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https://codas.org.br/article/doi/10.1590/2317-1782/20212021012
CoDAS
Artigo Original

Protocolo de rastreio multiprofissional de disfagia em pacientes com infecção HIV: elaboração e validação de conteúdo

Multiprofessional screening protocol for dysphagia in patients with HIV infection: elaboration and content validity

Luise Alexandre Rocha Soutinho; Daniel Aragão Machado; Charles Henrique Dias Marques

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Resumo

Objetivo: Elaborar e validar um protocolo multiprofissional para identificação do risco de disfagia em pessoas com HIV no momento da internação hospitalar. Método: Após revisão bibliográfica, o protocolo de rastreio de disfagia criado foi submetido a análise de juízes especialistas em HIV/Aids e público-alvo na aplicação deste instrumento para realização da validação de face/conteúdo. Esses avaliadores poderiam sugerir mudanças no protocolo, julgando os quesitos como clareza, pertinência e abrangência. Para avaliar o grau de concordância do instrumento, foi utilizado o Índice de Validade de Conteúdo (IVC) mínimo de 0,78. Resultados: O protocolo foi elaborado com 16 itens, incluindo aspectos relacionados à fase oral e faríngea da deglutição, e a pontuação final foi calculada baseada nos diferentes riscos para complicações clínicas. O instrumento apresentou IVC acima de 0,78 para todos os itens nas duas fases da validação, bem como IVC total de 0,92. Conclusão: A partir dos dados obtidos, foi possível a construção e validação do protocolo de rastreio do ponto de vista de aparência e conteúdo, uma vez que apresentou IVC total acima do valor mínimo estipulado na validação dos juízes especialistas e do público-alvo, constatando-se assim IVC adequado para o protocolo como um todo.

Palavras-chave

Transtornos de Deglutição; Protocolos; Programas de Rastreamento; Síndrome da Imunodeficiência Adquirida; Infecções por HIV

Abstract

Purpose: To elaborate and validate a multiprofessional protocol to identify the risk of dysphagia in people with HIV at the time of hospitalization. Methods: After bibliographic review, the dysphagia screening protocol created was submitted to the analysis of HIV/ Aids expert judges and target audience in the application of this instrument to perform content validity. These evaluators could suggest changes to the protocol, judging clarity, pertinence, and comprehensiveness. The CVI 0.78 was used to confirm the validity of the results. Results: The protocol was created including aspects related to oral and pharyngeal swallowing, and the final score was calculated based on the risks for clinical complications. The instrument presented CVI above 0.78 for all items in the two validation phases, as well as total CVI of 0.92. Conclusion: Based on the obtained data, it was possible to create and validate the screening protocol from the point of view of appearance and content, once it presented total CVI above the minimum value stipulated in the validation of the expert judges and the target public, obtaining an adequate result for the protocol. Therefore, we can consider the resolution instrument, with the capacity to fulfill what was proposed.

Keywords

Deglutition Disorders; Protocols; Mass Screening; Acquired Immunodeficiency Syndrome; HIV Infections

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Submetido em:
25/01/2021

Aceito em:
12/04/2021

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