Abstract
ABSTRACTObjectives:to develop and validate an array of analysis and judgment for the evaluation of Health Care Services of people with stomas. Methods:cross-sectional study in 28 health facilities in the state of Minas Gerais. A descriptive analysis of the instrument and a study of its psychometric properties were performed. We used the Delphi technique for the validation of content and appearance. A psychometric analysis was carried out through the study of the reliability and validity of the measures obtained with the instrument. Results:it was possible to construct an array analysis and judgment with 16 components (with scores from zero to five) grouped according to size and structure and process considered essential to evaluate the service. The results achieved in the reliability for structure and process, through the Cronbach alpha coefficient (α = 0.771 and α = 0.809, respectively), and the validity of content and construct demonstrated good internal consistency and satisfactory validity. An exploratory factor analysis indicated the item "main activity performed in the unit" as a limitation of the scale. Conclusion:the study provides a new tool for the evaluation of structure and process of Health Care Services of a Person with a stoma.
Highlights
An ostomized patient is one that has an artificial opening of an internal organ on the body surface
The objective of this study is to describe the construction criteria, content validation, appearance and to build an assessment tool of structure and process of the Health Care Services of a Person with a stoma
A municipality refused to participate and didn’t returned the questionnaires and 08 (29%) participated in part of the research. These health facilities were SASPO type II 40% SASPO type I 8% and 52% could not be classified because they lack the minimum professional staff required for each level
Summary
An ostomized patient is one that has an artificial opening of an internal organ on the body surface (stoma). This opening is surgically created and its name depends on the organ that is externalized[1]. Stoma is a term derived from the Greek and the terms ostomy and ostomized were used for a long time. Using the Brazilian spelling and consensus among experts, the terminology stoma and ostomized (estomia/estoma, and estomizado) was adopted. The term ostomy/ostomized is still maintained only when it references names linked to government publications[2]. Since the National Guidelines for the Health Care for Persons with Stoma were established, the Health Care Services of Persons with Stoma (SASPO in Portuguese) seek to incorporate this policy in an attempt to create conditions and possibilities to provide an efficient service in an organized context network
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