Tradução, adaptação e validação da Toronto Symptom Assessment System for Wounds (TSAS-W) para português

Autores

  • Helena Vicente Instituto Português de Oncologia de Lisboa Francisco Gentil E.P.E., Consulta Multidisciplinar de Estudo e Tratamento de Feridas, Lisboa, Portugal https://orcid.org/0000-0002-8083-4130
  • Dora Lisa Rocha Franco Ordem dos Enfermeiros, Região Sul, Lisboa, Portugal https://orcid.org/0000-0002-8263-3631
  • Cristina Alexandra de Sousa e Silva Instituto Português de Oncologia de Lisboa Francisco Gentil E.P.E., Consulta Multidisciplinar de Estudo e Tratamento de Feridas, Lisboa, Portugal https://orcid.org/0000-0001-7584-8004
  • Sara Rodrigues Crespim Carvalhal Instituto Português de Oncologia de Lisboa Francisco Gentil E.P.E., Consulta Multidisciplinar de Estudo e Tratamento de Feridas, Lisboa, Portugal; Instituto Português de Oncologia de Lisboa Francisco Gentil E.P.E., Cirurgia Geral, Lisboa, Portugal https://orcid.org/0000-0002-0867-5876
  • Ana Maria Neves Rocha Escola Superior de Enfermagem de Coimbra, Unidade Cientifico Pedagógica de Enfermagem Fundamental, Coimbra, Portugal https://orcid.org/0000-0002-2571-9607
  • Katia Augusta Xavier Furtado Unidade Local de Saúde do Norte Alentejano, Out-patient department, Portalegre, Portugal https://orcid.org/0000-0002-1130-3678
  • Sérgio Joaquim Deodato Universidade Católica Portuguesa, Centre for Interdisciplinary Research in Health, Institute of Health Sciences, School of Nursing, Lisboa, Portugal https://orcid.org/0000-0002-8076-8276
  • Tânia Manuel Carvalho Universidade Católica Portuguesa, Centre for Interdisciplinary Research in Health, Institute of Health Sciences, School of Nursing, Porto, Portugal https://orcid.org/0000-0003-0915-9950
  • Elisabete Maria Garcia Teles Nunes Innovation and Development Center of Lisbon, Nursing School of Lisbon, Lisboa, Portugal https://orcid.org/0000-0001-7598-0670
  • Paulo Jorge Pereira Alves Universidade Católica Portuguesa, Centre for Interdisciplinary Research in Health, Institute of Health Sciences, School of Nursing, Lisboa, Portugal; Universidade Católica Portuguesa, Centre for Interdisciplinary Research in Health, Institute of Health Sciences, School of Nursing, Porto, Portugal https://orcid.org/0000-0002-6348-3316

DOI:

https://doi.org/10.31877/on.2024.50.05%20

Palavras-chave:

Feridas complexas, Cuidados paliativos, Conforto, Qualidade de vida, Estudos de validação

Resumo

Quando o foco não é a cicatrização, mas a gestão efetiva de sintomas e o conforto do doente, exige-se uma avaliação sistemática de sintomas. A Toronto Symptom Assessment System for Wounds (TSAS-W), é uma ferramenta que mede eficazmente os sintomas de feridas complexas. O objetivo deste estudo foi traduzir, adaptar e validar a TSAS-W para o contexto português, analisando a sua fiabilidade e aplicabilidade.

Foi um estudo metodológico de adaptação transcultural, de natureza quantitativa, transversal, observacional e descritivo. A versão final da escala contemplou 10 itens.
A recolha de dados decorreu em duas Instituições Hospitalares Oncológicas e em uma Rede de Cuidados Continuados Integrados, entre outubro de 2018 e maio de 2019 com uma amostra de 90 doentes com 94 feridas crónicas.

A ferramenta revelou uma forte consistência interna com Coeficiente de alpha de Cronbach de 0,827 na 1ª avaliação e 0,867 na 2ª avaliação. Esta validação veio colmatar a ausência de instrumentos de registo para feridas não cicatrizáveis, objetivando a otimização de cuidados e conforto do doente.

