Escala de vulnerabilidade das pessoas com deficiência motora após lesão neurológica adquirida

Jamilly da Silva Aragão; Inacia Sátiro Xavier de França; Rosilene Santos Baptista; Francisco Stélio de Sousa; Alexsandro Silva Coura; Ednário Barbosa de Mendonça

doi:10.5294/aqui.2023.23.3.8

Authors

Jamilly da Silva Aragão Author State University of Paraíba https://orcid.org/0000-0002-8140-3180
Inacia Sátiro Xavier de França Author Universidade Estadual da Paraíba https://orcid.org/0000-0002-2695-510X
Rosilene Santos Baptista Author Universidade Estadual da Paraíba https://orcid.org/0000-0001-7400-7967
Francisco Stélio de Sousa Author Universidade Estadual da Paraíba https://orcid.org/0000-0002-9604-4133
Alexsandro Silva Coura Author Universidade Estadual da Paraíba https://orcid.org/0000-0002-0628-648X
Ednário Barbosa de Mendonça Author Universidade Estadual da Paraíba https://orcid.org/0000-0001-8519-1114

DOI:

https://doi.org/10.5294/aqui.2023.23.3.8

Keywords:

Disabled persons, nervous system diseases, health vulnerability, validation study, rehabilitation nursing

Abstract

Introduction: After an acquired neurological lesion, some people are in situations of greater vulnerability to complications and comorbidities, which can exert impacts on their life and health, compromise their quality of life, and lead to hospitalizations and premature death. Identifying the vulnerability situation can guide nurses in the development of actions to prevent complications, comorbidities, and other conditions after the neurological lesion. Objective: To validate a scale to identify the vulnerability situation of people with motor disabilities after an acquired neurological lesion (Escala de Vulnerabilidade de Pessoas com Deficiência, EVU-PcD). Materials and method: The article presents a methodological development and psychometric study with a quantitative approach. The construct validity stages were as follows: application of the Vulnerability Scale for people with motor disabilities after an acquired neurological lesion (EVU-PcD) and reliability and confirmatory factor analysis. EVU-PcD, initially with 38 items, was applied to 102 individuals with acquired motor disabilities. Reliability was assessed using Cronbach’s alpha from 0.7 to 0.9. In the confirmatory factor analysis, the structural equations model for latent variables a path diagram was used. Results: The overall Cronbach’s alpha coefficient was 0.86, which was considered excellent. The fit indices, chi-square ratio (1.63), root mean square of approximation errors (0.08) and parsimonious fit quality index (0.61) presented acceptable indicators of adequacy to the final model with three domains and 28 items. Conclusions: The final factor structure of the EVU-PcD scale with 28 items showed satisfactory reliability and validity results to identify the vulnerability of people with motor disabilities after an acquired neurological lesion.

Downloads

Download data is not yet available.

References

World Health Organization. World Stroke Day. Genebra: 2021. Available from: https://www.who.int/southeastasia/news/detail/28-10-2021-world-stroke-day

Yue JK, Satris GG, Dalle Ore CL, Huie JR, Deng H, Winkler et al. Polytrauma is associated with increased three- and six-month disability after traumatic brain injury: A TRACK-TBI pilot study. Neurotrauma Rep. 2020;23(1):32-41. DOI: https://doi.org/10.1089/neur.2020.0004

World Health Organization. Disability. Genebra: WHO; 2023. Available from: https://www.who.int/news-room/fact-sheets/detail/disability-and-health

Cunha MAO, Santos HF, de Carvalho MEL Miranda GMD, Albuquerque MSV, Oliveira RS et al. Health care for people with disabilities in the unified health system in Brazil: A scoping review. Int J Environ Res Public Health. 2022;19(3):1472. DOI: https://doi.org/10.3390/ijerph19031472

GBD 2019 Stroke Collaborators. Global, regional, and national burden of stroke and its risk factors, 1990-2019: A systematic analysis for the Global Burden of Disease Study 2019. Lancet Neurol. 2021;20(10):795-820. DOI: https://doi.org/10.1016/S1474-4422(21)00252-0

Taylor A, Ntusi NAB. Evolving concepts of stroke and stroke management in South Africa: Quo vadis?. S Afr Med J. 2019;109(2):69-71. DOI: https://doi.org/10.7196/SAMJ.2019.v109i2.00009

Bonow RH, Barber J, Temkin NR Videtta W, Rondina C, Petroni G et al. The outcome of severe traumatic brain injury in Latin America. World Neurosurg. 2018;111:e82-e90. DOI: https://doi.org/10.1016/j.wneu.2017.11.171

