Validación de la escala Kidney Disease Quality of Life Short Form 36 (KDQOL-36) para la evaluación de la calidad de vida en pacientes colombianos con enfermedad renal crónica

ilustraciones, graficas

Autores:
Valderrama Rios, Martha Carolina
Tipo de recurso:
Fecha de publicación:
2023
Institución:
Universidad Nacional de Colombia
Repositorio:
Universidad Nacional de Colombia
Idioma:
spa
OAI Identifier:
oai:repositorio.unal.edu.co:unal/83986
Acceso en línea:
https://repositorio.unal.edu.co/handle/unal/83986
https://repositorio.unal.edu.co/
Palabra clave:
610 - Medicina y salud::616 - Enfermedades
Comodidad del paciente
Pacientes
Patient Comfort
Patients
Insuficiencia Renal Crónica
Calidad de vida
Estudio de validación
Colombia
Kidney Failure Chronic
Quality of Life
Validation Studies
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openAccess
License
Atribución-NoComercial-SinDerivadas 4.0 Internacional
id UNACIONAL2_f6730a723ef511e2e58c968696ec8dbe
oai_identifier_str oai:repositorio.unal.edu.co:unal/83986
network_acronym_str UNACIONAL2
network_name_str Universidad Nacional de Colombia
repository_id_str
dc.title.spa.fl_str_mv Validación de la escala Kidney Disease Quality of Life Short Form 36 (KDQOL-36) para la evaluación de la calidad de vida en pacientes colombianos con enfermedad renal crónica
dc.title.translated.eng.fl_str_mv Validation of the Kidney Disease Quality of Life Short Form 36 (KDQOL-36) scale for the evaluation of quality of life in Colombian patients with chronic kidney disease
title Validación de la escala Kidney Disease Quality of Life Short Form 36 (KDQOL-36) para la evaluación de la calidad de vida en pacientes colombianos con enfermedad renal crónica
spellingShingle Validación de la escala Kidney Disease Quality of Life Short Form 36 (KDQOL-36) para la evaluación de la calidad de vida en pacientes colombianos con enfermedad renal crónica
610 - Medicina y salud::616 - Enfermedades
Comodidad del paciente
Pacientes
Patient Comfort
Patients
Insuficiencia Renal Crónica
Calidad de vida
Estudio de validación
Colombia
Kidney Failure Chronic
Quality of Life
Validation Studies
title_short Validación de la escala Kidney Disease Quality of Life Short Form 36 (KDQOL-36) para la evaluación de la calidad de vida en pacientes colombianos con enfermedad renal crónica
title_full Validación de la escala Kidney Disease Quality of Life Short Form 36 (KDQOL-36) para la evaluación de la calidad de vida en pacientes colombianos con enfermedad renal crónica
title_fullStr Validación de la escala Kidney Disease Quality of Life Short Form 36 (KDQOL-36) para la evaluación de la calidad de vida en pacientes colombianos con enfermedad renal crónica
title_full_unstemmed Validación de la escala Kidney Disease Quality of Life Short Form 36 (KDQOL-36) para la evaluación de la calidad de vida en pacientes colombianos con enfermedad renal crónica
title_sort Validación de la escala Kidney Disease Quality of Life Short Form 36 (KDQOL-36) para la evaluación de la calidad de vida en pacientes colombianos con enfermedad renal crónica
dc.creator.fl_str_mv Valderrama Rios, Martha Carolina
dc.contributor.advisor.none.fl_str_mv Sánchez Pedraza, Ricardo
dc.contributor.author.none.fl_str_mv Valderrama Rios, Martha Carolina
dc.subject.ddc.spa.fl_str_mv 610 - Medicina y salud::616 - Enfermedades
topic 610 - Medicina y salud::616 - Enfermedades
Comodidad del paciente
Pacientes
Patient Comfort
Patients
Insuficiencia Renal Crónica
Calidad de vida
Estudio de validación
Colombia
Kidney Failure Chronic
Quality of Life
Validation Studies
dc.subject.decs.spa.fl_str_mv Comodidad del paciente
Pacientes
dc.subject.decs.eng.fl_str_mv Patient Comfort
Patients
dc.subject.proposal.spa.fl_str_mv Insuficiencia Renal Crónica
Calidad de vida
Estudio de validación
Colombia
dc.subject.proposal.eng.fl_str_mv Kidney Failure Chronic
Quality of Life
Validation Studies
description ilustraciones, graficas
publishDate 2023
dc.date.accessioned.none.fl_str_mv 2023-06-07T14:25:41Z
dc.date.available.none.fl_str_mv 2023-06-07T14:25:41Z
dc.date.issued.none.fl_str_mv 2023-04-17
dc.type.spa.fl_str_mv Trabajo de grado - Maestría
dc.type.driver.spa.fl_str_mv info:eu-repo/semantics/masterThesis
dc.type.version.spa.fl_str_mv info:eu-repo/semantics/acceptedVersion
dc.type.content.spa.fl_str_mv Text
dc.type.redcol.spa.fl_str_mv http://purl.org/redcol/resource_type/TM
