Adaptação e validação do City of Hope Quality of Life

: ostomy questionnaire para a cultura portuguesa

Abstract

Introduction: Noting the scarcity of specific instruments of quality of life assessment for people with ostomy in Portugal, and with these little comprehensive in some areas of wellness, this study aimed to adapt and validate the City of Hope Quality Of Life - Ostomy Questionnaire (COH-QOL-Q) for the Portuguese culture. Method: For the adaptation and validation of COH-QOL-Q for the Portuguese culture developed a methodological study, which held the linguistic, conceptual equivalence and evaluation of psychometric the same properties through factorial analysis of principal components with Varimax rotation of items and calculating Cronbach's alpha coefficient for each dimension. Data collection took place from November 2014 to October 2015, from a simple random sample of 337 individuals with ostomy disposal. Results: The Portuguese version of COH-QOL-Q presents adequate psychometric characteristics for this group of ostomy patients (Cronbach α 0.91). The study of the accuracy or reliability of scale identified four dimensions: physical well-being; Psychological well-being; Social welfare and spiritual well-being. In three of the four dimensions of the Portuguese version of Cronbach's alpha values were higher than the original study. The Kaiser-Meyer-Olkin test (KMO = 0.87) and the Bartlett sphericity test (TEB = 12205.149 p <0.001) allowed evaluation of the adequacy of the sample to perform the factor analysis. The subjects in the study refer to an overall level of quality of life of 5.98, 0 = worst quality of life and 10 = better quality of life. Conclusion: COH-QOL-OQ adapted to the Portuguese culture keeps the metric qualities of the original study, considering why a reliable and useful tool for use by professionals. Using this tool you can: assess the level of quality of life of stoma population in Portugal; adapt the education of health professionals in the stomal area and the education level of people with an ostomy and their families; optimize hospital resources and community in order to support and monitor this group; and invest more in welfare areas affected by the presence of ostomy.

Date of Award	5 Dec 2016
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Paulo Alves (Supervisor)