Development and validation of a safety assessment scale for postoperative early mobilization for lung transplant patients
10.3761/j.issn.0254-1769.2025.10.013
- VernacularTitle:肺移植患者术后早期离床安全评估量表的编制及信效度检验
- Author:
Xiaomin ZHENG
1
;
Yinghua CAI
;
Haiqin ZHOU
;
Xia WAN
Author Information
1. 230601 合肥市 安徽三联学院现代康养产业学院
- Publication Type:Journal Article
- Keywords:
Lung Transplantation;
Early Mobilization;
Safety Assessment;
Scale Development;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(10):1237-1243
- CountryChina
- Language:Chinese
-
Abstract:
Objective To develop and validate a safety assessment scale for early mobilization in lung transplant patients after surgery.Methods From September 2022 to April 2023,a preliminary scale was constructed using literature analysis,expert meetings,and the Delphi method.From June 2023 to May 2024,a convenience sampling was used to select 135 patients admitted to the lung transplant center of a tertiary general hospital in Jiangsu Province.Item analysis,reliability analysis,and validity analysis were applied to adjust the items,forming the final scale.Results The post-operative early mobilization safety assessment scale for lung transplant patients includes 5 dimensions(consciousness level,vital signs,disease-related factors,mobility,and nutritional status)and 18 items.The inter-rater reliability of the scale is 0.985;the overall content validity index is 0.853;the split-half reliability is 0.716.The area under the receiver operating characteristic curve for predicting adverse events within 72 hours of mobilization is 0.845,with a 95％confidence interval of 0.767 to 0.917(P＜0.001).The optimal cutoff value is 18.5,with a sensitivity of 0.735 and a specificity of 0.782.Conclusion The developed safety assessment scale for early mobilization in lung transplant patients after surgery demonstrates good reliability and validity,and it can serve as a clinical tool to assess the safety of early mobilization activities in these patients.
