ABSTRACT
Objective:
To build and validate a self-report instrument to assess the comfort of adolescents with cancer undergoing chemotherapy.
Methods:
This methodological study was developed in five stages: scoping review; qualitative study to characterize comfort from the perspective of adolescents with cancer undergoing chemotherapy; instrument construction; instrument content validation by experts; pre-test with a group of adolescents.
Results:
In the scoping review, 20 comfort changes were identified; regarding the perspective of comfort for adolescents, it was possible to identify the effects on their daily lives and the impact on chemotherapy; in content validation, the index was 0.96 and Cronbach’s Alpha 0.87. In the pre-test, the instrument obtained the final version with 37 items and Cronbach’s Alpha 0.94.
Conclusions:
The constructed and validated self-report instrument showed good reliability related to satisfactory psychometric parameters and can be used by nurses in clinical practice to assess and evidence comfort changes.
Keywords:
Adolescent; Antineoplastic agents; Patient comfort; Medical oncology; Nursing methodology research
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Source: Research Data, 2021.Notes: *Itemrelated to the adolescent’s awareness on their self-esteem and self-concept, through the difficulty in developing their self-care, related to their basic needs. **The highlighted item refers to the discomfort of adolescents in not being able to develop their interpersonal, social and cultural relationships, considering the restriction of chemotherapy. †The highlighted item was assigned in the environmental domain because it refers to the temperature conditions of the environment where the adolescent is.