Construção e validação de instrumento para avaliação e acompanhamento de feridas em portadores de Diabetes Mellitus na atenção primária à saúde

Abstract

Brazil has a high prevalence of Chronic Noncommunicable Diseases, especially diabetes mellitus, which is an important public health problem that compromises the quality of life of users of the Unified Health System. This study aims to build and validate an assessment instrument and Wound monitoring for people with type 2 diabetes mellitus in Primary Health Care in the city of Caicó. This is a methodological study divided into two major stages: instrument construction and content validation. For the construction, an integrative literature review was carried out using articles selected from national and international databases. The study population was made up of volunteer experts, who after guidance, clarification, authorization and signing of the free and informed consent record, validated the content of the instrument. The data found was entered into Microsoft Excel 2021 and tabulated manually. For data analysis, the Content Validation Index was used, calculating through the judges' agreement according to each item of the instrument. Please note that all judges have experience with diabetic wound care. Furthermore, of 25 sub-items of the instrument, only 5 of them (20%) had a CVI lower than 1, with the remainder having a CVI equal to 1. Thus, all judges established “relevant” or “very relevant” concepts. to the items, thus providing an excellent result for the instrument. After validating the proposed instrument and completing the study, we assume that the municipality of Caicó will receive subsidies for the implementation of a Skin Commission, which will provide systematized assistance for applying dressings and treating patients with injuries.