Study on construction and application of a risk assessment scale for intra-operative acquired stress injury in pediatric surgery patients
Objective To construct a risk assessment scale for intraoperative acquired pressure injury(IAPI)in pediatric surgical patients and ex-plore its application effectiveness.Methods A total of 106 pediatric surgical patients in Hunan children's Hospital from August 2022 to May 2023 were selected as research object.The IAPI risk assessment scale was generated through literature review and Delphi expert consultation.The scale generated after the consultation was applied to the clinic to carry out the reliability and validity test,and the efficiency of predicting the occurrence of IAPI.Results The results of two rounds of correspondence showed that the experts had higher enthusiasm,higher authority,more concentrated opinions,and higher consistency.The final scale included eight items,including operation time,body position,American Society of Anesthesiolo-gists grade,nutrition status,body mass index,skin condition at the pressure during operation,preoperative limb activity,and tissue perfusion.The Cronbach's α coefficient of scale was 0.705,split half reliability was 0.725,questionnaire level content validity index was 0.832,and item level content validity index was 0.805-1.000.Using Munro scale as the criterion,the correlation coefficients of preoperative,intraoperative,and postop-erative scores were 0.377,0.415,and 0.513,respectively.The scale predicted IAPI occurrence with an area under the curve of 0.810,sensitivity of 70.8％,specificity of 81.5％,and cut-off value was 13.5 points.Conclusion The scale constructed is highly authoritative and scientific,and can be used as a risk assessment tool for pediatric surgery patients with IAPI.
万方数据
维普
