Production and validation of a booklet on intestinal ostomy care for colorectal cancer patients
Abstract
Objective: To produce and validate an educational booklet on intestinal ostomy care for patients with colorectal cancer. Method: A methodological study conducted in three stages: literature review, production of the booklet, and content and appearance validation by experts using the Content Validity Index (CVI). A convenience sample was utilized. Contact was made electronically, where the booklet and an assessment instrument containing 21 questions were sent, covering: objective, content, relevance, figures, writing style, and organization. The specialists evaluated whether items were: highly adequate, adequate, partially adequate, or totally inadequate. The study was approved by the Ethics Committee. Results: The booklet titled "Intestinal Ostomy Care" consists of 22 pages and 37 illustrations. The content addressed: colorectal cancer; care of the collection equipment; oncological treatment; social rights; psychological aspects; nutritional aspects; and physical activity. Twelve specialists responded. All 21 items were considered valid (CVI > 0.70); of these, 16 had a CVI = 1, 3 had a CVI = 0.9167, and 1 had a CVI = 0.75. Conclusion: The booklet was considered valid. The validation process provided the material with the methodological rigor necessary for its use in scientific environments and patient guidance. However, clinical validation with the target audience is suggested.
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Thun MJ, DeLancey JO, Center MM, Jemal A, Ward EM. The global burden of cancer: priorities for prevention. Carcinogenesis. 2010;31(1):100-10. https://doi.org/10.1093/carcin/bgp263
Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, Bray F. Global Cancer Statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2021;71(3):209-49. https://doi.org/10.3322/caac.21660
Instituto Nacional de Câncer José Alencar Gomes da Silva. Estimativa 2023: incidência de câncer no Brasil. Rio de Janeiro: INCA; 2022.
American Cancer Society. Colorectal cancer facts & figures 2020-2022. Atlanta: American Cancer Society; 2020.
Maillard D, Brandão ES, Jesus PBR, Gatto FS. Instrumentos para consulta de enfermagem no Brasil às pessoas com estomias eliminatórias: revisão de escopo. ESTIMA Braz J Enterostomal Ther. 2024;22:e1483. https://doi.org/10.30886/estima.v22.1483_PT
Lučić V, Filipović B, Hošnjak AM, Smrekar M, Kundrata D, Ledinski S. Quality of life after ostomy formation: perspectives of patients and families. J Appl Health Sci. 2024;10(2):109-17. https://doi.org/10.24141/1/10/2/3
Xiangting Y, Meichun Z, Huiying Q. Supportive care needs and related factors among colorectal cancer patients with stoma in the postoperative rehabilitation period from a bio-psycho-social perspective: a cross-sectional study. Support Care Cancer. 2023;31(10):599. https://doi.org/10.1007/s00520-023-08067-w
Bernardi LC, Hildebrandt LM, Benetti ERR, Cabral FB, Jahn AC, Mello J, Oliveira D, Fabris J. Vivências de cuidadores familiars que acompanham pessoas estomizadas em decorrência de cancer colorretal. Lumen et Virtus. 2024;15(43):9189-206. https://doi.org/10.56238/levv15n43-114
Santos JC, Costa CCP, Farias SNP, Silva PAS, Jesus PBR, Costa RN, Souza NVDO. Telenfermagem a pacientes com úlceras venosas: orientações fornecidas e desfecho do monitoramento remoto. ESTIMA Braz J Enterostomal Ther. 2023;21:e1321. https://doi.org/10.30886/estima.v21.1321_PT
Feitosa YS, Sampaio LRL, Moraes JT, Moreira TMM, Rolim KMC, Dantas TP, Sousa FC. Construção e validação de tecnologia educativa para prevenção de complicações com estomia intestinal/pele periestomia. Rev Bras de Enferm. 2020;73(Suppl 5):e20190825. https://doi.org/10.1590/0034-7167-2019-0825
Sena JF, Silva IP, Lucena SKP, Oliveira ACS, Costa IKF. Validação de material educativo para cuidado da pessoa com estomia intestinal. Rev Latino-Am Enfermagem. 2020;28:e3269. https://doi.org/10.1590/1518-8345.3179.3269
Barros DS, Vasconcelos EL. Estudos de validação na enfermagem: revisão sistemática. Contribuciones a las Ciencias Sociales. 2025;18(2):e15402. https://doi.org/10.55905/revconv.18n.2-149
Polit DF, Beck CT. The content validity index: are you sure you know what's being reported? Critique and recommendations. Res Nurs Health. 2006;29(5):489-97. https://doi.org/10.1002/nur.20147
Fehring RJ. The Fehring model. In: Clinical validation: a guide to nursing diagnosis. New York: National League for Nursing Press; 1994. p. 9-18.