status_str acceptedVersion
dc.identifier.uri.none.fl_str_mv https://repositorio.unal.edu.co/handle/unal/83986
dc.identifier.instname.spa.fl_str_mv Universidad Nacional de Colombia
dc.identifier.reponame.spa.fl_str_mv Repositorio Institucional Universidad Nacional de Colombia
dc.identifier.repourl.spa.fl_str_mv https://repositorio.unal.edu.co/
url https://repositorio.unal.edu.co/handle/unal/83986
https://repositorio.unal.edu.co/
identifier_str_mv Universidad Nacional de Colombia
Repositorio Institucional Universidad Nacional de Colombia
dc.language.iso.spa.fl_str_mv spa
language spa
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dc.publisher.faculty.spa.fl_str_mv Facultad de Medicina
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dc.publisher.branch.spa.fl_str_mv Universidad Nacional de Colombia - Sede Bogotá
institution Universidad Nacional de Colombia
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spelling Atribución-NoComercial-SinDerivadas 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Sánchez Pedraza, Ricardo71d39599cff2e2eb6af28ec7d259fc60Valderrama Rios, Martha Carolinab087bb2c73d3b359021676e7b32f180d2023-06-07T14:25:41Z2023-06-07T14:25:41Z2023-04-17https://repositorio.unal.edu.co/handle/unal/83986Universidad Nacional de ColombiaRepositorio Institucional Universidad Nacional de Colombiahttps://repositorio.unal.edu.co/ilustraciones, graficasIntroducción: Dada la importancia de la calidad de vida como un desenlace en salud durante la atención de los pacientes con enfermedad renal crónica (ERC) estadio 5 en diálisis, es necesario disponer de evidencia sobre las propiedades clinimétricas de los instrumentos empleados para la medición de este constructo. Objetivo: Establecer las propiedades clinimétricas de la escala Kidney Disease Quality of Life Short Form 36 (KDQOL-36) para medir calidad de vida en pacientes con enfermedad renal crónica estadio 5 en diálisis en Colombia. Métodos: Se realizó un estudio de validación de escala usando las metodologías de teoría clásica de los test y teoría de respuesta al Ítem. El análisis estadístico incluyó las técnicas de análisis factorial exploratorio y confirmatorio, evaluaciones de validez de criterio concurrente, consistencia interna, confiabilidad test-retest, y sensibilidad al cambio; así como la evaluación de las propiedades de ajuste de los ítems y de las personas, la estimación de los índices de separación y confiabilidad de personas e ítems, la evaluación de ítems redundantes o de regiones del constructo no cubiertas y del número de categorías de respuesta empleadas. Resultados: Se aplico la escala KDQOL-36 a 506 pacientes con diagnóstico de ERC estadio 5 en diálisis, atendidos en cinco unidades renales de Baxter Renal Care Services®, en Bogotá, Colombia. El análisis factorial exploratorio confirmó la estructura de tres factores de la escala, y el análisis factorial confirmatorio mostró un adecuado ajuste del modelo. Se encontraron valores de correlación de Spearman en general >= 0,50 entre los dominios del núcleo específico para la ERC de la escala KDQOL-36 y del Kidney Disease Questionnaire (KDQ). Los coeficientes alfa de Cronbach, omega de McDonald, GLB, y lambda de Guttman, estuvieron entre 0,89 y 0,94, indicando un alto grado de consistencia. Se encontró un alto nivel de correlación-concordancia entre los dos momentos de aplicación del instrumento, con valores para el coeficiente de correlación-concordancia de Lin >= 0,7. Se observaron diferencias significativas entre las medianas de los puntajes obtenidos después de experimentar un evento que pueda modificar la calidad de vida. Se encontraron adecuados índices de confiabilidad (>= 0.85) y separación (> 2.20) tanto para personas como para ítems. Se identificó que los ítems de la escala miden un rango del constructo más reducido que el presentado en esta muestra de pacientes, lo que sugiere considerar la necesidad de incorporar ítems que permitan ampliar el rango para cubrir las mediciones con mejor calidad de vida o con menor impacto de la ERC en el constructo. Conclusiones: La escala KDQOL-36 es un instrumento adecuado para medir calidad de vida en pacientes colombianos con ERC estadio 5 en diálisis. (Texto tomado de la fuente)Introduction: Given the importance of quality of life as a health outcome during the care of patients with stage 5 chronic kidney disease (CKD) on dialysis, it is necessary to have evidence on the clinimetric properties of the instruments used to measure this construct. Objective: To establish the clinimetric properties of the Kidney Disease Quality of Life Short Form 36 (KDQOL-36) scale to measure quality of life in patients with stage 5 CKD on dialysis in Colombia. Methods: A scale validation study was conducted using classical test theory and item response theory methodologies. The statistical analysis included exploratory and confirmatory factor analysis techniques, evaluations of concurrent criterion validity, internal consistency, test-retest reliability, and sensitivity to change; as well as the evaluation of item and person fit properties, the estimation of person and item separation and reliability indices, the evaluation of redundant items or regions of the construct not covered, and the number of response categories used. Results: The KDQOL-36 scale was applied to 506 patients with a diagnosis of stage 5 CKD on dialysis, attended in five renal units of Baxter Renal Care Services®, in Bogotá, Colombia. The exploratory factor analysis confirmed the three-factor structure of the scale, and the confirmatory factor analysis showed adequate model fit. Overall Spearman correlation values >= 0.50 were found between the domains of the CKD-specific core of the KDQOL-36 scale and the Kidney Disease Questionnaire (KDQ). Cronbach's alpha, McDonald's omega, GLB, and Guttman's lambda coefficients were between 0.89 and 0.94, indicating a high degree of consistency. A high level of correlation-concordance was found between the two moments of application of the instrument, with values for the correlation-concordance coefficient of Lin >= 0.7. Significant differences were observed between the medians of the scores obtained after experiencing an event that could modify quality of life. Adequate reliability (>= 0.85) and separation (> 2.20) indices were found for both persons and items. It was identified that the scale items measure a narrower range of the construct than the presented in this sample of patients, which suggests considering the need to incorporate items that allow the range to be expanded to cover measurements with better quality of life or less impact of CKD on the construct. Conclusions: The KDQOL-36 scale is an adequate instrument to measure quality of life in Colombian patients with stage 5 CKD on dialysis.MaestríaMagíster en Ciencias Epidemiología Clínicaxvii, 117 páginasapplication/pdfspaUniversidad Nacional de ColombiaBogotá - Medicina - Maestría en Epidemiología ClínicaFacultad de MedicinaBogotá, ColombiaUniversidad Nacional de Colombia - Sede Bogotá610 - Medicina y salud::616 - EnfermedadesComodidad del pacientePacientesPatient ComfortPatientsInsuficiencia Renal CrónicaCalidad de vidaEstudio de validaciónColombiaKidney Failure ChronicQuality of LifeValidation StudiesValidación de la escala Kidney Disease Quality of Life Short Form 36 (KDQOL-36) para la evaluación de la calidad de vida en pacientes colombianos con enfermedad renal crónicaValidation of the Kidney Disease Quality of Life Short Form 36 (KDQOL-36) scale for the evaluation of quality of life in Colombian patients with chronic kidney diseaseTrabajo de grado - Maestríainfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/acceptedVersionTexthttp://purl.org/redcol/resource_type/TMColombiaKidney Disease: Improving Global Outcomes (KDIGO) CKD Work Group. 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TIMSS 2019 item writing guidelines. Retrieved from Boston College, TIMSS & PIRLS International Study Center. 2017.ORIGINAL1020741451.2023.pdf1020741451.2023.pdfTesis de Maestría en Epidemiología Clínicaapplication/pdf3221176https://repositorio.unal.edu.co/bitstream/unal/83986/2/1020741451.2023.pdfef353be3a3a22a162584ece381f7eee8MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-85879https://repositorio.unal.edu.co/bitstream/unal/83986/1/license.txteb34b1cf90b7e1103fc9dfd26be24b4aMD51THUMBNAIL1020741451.2023.pdf.jpg1020741451.2023.pdf.jpgGenerated Thumbnailimage/jpeg5847https://repositorio.unal.edu.co/bitstream/unal/83986/3/1020741451.2023.pdf.jpg8f3ff9a41b13dc1d85470003f148a7faMD53unal/83986oai:repositorio.unal.edu.co:unal/839862023-08-07 23:04:18.388Repositorio Institucional Universidad Nacional de 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