© 2015 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Publicado por Elsevier Editora Ltda. Este é um artigo Open Access sob a licença CC BY (https://creativecommons.org/licenses/by/4.0/deed.pt).
www.bjorl.org.br
OTORHINOLARYNGOLOGY
Brazilian Journal of
KEYWORDS Quality of life; Questionnaires; Sinusitis; 1DWXUDORULÀFH HQGRVFRSLFVXUJHU\
Abstract
Introduction: 5KLQRVLQXVLWLVFRQVWLWXWHVDQLPSRUWDQWKHDOWKSUREOHPZLWKVLJQLÀFDQWLQWHUIHU- HQFHLQSHUVRQDOSURIHVVLRQDODQGVRFLDOIXQFWLRQLQJ7KLVVWXG\SUHVHQWVWKHYDOLGDWLRQSUR- FHVVRIWKH3RUWXJXHVHYHUVLRQRIWKH5KLQR42/WREHXVHGDVDURXWLQHSURFHGXUHLQWKHDVVHVV-PHQWRISDWLHQWVZLWKFKURQLFUKLQRVLQXVLWLV
Objective: 7RGHPRQVWUDWHWKDWWKH3RUWXJXHVHYHUVLRQRIWKH5KLQR42/LVDVYDOLGDVWKH(QJOLVK YHUVLRQWRPHDVXUHV\PSWRPVDQGKHDOWKUHODWHGTXDOLW\RIOLIHLQFKURQLFUKLQRVLQXVLWLV
Methods:
7KH3RUWXJXHVHYHUVLRQRIWKH5KLQR42/ZDVDGPLQLVWHUHGFRQVHFXWLYHO\WRSD-WLHQWVZLWKFKURQLFUKLQRVLQXVLWLVZLWKDQGZLWKRXWQDVDOSRO\SVDVVHVVHGIRUHQGRVFRSLFVLQXV VXUJHU\$IROORZXSVXUYH\ZDVFRPSOHWHGWKUHHPRQWKVDIWHUVXUJHU\6WDWLVWLFDODQDO\VLVZDV SHUIRUPHGWRGHWHUPLQHLWVSV\FKRPHWULFSURSHUWLHV
Results: )DFHDQGFRQWHQWYDOLGLW\ZHUHFRQÀUPHGE\VLPLODULQWHUQDOFRQVLVWHQF\DVWKHRULJLQDO TXHVWLRQQDLUHIRUHDFKVXEVFDOHDQGVWURQJFRUUHODWLRQEHWZHHQLQGLYLGXDOLWHPVDQGWRWDO VFRUH7KHTXHVWLRQQDLUHZDVHDV\DQGTXLFNWRDGPLQLVWHUPLQ$WWKUHHPRQWKVWKHUH ZDVDVLJQLÀFDQWGHFUHDVHIURPEDVHOLQHIRUDOOVXEVFDOHVFRUHVLQGLFDWLQJFOLQLFDOLPSURYH-PHQWZLWKDQHIIHFWVL]HFRQVLGHUHGDVODUJH
Conclusion: 7KLVVWXG\SURYLGHVDTXHVWLRQQDLUHWKDWLVHTXLYDOHQWWRWKHRULJLQDO(QJOLVKYHUVLRQZLWK
JRRGUHVSRQVLYHQHVVWRFKDQJHZKLFKFDQEHHVSHFLDOO\YDOXDEOHWRPHDVXUHWKHRXWFRPHRIVXUJHU\ $VVRFLDomR%UDVLOHLUDGH2WRUULQRODULQJRORJLDH&LUXUJLD&pUYLFR)DFLDO3XEOLVKHGE\(OVHYLHU (GLWRUD/WGD7KLVLVDQRSHQDFFHVVDUWLFOHXQGHUWKH&&%<OLFHQVHKWWSVFUHDWLYHFRPPRQV RUJOLFHQVHVE\
'2,VHUHIHUHDRDUWLJRKWWSG[GRLRUJMEMRUO
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E-mail:UFHUHMHLUD#QHWFDERSW5&HUHMHLUD
$57,*225,*,1$/
The Portuguese version of the RhinoQOL
Questionnaire: validation and clinical application