Downloads

Não há dados estatísticos.

Referências

1. Maida, V., Ennis, M., & Corban, J. (2012). Wound outcomes in Individuals with advanced illness. International Journal of Wounds, 9, 683–692.

2. Ennis, J., et al. (2017). Wound healing outcomes: Using big data and a modified intent-to-treat method as a metric for reporting healing rates. Wound Repair and Regeneration, 25(4), 665-672. https://doi.org/10.1111/wrr.12575

3. Hess, C. (2020). Checklist for successful wound healing outcomes. Advances in Skin & Wound Care, 33(1), 54-55. https://doi.org/10.1097/01.ASW.0000617008.87552.bc

4. Sibbald, R. G., et al. (2011). Special considerations in wound bed preparation: An update. Journal of Wound Care, September. Retrieved from www.woundcarejournal.com

5. Sibbald, G., et al. (2021). Wound bed preparation. Advances in Skin & Wound Care, 34(4), 183-195. https://doi.org/10.1097/01.ASW.0000733724.87630.d6

6. McManus, J. (2007). Principles of skin and wound care: The palliative approach. End of Life Care, 1(1), 8-19.

7. Maida, V., Ennis, M., & Kuziemsky, C. (2009). The Toronto Symptom Assessment System for Wounds: A new clinical and research tool. Advances in Skin & Wound Care, 22(10), 468-474.

8. Maida, V., et al. (2009). Wounds and survival in cancer Individuals. European Journal of Cancer, 45, 3237-3242.

9. Alexander, S. (2009). Malignant fungating wounds: Managing malodor and exudate. Journal of Wound Care, 18(9), 374-382.

10. Garbuio, C., et al. (2018). Assessment tools for the healing of wounds: An integrative review. Revista Eletrônica de Enfermagem, 20, v20a40. https://doi.org/10.5216/ree.v20.4

11. Cardinelli, C., et al. (2021). Instruments for wound assessment: Scoping review. Research, Society and Development, 10(11), e144101119246. https://doi.org/10.33448/rsd-v10i11.19246

12. Maida, V., et al. (2008). Correlation between Braden Scale and Palliative Performance Scale in advanced illness. International Journal of Wounds, 5(4), 585–590.

13. Alves, P., et al. (2017). Differential diagnosis in pressure ulcers and medical devices. Ceska a Slovenska Neurologie a Neurochirurgie. 80/113(Suppl 1), S29–S35. https://doi.org/10.14735/amcsnn2017S

14. Alves, P., et al. (2022). Shifting the distribution curve for healthcare resource use through topical oxygen therapy for wound healing. Journal of Wound Care, 31(3), 196-206. https://doi.org/10.12968/jowc.2022.31.3.196

15. EPUAP/NPIAP/PPPIA. (2019). Prevention and Treatment of Pressure Ulcers/Injuries: Quick Reference Guide (E. Haesler, Ed.).

16. European Oncology Nursing Society (EONS). (2015). Recommendations for the care of Individuals with malignant fungating wounds. https://www.nfnn.com.au/wp-content/uploads/2020/01/EONSMalignantFungatingWounds.pdf

17. Robinson, P., & Holloway, S. (2019). Psychological factors associated with malignant fungating breast wounds. Journal of the European Wound Management Association, 20(2), 19-22. https://doi.org/10.35279/jewma201910.02

18. Reynolds, H., & Gethin, G. (2015). The psychological effects of malignant fungating wounds. Journal of the European Wound Management Association, 15(2), 29-32.

19. White D & Kondasinghe S. . Managing a malignant wound in palliative care. Wound Practice and Research 2022; 30(3):150-157 DOI: 10.33235/wpr.30.3.150-157

20. Grocott, P., Gethin, G., & Probst, S. (2013). Malignant wound management in advanced illness: New insights. Current Opinion in Supportive and Palliative Care, 7, 101–105. https://doi.org/10.1097/SPC.0b013e32835c0482

21. Fromantin, I., et al. (2014). A prospective, descriptive cohort study of malignant wound characteristics and wound care strategies in Individuals with breast cancer. Ostomy Wound Management, 60, 38–46.

