Yatakbaşı Ağız Değerlendirme Aracı’nın Türkçe Versiyonunun Güvenirliği ve Geçerliliği: Metodolojik Çalışma

Abstract

Amaç: Bu çalışma, Yatakbaşı Ağız Değerlendirme aracının Türkçe versiyonunun geçerliliğini ve güvenilirliğini değerlendirmeyi amaçlamaktadır. Gereç ve Yöntem: Bu metodolojik çalışma, Türkiye, İzmir'deki bir üniversite hastanesinin Anestezi ve Reanimasyon yoğun bakım ünitesinde yürütüldü. Çalışmaya dahil edilen 90 hastanın ağız sağlığı ikisi ağız sağlığı konusunda uzman akademisyen ve biri yoğun bakım hemşiresi olmak üzere üç bağımsız gözlemci tarafından değerlendirildi. İçerik geçerliliğini değerlendirmek için uzman görüşleri toplandı ve İçerik Geçerlilik İndeksi hesaplandı. Gözlemciler arası uyum, Gwet'in AC1 katsayısı kullanılarak ölçülürken, iç tutarlılık Cronbach Alpha kullanılarak analiz edilmiştir. Gözlemciler arası güvenilirlik, sınıf içi korelasyon katsayıları aracılığıyla belirlendi. Bulgular: Her değerlendirme ortalama üç dakikada tamamlandı. Yatakbaşı Ağız Değerlendirme aracının alt ölçekleri için İçerik Geçerlilik İndeksi 0,897 ile 1,000 arasında değişmektedir. Yatakbaşı Ağız Değerlendirme alt ölçekleri için Kappa uyum katsayısı 0,937 ile 1,000 arasında değişmekte olup gözlemciler arasında "mükemmel uyum" olduğunu göstermektedir. Yatakbaşı Ağız Değerlendirme aracı için genel Cronbach's Alpha değeri 0,998 olup çok yüksek iç tutarlılık göstermektedir (ICC = 0,999). Sonuç: Yatakbaşı Ağız Değerlendirme aracının ve alt ölçeklerinin neredeyse mükemmel gözlemciler arası güvenilirliğe sahip olduğunu göstermektedir ve bu da onu yoğun bakım hastalarında ağız sağlığını değerlendirmek için geçerli ve güvenilir bir araç haline getirmektedir. Anahtar Kelimeler: Yoğun bakım, hemşirelik, ağız bakımı, güvenilirlik, ölçek, geçerlilik.

Keywords

• Yoğun bakım
• hemşirelik
• ağız bakımı
• güvenirlik
• ölçek
• geçerlik

Reliability and Validity of Bedside Oral Exam Tool’s Turkish Version: Methodological Study

Abstract

Objective: This study aims to assess the validity and reliability of the Turkish version of the Bedside Oral Exam Tool. Material and Methods: This methodological study was conducted in the Anesthesia and Reanimation intensive care unit of a university hospital in Izmir, Turkey. Ninety patients were evaluated by three independent nurse-observers: two academic specialists in oral care and one specialist intensive care unit nurse. To assess content validity, expert opinions were collected, and the Content Validity Index was calculated. Interobserver agreement was measured using Gwet’s AC1 coefficient, while internal consistency was analyzed using Cronbach’s Alpha. Interobserver reliability was determined through intraclass correlation coefficients. Results: Each assessment was completed in ≤3 minutes. The Content Validity Index for the Bedside Oral Exam subscales ranged between 0.897 and 1.000. The Kappa agreement coefficient for the Bedside Oral Exam subscales ranged from 0.937 to 1.000, indicating “perfect agreement” among observers. The overall Cronbach’s Alpha value for the Bedside Oral Exam was 0.998, demonstrating very high internal consistency (ICC = 0.999). Conclusion: The Bedside Oral Exam tool and its subscales show almost perfect inter-observer reliability, making it a valid and reliable tool for assessing oral health in intensive care patients. Keywords: Intensive care, nursing, oral care, reliability, scale, validity.

Keywords

• Intensive care
• nursing
• oral care
• reliability
• scale
• validity

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