[Development and validation of a new questionnaire to assess health care satisfaction and the device in stomized patients: espejo questionnaire].
OBJECTIVE
To develop a questionnaire to measure the satisfaction of stomatised patients with healthcare professionals and with the stomal device.


METHODS
An initial review of the literature was performed and in meetings with experts, the most relevant items were selected. In a pilot study with patients that had been recently stomatised (three months from intervention), the comprehensibility and discriminatory ability of each item was tested. Items were eliminated on the grounds of frequent "no response" or low correlation with others on the provisional scale (determined by means of Cronbach's alpha).


RESULTS
Following meetings with experts, 12 items were eliminated by reason of irrelevance or low frequency of use. Subsequently by means of administration of the questionnaire to a sample of 72 patients, five more items were selected for elimination. An analysis of the 13 items that remained confirmed an acceptable level of reliability (Cronbach's alpha of 0.917) and also the significant differences in the global scores between the patients who have had stoma for more than three months (higher satisfaction) and patients who had been recently stomatised. The items in the questionnaire referred to aspects of easy and comfort of use of the stoma, as well as satisfaction with information received and interaction with healthcare professionals from the point of view of the patient.


CONCLUSIONS
This is the first questionnaire to measure satisfaction with healthcare professionals and the stomal device from the perspective of the stomatised patient. In a subsequent study the other properties of the measurement tool (validity responsiveness and longitudinal validation) will be evaluated.
Arias-Alvarez
María Encina
ME
Hospital Universitario Príncipe de Asturias, Madrid.
Fernández-García
María Adelina
MA
González-Buenadicha
Ana María
AM
Nadal-Pérez de Colosia
Manuela
M
Pastor-Juan
Catalina
C
Payeras-Gelabert
Magdalena
M
Pérez-Salazar
Inmaculada
I
Real-Romaguera
Arcadio
A
Rivas-Marín
Concepción
C
Ruiz-Fernández
María Dolores
MD
Sánchez-Crisol
Inmaculada
I
Sánchez de la Blanca-Martín
M Isabel
MI
Espirac
Brigitte
B
García-Alamino
José María
JM
Perulero
Núria
N
D005260:Female; D006801:Humans; D008297:Male; D010030:Ostomy; D017060:Patient Satisfaction; D011795:Surveys and Questionnaires