gabriela Salim; Sanfelice, Clara Froes de Oliveira; Oliveira-Kumakura, Ana Railka de Souza

doi:10.1590/0034-7167-2021-0288

Acessibilidade / Reportar erro

Brasil

Revista Brasileira de Enfermagem

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

ORIGINAL ARTICLE • Rev. Bras. Enferm. 75 (6) • 2022 • https://doi.org/10.1590/0034-7167-2021-0288 copy

Knowledge scale of Nursing students about sexuality of people with spinal cord injury

Escala de conocimiento de estudiantes de Enfermería sobre sexualidad de personas con lesión medular

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objectives:

to build, validate and verify the reliability of the Scale of knowledge about sexuality of people with spinal cord injury for nursing students.

Methods:

a methodological study, following the steps: 1) Construction based on literature review; 2) Validation of the content with calculation of the Content Validity Index and the Modified Kappa Coefficient; 3) Pre-test with Nursing students; and 4) Measurement of reliability by internal consistency (Cronbach’s alpha).

Results:

the first version of the instrument presented 13 items. After validation, the items received values above 0.80 and 0.76 for the Content Validity Index and Modified Kappa Coefficient, and it was suggested to separate three items to contemplate gender-specific aspects. After pre-testing, it was recommended that the writing of two items be revised. The final scale, with 16 items, showed Cronbach’s alpha equal to 0.93.

Conclusions:

the constructed scale presented valid content and proved to be reliable for application with nursing students.

Descriptors:
Knowledge; Sexuality; Spinal Cord Diseases; Students; Nursing.

Construction	Content Validation	Pre-test
Title: Evaluation of the Scale of Knowledge about Sexuality of Patients with Spinal Cord Injury	Replace “patients” with “people”.	Maintained
1. Sexual anatomy and physiology	Maintained	Maintained
2. Fertility procedures	Change to “Fertility procedures in cases of spinal cord injury: natural, medication and artificial techniques”.	Maintained
3. Reproductive capacity	Change to “Reproductive capacity of the person with spinal cord injury”.	Maintained
4. Male and female contraception	Separate into “Contraception for the man with spinal cord injury” and “Contraception for the woman with spinal cord injury”.	Maintained
5. Male and female orgasm	Separate into “Orgasm of the man with spinal cord injury” and “Orgasm of the woman with spinal cord injury”.	Maintained
6. Bowel care during sexual activity	Change to “Bowel care for the person with spinal cord injury prior to sexual activity”.	Maintained
7. Bladder care during sexual activity	Change to “Bladder care for the person with spinal cord injury prior to sexual activity”.	Maintained
8. Sexual positions	Modify to “Sexual positions for the person with spinal cord injury”.	Maintained
9. Methods for achieving erection	Change to “Methods to achieve erection in men with spinal cord injury”.	Change to “Methods to achieve erection in the person with spinal cord injury”.
10. Methods to get vaginal lubrication	Modify to “Methods to achieve vaginal lubrication in women with spinal cord injury”.	Change to “Methods to achieve vaginal lubrication in the person with spinal cord injury”.
11. Autonomic dysreflexia	Change to “Autonomic dysreflexia in people with spinal cord injury”.	Maintained
12. Male and female sexuality	Separate into “Sexuality of the man with spinal cord injury” and “Sexuality of the woman with spinal cord injury”.	Maintained
13. Techniques and resources to work with sexual rehabilitation	Change to “Techniques and resources to work with the sexual rehabilitation of the person with spinal cord injury”.	Maintained

Items	Clarity		Pertinence		Amplitude
Items	CVI	MKC	CVI	MKC	Amplitude
1	1	1	1	1	-
2	1	1	1	1	-
3	0.8	0.76	1	1	-
4	1	1	1	1	-
5	1	1	1	1	-
6	1	1	1	1	-
7	1	1	1	1	-
8	1	1	1	1	-
9	1	1	1	1	-
10	1	1	1	1	-
11	1	1	1	1	-
12	1	1	1	1	-
13	1	1	1	1	-
Scale	-	-	-	-	1

Items	Item-total correlation	Cronbach's alpha, if item deleted	Cronbach's alpha for the scale
Anatomy and sexual physiology	0.32	0.94
Fertility procedures in cases of medullar injury: natural techniques, medication and artificial	0.69	0.92
Reproductive capacity of the person with medullar injury	0.58	0.92
Contraception of the man with medullar injury	0.62	0.92
Contraception of the woman with medullar injury	0.63	0.92
Orgasm of the man with medullar injury	0.72	0.92
Orgasm of the woman with medullar injury	0.74	0.92
Intestinal care of the person with medullar injury prior to sexual activity	0.65	0.92
Bladder care of the person with a medullar injury prior to sexual activity	0.64	0.92
Sexual positions for the person with medullar injury	0.67	0.92
Methods to achieve an erection in the person with medullar injury	0.71	0.92
Methods to achieve vaginal lubrication in the person with medullar injury	0.62	0.92
Autonomic dysreflexia in people with medullar injuries	0.72	0.92
Sexuality of the man with medullar injury	0.69	0.92
Sexuality of the woman with medullar injury	0.75	0.92
Techniques and resources to work with the sexual rehabilitation of the person with medullar injury	0.78	0.92
Scale			0.93

Items	No knowledge (%)	Little knowledge (%)	Good knowledge (%)	Excellent knowledge (%)
Anatomy and sexual physiology	13.46	17.31	59.62	9.62
Fertility procedures in cases of medullar injury: natural techniques, medication and artificial	65.38	32.69	1.92	0
Reproductive capacity of the person with medullar injury	50	44.23	5.77	0
Contraception of the man with medullar injury	63.46	34.62	1.92	0
Contraception of the woman with medullar injury	55.77	42.31	1.92	0
Orgasm of the man with medullar injury	80.77	15.38	3.85	0
Orgasm of the woman with medullar injury	78.85	17.31	3.85	0
Intestinal care of the person with medullar injury prior to sexual activity	65.38	30.77	3.85	0
Bladder care of the person with a medullar injury prior to sexual activity	67.31	23.08	9.62	0
Sexual positions for the person with medullar injury	80.77	17.31	1.92	0
Methods to achieve an erection in the person with medullar injury	88.46	7.69	3.85	0
Methods to achieve vaginal lubrication in the person with medullar injury	80.77	17.31	1.92	0
Autonomic dysreflexia in people with medullar injuries	78.85	17.31	3.85	0
Sexuality of the man with medullar injury	76.92	19.23	3.85	0
Sexuality of the woman with medullar injury	75	23.08	1.92	0
Techniques and resources to work with the sexual rehabilitation of the person with medullar injury	88.46	7.69	3.85	0

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Corresponding author: Ana Railka de Souza Oliveira-Kumakura E-mail: ana.railka@gmail.com