Comparison of the reliability and validity of two incontinence-associated dermatitis risk assessment instruments in the patients with incontinence
10.3760/cma.j.issn.1672-7088.2017.19.002
- VernacularTitle:两种失禁性皮炎风险评估工具在失禁患者中信效度的比较
- Author:
Huimin XU
;
Juan WU
;
Lihua LU
;
Xiaoyan CHEN
;
Huifen XU
;
Xin CHEN
;
Yuwei MAO
- Keywords:
Incontinence- associated dermatitis;
IAD risk assessment scale;
Perineal Assessment Tool
- From:
Chinese Journal of Practical Nursing
2017;33(19):1446-1449
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the reliability and validity of 2 incontinence- associated dermatitis (IAD) risk assessment tools (IAD risk assessment scale and PAT) in patients with incontinence, and to search for the best risk assessment tool. Methods A total of 101 IAD cases were chosen from the Affiliated Hospital of Nantong University.Reliability was evaluated by the inter- rater reliability,internal consistency,item sensitivity analysis and retest reliability; validity was evaluated by the structure validity and predictive validity. Results Cronbach α was 0.313 (IAD risk assessment scale) and 0.421(PAT);Cronbach α coefficient was the highest after the items that Change sheets and mats and relevant factors were removed respectively in two tools,which were 0.431, 0.428; The correlation between the total scores were 0.711 (P<0.01)(IAD risk assessment scale)and 0.498 (PAT)(P<0.01);Area under curve were 0.661 (IAD risk assessment scale),0.864 (PAT); the best cut-off value to forecast a poor prognosis was 53.5 (IAD risk assessment scale),6.5 (PAT). Conclusions The reliability and validity of IAD risk assessment scale and PAT are low. The change of sheets and mats and Related influencing factors are needed to be adjusted and revised.