Sugama Junko, Matsui Yuko, Sanada Hiromi, Konya Chizuko, Okuwa Mayumi, Kitagawa Atsuko
Division of Health Sciences, Graduate School of Medical Science, Kanazawa University, Kanazawa, Japan.
J Clin Nurs. 2007 Jul;16(7):1265-9. doi: 10.1111/j.1365-2702.2007.01790.x.
A reduction of pressure ulcer wound area is one of the most important indicators of wound healing. A wound measurement system (VISITRAK), which calculates the area based on simple tracings of wounds, has been developed as a practical tool for assessing wound area at the bedside. However, its accuracy has remained to be clarified in a clinical setting. This study aimed to clarify the clinical accuracy of the VISITRAK system.
A descriptive correlational study.
Intra- and inter-rater reliability of wound measuring techniques were calculated using an intraclass correlation coefficient (ICC) from 10 pressure ulcers. Concurrent validity was assessed, using 30 pressure ulcers, by comparing VISITRAK and digital planimetry. Assessment times for VISITRAK and digital planimetry were also compared for clinical practicality.
The VISITRAK reliability results showed high (0.99) ICC values. For validity, a correlation coefficient between VISITRAK and digital planimetry was 0.99. The median time to take a measurement with VISITRAK was significantly shorter than that required for digital planimetry.
Based on our results, VISITRAK was found to have high intra- and inter-rater reliability and high validity.
The short measurement time with the VISITRAK system, and the ability to use it at the bedside, make it a useful, convenient device for clinical use.
压疮伤口面积的减小是伤口愈合的最重要指标之一。一种伤口测量系统(VISITRAK)已被开发出来,它基于伤口的简单描记来计算面积,是一种在床边评估伤口面积的实用工具。然而,其在临床环境中的准确性仍有待阐明。本研究旨在阐明VISITRAK系统的临床准确性。
描述性相关性研究。
使用组内相关系数(ICC)计算10个压疮伤口测量技术的评分者内和评分者间信度。通过比较VISITRAK和数字平面测量法,对30个压疮评估同时效度。还比较了VISITRAK和数字平面测量法的评估时间,以评估临床实用性。
VISITRAK信度结果显示ICC值较高(0.99)。在效度方面,VISITRAK与数字平面测量法之间的相关系数为0.99。使用VISITRAK进行测量的中位时间明显短于数字平面测量法所需的时间。
基于我们的结果,发现VISITRAK具有较高的评分者内和评分者间信度以及较高的效度。
VISITRAK系统测量时间短,且能够在床边使用,使其成为临床使用中一种有用且方便的设备。