Validade e confiabilidade do questionário de conhecimentos e comportamentos de autocuidado ante os hipertensão na gravidez

Conteúdo do artigo principal

Iliana Milena Ulloa-Sabogal
Edier Mauricio Arias-Rojas
Diego Alejandro Salazar-Blandon
Resumo

Objetivo: validar o questionário "Conhecimentos e comportamentos de autocuidado da mulher grávida ante os transtornos hipertensivos da gravidez - CoNOCiTHE". Materias e métodos: estudo psicométrico de validade e confiabilidade, realizado no segundo semestre de 2022 em Santander, Colômbia, com amostra de 217 mulheres grávidas. A consistência interna foi avaliada com o coeficiente alfa de Cronbach, a fiabilidade teste-reteste a partir do Coeficiente de Correlação Intraclasse (CCI). Para avaliar a validade, a validade de critério convergente e os grupos conhecidos foram examinados. Resultados: a escala com 72 itens originais, após uma análise de correlação, levou à eliminação de 14 itens. O instrumento na sua versão final evidenciou uma consistência interna de 0,67 e uma estabilidade test-retest com um CCI de 0,96. A validade convergente demonstrou um correlação significativa com os resultados conhecimento: processo da doença (rho=0,405; p=0,019) e controlo de risco: hipertensão (rho= 0,503; p=0,003). Na validade de grupos conhecidos foram encontradas diferenças nas pontuações de mulheres com mais de 20 semanas de gestação e com menos de 20 semanas de gestação (p=0,009). Conclusões: as propriedades psicométricas aceitáveis do questionário o tornam uma ferramenta válida para avaliar o conhecimento e os comportamentos de autocuidado diante dos transtornos hipertensivos da gravidez na língua espanhola e no contexto colombiano.

Palavras-chave

Downloads

Não há dados estatísticos.

Detalhes do artigo

##references##

Danielli M, Gillies C, Thomas RC, Melford SE, Baker PN, Yates T, et al. Effects of supervised exercise on the development of hypertensive disorders of pregnancy: A systematic review and meta-analysis. J Clin Med. 2022; 11(3):793. https://doi.org/10.3390/jcm11030793 DOI: https://doi.org/10.3390/jcm11030793

Chen J, Ji Y, Su T, Jin M, Yuan Z, Peng Y, et al. Prediction of adverse outcomes in de novo hypertensive disorders of pregnancy: development and validation of maternal and neonatal prognostic models. Healthcare. 2022; 10(11):2307. https://doi.org/10.3390/healthcare10112307 DOI: https://doi.org/10.3390/healthcare10112307

Poon LC, Nguyen-Hoang L, Smith GN, Bergman L, O'Brien P, Hod M, et al. Hypertensive disorders of pregnancy and long-term cardiovascular health: FIGO best practice advice. Int. J. Gynaecol. obstetrics 2023; 160 (1):22–34. https://doi.org/10.1002/ijgo.14540 DOI: https://doi.org/10.1002/ijgo.14540

Martínez L, Rodríguez M, Ruiz C, Hernández F, Quintero D, Arango A. Perfil clínico y epidemiológico de pacientes con trastorno hipertensivo asociado al embarazo en Medellín, Colombia. Rev. Cuba. de Obstet. y Ginecol. 2018; 44 (2). Disponible en: https://revginecobstetricia.sld.cu/index.php/gin/article/view/349

Meazaw MW, Chojenta C, Muluneh MD, Loxton D. Factors associated with hypertensive disorders of pregnancy in sub-Saharan Africa: A systematic and meta-analysis. PloS One. 2020; 15(8): e0237476. https://doi.org/10.1371/journal.pone.0237476 DOI: https://doi.org/10.1371/journal.pone.0237476

Tesfa E, Nibret E, Gizaw ST, Zenebe Y, Mekonnen Z, Assefa S, et al. Prevalence and determinants of hypertensive disorders of pregnancy in Ethiopia: A systematic review and meta-analysis. PloS One. 2020; 15(9): e0239048. https://doi.org/10.1371/journal.pone.0239048 DOI: https://doi.org/10.1371/journal.pone.0239048

Kahsay HB, Gashe FE, Ayele, WM. Risk factors for hypertensive disorders of pregnancy among mothers in Tigray region, Ethiopia: matched case-control study. BMC Pregnancy Childbirth. 2018; 18 (1): 482. https://doi.org/10.1186/s12884-018-2106-5 DOI: https://doi.org/10.1186/s12884-018-2106-5