☆,☆☆Rui Cerejeira
a,b,*, Rafaela Veloso-Teles
c, Nuno Lousan
b, Carla Pinto Moura
a,daDepartamento de Genética, Faculdade de Medicina, Universidade do Porto, Portugal
EDepartamento de Otorrinolaringologia, Centro +ospitalar do 7kmega e 6ousa, PenaÀel, Portugal FDepartamento de Otorrinolaringologia, Centro Hospitalar do Alto Ave, Guimarães, Portugal
dDepartamento de Otorrinolaringologia, Centro Hospitalar de São João, Porto, Portugal
PALAVRAS-CHAVE 4XDOLGDGHGHYLGD Questionários; Sinusite;
&LUXUJLDHQGRVFySLFD SRURULItFLRQDWXUDO
Versão portuguesa do Questionário RhinoQOL: validação e aplicação clínica
Resumo
Introdução: $ULQRVVLQXVLWHFRQVWLWXLXPLPSRUWDQWHSUREOHPDGHVD~GHFRPLQWHUIHUrQFLDVLJ-QLÀFDQWHQDYLGDSHVVRDOHVyFLRSURÀVVLRQDOGRVSDFLHQWHV(VWHHVWXGRDSUHVHQWDRSURFHVVR GHYDOLGDomRGDYHUVmRGR5KLQR42/QDOtQJXDSRUWXJXHVDSDUDVHUXVDGRHPSDFLHQWHVSRUWDGR-UHVGHULQRVVLQXVLWHFU{QLFD
Objetivo: 'HPRQVWUDUTXHDYHUVmRGR5KLQR42/QDOtQJXDSRUWXJXHVDpWmRYiOLGDTXDQWRDYHUVmR LQJOHVDQDPHGLomRGRVVLQWRPDVHTXDOLGDGHGHYLGDGRVSDFLHQWHVFRPULQRVVLQXVLWHFU{QLFD
Método: $YHUVmRHPSRUWXJXrVGR5KLQR42/IRLDSOLFDGDFRQVHFXWLYDPHQWHDSDFLHQWHVFRP
ULQRVVLQXVLWHFU{QLFDFRPHVHPSyOLSRVQDVDLVSUHYLDPHQWHjFLUXUJLDHQGRVFySLFDQDVDOWHQ- GRVLGRUHDYDOLDGRVDRVPHVHVGHSyVRSHUDWyULR$QiOLVHHVWDWtVWLFDIRLUHDOL]DGDSDUDGHWHU-PLQDUDVVXDVSURSULHGDGHVSVLFRPpWULFDV
Resultado: $YDOLGDGHGHFRQWH~GRIRLFRQÀUPDGDSRUXPDFRQVLVWrQFLDLQWHUQDVLPLODUjGR
TXHVWLRQiULRRULJLQDOSDUDFDGDVXEHVFDODHSRUXPDIRUWHFRUUHODomRHQWUHFDGDLWHPHR
score WRWDO$DSOLFDomRGRTXHVWLRQiULRIRLIiFLOHUiSLGDPLQ$RVPHVHVYHULÀFRXVH
XPDUHGXomRVLJQLÀFDWLYDGRVscores GHWRGDVDVVXEHVFDODVLQGLFDQGRPHOKRULDFOtQLFDFRP XPWDPDQKRGHHIHLWRFRQVLGHUDGRJUDQGH
Conclusão: (VWHHVWXGRIRUQHFHXPTXHVWLRQiULRTXHpHTXLYDOHQWHjYHUVmRRULJLQDOFRPERD
VHQVLELOLGDGHjPXGDQoDRTXHSRGHVHUHVSHFLDOPHQWH~WLOQDPHGLomRGRLPSDFWRGDFLUXUJLD $VVRFLDomR%UDVLOHLUDGH2WRUULQRODULQJRORJLDH&LUXUJLD&pUYLFR)DFLDO3XEOLFDGRSRU (OVHYLHU(GLWRUD/WGD(VWHpXPDUWLJR2SHQ$FFHVVVREDOLFHQoD&&%<KWWSVFUHDWLYHFRPPRQV RUJOLFHQVHVE\GHHGSW
Introdução
