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Buçh Pediatrik Bası Yarası Risk Tanılama Aracı’nın Geliştirilmesi

Yıl 2014, Cilt: 1 Sayı: 1, 57 - 66, 01.01.2014

Öz

Objective: This study was designed to develop a reliable and valid measurement tool to diagnose pressure ulcer risk in nonneonatal children staying in intensive care units (ICU).
Methods: Patients hospitalized in the intensive care units comprised the sample of this study conducted in Izmir Dr. Behçet Uz
Children's Diseases and Pediatric Surgery Training and Research Hospital. In order to determine the items of the scale, the
pertinent literature was reviewed, interviews were held with the nurses working in intensive care units, pediatric physicians,
physicians in charge of the intensive care units, nurses and nurse educators. Finally, the scale was administered to 333 pediatric
patients hospitalized in the intensive care units by nurses working in the intensive care units.
Results: The mean scores obtained from the pressure ulcer risk scale by the patients who developed pressure ulcers (group 1)
and the patients who did not were compared (group 2). The difference between the mean scores of the two groups was
statistically significant (1th day: U = U=1066.500, p=0.025, 4th day: U=498.500, p=0.000, 10th day: U=586.000, p=0.000).
As result of the ROC analysis, the cut-off point was determined as 18.5 based on the diagnostic index and Youden index values.
At this cut-off point, the sensitivity of the scale was 0.82 and its specificity was 0.84. Those who received 18.5 points or more
from the pressure ulcer risk scale were considered to have a high risk for developing pressure ulcers. The EAA of the pressure
ulcer risk scale was determined as 0.699 (0.555-0.843) for the first day and 0.859 (0.782-0.936) for the fourth day. These values
indicated that the scale discriminated at a very good level. Based on the results obtained from the scale, 81.8% of the children
were identified to be at high risk for pressure ulcers.
Conclusion: Our findings indicate that the pressure ulcers risk scale is effective in diagnosing the risk of pressure ulcers. It is
recommended that BUÇH Pressure Ulcers Risk Scale be used in pediatric clinics.

Kaynakça

  • 1. European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel. Prevention and treatment of pressure ulcers: quick reference guide. Washington DC: National Pressure Ulcer Advisory Panel; 2009. (Çev. Yara Ostomi Ġnkontinans HemĢireleri Derneği). Basġnç Ülserlerini Önleme: Hġzlġ Başvuru Kġlavuzu. Ankara, Aralġk 2010(Erişim Tarihi: 19.06.2014) http://www.yoihd.org.tr/images/cust_files/110418091733.p df
  • 2. Curley MAQ, Quigley S, Lin M. (2003), Pressure ulcers in pediatric intensive care: Incidence and associated factors. Pediatr Crit Care Med, Vol. 4, No. 3
  • 3. Kottner J, Hauss A, Schlüer A.B et all. (2011). Validation and clinical impact of paediatirc pressure ulcer risk assessment scales: A systematic review. International Journal of Nursing Studies, 1842
  • 4. Schindler CA, Mikhailov TA, Kuhn EM, Christopher J, Conway P, Ridling D, Scott AM, Simpson AS.(2011), Protecting fragile skin: Nursing interventions to decrease development of pressure ulcers in pediatric intensive care. American Journal of Critical Care. 20, 26-35
  • 5. McCord S, McElvain V, Sachdeva R, Schwartz R, Jefferson LS. (2004) Risk Factors Associated With Pressure Ulcers in the Pediatric Intensive Care Unit. J WOCN, 31(4), 179-184
  • 6. Willock J, Anthony D, Richardson J.(2008). Inter-rater reliability of the Glamorgan Paediatric Pressure Ulcer Risk Assessment Scale. Nursing Children and Young People, 20(7), 14-19
  • 7. Dixon M, Ratliff C. Pediatric Pressure Ulcer Prevalence — One Hospital’s Experience Ostomy Wound Management. (Erişim Tarihi: 15.04.2012) http://www.owm.com/content/pediatric-pressure-ulcer-prevalence- %E2%80%94-one-hospital%E2%80%99sexperience?page=0,1
  • 8. Noonan C, Quigley S, Curley MAQ. (2011), Using the Braden Q Scale to Predict Pressure Ulcer Risk in Pediatric Patients. Journal of Pediatric Nursing, xx
  • 9. Nie AM. Wound‐Evidence‐Based Interventions: 3101: THE PEDIATRIC PRESSURE ULCER PREVENTION BUNDLE. Journal of Wound, Ostomy & Continence Nursing: May/June 2009 - Volume 36 - Issue 3S - p S3. Scientific and Clinical Abstracts From the 41st Annual Wound, Ostomy and Continence Nurses Annual Conference, St. Louis, Missouri June 6-10, 2009: Oral Paper Presentation
  • 10. Schoonhoven L, Grobbee DE, Donders ART.(2006). Prediction of pressure ulcer development in hospitalized patients: a tool for risk assessment. Qual Saf Health Care, 15, 65-70
  • 11. Gözüm S, Aksayan S. (2003) Kültürlerarasġ Ölçek Uyarlamasġ Ġçin Rehber II: Psikometrik Özellikler ve Kültürlerarasġ Karşġlaştġrma. Hemşirelikte Araştġrma Geliştirme Dergisi, 5(1), 3-14
  • 12. Şencan H. (2005). Sosyal ve davranġşsal ölçümlerde güvenilirlik ve geçerlilik. 1.Baskġ, 107-113, 166-169, 381- 390, Ankara: Seçkin Yayġnevi.
  • 13. Schisterman EF, Perkins NJ, Liu A, Bondell H. (2005), Optimal Cut-point and Its Corresponding Youden Index to Discriminate Individuals Using Pooled Blood Samples. Epidemiology,16, 73-81.
  • 14. Dirican A. (2001), Tanġ Testi Performanslarġnġn Değerlendirilmesi ve Kġyaslanmasġ. Cerrahpaşa Tġp Dergisi, 32(2), 25-30