Mendoza MA, Moreno LC, Becerra CH, Díaz LA. Desenlaces materno-fetales de los embarazos con trastornos hipertensivos: Un estudio transversal. Rev Chil Obstet Ginecol. 2020; 85(1): 14–23. http://dx.doi.org/10.4067/S0717-75262020000100014 DOI: https://doi.org/10.4067/S0717-75262020000100014

Uğurlu M, Yavan T, Karasahin K E. The effect of an education and counseling program on maternal/neonatal outcomes in pregnant women at risk of preeclampsia. P R Health Sci J. 2021; 40(3), 127–135. Disponible en: https://prhsj.rcm.upr.edu/index.php/prhsj/article/view/2289/1401

Abdallah EL Sayed H, Elahmady-Sarhan A, Abdallah Abdel-Mordy M. Effect of implementing continuous care model on health-related behaviors and quality of life among women with preeclampsia. Egyptian Journal of Health Care (EJHC). 2020; 11(4), 726-742. https://doi.org/10.21608/EJHC.2020.177143 DOI: https://doi.org/10.21608/ejhc.2020.177143

Gholami K, Norouzkhani N, Kargar M, Ghasemirad H, Ashtiani AJ, Kiani S, et al. Impact of educational interventions on knowledge about hypertensive disorders of pregnancy among pregnant women: A systematic review. Front Cardiovasc Med. 2022; 9:886679. https://doi.org/10.3389/fcvm.2022.886679. DOI: https://doi.org/10.3389/fcvm.2022.886679

Fadare RI, Akpor OA, Oziegbe OB. Knowledge and attitude of pregnant women towards management of pregnancy-induced hypertension in Southwest Nigeria. J Adv Med Pharm Sci. 2016; 11(2): 1–10. https:// doi:10.9734/JAMPS/2016/29764 DOI: https://doi.org/10.9734/JAMPS/2016/29764

Ouasmani F, Engeltjes B, Haddou Rahou B, Belayachi O, Verhoeven C. Knowledge of hypertensive disorders in pregnancy of Moroccan women in Morocco and in the Netherlands: A qualitative interview study. BMC Pregnancy Childbirth. 2018; 18:344. https://doi.org/10.1186/s12884-018-1980-1 DOI: https://doi.org/10.1186/s12884-018-1980-1

El Sayed HAE, Said SA, Mohy HF, Emam AM. Efficacy of an intervention based on theory of planned behavior on self-care management among women with pregnancy induced hypertension. IOSR Journal of Nursing and Health Science (IOSR-JNHS). 2020; 9(1):7–20. https://doi/10.9790/1959-0901030720

Alnuaimi K, Abuidhail J, Abuzaid H. The effects of an educational programme about preeclampsia on women's awareness: A randomised control trial. Int Nurs Rev. 2020; 67(4):501-511. https://doi.org/10.1111/inr.12626 DOI: https://doi.org/10.1111/inr.12626

Romero JM, Brito PR, Martínez CE, Martín A, Rodríguez M, Group CR, et al. A new instrument for measuring dietary knowledge in patients with diabetes: Psychometric testing of the CoNOCidiet-Diabetes. 2021; 32(1):20-28. https://doi.org/10.1111/2047-3095.12288 DOI: https://doi.org/10.1111/2047-3095.12288

Afefy NA, Kamel AD. Effect of an educational module on the knowledge and self-care of women suffering from pre-eclmpsia. IOSR J Nurs Health Sci. 2019; 8 (2): 33–42. https://doi.10.9790/1959-0802103342

Sharma A, Gomathi B, Kumar L. Effectiveness of planned teaching program on knowledge about management of pregnancy-induced hypertension and birth preparedness among antenatal mothers with pregnancy-induced hypertension. Int J Med Sci Public Health. 2017; 6(11):1646–1651. https://doi.org/10.5455/ijmsph.2017.0926226092017 DOI: https://doi.org/10.5455/ijmsph.2017.0926226092017

Gingras ME, Côté AM, Girard P, Grenier A, Pasquier JC, Sauvé N. Pre-eclampsia educational tool impact on knowledge, anxiety, and satisfaction in pregnant women: A randomized trial. J Obstet Gynaecol Can. 2019; 41(7):960–970. https://doi.org/10.1016/j.jogc.2018.10.003 DOI: https://doi.org/10.1016/j.jogc.2018.10.003

