Reliability and validity of three kinds of assessment scales on stress injury during surgery and their predictive effects
10.3760/cma.j.cn115682-20191104-04005
- VernacularTitle:3种手术患者压力性损伤评估量表的信效度及预测效果分析
- Author:
Qinchun ZHU
1
;
Li DONG
;
Lijun YANG
;
Ling LYU
;
Ling FANG
;
Yang SHEN
Author Information
1. 复旦大学附属中山医院手术室，上海 200032
- Keywords:
Intraoperative period;
Stress injury;
Waterlow risk factor assessment scale;
Scott triggers evaluation scale;
Munro pressure ulcer assessment scale;
Reliab
- From:
Chinese Journal of Modern Nursing
2020;26(25):3429-3432
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare three kinds of stress injury risk factors assessment scales during intraoperative period, and to provide evidence for the prevention of intraoperative stress injury.Methods:Three assessment tools (Waterlow Risk Factor Assessment Scale, Munro Pressure Ulcer Assessment Scale and Scott Triggers Evaluation Scale) were used to assess the risk degree of 173 surgical patients in the Operating Room of Zhongshan Hospital Affiliated to Fudan University from January 2018 to June 2019. After the operation, a whole-body skin examination was performed to record the occurrence of pressure ulcer, and the reliability, validity, and prediction effect of every scale were compared.Results:The retest reliability of Scott Triggers Evaluation Scale and Munro Pressure Ulcer Assessment Scale was respectively 0.932 and 0.992, the expert content validity was respectively 0.759 and 0.705, the calibration correlation validity was respectively 0.381 and 0.190, the sensitivity was respectively 0.74 and 0.32 and specificity was respectively 0.58 and 0.89. The area under the ROC curve of Scott Triggers Evaluation Scale and Munro Pressure Ulcer Assessment Scale was larger than that of Waterlow Risk Factor Assessment Scale, which was 0.714 and 0.711, respectively.Conclusions:Scott Triggers Evaluation Scale and Munro Pressure Ulcer Assessment Scale can be used to evaluate the stress injury of surgical patients. At the same time, Scott Triggers Evaluation Scale is more accurate and convenient than the Munro Pressure Ulcer Evaluation Scale. Thus, Scott Triggers Evaluation Scale is recommended for clinical application.