$ULQRVVLQXVLWHDJXGDRXFU{QLFDFRPRXVHPSyOLSRVQDVDLV FRQVWLWXLXPLPSRUWDQWHSUREOHPDGHVD~GHFRPLPSDFWR VLJQLÀFDWLYRQDTXDOLGDGHGHYLGDLQWHUIHULQGRQDYLGDSHV
-VRDOSURÀVVLRQDOHVRFLDOGRSDFLHQWH1
3DUDDYDOLDURLPSDFWRGDULQRVVLQXVLWHHPFDGDSDFLHQWH HSDUDPRQLWRUL]DUDUHVSRVWDDRWUDWDPHQWRIRUDPGHVHQ
-YROYLGRVLQVWUXPHQWRVHVSHFtÀFRVGHGRHQoDTXHPHGHPRV VLQWRPDVHDTXDOLGDGHGHYLGD4'9([LVWHPYiULRVTXHV
-WLRQiULRVWDEHODTXHID]HPXPDDYDOLDomRVXEMHWLYDGR LPSDFWRGDULQRVVLQXVLWHHGDLQFDSDFLGDGHDTXHHVWiDVVR
-FLDGD
8PDGDVPDLRUHVGLÀFXOGDGHVQDDSOLFDomRGHVWHVLQVWUX
-PHQWRVQDSUiWLFDFOtQLFDGRGLDDGLDpDIDOWDGHWHPSR GLVSRQtYHO$QHFHVVLGDGHGHXPTXHVWLRQiULREUHYHHIiFLO GHXVDUHVSHFtÀFRSDUDULQRVVLQXVLWHHTXHVLPXOWDQHDPHQ
-WHDSUHVHQWHERDVFDUDFWHUtVWLFDVSVLFRPpWULFDVOHYRXDR GHVHQYROYLPHQWRGR5KLQR42/Survey InstrumentÀJ
YDOLGDGRSDUDSDFLHQWHVFRPULQRVVLQXVLWHDJXGDHFU{QLFD9
WUDWDGRVPpGLFDRXFLUXUJLFDPHQWH
(VWHLQVWUXPHQWRTXHIRLMiYDOLGDGRSDUDDOtQJXDIUDQFH
-VD10FRQVLVWHHPLWHQVGLYLGLGRVHPWUrVGRPtQLRVTXHDYD
-OLDPDIUHTXrQFLDGRVVLQWRPDVFLQFRLWHQVRLQF{PRGR SURYRFDGRSHORVVLQWRPDVFRPUHVSRVWDVTXHYmRGHVGH´µ TXHVLJQLÀFD´QDGDLQFRPRGDGRµDWp´µTXHVLJQLÀFD´PXL
-WRLQFRPRGDGRµSDUDFDGDXPGRVWUrVLWHQVHRLPSDFWRGRV VLQWRPDVQRYHLWHQV1DVTXHVW}HVGHIUHTXrQFLDHLPSDFWR RGRHQWHGLVS}HGHFLQFRUHVSRVWDVSRVVtYHLV´QXQFDµ´SRXFR WHPSRµ´DOJXPWHPSRµ´PXLWRWHPSRµH´VHPSUHµ
1XPDUHFHQWHUHYLVmRVLVWHPiWLFDGHTXHVWLRQiULRVGH4'9 SDUDDULQRVVLQXVLWHR5KLQR42/IRLXPGRVGRLV~QLFRVRRX
-WURHUDR5620TXHFXPSULXRVFULWpULRVGRVDXWRUHVGH YDOLGDGHGLVFULPLQDQWHHUHVSRQVLYLGDGH11
(VWHDUWLJRDSUHVHQWDDWUDGXomRGR5KLQR42/SDUDDOtQJXD SRUWXJXHVDHRVHXSURFHGLPHQWRGHYDOLGDomRSDUDSHUPLWLU RVHXXVRQDDYDOLDomRGHSDFLHQWHVOXVyIRQRVSRUWDGRUHVGH ULQRVVLQXVLWHFU{QLFD56&
Método
(VWHHVWXGRIRLDSURYDGRSHOD&RPLVVmRGHeWLFDGHXP+RV
-SLWDOGHQtYHOGHFLVmRQHGHFRUUHXGHDFRUGR FRPRVSULQFtSLRVGD'HFODUDomRGH+HOVLQTXH
Tabela 1 4XHVWLRQiULRV SDUD DYDOLDomR GD TXDOLGDGH GH YLGDQDULQRVVLQXVLWH
,QVWUXPHQWR ,WHPV 'RPtQLRV Autores
5620 Rhinosinusitis
Outcome Measurement
31 3LFFLULOOR2
6127 Sinonasal
Outcome Test
16 1 Anderson
et al.3
6127 Sinonasal
Outcome Test
20 1 3LFFLULOOR
et al.
