RESUMO
BACKGROUND AND PURPOSE: A valid and reliable assessment tool is fundamental for evaluating the knowledge of individuals about using oral anticoagulant therapy (OAT). The purpose of this study was to develop a tool to assess knowledge about OAT and provide evidence to support its use in people living in developing countries. METHODS: Construction and validation: development of items; assessment of face and content validity; pilot study; application of the instrument to a sample of 500 users of OAT to analyze dimensionality, convergent validation, and reliability. RESULTS: Analysis of dimensionality suggested a unidimensional instrument. Direct correlation between knowledge of OAT and educational level was confirmed (r = .61, p < .001) (validity of construct). Reliability measured by KR-20 was 0.86. CONCLUSIONS: The new instrument was shown to be valid and reliable for assessing knowledge of OAT in the population studied.
Assuntos
Anticoagulantes/uso terapêutico , Conhecimentos, Atitudes e Prática em Saúde , Educação de Pacientes como Assunto , Embolia Pulmonar/tratamento farmacológico , Administração Oral , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Anticoagulantes/administração & dosagem , Feminino , Humanos , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Embolia Pulmonar/enfermagem , Reprodutibilidade dos Testes , Inquéritos e Questionários , Adulto JovemRESUMO
PURPOSE: This study was designed to explore the cultural meaning and dimensions of quality of life from the perspective of Brazilian burn patients. METHOD: A qualitative research approach was used. Nineteen burn patients and their close relatives participated in this ethnographic study. Data were collected by means of direct observation and semi-structured interviews, conducted in a hospital outpatient clinic and during visits to patients' homes. The following inter-related phases guided the analysis process: reading of the material and data reduction, data display, conclusion outlining and verification. RESULTS: Participants reported that the quality of life is related to autonomy and the ability to work. The dimensions of quality of life included: resuming work and functional ability, body image, having leisure and interpersonal relationships. Their descriptions revealed their feelings and attitudes about resuming their previous activities and social lives, particularly concerning the work. CONCLUSION: For burn patients, quality of life is associated with the concept of normality, the satisfactory performance of social roles in the context of family life and the social world. The results showed the importance of the sociocultural dimension in the concept of quality of life for persons undergoing burn rehabilitation.
