Gardner Sue E, Frantz Rita A, Park Heeok, Scherubel Melody
Center for Research in the Implementation of Innovative Strategies in Practice (CRIISP), Iowa City VA Medical Center, Iowa City, Iowa, USA.
Ostomy Wound Manage. 2007 Jan;53(1):46-51.
The Clinical Signs and Symptoms Checklist is a tool designed to measure 12 clinical signs and symptoms of localized chronic wound infection. Since its initial development, this Checklist has been revised to include sanguineous drainage. To examine the inter-rater reliability of the revised Clinical Signs and Symptoms Checklist in diabetic foot ulcers, an observational, cross-sectional study was conducted in conjunction with a larger study examining the validity of each sign and symptom for identifying infection in diabetic foot ulcers. Two independent nurse observers assessed 64 diabetic foot ulcers in 64 patients using the Checklist. The reliability of each item was calculated using percent agreement and the Kappa coefficient. Total percent agreement ranged from 76% to 100%, and Kappa statistics ranged from .34 to 1.00. Study findings confirm that the Clinical Signs and Symptoms Checklist is a reliable tool for identifying the clinical signs and symptoms of localized infection in diabetic foot ulcers.
临床体征和症状检查表是一种用于测量局部慢性伤口感染的12种临床体征和症状的工具。自最初开发以来，该检查表已进行修订，纳入了血性引流情况。为了检验修订后的临床体征和症状检查表在糖尿病足溃疡患者中的评分者间信度，我们开展了一项观察性横断面研究，该研究与另一项规模更大的研究同时进行，后者旨在检验每种体征和症状在识别糖尿病足溃疡感染方面的有效性。两名独立的护士观察者使用该检查表对64例患者的64个糖尿病足溃疡进行了评估。使用一致率和kappa系数计算每个条目的信度。总一致率在76%至100%之间，kappa统计量在0.34至1.00之间。研究结果证实，临床体征和症状检查表是识别糖尿病足溃疡局部感染临床体征和症状的可靠工具。