6127 Sinonasal
Outcome Test
22 1 +RSNLQV
et al.
RSDI Rhinosinusitis
Disability Index
30 3 %HQQLQJHU
Senior
5KLQR42/ Rhinosinusitis Quality of Life Survey Instrument
3 Atlas
Adaptação para a língua portuguesa
2TXHVWLRQiULR5KLQR42/IRLREWLGRGRDUWLJRRULJLQDOGH$WODV
SJ et al.9ÀJ'RLVPpGLFRVELOtQJXHVUHDOL]DUDPDGXSOD
WUDGXomRGRTXHVWLRQiULRGRLQJOrVSDUDRSRUWXJXrVVHJXLGD GHUHWURWUDGXomRSDUDLQJOrV$IRUPDÀQDOGRTXHVWLRQiULR 5KLQR42/²YHUVmRSRUWXJXHVD5KLQR42/YSHQFRQWUDVH GLVSRQtYHOQDÀJura 2.
Amostra e procedimentos
(VWHHVWXGRIRLUHDOL]DGRQR'HSDUWDPHQWRGH2WRUULQROD
-ULQJRORJLDLQFOXLQGRSDFLHQWHVRSHUDGRVQRSHUtRGRGHGH GH]HPEURGHDGHMXOKRGH25KLQR42/YS IRLDGPLQLVWUDGRGXUDQWHDFRQVXOWDFRQVHFXWLYDPHQWHDRV SULPHLURVSDFLHQWHVFRP56&FRPSyOLSRVQDVDLV56&
-F31HVHPSyOLSRVQDVDLV56&V31DYDOLDGRVSUpRSHUDWR
-ULDPHQWHSDUDFLUXUJLDHQGRVFySLFDQDVRVVLQXVDO&(16 TXHIRLUHDOL]DGDVHPSUHSHODPHVPDHTXLSDFLU~UJLFDXWL
-OL]DQGRRVSULQFtSLRVGDFLUXUJLDHQGRVFySLFDVLQXVDOIXQFLR
-QDOGHVFULWRVSRU0HVVHUNOLQJHU121RSUHVHQWHHVWXGRR
WDPDQKRGDDPRVWUDQ IRLGHWHUPLQDGRWHQGRSRU EDVHRWDPDQKRGDDPRVWUDGRHVWXGRLQLFLDOGH$WODVHWDO9
Q FRPRTXDOIRLSRVVtYHOGHWHFWDUGLIHUHQoDVFOLQL
-FDPHQWHVLJQLÀFDWLYDV7RGRVRVSDFLHQWHVDVVLQDUDPRWHU
-PRGHFRQVHQWLPHQWRLQIRUPDGRDQWHVGDVXDLQFOXVmRQR HVWXGR2VFULWpULRVGHDGPLVVmRLQFOXtUDPLGDGHLJXDORX VXSHULRUDDQRVHDFDSDFLGDGHSDUDIDODUHOHUHPSRU
-WXJXrV2WHPSRGHDSOLFDomRGRTXHVWLRQiULRIRLPHGLGR HPPLQXWRV2VSDFLHQWHVUHVSRQGHUDPDFHUFDGDFODUH]D GDVTXHVW}HV´7HYHGLÀFXOGDGHVQDLQWHUSUHWDomRGHDOJXP GRVLWHQVGRTXHVWLRQiULR"µHGDGXUDomRGDDYDOLDomR ´&RQVLGHUDTXHHVWHTXHVWLRQiULRpGHPDVLDGRORQJRSDUD SUHHQFKHU"µFRPXPDRSomRGHUHVSRVWD6LP1mR1R WHUFHLURPrVGHSyVRSHUDWyULRRVSDFLHQWHVUHVSRQGHUDP QRYDPHQWHDRTXHVWLRQiULR
RhinoQOL – English Version9
Symptom Frequency Scale Itemsa
1. Sinus headaches, facial pain, or facial pressure
