Validação e comprovação da versão brasileira do questionário Continence Specific Paediatric Quality of life measurement tools (PINQ) em crianças com disfunção trato urinário inferior
Data
2024-09-20
Autores
Quintino, Angélica 
Orientadores
Macedo Junior, Antônio
Tipo
Dissertação de mestrado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Objetivos: Realizar a validação e comprovação do questionário PinQ para a língua portuguesa e comparar sua eficácia com o questionário DVSS na avaliação de qualidade de vida em crianças com DTUI. Introdução: Questionários de qualidade de vida são instrumentos cada vez mais aplicados em Medicina. A incontinência urinária constitui um problema que comprovadamente afeta a auto-estima de pacientes com distúrbios urinários, sejam eles neurogênicos e não neurogênicos. Na disfunção do trato urinário inferior dispõe-se de dois questionários já validados para português, o DVSS e AuQuei. Uma nova ferramenta com este mesmo objetivo foi desenvolvida por Bower (2006), denominada PinQ, com o diferencial de avaliar num mesmo estudo tanto características da disfunção e seu impacto na qualidade de vida dos pacientes. Objetivo: O objetivo do seguinte estudo foi validar e comprovar o questionário de qualidade de vida PinQ para crianças brasileiras com disfunção do trato urinário inferior e no mesmo ato submeter pacientes a tratamento padronizado, aplicando também o questionário DVSS para comparar os resultados com os dois métodos. Métodos: O questionário PinQ foi traduzido para a Língua Portuguesa por dois sujeitos distintos com fluência em inglês, sendo um da área da saúde. Realizou-se então a síntese das duas traduções para então promover a retrotradução para a Língua Inglesa por outros dois sujeitos segundo os mesmos requisitos. Desta forma, o questionário pôde ser analisado por um comitê de especialistas formado por um médico, três fisioterapeutas (uma sendo a autora) e dois profissionais de literatura inglesa. Cada paciente recebeu 15 atendimentos, sendo um de avaliação e aplicação de questionários e 14 sessões de tratamento e reaplicação do questionário na conclusão. Os escores obtidos nos dois questionários antes e após o tratamento foram utilizados para comparar a eficácia do tratamento e validar o questionário PinQ. Resultados: Foram realizados 300 atendimentos com 20 pacientes, sendo que cada paciente teve 15 atendimentos semanais, onde os indivíduos apresentaram uma média de 8.95 anos. A análise do questionário PinQ apresentou um escore p-valor= 0.0051, e na análise do questionário DVSS, obtivemos um escore p-valor=0.0055, demonstrando assim um resultado significante na melhora da qualidade de vida das crianças em ambos os questionários. Conclusão: O presente trabalho permitiu comprovar a eficácia de uma ferramenta em língua portuguesa que permite avaliar o real impacto da qualidade de vida em crianças e adolescentes com disfunção trato urinário inferior.
Objectives: To validate the PinQ questionnaire into Portuguese and compare its effectiveness with the DVSS questionnaire in assessing quality of life in children with LUTD. Introduction: Quality of life questionnaires are instruments increasingly applied in Medicine. Urinary incontinence is a problem that has been proven to affect the self-esteem of patients with neurogenic and non-neurogenic disorders. In lower urinary tract disorders, there are two questionnaires already validated for Portuguese, the DVSS and AuQuei. A new tool with this same objective was developed by Bower (2006), called PinQ, with the difference of evaluating both characteristics of the dysfunction and its impact on patients' quality of life in the same study. Objective: The objective of our study was to validate the PinQ quality of life questionnaire for Brazilian children with bladder dysfunction and provide treatment, also applying the DVSS questionnaire to compare the results with both methods. Methods: The PinQ questionnaire was translated into Portuguese by two different individuals with fluency in English, one from the health area. A synthesis of the two translations was then carried out to then promote the back-translation into English by two other individuals according to the same requirements. The questionnaire has been then analyzed by a committee of experts composed of a physician, three physiotherapists (one being the author) and two English literature professionals. Each patient received 15 consultations, one for evaluation and application of questionnaires and 14 of treatment sessions and reapplication of the questionnaire at the conclusion. The scores obtained in the two questionnaires before and after treatment were used to compare the effectiveness of the treatment and validate the PinQ questionnaire. Results: 300 consultations were carried out with 20 patients, with each patient having 15 consultations once a week, where patients had a mean age of 8.95 years. The analysis of the PinQ questionnaire presented a p-value = 0.0051, and in the analysis of the DVSS questionnaire had a p-value = 0.0055, thus demonstrating a significant result in improving the quality of life of children in both questionnaires. Conclusion: We can conclude that the PinQ questionnaire applied in Portuguese proved to be an efficient instrument to evaluate quality of life of pediatric patients presenting with lower urinary tract dysfunction.
Objectives: To validate the PinQ questionnaire into Portuguese and compare its effectiveness with the DVSS questionnaire in assessing quality of life in children with LUTD. Introduction: Quality of life questionnaires are instruments increasingly applied in Medicine. Urinary incontinence is a problem that has been proven to affect the self-esteem of patients with neurogenic and non-neurogenic disorders. In lower urinary tract disorders, there are two questionnaires already validated for Portuguese, the DVSS and AuQuei. A new tool with this same objective was developed by Bower (2006), called PinQ, with the difference of evaluating both characteristics of the dysfunction and its impact on patients' quality of life in the same study. Objective: The objective of our study was to validate the PinQ quality of life questionnaire for Brazilian children with bladder dysfunction and provide treatment, also applying the DVSS questionnaire to compare the results with both methods. Methods: The PinQ questionnaire was translated into Portuguese by two different individuals with fluency in English, one from the health area. A synthesis of the two translations was then carried out to then promote the back-translation into English by two other individuals according to the same requirements. The questionnaire has been then analyzed by a committee of experts composed of a physician, three physiotherapists (one being the author) and two English literature professionals. Each patient received 15 consultations, one for evaluation and application of questionnaires and 14 of treatment sessions and reapplication of the questionnaire at the conclusion. The scores obtained in the two questionnaires before and after treatment were used to compare the effectiveness of the treatment and validate the PinQ questionnaire. Results: 300 consultations were carried out with 20 patients, with each patient having 15 consultations once a week, where patients had a mean age of 8.95 years. The analysis of the PinQ questionnaire presented a p-value = 0.0051, and in the analysis of the DVSS questionnaire had a p-value = 0.0055, thus demonstrating a significant result in improving the quality of life of children in both questionnaires. Conclusion: We can conclude that the PinQ questionnaire applied in Portuguese proved to be an efficient instrument to evaluate quality of life of pediatric patients presenting with lower urinary tract dysfunction.
Descrição
Citação
QUINTINO, Angélica. Validação e comprovação da versão brasileira do questionário Continence Specific Paediatric Quality of life measurement tools (PINQ) em crianças com disfunção trato urinário inferior. 2024. 87 f. Dissertação (Mestrado em Pediatria e Ciências Aplicadas à Pediatria) - Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP). São Paulo, 2024.