Ogundare MC. Nursing intervention on knowledge of hypertensive disorders among pregnant women at two selected hospitals in Okitipupa, Ondo State. International Journal of Medicine, Nursing & Health Sciences (IJMNHS). 2022; 3(2):188-199. https://doi.org/10.5281/zenodo.6617395

Ulloa IM, Romero JM, Paloma O, Arias EM. Development and content validation of a NOC-Based instrument for measuring knowledge and self-care behaviours in hypertensive disorders of pregnancy: CoNOCiTHE Int J Nurs Knowl. 2023. https://doi.org/10.1111/2047-3095.12443 DOI: https://doi.org/10.1111/2047-3095.12443

Moorhead S, Swanson E, Johnson M, Maas ML. Nursing outcomes classification (NOC)-E-Book: Measurement of health outcomes. (6th ed.). St. Louis, Missouri: Elsevier; 2018.

Nunnally JC, Bernstein IH. Psychometric theory. (3rd ed.). New York: McGraw-Hill; 1994.

Correa J. Coeficiente de Correlación Intraclase: Aplicaciones para estimar la estabilidad temporal de un instrumento de medida. Cienc. Psicol. 2021; 15(2): e2318. https://doi.org/10.22235/cp.v15i2.2318 DOI: https://doi.org/10.22235/cp.v15i2.2318

Upadya M, Rao ST. Hypertensive disorders in pregnancy. Indian Journal of Anaesthesia. 2018; 62(9): 675–681. https://doi.org/10.4103/ija.IJA_475_18 DOI: https://doi.org/10.4103/ija.IJA_475_18

Ministerio de Salud y Protección Social. Resolución No.3280 de 2018, por la cual se adoptan los lineamientos técnicos y operativos de la Ruta Integral de Atención para la Promoción y Mantenimiento de la Salud y la Ruta Integral de Atención en Salud Para la Población Materno Perinatal y se establecen las directrices para su operación. Bogotá. [Internet]. 2018. [citado el 25 de junio 2023]. Disponible en: https://www.icbf.gov.co/cargues/avance/docs/resolucion_minsaludps_3280_2018.htm

Ministerio de Salud. Resolución Número 008430 de 1993, por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud. Bogotá. [Internet]. 2018. [citado el 2 de mayo 2022]. Disponible en: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/RESOLUCION-8430-DE-1993.PDF

República de Colombia. Ley 911 de 2004, por la cual se dictan disposiciones en materia de responsabilidad deontológica para el ejercicio de la profesional de enfermería en Colombia. [Internet]. 2004. [citado el 2 de mayo 2022]. Disponible en: http://www.mineducacion.gov.co/1621/articles-105034_archivo_pdf.pdf

Consejo de Organizaciones Internacionales de las Ciencias Médicas (CIOMS) en colaboración con la Organización Mundial de la Salud (OMS). Pautas éticas internacionales para la investigación relacionada con la salud con seres humanos. [Internet]. 2016. [citado el 2 de mayo]. Disponible en: https://cioms.ch/wp-content/uploads/2017/12/CIOMS-EthicalGuideline_SP_INTERIOR-FINAL.pdf

Jacob LM, Mafetoni RR, Lopes MH, Shimo AK. Knowledge, attitude and practice about hypertensive gestacional syndrome among pregnant women: a randomized clinical trial. Texto e Contexto Enferm. 2022; 31: e20210018. https://doi.org/10.1590/1980-265X-TCE-2021-0018 DOI: https://doi.org/10.1590/1980-265x-tce-2021-0018

Kamal HH, El -Sayed IR. Effect of health promotion model and self-determination theory based intervention on preeclampsia prevention among pregnant women at Beni-Suef Governorate. Egypt. J. Health Care. 2020; 11(3): 591-602. https://doi.org/10.21608/ejhc.2020.156267. DOI: https://doi.org/10.21608/ejhc.2020.156267

Irianti VN, Rasipin, Santoso B. Preeclampsia tree educational model for pregnant women as an effort to change preeclampsia prevention behavior. IJISRT. 2021; 6(2): 683-687. Disponible en: https://ijisrt.com/assets/upload/files/IJISRT21FEB418.pdf

Umamah F, Santoso B, Yunitasari E, Nisa F, Wulandari Y. The effectiveness of psycho-educational counseling in pregnant women with preeclampsia: A systematic review. Journal of Public Health Researh. 2022; 11(3) https://doi.org/10.1177/22799036221104161 DOI: https://doi.org/10.1177/22799036221104161

##credits.meta.name## - Metabiblioteca |