Logo do repositório

Percorrer por autor "Veludo, Filipa"

A mostrar 1 - 2 de 2
  • Development and validation of a comfort-measuring scale for elderly individuals with chronic conditions
    Publication . Marques, Rita; Veludo, Filipa; Sousa, Patrícia Pontífice; Dixe, Maria dos Anjos
    Background Ageing is associated with chronic diseases and successive losses, which affect the comfort experienced by the elderly. Hence, in that population, comfort must be viewed as a need, and health care professionals (particularly nurses) should promote it through their interventions. This work aimed at developing a scale to assess comfort in elderly individuals with chronic conditions and determining the aforesaid scale’s psychometric characteristics (validity and reliability), while ascertaining the comfort levels experienced by the participants. Methods Our sample comprised 454 chronically ill elderly individuals, either hospitalized, or in residential care/at home. As regards descriptive statistics, we calculated various summary measures. Validity was appraised via exploratory factor analysis, considering the main components. We performed varimax rotation and factor extraction (in which factors with eigenvalues > 1 were extracted). Reliability was established by calculating internal consistency, using Cronbach’s alpha. For each scale item, we examined the corrected item-test correlation. Additionally, we calculated skewness and kurtosis, also carrying out a confirmatory factor analysis. Results The exploratory factor analysis produced a scale with 38 items and five factors, which fitted the data and explained a variance of 61.355%. The values of the Kaiser-Meyer-Olkin test and the Bartlett’s test (sphericity) were 0.943 and 12055.962, respectively (both with p < 0.001). Our model was substantiated by the confirmatory factor analysis (χ² = 2884.242; df = 660; RMSEA = 0.086; CFI = 0.811; TLI = 0.798; SRMR = 0.066) and the Cronbach’s alpha coefficient was 0.959. The summary measures showed that, overall, the participants experienced good comfort levels (Mean = 3.64; SD = ±0.676), revealing higher comfort levels in the “Spirituality and meaning of life” dimension (Mean = 3.79; SD = ±0.742) and lower comfort levels in the “Normality of life” dimension (Mean = 3.39; SD = ±0.922). Conclusion The scale demonstrated suitable psychometric properties, ensuring its validity and reliability in assessing comfort in elderly individuals with chronic conditions. Its five-factor structure enables a comprehensive evaluation, highlighting key comfort dimensions. These findings support targeted interventions, aiding healthcare professionals in improving care and informing evidence-based practices and health policies to enhance well-being. Implications for nursing and health policy By measuring comfort levels in chronically ill elderly individuals, it is possible to plan/improve the comforting care provided by the involved professionals (namely nurses).
    2025-04-04Artigo científico Acesso aberto Ver mais
  • Global Comfort Scale: construção e validação de conteúdo
    Publication . Veludo, Filipa; Marques, Rita; Pontífice-Sousa, Patrícia; Dixe, Maria dos Anjos; Cunha, Madalena
    Introdução:O conforto é um indicador de boas práticas pelo que é fundamental a sua promoção e avaliação, qualquer que seja a condição de saúde/doença da pessoa.Objetivo: Construir e validar o conteúdo da Global Comfort Scale.Métodos:Estudo metodológico. A validação de conteúdo foi realizada com recurso à técnica de e-Delphi com peritos que se pronunciaram acerca da clareza, pertinência e relevância. A validade de conteúdo dos itens foi verificada através do IVC-I e da escala através do IVC-S. O pré-teste efetivou-se por reflexão falada a 20 elementos da população alvo (pessoas adultas ou idosas, saudáveis ou em situação de doença) e aplicou-se a versão final do instrumento a 43 participantes.Resultados:12 peritos avaliaram o conteúdo dos itens do instrumento através de uma escala de resposta tipo Likert, tendo resultado numa escala final constituída por 55 itens com um critério de aceitabilidade superior a 0,80. Obteve-se um IVC-S relativo à clareza de 0,97; à pertinência de 0,90 e à relevância de 0,93, o que confirma a validade do conteúdo. Na reflexão falada, os participantes não tiveram dificuldades nem sugestões. Os 43 participantes, apresentam um bom nível de conforto em todos os itens. Verificámos um alfa de Cronbach de 0,981 e valores de correlação de Pearson do item com o total da escala sem o item entre 0,247 e 0,879.Conclusão:O instrumento apresentou bom índice de validade de conteúdo, seguindo-se numa fase posterior a validação psicométrica.
    2025-02-05Artigo científico Acesso aberto Ver mais