Comparison of Chinese version Braden-QD scale and Braden-Q scale in assessing the risk assessment of pressure injury for patients in pediatric intensive care unit
10.3760/cma.j.cn371468-20230728-00023
- VernacularTitle:中文版Braden-QD与Braden-Q量表在小儿重症监护室患儿压力性损伤风险评估中的比较
- Author:
Weiwei JIANG
1
;
Fengqin XU
;
Yue LI
;
Suyun SUN
Author Information
1. 南京医科大学康达学院第一附属医院（连云港市第一人民医院）儿内科，连云港 222200
- Keywords:
Pressure injury;
Braden-QD scale;
Braden-Q scale;
Predictive effectiveness;
Pediatric intensive care unit
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2024;33(9):849-854
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the application value of the Braden-QD scale and the Braden-Q scale in assessing the risk of pressure injuries in pediatric intensive care unit (PICU) patients.Methods:A convenient sampling method was used to select 205 pediatric patients admitted to the First People’s Hospital of Lianyungang from December 2021 to September 2022 as the research subjects.The Braden-QD scale and the Braden-Q scale were used to evaluate the risk of pressure injuries.SPSS 25.0 and Python 2.7 softwares were used for statistical analysis. Inter-rater reliability of the scales was evaluated using intraclass correlation coefficient (ICC), internal consistency was evaluated using Cronbach's α, and the predictive power was compared using receiver operator characteristic curve (ROC), positive predictive value, negative predictive value, sensitivity, specificity and area under the ROC curve (AUC).Results:(1) A total of 24 (11.7%) out of 205 patients had pressure injury, predominantly in stage 1 (20 cases, 83.3%). (2)The ICC of Braden-QD scale and Braden-Q scale were 0.890 and 0.862, while the Cronbach's α were 0.891 and 0.710.(3) The AUC of the Braden-QD scale was 0.936. The optimal diagnostic cutoff value was 9.5, with a Youden index, sensitivity, specificity, positive predictive value and negative predictive value of 0.765, 0.875, 0.890, 0.512, 0.982, respectively.The AUC of the Braden-Q scale was 0.881. The optimal diagnostic cutoff value was 18.5, with a Youden index, sensitivity, specificity, positive predictive value, and negative predictive value of 0.626, 0.792, 0.834, 0.388, 0.968, respectively.Conclusion:Compared with the Braden-Q scale, the Braden-QD scale is more suitable for assessing the risk of pressure injuries in PICU children.