2. Blocked or stuffy nose
3. Postnasal drip
4. Thick nasal discharge
5. Runny nose
Symptom Bothersomeness Scale Itemsb
1. Sinus headaches, facial pain, or facial pressure
2. Blocked or stuffy nose
3. Postnasal drip
Symptom Impact Scale Itemsc
1. Tired or fatigued
2. Trouble sleeping
3. Harder to concentrate
4. Harder to do the things you normally do
5. Embarrassed
6. Frustrated
7. Irritable
8. Sad or depressed
9. Think about
a3DWLHQWVZHUHDVNHG´,QWKHODVWGD\VKRZPXFKRIWKHWLPHGLG\RX KDYHµWKHOLVWHGV\PSWRP5HVSRQVHVLQFOXGHG´1RQHRIWKHWLPHµ´$OLWW -OHRIWKHWLPHµ´6RPHRIWKHWLPHµ´0RVWRIWKHWLPHµDQG´$OORIWKH WLPHµ
E3DWLHQWVZHUHDVNHG´8VLQJDVFDOHRIWRZKHUHLVQRWERWKHUHGDWDOO
DQGLVERWKHUDORWKRZPXFKZHUH\RXERWKHUHGE\µWKHOLVWHGV\PS -WRP5HVSRQVHVUDQJHGIURP´1RWERWKHUHGDWDOOµWR´%RWKHUHGDORWµ
F3DWLHQWVZHUHDVNHG´,QWKHODVWGD\VKRZPXFKRIWKHWLPHGLG\RXµKDYHWKH
OLVWHGSUREOHP´EHFDXVHRI\RXUQDVDOV\PSWRPVµ5HVSRQVHVLQFOXGHG´1RQH RIWKHWLPHµ´$OLWWOHRIWKHWLPHµ´6RPHRIWKHWLPHµ´0RVWRIWKHWLPHµDQG ´$OORIWKHWLPHµ
Figura 1 5KLQR42/²9HUVmRHPLQJOrV
Procedimento estatístico
2VGDGRVREWLGRVQDDYDOLDomRIRUDPLQWURGX]LGRVHSURFHVVDGRV SHORVRIWZDUHGHHVWDWtVWLFD,%0®6366®6WDWLVWLFVYHUVmR
)RLUHDOL]DGDDHVWDWtVWLFDGHVFULWLYDGRVGDGRVGHPRJUiÀ
-FRVHFOtQLFRVLGDGHVH[RSUHVHQoDGHSyOLSRVQDVDLVscore
LPDJLROyJLFRSUpRSHUDWyULRGH/XQG0DFND\13
7DOFRPRQRHVWXGRRULJLQDOGR5KLQR42/9DDYDOLDomRSVL
-FRPpWULFDIRLUHDOL]DGDVHSDUDGDPHQWHSDUDDVHVFDODVGH IUHTXrQFLDGHLQF{PRGRHGHLPSDFWRGR5KLQR42/YS2V
scoresSDUDDVHVFDODVGHIUHTXrQFLDHLPSDFWRYDULDUDPHQ
-WUH´QXQFDµH´VHPSUHµ3DUDDHVFDODGHLQF{PRGR
os scoresYDULDUDPHQWUHWDOFRPRRVYDORUHVSRVVtYHLV GHUHVSRVWD
$FRQVLVWrQFLDLQWHUQDIRLGHWHUPLQDGDDWUDYpVGR␣ de
Cronbach3DUDFRPSDUDomRGHPpGLDVHQWUHRVGRLVJUXSRV
utilizou-se o teste tGH6WXGHQW$FRUUHODomRHQWUHRscore
GH/XQG0DF.D\HRVscoresGDVVXEHVFDODVGR5KLQR42/YS
