욕창과 실금 관련 피부염의 시각적 감별능력 측정도구 예비문항의 내용 타당도 = Content Validity of Preliminary Items for Visual Differentiation Measurement on Pressure Injury and Incontinence-associated Dermatitis

다국어 초록 (Multilingual Abstract)

Purpose: The aim of this study is to evaluate the content validity of the preliminary items for a visual differentiation measurement on pressure injury (PI) and incontinence-associated dermatitis (IAD) for nurses. Methods: This study was conducted using a convenience sampling and methodology research design. The participants were twenty three specialized wound care nurses in Korea. They were asked to response the validity regarding twenty items including wound photo and relevant information. Data were analyzed using the SPSS/WIN 28.0 with descriptive statistics. Results: The scale-level content validity index (S-CVI/Ave) of 20 items was 0.96. All the participants agreed the photos and relevant information regarding stage I PI, stage IV PI, unstageable PI, and IAD. Agreement rate of stage II PI, deep tissue PI, blanching erythema was 91.3% and that of stage III was 82.6%.
Conclusion: The content validity of the preliminary items for a visual differentiation measurement on PI and IAD was acceptable. However, more detail description of the wound bed condition and changes over time are necessary in order to enable accurate PI and IAD assessment.

참고문헌 (Reference)

1 이은주 ; 양승옥, "중소병원간호사의 욕창간호지식과 간호수행에 관한 연구" 병원간호사회 17 (17): 251-261, 2011

2 이윤진 ; 박승미 ; 김정윤 ; 김철규 ; 차선경, "임상간호사의 욕창분류체계와 실금관련피부염에 대한 지식과 시각적 감별 능력" 한국간호과학회 43 (43): 526-535, 2013

3 문미경, "요양병원 입원 환자의 욕창 발생 현황과 관련 요인: 2009년 건강보험 환자표본 자료 이용" 한국산학기술학회 14 (14): 3390-3399, 2013

4 Hwang, J. S., "The prevalence of female urinary and fecal incontinence" 41 (41): 1552-1559, 1998

5 Thompson, P., "Skin care protocols for pressure ulcers and incontinence in long-term care : A quasi-experimental study" 18 (18): 422-429, 2005

6 Suddaby, E. C., "Skin breakdown in acute care pediatrics" 31 (31): 132-, 2005

7 Russell, L., "Pressure ulcer classification : Defining early skin damage" 11 (11): S33-S41, 2002

8 National Pressure Injury Advisory Panel, "Pressure injury stages" National Pressure Injury Advisory Panel

9 Garcia-Fernandez, F. P., "Predictive capacity of risk assessment scales and clinical judgment for pressure ulcers : a meta-analysis" 41 (41): 24-34, 2014

10 Hopkins, A., "Patient stories of living with a pressure ulcer" 56 (56): 345-353, 2006

11 Gray, M., "Optimal management of incontinence-associated dermatitis in the elderly" 11 : 201-210, 2010

12 Polit, D. F., "Is the CVI an acceptable indicator of content validity? Appraisal and recommendations" 30 (30): 459-467, 2007

13 Lee, Y. J., "Inter-rater reliability of the pressure ulcer classification system" 7 (7): 75-80, 2011

14 Defloor, T., "Inter-rater reliability of the EPUAP pressure ulcer classification system using photographs" 13 (13): 952-959, 2004

15 Cho, K. S., "Incidence and prevalence of pressure ulcers in hospitals : 10-year cohort study" 30 (30): S38-S45, 2021

16 Song, K. Y., "Fundamentals of nursing" Soomoonsa 2021

17 Health Insurance Review & Assessment, "Domestic pressure injury statistics From 2018 to 2022" Health Care Big Data Hub

18 이종경, "Braden scale을 이용한 신경외과 중환자의 욕창 위험 요인 사정과 욕창 발생과의 관계" 한국성인간호학회 15 (15): 267-277, 2003

19 Aydin, A. K., "Assessment of nurses' knowledge and practice in prevention and management of deep tissue injury and stage I pressure ulcer" 37 (37): 487-494, 2010

20 National Pressure Injury Advisory Panel, "Announces a change in terminology from pressure ulcer to pressure injury and updates the stages of pressure injury" National Pressure Injury Advisory Panel