Traducción, Adaptación Cultural y Validación de la Hemodialysis Arteriovenous Access Cosmesis Scale al Portugués Europeo
DOI:
https://doi.org/10.12707/RVI25.78.43475Palabras clave:
fístula arteriovenosa, diálisis renal, imagen corporal, estudios de validación, cuestionarios, medidas de resultados informados por el pacienteResumen
Marco contextual: La estética del acceso vascular (AV) es una dimensión subjetiva, pero clinicamente relevante en la hemodiálisis (HD), que influye en la imagen corporal, la autoestima y la adhesión al tratamiento. La Hemodialysis Arteriovenous Access Cosmesis Scale (AVACS) es el único instrumento conocido que evalúa esta percepción estética.
Objetivo: Traducción, adaptación cultural, validez de contenido, prueba preliminar y validez aparente de la AVACS al portugués europeo.
Metodología: Estudio metodológico realizado en tres fases: (1) traducción y adaptación cultural; (2) evaluación de la validez de contenido con 14 expertos; (3) prueba preliminar con 20 pacientes y 20 profesionales, y evaluación de la validez aparente mediante entrevistas semiestructuradas.
Resultados: La Hemodialysis Arteriovenous Access Cosmesis Scale – versión portuguesa (AVACS-PT) alcanzó la equivalencia lingüística con la versión original. Los ítems presentaron un índice de validez de contenido = 0,80 y un coeficiente Kappa excelente. La prueba preliminar y la validez aparente demostraron la claridad, la pertinencia y la aplicabilidad clínica de la AVACS-PT.
Conclusión: La AVACS-PT es lingüística y culturalmente equivalente, clara y válida para evaluar la estética del AV arteriovenoso en pacientes en HD en Portugal.
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