Turkish Validity and Reliability Study of The Deprivation Assessment Tool-1

Öz

Objective: No Turkish adaptation of a measurement tool evaluating the withdrawal in sedated children was found in the literature. This situation raised the need for a measuring instrument in the literature that assesses the withdrawal of children in Turkey. This study aimed to determine the Turkish validity and reliability of the Withdrawal Assessment Tool-1. Methods: It is a methodological study. The sample of the study consisted of 80 children, who were hospitalized in the 16-bed Pediatric Intensive Care Unit of a State hospital in Istanbul, who volunteered to participate in the study, and who had parental consent. The data were collected between 25.12.2020 and 22.08.2021, through “Descriptive Information Form”, “Withdrawal Assessment Tool-1”, “Pediatric Cerebral Performance Category Scale”, and “Pediatric Overall Performance Category” and “PRISM score”. The data obtained from the study were evaluated using SPSS 22.0 and MedCalc 19.1 statistical programs. Results: A significant positive (p=0.000<0.05) correlation was found between the Withdrawal Assessment Tool-1 scores of the children in the sample group and the Pediatric Overall Performance Category and Pediatric Cerebral Performance Category Scale scores. There was a positive (p=<0.05) correlation between the Withdrawal Assessment Tool-1 of the children and the length of stay in the intensive care unit, ventilation time, cumulative opiate dose, the highest opiate dose, and the highest benzodiazepine dose. The optimum cut-off value of the scale was determined as >4. Cut-off point Sensitivity was 81.82; Specificity was 100; Youden index was J=0.818 (0), it was found that 56.2% of children developed withdrawal. Conclusions: As a result of the findings, it was determined that the Withdrawal Assessment Tool-1 makes sensitive measurements to distinguish differences and is a valid and reliable tool in Turkish. In the light of these results, it is recommended to be used in clinical practice to determine the withdrawal in children using sedation.

Anahtar Kelimeler

• Child
• withdrawal
• assessment
• validity
• reliability

Yoksunluk Değerlendirme Aracının Türkçe Geçerlilik ve Güvenilirlik Çalışması-1

Öz

Amaç: Literatürde sedasyon kullanılan çocukların yoksunluk durumunu değerlendiren bir ölçme aracının Türkçe uyarlaması bulunamamıştır. Bu durum Türkiye’de çocukların yoksunluk durumunu değerlendiren bir ölçme aracının literatüre dahil edilmesi ihtiyacını gündeme getirmiştir. Bu çalışma, Yoksunluk Değerlendirme Aracı-1’in Türkçe geçerlik güvenirliğini belirlemek amacıyla yapıldı. Yöntem: Araştırma metadolojik olarak planlandı. Araştırmanın örneklemini İstanbul’da bulunan bir devlet hastanesinin 16 yataklı Çocuk Yoğun Bakım Ünitesinde yatmakta olan araştırmaya katılmaya gönüllü ve ebeveynlerinden onam alınan 80 çocuk oluşturdu. Veriler “Tanıtıcı Bilgiler Formu”, ‘’Yoksunluk Değerlendirme Aracı-1’’, “Pediatrik Serebral Performans Kategori Ölçeği”, ‘’Pediatrik Genel Performans Kategorisi’’ ve “PRİSİM skoru” ile 25.12.2020-22.08.2021 tarihleri arasında toplandı. Araştırmadan elde edilen veriler SPSS 22.0 ve MedCalc 19.1 istatistik program aracılığıyla değerlendirildi. Bulgular: Örneklem grubundaki çocukların Yoksunluk Değerlendirme Aracı-1 puanları ile Pediatrik Genel Performans Kategorisi ve Pediatrik Serebral Performans Kategori Ölçeği puanları arasında pozitif (p=0.000<0.05) anlamlı ilişki olduğu saptandı. Çocukların Yoksunluk Değerlendirme Aracı-1 ile yoğun bakımda kalış süresi, ventilasyonda kalış süresi, kümülatif opiate dozu, en yüksek opiate dozu, en yüksek benzodiazepine dozu arasında pozitif (p=<0.05) korelasyon bulundu. Ölçeğin optimum kesim noktası (cutoffdeğeri)>4 olarak belirlendi. Kesme noktasındaki Sensitivity (Duyarlılık) 81.82; Specificity (Özgüllük) 100; Youdenindex J=0.818 (0) göre çocukların %56.2’ sinde yoksunluk geliştiği saptandı. Sonuç: Elde edilen bulgular sonucunda Yoksunluk Değerlendirme Aracı-1’in farklılıkları ayırt edecek hassas ölçüm yaptığı ve Türkçe geçerli ve güvenilir bir araç olduğu saptandı. Bu sonuçlar ışığında aracın, sedasyon kullanılan çocuklara yönelik yoksunluk durumunun belirlenmesi amacı ile klinik uygulama alanında kullanılması önerilir.

Anahtar Kelimeler

• Çocuk
• yoksunluk
• değerlendirme
• geçerlik
• güvenirlik

Kaynakça

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