IRLWHVWDGDDWUDYpVGRFRHÀFLHQWHGH3HDUVRQSDUDYDULiYHLV TXDQWLWDWLYDVDFRUUHODomRHQWUHFDGDLWHPLQGLYLGXDOHRV
scoresWRWDLVGHFDGDVXEHVFDODIRLWHVWDGDFRPRFRHÀFLHQWH GH6SHDUPDQ
$VDOWHUDo}HVGHscoresHQWUHDGDWDLQLFLDOHDRVWUrVPHVHV
de follow-upIRUDPDYDOLDGDVXVDQGRVHRWHVWHtSDUDYDULi
-YHLVSDUHDGDV)RLWDPEpPGHWHUPLQDGDDPDJQLWXGHGRHIHL
-WRTXHpRYDORUPpGLRGDVYDULDo}HVGHscoresGLYLGLGDSHOR
GHVYLRSDGUmRGRVYDORUHVLQLFLDLV3RUFRQYHQomRXPDPDJ
-QLWXGHGHHIHLWRHQWUHHpFRQVLGHUDGDXPDPHOKRUD ´OHYHµHQWUHHXPDPHOKRUD´PRGHUDGDµHPDLRUGR TXHXPD´JUDQGHµPHOKRUDQDTXDOLGDGHGHYLGD6
Resultados
$DPRVWUDIRLFRQVWLWXtGDSRUSDFLHQWHVKRPHQVH PXOKHUHV$LGDGHPpGLDIRLGHDQRVkP
-ELWRDQRV7ULQWDHRLWRGRHQWHVWLQKDP56&F312V FDVRVHVWmRGLVWULEXtGRVFRQIRUPHDWDEHOD 2.
&LQFRSDFLHQWHVUHVSRQGHUDP´6LPµjSHUJXQWDVR
-EUHDGLÀFXOGDGHGHLQWHUSUHWDomRGRVLWHQVGRTXHVWLRQiULR 2WHPSRPpGLRGHSUHHQFKLPHQWRIRLGHPLQ kPELWRPLQ&LQTXHQWDHVHLVSDFLHQWHVFRQVL
-GHUDUDPTXHR5KLQR42/YSQmROHYDYDPXLWRWHPSRSDUD VHUSUHHQFKLGR
$FRQVLVWrQFLDLQWHUQDCronbach␣IRLGHGHH GHUHVSHFWLYDPHQWHSDUDRVUHVXOWDGRVGHIUHTXrQFLD LPSDFWRHLQF{PRGRGR5KLQR42/YS
7DOFRPRPRVWUDGRQDWDEHODRVH[RPDVFXOLQRHVWHYH DVVRFLDGRDYDORUHVPDLVEDL[RVGRTXHRVH[RIHPLQLQRQD HVFDODGHLPSDFWRGRVVLQWRPDVVLJQLÀFkQFLDGRWHVWHt de
6WXGHQW 9HULÀFRXVHWDPEpPTXHRVSDFLHQWHVFRP 56&F31DSUHVHQWDUDPscoresQDHVFDODGHIUHTXrQFLDVXSH
-ULRUHVDRGRVSDFLHQWHVFRP56&V31VLJQLÀFkQFLDGRWHVWHt
GH6WXGHQW WDEHOD
O scoreJOREDOPpGLRGH/XQG0DFND\IRLGH
kPELWR2VSDFLHQWHVFRP56&F31DSUHVHQWDUDP
scoresGH/XQG0DFND\PDLVHOHYDGRVGRTXHDTXHOHVFRP
56&V31WDEHOD2EWHYHVHXPDPRGHVWDFRUUHODomRSR
-VLWLYDU HQWUHDVXEHVFDODGHIUHTXrQFLDGHVLQWR
-PDVGR5KLQR42/YSHRscoreWRWDOGH/XQG0DFND\S 1mRIRLYHULÀFDGDTXDOTXHUDVVRFLDomRFRPDVRXWUDV VXEHVFDODV
O scoreGHFDGDLWHPLQGLYLGXDOGR5KLQR42/YSFRUUHOD
-FLRQRXVHGHIRUPDVLJQLÀFDWLYDFRPRscoreWRWDOGHFDGD VXEHVFDODFRPRPRVWUDGRQDWDEHOD 6.
