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开发和验证一种用于评估初级卫生保健中艾滋病毒护理的工具。

Development and validation of an instrument for the evaluation of HIV care in Primary Health Care.

机构信息

Universidade de Pernambuco. Recife, Pernambuco, Brazil.

Universidade Federal do Rio Grande do Norte. Natal, Rio Grande do Norte, Brazil.

出版信息

Rev Bras Enferm. 2023 Jan 30;76(1):e20220247. doi: 10.1590/0034-7167-2022-0247. eCollection 2023.

DOI:10.1590/0034-7167-2022-0247
PMID:36722649
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9885365/
Abstract

OBJECTIVE

To develop and validate an instrument to evaluate the decentralization process of care for People Living with HIV in Primary Health Care.

METHOD

Methodological study, developed in four stages: elaboration of the logical model based on the triad Structure-Process-Outcomes; development of the instrument; content validation by expert judges and technical reviewers; and semantic validation. Online questionnaires were used, and the Kappa index was used for analysis.

RESULTS

The instrument with 68 items and 8 factors was submitted to validation by expert judges who recommended the exclusion of 3 items and the alteration of 2 factors. In the validation by technical reviewers, 2 items were excluded and 6 factors were highlighted; the agreement index was ≥0.75. In the semantic validation, 87.3% of the judges answered "totally agree" for the items presented.

CONCLUSION

The instrument is validated for its content, has 63 items and has the potential to assess the care provided for people living with HIV in Primary Health Care.

摘要

目的

开发和验证一种工具,以评估初级卫生保健中艾滋病毒感染者护理的权力下放过程。

方法

这是一项方法学研究,分四个阶段进行:基于结构-过程-结果三角关系的逻辑模型的阐述;工具的开发;专家评审员和技术审查员对内容进行验证;以及语义验证。使用在线问卷进行分析,采用 Kappa 指数。

结果

该工具包含 68 个项目和 8 个因素,经过专家评审员的验证,建议删除 3 个项目并修改 2 个因素。在技术审查员的验证中,有 2 个项目被删除,6 个因素被突出显示;一致性指数≥0.75。在语义验证中,87.3%的评审员对呈现的项目回答“完全同意”。

结论

该工具的内容经过验证,有 63 个项目,有可能评估初级卫生保健中为艾滋病毒感染者提供的护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef6e/9885365/320890a0ebf8/0034-7167-reben-76-01-e20220247-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef6e/9885365/320890a0ebf8/0034-7167-reben-76-01-e20220247-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef6e/9885365/320890a0ebf8/0034-7167-reben-76-01-e20220247-gf01.jpg

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Cad Saude Publica. 2021 Dec 10;37(12):e00344120. doi: 10.1590/0102-311X00344120. eCollection 2021.
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Diagnostic aspects and in-service training in the decentralization of care to people living with HIV.诊断方面和服务培训在艾滋病毒感染者护理分散方面的作用。
Rev Esc Enferm USP. 2021 Oct 8;55:e20210065. doi: 10.1590/1980-220X-REEUSP-2021-0065. eCollection 2021.
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Primary Care Guidance for Persons With Human Immunodeficiency Virus: 2020 Update by the HIV Medicine Association of the Infectious Diseases Society of America.
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Clin Infect Dis. 2021 Dec 6;73(11):e3572-e3605. doi: 10.1093/cid/ciaa1391.
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A comparison of HIV outpatient care in primary and secondary healthcare-level settings in Zimbabwe.津巴布韦初级和二级医疗保健机构中艾滋病毒门诊护理的比较。
Public Health Action. 2020 Sep 21;10(3):92-96. doi: 10.5588/pha.20.0006.
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