Madasa V, Boggenpoel B, Phillips J, Joseph C. Mortality and secondary complications four years after traumatic spinal cord injury in Cape Town, South Africa. Spinal Cord Ser Cases. 2020;6(1):84. DOI: https://doi.org/10.1038/s41394-020-00334-w

Faleiros F, Marcossi M, Ribeiro O, Tholl A, Freitas G, Riberto M. Epidemiological profile of spinal cord injury in Brazil. J Spinal Cord Med. 2023;46(1):75-82. DOI: https://doi.org/10.1080/10790268.2021.1947679

Rimmer JH, Chen M, Hsieh K. A conceptual model for identifying, preventing, and managing secondary conditions in people with disabilities. Physical Therapy. 2011;91(12):1728-39. DOI: https://doi.org/10.2522/ptj.20100410

Jansen MP, Molton IR, Groah SL, Campbell ML, Charlifue S, Chiodo A et al. Secondary health conditions in individuals aging with SCI: Terminology, concepts and analytic approaches. Spinal Cord. 2012;50(5), 373-8. DOI: https://doi.org/10.1038/sc.2011.150

Krnjacki L, Aitken Z, Noemi S, Emerson E. Disability-based discrimination and health: findings from an Australian-based population study. Aust N Z J Public Health. 2018;42(2):172-4. DOI: https://doi.org/10.1111/1753-6405.12735

Strøm V, Månum G, Arora M, Joseph C, Kyriakides A, Le Fort M et al. Physical health conditions in persons with spinal cord injury across 21 countries worldwide. J Rehabil Med. 2022;54:jrm00302. DOI: https://doi.org/10.2340/jrm.v54.2040

Mashola MK, Olorunju SAS, Mothabeng J. Factors related to hospital readmissions in people with spinal cord injury in South Africa. S Afr Med J. 2019;109(2):107-11. DOI: https://doi.org/10.7196/SAMJ.2019.v109i2.13344

Pilusa SI, Myezwa H, Potterton J. Experiences of secondary health conditions amongst people with spinal cord injury in South Africa: A qualitative study. S Afr J Physiother. 2021;77(1):1530. DOI: https://doi.org/10.4102/sajp.v77i1.1530

Prynn JE, Kuper H. Perspectives on disability and non-communicable diseases in low- and middle-income countries, with a focus on stroke and dementia. Int J Enviro Res Public Health. 2019;16(18):3488. DOI: https://doi.org/10.3390/ijerph16183488

Faleiros F, Silva JCF e, Cordeiro A, Tholl AD, Fumincelli L, Tate D. Quality of life and traumatic spinal cord injury: A study using international data sets. Rev Eletrônica Enferm. 2020;22. DOI: https://doi.org/10.5216/ree.v22.56256

Meleis AI, Sawyer LM, Im EO, Messias DAKH, Schumacher K. Experiencing transitions: An emerging middle-range theory. In: Meleis AI, organizators. Transition Theory. New York: Springer Publishing Company; 2010. p. 52-65.

Ayres JRCM, França Junior I, Calazans GJ, Saletti Filho HC. O conceito de vulnerabilidade e as práticas de saúde: novas perspectivas e desafios. In: Czeresnia D, Freitas CM, organizators. Promoção da saúde: conceitos, reflexões, tendências. Rio de Janeiro: Fiocruz; 2003. p. 2207-2672.

Aragão JS, França ISX, Coura AS, Pereira ABR, Basilio EEF, Silva AFR, Silva FMF. Elementos da vulnerabilidade de adultos com deficiência após lesão neurológica: revisão integrativa. Res, Soc Dev. 2022;11:e39811831169. DOI: https://doi.org/10.33448/rsd-v11i8.31169

Dornelles SS, Martins MM, Ribeiro I, Souza Lima DK, Itayra Padilha M, Pereira Gomes B. Breve panorama mundial da enfermagem de reabilitação. Rev Port Enf Reab. 2018;1(1):6-12. DOI: https://doi.org/10.33194/rper.2018.v1.n1.01.4388

Dias MDRJ, Alves Faria ADC, Ferreira MSM Faleiros F, Novo A, Gonçalves MN et al. From health literacy to self-care: Contributions of the specialist nurse in rehabilitation nursing. Int J Environ Res Public Health. 2022;19(13):7767. DOI: https://doi.org/10.3390/ijerph19137767

Instituto Brasileiro de Geografia e Estatística. PNS 2019: país tem 17,3 milhões de pessoas com algum tipo de deficiência. Rio de Janeiro: IBGE; 2021. Disponível em: https://agenciadenoticias.ibge.gov.br/agencia-sala-de-imprensa/2013-agencia-de-noticias/releases/31445-pns-2019-pais-tem-17-3-milhoes-de-pessoas-com-algum-tipo-de-deficiencia

Hair Junior JF. Análise multivariada de dados. 5ª ed. Porto Alegre: Bookman; 2009.