22. Vicente, H. (2017). Úlceras Malignas. In R. Marques & A. Parreira (Eds.), Feridas: Manual de boas práticas (pp. 188-200). Lisboa: Lidel.

23. Vardhan, M., et al. (2019). The microbiome, malignant fungating wounds, and palliative care. Frontiers in Cellular and Infection Microbiology, 9, 373. https://doi.org/10.3389/fcimb.2019.00373

24. Merz, T., et al. (2011). Fungating wounds - Multidimensional challenge in palliative care. Breast Care, 6, 21–24. https://doi.org/10.1159/000324923

25. Marques, R., & Veludo, F. A. (2019). Competências do gestor de feridas: Scoping review. Revista Gaúcha de Enfermagem, 40, e20180421. https://doi.org/10.1590/1983-1447.2019.20180421

26. Lo, S., Hayter, M., & Hu, W. (2011). Symptom burden and quality of life in Individuals with malignant fungating wounds. Journal of Advanced Nursing, 1-10.

27. International Consensus. (2012). Optimising wellbeing in people living with a wound: An expert working group review. Wounds International. http://www.woundsinternational.com

28. Vicente, H., Matos, M., Gomes, S., Rocha, A., Carvalhal, S., Ramos, P., & Moura, A. (2021). (Des)Cobrindo a ferida maligna. Associação Portuguesa de Tratamento de Feridas.

29. Vicente, H., Rocha, A., Ramos, P., Matos, M., Gomes, S., & Carvalhal, S. (2023). Feridas na pessoa em situação paliativa. Associação Portuguesa de Tratamento de Feridas.

30. Naylor, W. (2002). Part 2: Symptom self-assessment in the management of fungating wounds. Worldwide Wounds. http://www.worldwidewounds.com/2002/july/Naylor-Part2/Wound-Assessment-Tool.html

31. Schulz, V., et al. (2009). The malignant wound assessment tool: A validation study using a Delphi approach. Palliative Medicine, 23, 266–273. https://doi.org/10.1177/0269216309102536

32. Browne, N., et al. (2004). Woundcare research for appropriate products (WRAP): Validation of the TELER method involving users. International Journal of Nursing Studies, 41(5), 559-571. https://doi.org/10.1016/j.ijnurstu

33. Akhmetova, A., et al. (2016). A comprehensive review of topical odor-controlling treatment options for chronic wounds. Journal of Wound Ostomy Continence Nursing, 43(6), 598-609. https://doi.org/10.1097/WON.0000000000000273

34. Guillemin, F., Bombardier, C., & Beaton, D. (1993). Cross-cultural adaptation of health-related quality of life measures: Literature review and proposed guidelines. Journal of Clinical Epidemiology, 46(12), 1417–1432.

35. Beaton, D., Bombardier, C., Guillemin, F., & Ferraz, M. B. (2000). Guidelines for the process of cross-cultural adaptation of self-report measures. Spine, 25(24), 3186-3191.

36. Beaton, D., et al. (2007). Recommendations for the cross-cultural adaptation of the DASH & QuickDASH outcome measures. Institute for Work & Health.

37. Pestana, M., & Gageiro, J. (2005). *Análise de dados para ciências. Análise de Dados para Ciências Sociais. A complementaridade do SPSS. Lisboa: Edições Silabo, 2014.

Downloads

Publicado

02-04-2025

Como Citar

1.
Vicente H, Lisa Rocha Franco D, Alexandra de Sousa e Silva C, Rodrigues Crespim Carvalhal S, Maria Neves Rocha A, Augusta Xavier Furtado K, et al. Tradução, adaptação e validação da Toronto Symptom Assessment System for Wounds (TSAS-W) para português. Onco.News [Internet]. 2 de Abril de 2025 [citado 3 de Abril de 2025];(50):0267. Disponível em: https://onco.news/index.php/journal/article/view/267

Edição

Secção

Artigos de Investigação

Artigos Similares

1 2 3 4 5 6 7 8 9 10 > >> 

Também poderá iniciar uma pesquisa avançada de similaridade para este artigo.