Questionário de qualidade de vida relacionado à saúde respondido por pais ou cuidadores de crianças e adolescentes com constipação funcional
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Data
2019-07-30
Autores
Quiroz Gamarra, Andrea Catherine
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Editor
Universidade Estadual Paulista (Unesp)
Resumo
Introdução: A Constipação Funcional (CF) constitui um distúrbio de alta prevalência em crianças, associada ao comprometimento na Qualidade de Vida Relacionada à Saúde (QVRS), apesar de existirem poucos instrumentos específicos para avaliar este problema, e nenhum no português brasileiro. Objetivos: Desenvolver e validar um questionário específico de QVRS para crianças com CF, aplicado aos pais ou cuidadores. Métodos: Estudo observacional, transversal, em uma amostra de pais ou cuidadores de crianças de 5 a 15 anos de idade, com diagnóstico de CF, segundo os Critérios de Roma IV. O processo de desenvolvimento do questionário foi realizado em 10 fases, iniciando com geração dos itens relativos à constipação funcional, desenvolvimento de questionários preliminares, apreciação por 11 profissionais da saúde com atuação na área pediátrica, até o desenvolvimento de um questionário preliminar. Após identificar problemas ou incoerências pelos pesquisadores, as questões foram corrigidas, obtendo-se um questionário final (PedFCQuest-PR) com 26 perguntas, divididos em 4 domínios, cada uma com 4 opções de resposta tipo Likert, baseado nos acontecimentos das últimas 4 semanas. O PedFCQuest-PR foi aplicado simultaneamente ao questionário genérico Pediatric Quality of Life Inventory Versão 4.0 (PedsQL 4.0) a pais/cuidadores das crianças elegíveis para o estudo, assim como foram colhidos dados sociodemográficos, antropométricos e clínicos. Todos os dados foram compilados utilizando-se o programa estatístico GraphPad Prism versão 7.0. Os testes estatísticos foram bicaudais e o nível de significância considerado em p <0,05. Resultados: O estudo envolveu 142 pais/cuidadores de crianças com CF, sendo 10 excluídos. Dos 132 incluídos no estudo, 45 participaram do Estudo Preliminar, para definição do conteúdo do questionário final, e 87 participaram do Estudo Definitivo para validação do instrumento. No estudo definitivo as crianças apresentaram mediana da idade de 99 meses (8,2 anos), com longo tempo de sintomas da constipação, associada a incontinência fecal em aproximadamente dois terços e dor abdominal em grande proporção. Para a validação do PedFCQuest-PR foram feitas análises de Confiabilidade e Validade (Conteúdo, Critério e Construto). Discussão e conclusão: Este estudo fornece evidências preliminares de que o PedFCQuest-PR é um instrumento confiável (coeficiente alfa de Cronbach de 0,86), confirmando o alto grau de consistência interna e validade do instrumento para aplicações futuras.
Introduction: Functional Constipation (FC) is a disorder of high prevalence in children, associated with impairment in Health-Related Quality of Life (HRQoL). There are few specific instruments to assess this problem and none at all Brazilian Portuguese. Objectives: To develop and validate a specific HRQoL questionnaire for children with FC, applied to parents or caregivers. Methods: Observational, cross-sectional study in a sample of parents or caregivers of children from 5 to 15 years of age, diagnosed with CF according to the Rome IV Criteria. The process of developing the questionnaire was carried out in 10 phases, starting with the Items generation concerning functional constipation, the development of questionnaires, assessment by 11 health professionals, and development of a preliminary questionnaire. After identifying problems or inconsistencies by the researchers, the questions were corrected, obtaining a final questionnaire named (PedFCQuest-PR) with 26 questions divided into four domains, each with 4 Likert type response options, based on the events of the last four weeks. The PedFCQuest-PR was applied simultaneously to the Pediatric Quality of Life Inventory 4.0 (PedsQL 4.0) to parents/caregivers of children eligible for the study, as well as sociodemographic, anthropometric and clinical trials. All data were compiled using the program GraphPad Prism version 7.0. The statistical tests were bicaudals and the level of significance considered at p <0.05. Results: The study involved 142 parents/caregivers of children with CF, being 10 excluded. Of the 132 included in the study, 45 participated in a preliminary study, to define the content of the final questionnaire, and 87 participated in the Definitive Study to validate the instrument. The children’s median age was 99 months (8.2 years), with a long time of constipation symptoms, associated with faecal incontinence in approximately two-thirds and abdominal pain in large proportion. For the validation of the PedFCQuest-PR were used Reliability and Validity (Content, Criteria, and Construct) analyzes. Discussion and conclusion: This study provides preliminary evidence of that the PedFCQuest-PR is a reliable instrument (alpha coefficient of Cronbach score of 0.86) confirming the high degree of internal consistency and validity of the instrument for future applications.
Introduction: Functional Constipation (FC) is a disorder of high prevalence in children, associated with impairment in Health-Related Quality of Life (HRQoL). There are few specific instruments to assess this problem and none at all Brazilian Portuguese. Objectives: To develop and validate a specific HRQoL questionnaire for children with FC, applied to parents or caregivers. Methods: Observational, cross-sectional study in a sample of parents or caregivers of children from 5 to 15 years of age, diagnosed with CF according to the Rome IV Criteria. The process of developing the questionnaire was carried out in 10 phases, starting with the Items generation concerning functional constipation, the development of questionnaires, assessment by 11 health professionals, and development of a preliminary questionnaire. After identifying problems or inconsistencies by the researchers, the questions were corrected, obtaining a final questionnaire named (PedFCQuest-PR) with 26 questions divided into four domains, each with 4 Likert type response options, based on the events of the last four weeks. The PedFCQuest-PR was applied simultaneously to the Pediatric Quality of Life Inventory 4.0 (PedsQL 4.0) to parents/caregivers of children eligible for the study, as well as sociodemographic, anthropometric and clinical trials. All data were compiled using the program GraphPad Prism version 7.0. The statistical tests were bicaudals and the level of significance considered at p <0.05. Results: The study involved 142 parents/caregivers of children with CF, being 10 excluded. Of the 132 included in the study, 45 participated in a preliminary study, to define the content of the final questionnaire, and 87 participated in the Definitive Study to validate the instrument. The children’s median age was 99 months (8.2 years), with a long time of constipation symptoms, associated with faecal incontinence in approximately two-thirds and abdominal pain in large proportion. For the validation of the PedFCQuest-PR were used Reliability and Validity (Content, Criteria, and Construct) analyzes. Discussion and conclusion: This study provides preliminary evidence of that the PedFCQuest-PR is a reliable instrument (alpha coefficient of Cronbach score of 0.86) confirming the high degree of internal consistency and validity of the instrument for future applications.
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Palavras-chave
constipação intestinal, qualidade de vida, inquéritos e questionários, criança, adolescente, constipation, quality of life, surveys and questionnaires, child, adolescent