Development of a Diagnostics Tool for Pediatric Pressureh Ulcer Risk in Behçet Uz Children’s Hospital (BUCH))

Yıl 2014, Cilt: 1 Sayı: 1, 57 - 66, 01.01.2014

Öz

Objective: This study was designed to develop a reliable and valid measurement tool to diagnose pressure ulcer risk in nonneonatal children staying in intensive care units (ICU).
Methods: Patients hospitalized in the intensive care units comprised the sample of this study conducted in Izmir Dr. Behçet Uz
Children's Diseases and Pediatric Surgery Training and Research Hospital. In order to determine the items of the scale, the
pertinent literature was reviewed, interviews were held with the nurses working in intensive care units, pediatric physicians,
physicians in charge of the intensive care units, nurses and nurse educators. Finally, the scale was administered to 333 pediatric
patients hospitalized in the intensive care units by nurses working in the intensive care units.
Results: The mean scores obtained from the pressure ulcer risk scale by the patients who developed pressure ulcers (group 1)
and the patients who did not were compared (group 2). The difference between the mean scores of the two groups was
statistically significant (1th day: U = U=1066.500, p=0.025, 4th day: U=498.500, p=0.000, 10th day: U=586.000, p=0.000).
As result of the ROC analysis, the cut-off point was determined as 18.5 based on the diagnostic index and Youden index values.
At this cut-off point, the sensitivity of the scale was 0.82 and its specificity was 0.84. Those who received 18.5 points or more
from the pressure ulcer risk scale were considered to have a high risk for developing pressure ulcers. The EAA of the pressure
ulcer risk scale was determined as 0.699 (0.555-0.843) for the first day and 0.859 (0.782-0.936) for the fourth day. These values
indicated that the scale discriminated at a very good level. Based on the results obtained from the scale, 81.8% of the children
were identified to be at high risk for pressure ulcers.
Conclusion: Our findings indicate that the pressure ulcers risk scale is effective in diagnosing the risk of pressure ulcers. It is
recommended that BUÇH Pressure Ulcers Risk Scale be used in pediatric clinics.

