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Abstract(s)
Introdução: O recém-nascido (RN) internado e em particular o RN prematuro, pelas
características da pele, imaturidade dos sistemas e uso imprescindível de dispositivos
médicos, está predisposto a lesões cutâneas e maior risco de infeção e consequências
neurodesenvolvimentais. Os enfermeiros devem realizar uma rigorosa observação da pele
do neonato com recurso a instrumentos de avaliação do risco de lesões, validados e
confiáveis.
Objetivos: Descrever o processo de adaptação transcultural e validação semântica para a
população portuguesa da escala de avaliação do risco de lesão da pele em neonatos
hospitalizados em UCIN de ISSA (2019); avaliar as propriedades psicométricas da versão
adaptada para a população portuguesa da escala ISSA, na avaliação do risco de lesão da
pele em neonatos hospitalizados em UCIN.
Metodologia: Trata-se de um estudo Instrumental, primário, de adaptação transcultural e
avaliação psicométrica da versão do instrumento original de ISSA (2019), do português do
Brasil para o português europeu, autorizado pela autora da escala original e aprovado pela
comissão de ética do CHUC. Realizou-se a adaptação e ajuste semântico da escala,
seguido de pré-teste e aplicação da versão final, por 24 enfermeiros(as) com mais de dois
anos de experiência em neonatologia, numa amostra não probabilística por conveniência,
que efetivaram 131 aplicações da escala a RN com mais de 24 horas de internamento em
UCIN, independentemente da sua idade gestacional e que não possuíam lesão cutânea
nem patologia dermatológica à admissão. Para a análise de dados utilizou-se o programa
estatístico IBM SPSS, versão 28 e software Jamovi versão 2.3.18 para Windows.
Resultados: A versão portuguesa da escala, apresentou validade de conteúdo
demonstrando existir pertinência prática das questões e elevado grau de concordância entre
os participantes. A análise psicométrica revelou boa fiabilidade e uma consistência interna
aceitável, o que permite a sua utilização na população neonatal portuguesa, permitindo
colmatar as lacunas existentes nas escalas de avaliação de risco de lesão em RN.
Conclusão: O instrumento possui validade semântica e qualidade psicométrica na sua
adaptação para a língua portuguesa e, portanto, é um instrumento capaz de avaliar os riscos
de lesão cutânea em neonatos internados em UCIN, em Portugal e ao conferir
intencionalidade a uma prática de cuidados autónomos de enfermagem, pode integrar
indicadores assistenciais específicos para mensuração da qualidade dos cuidados.
Palavras-chave: Enfermagem Neonatal, Recém-Nascido; Nascimento Prematuro; Estudo
de Validação; Lesão; Pele
Abstract Introduction: Hospitalized newborns and in particular premature, due to the characteristics of their skin, the immaturity of their systems and the essential use of medical devices, are predisposed to skin lesions and a greater risk of infection and neurodevelopmental consequences. Nurses must carry out rigorous observation of the newborn's skin using validated and reliable injury risk assessment instruments. Objectives: Describe the process of cross-cultural adaptation and semantic validation for the Portuguese population of the skin injury risk assessment scale in newborns hospitalized in NICU, the ISSA (2019); To evaluate the psychometric properties of the version adapted for the Portuguese population of the ISSA scale, in assessing the risk of skin damage in newborns hospitalized in NICUs. Methodology: This is an instrumental, primary, cross-cultural adaptation and psychometric evaluation study of the version of the original ISSA (2019) instrument, from Brazilian Portuguese to European Portuguese, authorized by the author of the original scale and approved by the CHUC ethics committee. The scale was adapted and semantically adjusted, followed by pre-testing and application of the final version, by 24 nurses with more than two years of experience in neonatology, in a non-probabilistic convenience sample, who carried out 131 applications of the scale. scales newborns with more than 24 hours of stay in the NICU, regardless of their gestational age and who did not have skin lesions or dermatological pathologies at admission. For data analysis, the IBM SPSS statistical program, version 28 and Jamovi software version 2.3.18 for Windows were used. Results: The Portuguese version of the scale presented content validity, demonstrating the practical relevance of the questions and a high degree of agreement among participants. The psychometric analysis revealed good reliability and acceptable internal consistency, which allows its use in the Portuguese neonatal population, making it possible to fill the gaps in the injury risk assessment scales in newborns. Conclusion: The instrument has semantic validity and psychometric quality in its adaptation to the Portuguese language and, therefore, is an instrument capable of evaluating the risks of skin lesions in newborns admitted to NICUs in Portugal and by giving intentionality to a practice of autonomous nursing care, can integrate specific care indicators to measure the quality of care. Keywords: Neonatal Nursing, Newborn; Premature Birth; Validation Study, Injury; Skin.
Abstract Introduction: Hospitalized newborns and in particular premature, due to the characteristics of their skin, the immaturity of their systems and the essential use of medical devices, are predisposed to skin lesions and a greater risk of infection and neurodevelopmental consequences. Nurses must carry out rigorous observation of the newborn's skin using validated and reliable injury risk assessment instruments. Objectives: Describe the process of cross-cultural adaptation and semantic validation for the Portuguese population of the skin injury risk assessment scale in newborns hospitalized in NICU, the ISSA (2019); To evaluate the psychometric properties of the version adapted for the Portuguese population of the ISSA scale, in assessing the risk of skin damage in newborns hospitalized in NICUs. Methodology: This is an instrumental, primary, cross-cultural adaptation and psychometric evaluation study of the version of the original ISSA (2019) instrument, from Brazilian Portuguese to European Portuguese, authorized by the author of the original scale and approved by the CHUC ethics committee. The scale was adapted and semantically adjusted, followed by pre-testing and application of the final version, by 24 nurses with more than two years of experience in neonatology, in a non-probabilistic convenience sample, who carried out 131 applications of the scale. scales newborns with more than 24 hours of stay in the NICU, regardless of their gestational age and who did not have skin lesions or dermatological pathologies at admission. For data analysis, the IBM SPSS statistical program, version 28 and Jamovi software version 2.3.18 for Windows were used. Results: The Portuguese version of the scale presented content validity, demonstrating the practical relevance of the questions and a high degree of agreement among participants. The psychometric analysis revealed good reliability and acceptable internal consistency, which allows its use in the Portuguese neonatal population, making it possible to fill the gaps in the injury risk assessment scales in newborns. Conclusion: The instrument has semantic validity and psychometric quality in its adaptation to the Portuguese language and, therefore, is an instrument capable of evaluating the risks of skin lesions in newborns admitted to NICUs in Portugal and by giving intentionality to a practice of autonomous nursing care, can integrate specific care indicators to measure the quality of care. Keywords: Neonatal Nursing, Newborn; Premature Birth; Validation Study, Injury; Skin.
Description
Keywords
Availação de risco Estudos de validação Pele - lesões Pesos e medidas Recém nascido prematuro Unidades de cuidados intensivos neonatais Infant, premature Intensive care neonatal units Risk assessment Skin - injuries Validation studies Weights and measures