Tabela 2 'LVWULEXLomRGRVSDFLHQWHVFRPUHODomRDVH[RH WLSRGH56&
56&F31 56&V31 7RWDO
0DVFXOLQR 20 10 30
)HPLQLQR 10
56&F31 ULQRVVLQXVLWH FU{QLFD FRP SyOLSRV QDVDLV 56&V31 ULQRVVLQXVLWHFU{QLFDVHPSyOLSRVQDVDLV
Tabela 3 Score WRWDOGHDFRUGRFRPRVH[RHSDUDFDGDVXEHVFDOD
6H[R n (VFDODGHIUHTXrQFLD (VFDODGHLPSDFWR (VFDODGHLQF{PRGR
0pGLD 'HVYLRSDGUmR 0pGLD 'HVYLRSDGUmR 0pGLD 'HVYLRSDGUmR
0DVFXOLQR 30
)HPLQLQR
6LJQLÀFkQFLD␣
Tabela 4 Score WRWDOGHDFRUGRFRPRWLSRGH56&SDUDFDGDVXEHVFDOD
n (VFDODGHIUHTXrQFLD (VFDODGHLPSDFWR (VFDODGHLQF{PRGR
0pGLD 'HVYLRSDGUmR 0pGLD 'HVYLRSDGUmR 0pGLD 'HVYLRSDGUmR
56&F31
56&V31 20
6LJQLÀFkQFLD␣
Tabela 5 Score WRWDOGH/XQG0DFND\GHDFRUGRFRPRWLSR GH56&
n 0pGLD 'HVYLRSDGUmR 6LJQLÀFkQFLD ␣
56&F31
56&V31 20
56&F31 ULQRVVLQXVLWH FU{QLFD FRP SyOLSRV QDVDLV 56&V31 ULQRVVLQXVLWHFU{QLFDVHPSyOLSRVQDVDLV
Tabela 6 &RHÀFLHQWH GHSpearman H VLJQLÀFkQFLD 2 tai-ledSDUDDFRUUHODomRHQWUHRVLWHQVLQGLYLGXDLVHRscore
WRWDOSDUDFDGDVXEHVFDODGR5KLQR42/YS␣
6XEHVFDODGR 5KLQR42/
,WHP 6SHDUPDQ 6LJQLÀFkQFLD
)UHTXrQFLD 1
2
3
5
,PSDFWR 1
2
3
5
6
9
,QF{PRGR 1
2
3
Tabela 7 6HQVLELOLGDGHjPXGDQoDscoresLQLFLDLVHDRVWUrVPHVHVGHSyVRSHUDWyULR␣
6XEHVFDODVGR5KLQR42/ 1tYHLVLQLFLDLV Follow-upDRVWUrVPHVHV S
n 0pGLD 'HVYLRSDGUmR n 0pGLD 'HVYLRSDGUmR
)UHTXrQFLD
,PSDFWR
,QF{PRGR
Os scoresHPFDGDVXEHVFDODLQLFLDLVHDRVWUrVPHVHVGH
follow-upFRQVWDPGDWDEHOD9HULÀFRXVHXPDUHGXomRVLJ
-QLÀFDWLYDGRVscoresSDUDWRGDVDVVXEHVFDODVLQGLFDQGRPHOKR
-UDFOtQLFDGRVSDFLHQWHV$RVWUrVPHVHVRWDPDQKRGRHIHLWR IRLFRQVLGHUDGR´JUDQGHµSDUDWRGDVDVVXEHVFDODVWDEHOD
Discussão
$DYDOLDomRFOtQLFDGRVGRHQWHVFRP56&FRPHVHPSyOLSRV QDVDLVpIRFDGDHVVHQFLDOPHQWHQDVTXHL[DVGHREVWUXomR QDVDOHULQRUUHLDGRURXSUHVVmRIDFLDOHUHGXomRRXSHUGD GRROIDWRFRPHYLGrQFLDREMHWLYDGDGRHQoDGHPRQVWUDGD SRUHQGRVFRSLDRX7&([LVWHXPDJUDQGHYDULHGDGHGHRXWURV LQVWUXPHQWRVGHDQiOLVHFXMDPDLRUSDUWHpXVDGDHVVHQFLDO
-PHQWHSDUDHIHLWRVGHLQYHVWLJDomR1
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