Alexandre NMC, Coluci MZO. Validade de conteúdo nos processos de construção e adaptação de instrumentos de medidas. Ciênc Saúde Coletiva. 2011;16(7):3061-8. https://doi.org/10.1590/S1413-81232011000800006
Brasil. Ministério da Saúde. Conselho Nacional de Saúde. Resolução no 466, de 12 de dezembro de 2012. Dispõe sobre diretrizes e normas regulamentadoras de pesquisa envolvendo seres humanos. Brasília: Ministério da Saúde; 2012.
Peixoto RD, Jácome AAA, Weschenfelder RF, Riechelman RSP, Jesus VHF, Oliveira JA. Diretrizes de tratamentos oncológicos. Cólon: doença localizada [Internet]. São Paulo: SBOC; 2024 [citado em 27 jan. 2026]. Disponível em: https://sboc.org.br/images/Diretrizes-2024/pdf/Diretrizes-SBOC-2024---Colon-avancado-v4-FINAL.pdf
Peixoto HA, Silva PMS, Souza PA, Guimarães NPA, Pinto ACS. Adaptação pós-operatória de pessoas com estomia com e sem complicação: estudo comparativo. Rev Enferm UERJ. 2021;29(1):e58679. https://doi.org/10.12957/reuerj.2021.58679
Jorge TV, Marques ADB, Mourão LF, Pinheiro RM, Silva AL, Lopes DGLZ. Sociodemographic and clinical profile of people with a stoma due to oncological cause: Observational study. ESTIMA Braz J Enterostomal Ther. 2023;21:e1313. https://doi.org/10.30886/estima.v21.1313_IN
Guerra E, Denti FC, Di Pasquale C, Caroppo F, Angileri L, Cioni M, Parodi A, Fortina AB, Ferrucci S, Burlando M. Peristomal skin complications: detailed analysis of a web-based survey and predictive risk factors. Healthcare (Basel). 2023;11(13):1823. https://doi.org/10.3390/healthcare11131823
Lin L, Fang Y, Wei Y, Huang F, Zheng J, Xiao H. The effects of a nurse-led discharge planning on the health outcomes of colorectal cancer patients with stomas: a randomized controlled trial. Int J Nurs Stud. 2024;155:104769. https://doi.org/10.1016/j.ijnurstu.2023.104769
Ribeiro WA, Espírito Santo FH, Souza NVDO, Ribeiro MNS, Silvino ZR, Sousa JGM, Guedes CM, Constantino GNB. Tecnologia educativa para autocuidado de pessoas com estomia intestinal: construção e validação metodológica. Rev Enferm Atual In Derme. 2025;99(supl.1):e025040. https://doi.org/10.31011/reaid-2025-v.99-n.supl.1-art.2452
Silva IP, Diniz IV, Freitas LS, Salvador PTCO, Sonobe HM, Mesquita SKC, et al. Desenvolvimento de aplicativo móvel para apoiar o autocuidado de pessoas com estomias intestinais. Rev Rene. 2023;24:e81790. https://doi.org/doi:10.15253/2175-6783.20232481790
Vicente C, Lentz GNS, Amante LN, Tholl AD, Salum NC, Zanon J, Silva LF, Batista EA. Tecnologias do cuidado de enfermagem desenvolvidas pela proposta do mestrado profissional. J Nurs Health. 2023;13(2):e1321745. https://doi.org/10.15210/jonah.v13i2.21745
Dias DS, Sá BN, Menezes LCG, Freitas MG, Botelho GS, Souza AJPN. Validação de cartilha educativa para os cuidados com o pé diabético. Saúde Coletiva (Barueri). 2023;13(86):12709-20.
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Copyright (c) 2025 Letícia Ellen Vieira Rocha, Filipe Monteiro de Oliveira, Helder Matheus Alves Fernandes, Rodrigo Lima Bandeira, Marcelo Leite Cavalcante, Andrezza Silvano Barreto, Viviane Mamede Vasconcelos Cavalcante, Manuela de Mendonça Figueirêdo Coelho

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