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Authors
Advisor(s)
Abstract(s)
Introdução: A saúde ocular exibe uma dimensão social pela implicação ao nível do bem-estar (BE) e qualidade de vida dos indivíduos. A análise dos indicadores de BE assume um papel preponderante no planeamento/ acompanhamento de políticas de saúde, tornando-se de máxima importância nas estratégias de intervenção oftalmológica. Enquanto entidade clínica, o estrabismo constitui uma das principais causas de deficiência visual na infância, passível de influenciar o BE das crianças.
Objetivo: A pesquisa realizada teve como objetivo analisar a influência que as alterações da função visual, nomeadamente o estrabismo divergente intermitente (XTI) em crianças, tem no BE, na perspetiva dos pais.
Métodos: Foi realizado um estudo correlacional sob uma amostra de 30 crianças seguidas por XTI. Procedeu-se à análise da função visual no que respeita ao desvio e à avaliação da perceção de BE dos pais, através da aplicação da versão proxy do IXQT, que implicou a sua tradução e adequação para a língua portuguesa.
Resultados: A tradução e validação do instrumento revelou boa consistência interna (coeficiente alfa de Cronbach = 0,91) e a sua aplicação permitiu constatar uma correlação entre o score de BE e o ângulo de desvio, bem como com o sexo das crianças. As perceções dos pais revelam preocupações relacionadas com o impacto da redução da funcionalidade na vida das crianças, considerando que a ausência de perturbações dos processos de socialização e relação com os pares é protetora do BE. Conclusão: Os quadros com maior severidade clínica apresentam um maior
condicionamento do BE, mas a avaliação do BE requer uma análise integrada do ambiente psicossocial em que a criança está inserida. Destaca-se a importância de considerar as crianças como elementos ativos no processo de aceitação da doença e tratamento. A análise efetuada permitiu redigir um conjunto de orientações para a intervenção em crianças com XTI.
Introduction: Eye health has a social dimension due to its implication at the level of well-being (WB) and quality of life of individuals. The analysis of WB indicators assumes a preponderant role in the planning / monitoring of health policies, becoming of utmost importance in the strategies of ophthalmological intervention. As a clinical entity, strabismus is one of the main causes of visual impairment in childhood, which can influence children's BE. Objective: The research carried out aimed to analyze the influence that changes in visual function, namely intermittent divergent strabismus (XTI) in children, has in BE, from the parents' perspective. Methods: A correlational study was carried out on a sample of 30 children followed by XTI. The visual function was analyzed with respect to the deviation and the assessment of the parents' perception of WB, through the application of the IXQT proxy version, which implied its translation and adaptation to the Portuguese language. Results: The translation and validation of the instrument revealed good internal consistency (Cronbach's alpha coefficient = 0.91) and its application allowed to verify a correlation between the WB score and the angle of deviation, as well as with the children's sex. The parents' perceptions reveal concerns related to the impact of reduced functionality on the children's lives, considering that the absence of disturbances in the socialization processes and the relationship with peers is protective of WB. Conclusion: The conditions with greater clinical severity present a greater conditioning of the WB, but the evaluation of the WB requires an integrated analysis of the psychosocial environment in which the child is inserted. The importance of considering children as active elements in the disease acceptance and treatment process is highlighted. The analysis made it possible to write a set of guidelines for the intervention in children with XTI.
Introduction: Eye health has a social dimension due to its implication at the level of well-being (WB) and quality of life of individuals. The analysis of WB indicators assumes a preponderant role in the planning / monitoring of health policies, becoming of utmost importance in the strategies of ophthalmological intervention. As a clinical entity, strabismus is one of the main causes of visual impairment in childhood, which can influence children's BE. Objective: The research carried out aimed to analyze the influence that changes in visual function, namely intermittent divergent strabismus (XTI) in children, has in BE, from the parents' perspective. Methods: A correlational study was carried out on a sample of 30 children followed by XTI. The visual function was analyzed with respect to the deviation and the assessment of the parents' perception of WB, through the application of the IXQT proxy version, which implied its translation and adaptation to the Portuguese language. Results: The translation and validation of the instrument revealed good internal consistency (Cronbach's alpha coefficient = 0.91) and its application allowed to verify a correlation between the WB score and the angle of deviation, as well as with the children's sex. The parents' perceptions reveal concerns related to the impact of reduced functionality on the children's lives, considering that the absence of disturbances in the socialization processes and the relationship with peers is protective of WB. Conclusion: The conditions with greater clinical severity present a greater conditioning of the WB, but the evaluation of the WB requires an integrated analysis of the psychosocial environment in which the child is inserted. The importance of considering children as active elements in the disease acceptance and treatment process is highlighted. The analysis made it possible to write a set of guidelines for the intervention in children with XTI.
Description
Dissertação de Mestrado em Sociedade, Risco e Saúde
Keywords
Bem-estar estrabismo crianças IXQT-proxy Well-being strabismus children IXQT-proxy
Pedagogical Context
Citation
Publisher
Instituto Superior de Ciências Sociais e Políticas