Maroco, J. Análise de equações estruturais. 2ª ed. Portugal: Report Number; 2010.

Jorge A, White MD, Agarwal N. Outcomes in socioeconomically disadvantaged patients with spinal cord injury: A systematic review. J Neurosurg Spine. 2018;29(6):680-6. DOI: https://doi.org/10.3171/2018.5.SPINE171242

Jet van der K, Willeke JK, Tanja CWN, Coen AMB, Caroline van H, Johanna MAV-M. Return to work after mild-to-moderate stroke: Work satisfaction and predictive factors. Neuropsychol Rehabil. 2019;29(4):638-53. DOI: https://doi.org/10.1080/09602011.2017.1313746

Câmara-Costa H, Francillette L, Opatowski M, Toure H, Brugel D, Laurent-Vannier A, Meyer P, Dellatolas G, Watier L, Chevignard M. Participation seven years after severe childhood traumatic brain injury. Disabil Rehabil. 2020;42(17):2402-11. DOI: https://doi.org/10.1080/09638288.2019.1594398

Pasquali L. Psicometria: teoria dos testes na psicologia e na educação. 5ª ed. Petrópolis: Vozes; 2013.

Tavares DMS, Oliveira NGN, Marmo FAD, Meneguci J. Using structural equation modeling in the understanding of functional disability in older adults. Rev Lat Am Enfermagem. 2021;29:e3451. DOI: https://doi.org/10.1590/1518-8345.4555.3451

Borges JWP, Moreira TMM, Andrade DF. Nursing Care Interpersonal Relationship Questionnaire: Elaboration and validation. Rev Lat Am Enfermagem. 2017;25:e2962. DOI: https://doi.org/10.1590/1518-8345.2128.2962

Silva WR, Maroco JC, Bonini JAD. Escala de Influência dos Três Fatores (TIS) aplicada a estudantes universitários: estudo de validação e aplicação. Cad Saude Publica. 2019;35(3):e00179318. DOI: https://doi.org/10.1590/0102-311x00179318

Faleiros F, de Oliveira Braga DC, Schoeller SD Henriques SH, Cunha NBF, Videira LGN et al. Surveying people with spinal cord injuries in Brazil to ascertain research priorities. Sci Rep. 2023;13(1):654. DOI: https://doi.org/10.1038/s41598-022-26733-7

Adriaansen JJ, Ruijs LE, van Koppenhagen CF, van Asbeck FW, Snoek GJ, van Kuppevelt D. et al. Secondary health conditions and quality of life in persons living with spinal cord injury for at least ten years. J Rehabil Med. 2016;48(10):853-60. DOI: https://doi.org/10.2340/16501977-2166

Tasiemski T, Kujawa J, Tederko P, Rubinelli S, Middleton JW, Craig A et al. Relationship between secondary health conditions and life satisfaction in persons with spinal cord injury: Study across twenty-one countries. Qual Life Res. 2023;32(7):2069-77. DOI: https://doi.org/10.1007/s11136-023-03376-3

Hogan C, Burridge L, Foster M, Kendall M, Pershouse K, Ungerer G et al. The impacts and vulnerabilities for people living with spinal cord injury and their service systems of the COVID-19 pandemic in Queensland, Australia. Health Soc Care Community. 2023:1-12. DOI: https://doi.org/10.1155/2023/7255395

Tholl AD, Nitschke RG, Viegas SMF, Potrich T, Marques-Vieira C, Castro FFS. Strenghts and limits in the daily life of the adherence to rehabilitation of people with spinal cord injury and their families. Texto Contexto Enferm. 2020;29:e20190003. DOI: https://doi.org/10.1590/1980-265x-tce-2019-0003

Sousa L, Martins MM, Novo A. A Enfermagem de Reabilitação no empoderamento e capacitação da pessoa em processos de transição saúde-doença. Rev Port Enf Reab. 2020;3(1):64-9. DOI: https://doi.org/10.33194/rper.2020.v3.n1.8.5763