Validez de constructo de tres escalas de satisfacción del paciente mediante la estrategia de matrices multirrasgo-multimétodo

Se emplea el diseño de las matrices multirrasgo-multimétodo (MTMM) en la evaluación de la satisfacción del paciente. La muestra, extraída al azar simple, fue de 254 pacientes ingresados en tres hospitales del Servei Valencià de Salut de la provincia de Alicante, mayores de 16 años, conscientes y orientados. Los instrumentos de medida fueron tres escalas de satisfacción, dos de carácter general y una específica con los cuidados de enfermería, todas autoinformes. Los rasgos evaluados fueron varias dimensiones de satisfacción, y los métodos tres tipos de formulación de items y escalas de respuesta. Se ha empleado el análisis factorial confirmatorio, siguiéndose la estrategia de constrastar varios modelos alternativos (Widaman, 1985; Marsh, 1989). Los resulta dos indican que: la varianza de método es elevada, superior a la de rasgos; existe validez convergente; los rasgos están altamente correlacionados, pero hay evidencia de validez discriminante; dos métodos están altamente correlacionados; y no se ha podido estimar el modelo general de matrices MTMM.

The supergiant B[e] star LHA 115-S 18 - binary and/or luminous blue variable?

Context. The mechanism by which supergiant (sg)B[e] stars support cool, dense dusty discs/tori and their physical relationship with other evolved, massive stars such as luminous blue variables is uncertain. Aims. In order to investigate both issues we have analysed the long term behaviour of the canonical sgB[e] star LHA 115-S 18. Methods. We employed the OGLE II-IV lightcurve to search for (a-)periodic variability and supplemented these data with new and historic spectroscopy. Results. In contrast to historical expectations for sgB[e] stars, S18 is both photometrically and spectroscopically highly variable. The lightcurve is characterised by rapid aperiodic ` aring' throughout the 16 years of observations. Changes in the high excitation emission line component of the spectrum imply evolution in the stellar temperature - as expected for luminous blue variables - although somewhat surprisingly, spectroscopic and photometric variability appears not to be correlated. Characterised by emission in low excitation metallic species, the cool circumstellar torus appears largely unaffected by this behaviour. Finally, in conjunction with intense, highly variable He ii emission, X-ray emission implies the presence of an unseen binary companion. Conclusions. S18 provides observational support for the putative physical association of (a subset of) sgB[e] stars and luminous blue variables. Given the nature of the circumstellar environment of S18 and that luminous blue variables have been suggested as SN progenitors, it is tempting to draw a parallel to the progenitors of SN1987A and SN2009ip. Moreover the likely binary nature of S18 strengthens the possibility that the dusty discs/tori that characterise sgB[e] stars are the result of binary-driven mass-loss; consequently such stars may provide a window on the short lived phase of mass-transfer in massive compact binaries.