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      Adaptação transcultural e validação do Intermittent Self-Catheterization Questionnaire Translated title: Cross-cultural adaptation and validation of the Intermittent Self-Catheterization Questionnaire

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          Abstract

          Objetivo adaptar transculturalmente e validar o conteúdo do Intermittent Self-Catheterization Questionnaire para língua portuguesa. Métodos estudo metodológico envolvendo a validação transcultural, conduzido em cinco fases: tradução inicial, síntese da tradução, tradução de volta à língua original, revisão por comitê de juízes, pré-teste da versão final, com 30 pessoas com lesão medular traumática que realizavam autocateterismo, e a validação de conteúdo com 17 juízes. Resultados foram realizadas alterações na versão em português do Intermittent Self-Catheterization Questionnaire quanto ao aspecto semântico, idiomático, experimental e conceitual. O pré-teste revelou que os itens da versão traduzida e adaptada eram de fácil compreensão e interpretação. O Índice de Validação de Conteúdo foi 0,92. Conclusão o Intermittent Self-Catheterization Questionnaire, versão traduzida foi adaptado transculturalmente para o português brasileiro e validado com Índice de Validação de Conteúdo satisfatório, sendo considerado válido para verificar a qualidade de vida das pessoas com afecções neurológicas que realizam autocateterismo urinário.

          Translated abstract

          Objective to adapt cross-culturally and validate the contents of the Intermittent Self-Catheterization Questionnaire for Portuguese language. Methods methodological study involving cross-cultural validation, conducted in five phases: initial translation, translation synthesis, back-translation to the source language, review by committee of judges, pre-test of final version with 30 people with traumatic spinal cord injury who performed auto-catheterization and content validation with 17 judges. Results changes were made in the Portuguese version of the Intermittent Self-Catheterization Questionnaire regarding the semantic, idiomatic, experimental and conceptual aspects. The pre-test revealed that the items of the translated and adapted version were easy to understand and interpret. The Content Validation Index was 0.92. Conclusion the translated version of the Intermittent Self-Catheterization Questionnaire was transculturally adapted to Brazilian Portuguese language and validated with a satisfactory content validation index, being considered valid to verify the quality of life of people with neurological conditions that perform urinary auto-catheterization.

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          Rehabilitation of spinal cord injuries.

          Spinal cord injury (SCI) is the injury of the spinal cord from the foramen magnum to the cauda equina which occurs as a result of compulsion, incision or contusion. The most common causes of SCI in the world are traffic accidents, gunshot injuries, knife injuries, falls and sports injuries. There is a strong relationship between functional status and whether the injury is complete or not complete, as well as the level of the injury. The results of SCI bring not only damage to independence and physical function, but also include many complications from the injury. Neurogenic bladder and bowel, urinary tract infections, pressure ulcers, orthostatic hypotension, fractures, deep vein thrombosis, spasticity, autonomic dysreflexia, pulmonary and cardiovascular problems, and depressive disorders are frequent complications after SCI. SCI leads to serious disability in the patient resulting in the loss of work, which brings psychosocial and economic problems. The treatment and rehabilitation period is long, expensive and exhausting in SCI. Whether complete or incomplete, SCI rehabilitation is a long process that requires patience and motivation of the patient and relatives. Early rehabilitation is important to prevent joint contractures and the loss of muscle strength, conservation of bone density, and to ensure normal functioning of the respiratory and digestive system. An interdisciplinary approach is essential in rehabilitation in SCI, as in the other types of rehabilitation. The team is led by a physiatrist and consists of the patients' family, physiotherapist, occupational therapist, dietician, psychologist, speech therapist, social worker and other consultant specialists as necessary.
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            Two quantitative approaches for estimating content validity.

            Instrument content validity is often established through qualitative expert reviews, yet quantitative analysis of reviewer agreements is also advocated in the literature. Two quantitative approaches to content validity estimations were compared and contrasted using a newly developed instrument called the Osteoporosis Risk Assessment Tool (ORAT). Data obtained from a panel of eight expert judges were analyzed. A Content Validity Index (CVI) initially determined that only one item lacked interrater proportion agreement about its relevance to the instrument as a whole (CVI = 0.57). Concern that higher proportion agreement ratings might be due to random chance stimulated further analysis using a multirater kappa coefficient of agreement. An additional seven items had low kappas, ranging from 0.29 to 0.48 and indicating poor agreement among the experts. The findings supported the elimination or revision of eight items. Pros and cons to using both proportion agreement and kappa coefficient analysis are examined.
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              Global incidence and prevalence of traumatic spinal cord injury.

              This systematic review examines the incidence and prevalence of traumatic spinal cord injury (SCI) in different countries worldwide and their trends over time. The literature search of the studies published between 1950 and 2012 captured 1,871 articles of which 64 articles on incidence and 13 articles on prevalence fulfilled the inclusion and exclusion criteria. The global incidence of SCI varied from 8.0 to 246.0 cases per million inhabitants per year. The global prevalence varied from 236.0 to 1,298.0 per million inhabitants. In addition to regional differences regarding the prevalence rates of SCI across the globe, there has been a trend towards increasing prevalence rates over the last decades. Our results suggest a relatively broad variation of incidence and prevalence rates of SCI among distinctive geographic regions. These results emphasize the need for further studies on incidence and prevalence of SCI, and for international standards and guidelines for reporting on SCI.
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                Author and article information

                Journal
                rene
                Rev Rene
                Rev. Rene
                Universidade Federal do Ceará (Fortaleza, CE, Brazil )
                1517-3852
                2175-6783
                2018
                : 19
                : e3315
                Affiliations
                [1] Fortaleza CE orgnameHospital Universitário Walter Cantídio Brasil
                [2] Fortaleza Ceará orgnameUniversidade Federal do Ceará Brazil
                [3] Fortaleza Ceará orgnameUniversidade de Fortaleza Brazil
                Article
                S1517-38522018000100317 S1517-3852(18)01900000317
                10.15253/2175-6783.2018193315
                dced0502-28fb-468f-bbfb-27db744fc3fa

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 13 December 2017
                : 08 March 2018
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 20, Pages: 0
                Product

                SciELO Revista de Enfermagem

                Categories
                Artigos Originais

                Tradução,Estudos de Validação,Traumatismos da Medula Espinhal,Cateterismo Urinário,Enfermagem,Translating,Validation Studies,Spinal Cord Injuries,Urinary Catheterization,Nursing

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