Abstract

PAEZ ESTEBAN, Astrid Nathalia et al. Construct validity of an instrument to assess patient adherence to antihypertensive treatment. Enferm. glob. [online]. 2014, vol.13, n.34, pp.37-47. ISSN 1695-6141.

Introduction: In nursing, art and science of caring, is important to the use of the nursing process using a standardized language. Therefore, having valid nursing results labels, applied pre and pos intervention, allows the professional to evaluate and demonstrate the impact of such interventions. Especially in the management of common problems in the adult population such as high blood pressure. Objective: Determine the construct validity of the result of nursing "therapeutic conduct: illness or injury" (classification of result NOC 1609) to measure adherence to treatment. Methodology: Study of evaluation of diagnostic technologies nested in cross-sectional population study, carried out in the year 2010. 166 People with hypertension of stratum two and three of Bucaramanga were assessed. The construct validity of the result of nursing "therapeutic conduct: illness or injury" (NOC 1609) to measure adherence to treatment both pharmacological and non-pharmacological was determine using Rasch analysis. Results: The nursing outcome is one-dimensional, it assesses the construct 'adherence'; the five original answers options regrouped in three, to achieve adequate differentiation in the options of answers, thus reaching a good reliability (0.99) and separation of the items (8.90); In addition, data adjusted to the Rasch model (values infit and outfit: > 0.6 and <1.4) and there was no differential behavior by sex (P> 0.05). Conclusion: The result of nursing evaluated is an appropriate instrument to measure the adhesion because it has construct validity.

Keywords : adherence treatment; hypertension; validation studies; nursing.

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