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Rev. colomb. rehabil ; 11(1): 80-86, 2012. ilus, graf
Article in Spanish | LILACS, COLNAL | ID: biblio-910151

ABSTRACT

El Evento Cerebrovascular (ECV) ha sido reconocido como un objetivo importante de investigación desde diferentes áreas y enfoques de la salud. El ECV impacta el funcionamiento de la persona, y para su interven-ción se hace necesario contar con instrumentos de evaluación que logren reconocer sus efectos desde distintas dimensiones. Este artículo presenta el diseño de un instrumento para la evaluación de la percepción del am-biente (productos y tecnología; apoyo y relaciones) como facilitador o barrera en personas que han sufrido un ECV. Se realizó un estudio descriptivo de desarrollo tecnológico tomando como unidades de análisis la Clasifi-cación Internacional del Funcionamiento de la Discapacidad y de la Salud (CIF) (OMS, 2001), e instrumentos realizados para la evaluación de Calidad de Vida relacionada con la salud. Se desarrolló un instrumento base, que fue sometido a validación de contenido. Se obtuvo un cuestionario con 75 preguntas que identifican per-cepción desde el ambiente como facilitador o barrera (no funcionalista), el cual fue sometido a validación por medio de jueces expertos que evaluaron la pertinencia de los ítems, y realizaron aportes a la construcción. Se calculó el índice de validez de contenido propuesto por Lashe y modificado por Tristán (2007), eliminando 8 ítems. Finalmente el estudio presenta un instrumento de 67 ítems distribuidos en 2 dominios y 16 subcatego-rías,beneficiando con esta herramienta a personas con secuelas de eventos neurológicos.


The Cerebrovascular Event (CVD) has been recognized as an important objective of research from diffe-rent areas and approaches to health. The CVD impacts the person's performance, and for its intervention is necessary to have assessment tools that let recognize its effects from different dimensions. The proposing an instrument to assess environmental perceptions (products and technology, support and relationships) as a facilitator or barrier for people who have suffered from CVD. A descriptive-technological development study was performed. The International Classification of Functioning, Disability and Health (ICF) (OMS, 2001) were used as analysis units, as well as different instruments for the assessment of health related quality of life. A base instrument was developed which was submitted to content validation. A 75 questions questionnaire was developed to identify perception from the environment as facilitator or barrier (not functionalist), which was submitted to expert judges validation who evaluated the relevance of each item, and made contributions to the construction. Each item was submitted to content validity index that was proposed by Lashe and modified by Tristan (2007), thus, were removed of ítems, and the instrument was reduced to 67 items divided into two domains and 16 subcategories. This research generates an important contribution for decision-making beyond the clinic, and can also benefit people who have consequences of neurological events and can be extended later to other populations


Subject(s)
Humans , Health Classifications , Environment , Research , Stroke
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