Design and research on reliability-validity for 3S intraoperative risk assessment scale of pressure sore

Abstract

The reliability and validity of risk assessment scale (RAS) of pressure sore during 3S surgery were investigated. RAS of pressure sore was designed independently during 3S surgery. Five operating room nursing experts were selected to consult and detect face validity. Convenient and purposive sampling of 707 samples was conducted. Cronbach's alpha was used to measure content reliability and evaluate the internal consistence of RAS. The structural reliability was investigated by exploratory factor analysis method. The results showed that the content validity index was 0.92, and Cronbach's alpha of content reliability was 0.71. Structural validity, detected by Bartlett sphericity test, was 135.3 for 707 samples with the difference being statistically significant (P<0.01). KMO value was 0.729. The accumulative variance contribution ratio of common factor was 64.63%. The exploratory factor analysis showed the factor load of every clause was larger than 0.596. It was concluded that RAS of pressure sore for 3S surgery has better validity and reliability, and it could be used for evaluating and screening the high risk patients with pressure sores during surgery in order to efficiently reduce the occurrence of pressure sore during surgery. RAS of pressure sore for 3S surgery is worth to be popularized.

A prediction tool for hospital‐acquired pressure ulcers among surgical patients: Surgical pressure ulcer risk score

“…According to Torra i‐Bou, the ideal characteristics of a pressure ulcer risk assessment scale (PURAS) should include high sensitivity and specificity, good predictive value, be easy to use, have clear and well‐defined criteria, and be applicable to different health care settings. We applied these criteria to the previously published tools for assessing pressure ulcer risk among surgical patients . Details of these tools are summarised in Tables and .…”

“…We applied these criteria to the previously published tools for assessing pressure ulcer risk among surgical patients. [15][16][17][18] Details of these tools are summarised in Tables A2 and A3.…”

Risk factors for intraoperative pressure injuries in patients undergoing digestive surgery: A retrospective study

“…Few studies have discussed the factors affecting the pressure injury arising from digestive system operations. Since 2013, our hospital has begun to study and design the 3S intraoperative risk assessment scale of pressure injury (Gao et al, ). Results from reliability and validity test showed that the scale was relatively reliable, producing good clinical effect.…”

Ameliyat Kaynaklı Basınç Yaralanmalarını Önlemede Etkili Kanıt Temelli Girişimler

“…Basınç yaralanması riski, geçerli ve güvenilir bir araçla değerlendirilmeli (KG:C), 3,35 bunun yanı sıra ölçme aracı kapsamında değerlendirilmeyen risk faktörleri ve hastanın klinik durumu da mutlaka dikkate alınmalıdır (KG:C) 3 . Basınç yaralanması riskini değerlendirmede yaygın olarak kullanılan ölçekler, Braden, Norton ve Waterlow ölçekleri olup, 10,42 bu ölçekler cerrahi tedavi geçiren hastaya özgü değildir 30 . Yapılan çalışmalarda, Braden ölçek puanı 14 puan ve altında olanlarda 25 ve 20'den az olanlarda 13 ameliyat kaynaklı basınç yaralanması oluşma oranının anlamlı olarak daha yüksek olduğu belirlenmiş olmasına rağmen, bu ölçeklerin ameliyat kaynaklı basınç yaralanması riskini değerlendirmede yetersiz kaldığı bildirilmiştir 30,42 .…”

“…Basınç yaralanması riskini değerlendirmede yaygın olarak kullanılan ölçekler, Braden, Norton ve Waterlow ölçekleri olup, 10,42 bu ölçekler cerrahi tedavi geçiren hastaya özgü değildir 30 . Yapılan çalışmalarda, Braden ölçek puanı 14 puan ve altında olanlarda 25 ve 20'den az olanlarda 13 ameliyat kaynaklı basınç yaralanması oluşma oranının anlamlı olarak daha yüksek olduğu belirlenmiş olmasına rağmen, bu ölçeklerin ameliyat kaynaklı basınç yaralanması riskini değerlendirmede yetersiz kaldığı bildirilmiştir 30,42 . Literatürde, ameliyat kaynaklı basınç yaralanması riskini artıran faktörlerin değerlendirildiği farklı risk değerlendirme ölçekleri bulunmaktadır 25,[42][43][44][45] .…”