Construction and validation of educational technology to prevent complications in intestinal ostomies / periestomy skin

ABSTRACT Objective: To build and validate an educational booklet for preventing complications in intestinal ostomy and peristomy skin. Methods: Methodological study developed in: 1. Survey of the clinical profile of patients; 2. Integrative review; 3. Construction of technology; 4. Validation of educational material. The Delphi technique was used, with 18 judges with expertise in the field of stomatherapy. For data treatment, the Collective Subject Discourse (CSD), descriptive analysis, Kappa Index (K), binomial test and Content Validity Index (CVI) were used. Results: The agreement rate between judges was higher than 0.61, for K p> 0.05, a proportion of 80% for the binomial test and 80% for the CVI. . The booklet showed an excellent index for K, binomial test and global content validity, becoming validated. Final Considerations: The booklet was validated in appearance and content, being an instrument that can favor communication between professionals and people with ostomies.

摘要 研究目的：制定并验证一款用于预防肠造口及造口周围皮肤并发症的教育手册。研究方法：本研究为方法学研究，实施环节包括：1. 患者临床概况调研；2. 整合性文献回顾；3. 教育材料开发；4. 教育材料验证。研究采用德尔菲（Delphi）法，邀请18名造口治疗（stomatherapy）领域的专业评判员参与。数据处理采用集体主体话语分析（Collective Subject Discourse，CSD）、描述性分析、Kappa系数（K）、二项检验及内容效度指数（Content Validity Index，CVI）。研究结果：评判员间的一致性系数高于0.61，K值对应的p>0.05；二项检验通过率为80%，内容效度指数亦达80%。该手册在Kappa系数、二项检验及整体内容效度方面均表现优异，成功通过验证。研究结论：本手册在外观与内容层面均完成验证，可作为促进医护人员与造口患者之间沟通的实用工具。