Kaynakça

  • 1. European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel. Prevention and treatment of pressure ulcers: quick reference guide. Washington DC: National Pressure Ulcer Advisory Panel; 2009. (Çev. Yara Ostomi Ġnkontinans HemĢireleri Derneği). Basġnç Ülserlerini Önleme: Hġzlġ Başvuru Kġlavuzu. Ankara, Aralġk 2010(Erişim Tarihi: 19.06.2014) http://www.yoihd.org.tr/images/cust_files/110418091733.p df
  • 2. Curley MAQ, Quigley S, Lin M. (2003), Pressure ulcers in pediatric intensive care: Incidence and associated factors. Pediatr Crit Care Med, Vol. 4, No. 3
  • 3. Kottner J, Hauss A, Schlüer A.B et all. (2011). Validation and clinical impact of paediatirc pressure ulcer risk assessment scales: A systematic review. International Journal of Nursing Studies, 1842
  • 4. Schindler CA, Mikhailov TA, Kuhn EM, Christopher J, Conway P, Ridling D, Scott AM, Simpson AS.(2011), Protecting fragile skin: Nursing interventions to decrease development of pressure ulcers in pediatric intensive care. American Journal of Critical Care. 20, 26-35
  • 5. McCord S, McElvain V, Sachdeva R, Schwartz R, Jefferson LS. (2004) Risk Factors Associated With Pressure Ulcers in the Pediatric Intensive Care Unit. J WOCN, 31(4), 179-184
  • 6. Willock J, Anthony D, Richardson J.(2008). Inter-rater reliability of the Glamorgan Paediatric Pressure Ulcer Risk Assessment Scale. Nursing Children and Young People, 20(7), 14-19
  • 7. Dixon M, Ratliff C. Pediatric Pressure Ulcer Prevalence — One Hospital’s Experience Ostomy Wound Management. (Erişim Tarihi: 15.04.2012) http://www.owm.com/content/pediatric-pressure-ulcer-prevalence- %E2%80%94-one-hospital%E2%80%99sexperience?page=0,1
  • 8. Noonan C, Quigley S, Curley MAQ. (2011), Using the Braden Q Scale to Predict Pressure Ulcer Risk in Pediatric Patients. Journal of Pediatric Nursing, xx
  • 9. Nie AM. Wound‐Evidence‐Based Interventions: 3101: THE PEDIATRIC PRESSURE ULCER PREVENTION BUNDLE. Journal of Wound, Ostomy & Continence Nursing: May/June 2009 - Volume 36 - Issue 3S - p S3. Scientific and Clinical Abstracts From the 41st Annual Wound, Ostomy and Continence Nurses Annual Conference, St. Louis, Missouri June 6-10, 2009: Oral Paper Presentation
  • 10. Schoonhoven L, Grobbee DE, Donders ART.(2006). Prediction of pressure ulcer development in hospitalized patients: a tool for risk assessment. Qual Saf Health Care, 15, 65-70
  • 11. Gözüm S, Aksayan S. (2003) Kültürlerarasġ Ölçek Uyarlamasġ Ġçin Rehber II: Psikometrik Özellikler ve Kültürlerarasġ Karşġlaştġrma. Hemşirelikte Araştġrma Geliştirme Dergisi, 5(1), 3-14
  • 12. Şencan H. (2005). Sosyal ve davranġşsal ölçümlerde güvenilirlik ve geçerlilik. 1.Baskġ, 107-113, 166-169, 381- 390, Ankara: Seçkin Yayġnevi.
  • 13. Schisterman EF, Perkins NJ, Liu A, Bondell H. (2005), Optimal Cut-point and Its Corresponding Youden Index to Discriminate Individuals Using Pooled Blood Samples. Epidemiology,16, 73-81.
  • 14. Dirican A. (2001), Tanġ Testi Performanslarġnġn Değerlendirilmesi ve Kġyaslanmasġ. Cerrahpaşa Tġp Dergisi, 32(2), 25-30
Toplam 14 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Araştırma
Yazarlar

Saime Yıldırım Bu kişi benim

Sibel. Çevik Yöntem Bu kişi benim

Hatice Yıldırım Sarı Bu kişi benim

Tuğba Kaplan Bu kişi benim

Murat Bektaş Bu kişi benim

Yayımlanma Tarihi 1 Ocak 2014
Yayımlandığı Sayı Yıl 2014 Cilt: 1 Sayı: 1

Kaynak Göster

APA Yıldırım, S., Yöntem, S. Ç., Yıldırım Sarı, H., Kaplan, T., vd. (2014). Buçh Pediatrik Bası Yarası Risk Tanılama Aracı’nın Geliştirilmesi. Sağlık Akademisyenleri Dergisi, 1(1), 57-66.
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