Critérios para avaliação da qualidade de coberturas de espuma de poliuretano utilizadas no tratamento de feridas

Abstract

OBJECTIVES: To validate an instrument with criteria for assessing the quality of polyurethane foam coverings for the treatment of skin wounds. METHOD: This is a methodological and evaluative study accomplished out in two stages. In the first, there was a literature review and elaboration of the instrument with criteria and expected results and in the second, the validation of this instrument by a committee of nine judges formed by seven nurses and two users with venous ulcers. The evaluation by the committee was carried out in two moments using the Likert Scale. The data were analyzed using descriptive statistics and measures of central tendency, and the agreement assessment using the Kappa content assessment index with Content Validity Index (CVI) and global CVI. RESULTS: In the first stage, nine articles were selected, published from 2009 to 2019, which allowed the elaboration of eleven criteria and sixteen expected results. The first evaluation obtained CVIg 0.99 and a perfect agreement level. The criteria “hypoallergenic” and “semipermeable” were changed and “cut-out” and its expected result were included. The expected results of the “absorption”, “semipermeable”, “durability” and “adhesive edge effectiveness” criteria were reviewed. In the second evaluation, Kappa coefficient 1.00 and CVIg 1.0 were reached, leaving the instrument with twelve criteria and nineteen expected results to evaluate the quality of the polyurethane foam coverings. CONCLUSION: The study allowed the construction and validation of an instrument to assess the quality of polyurethane foam coverings with attributes so that nurses can use it in clinical practice, directing them to more correct choices in favor of user care.