Department of Health and Nursing Sciences, University of Agder, Centre for Caring Research-southern Norway, Grimstad, Norway.
BMJ Open. 2012 Oct 25;2(5). doi: 10.1136/bmjopen-2012-001575. Print 2012.
The purpose of this study was to translate and test the psychometric properties of the Norwegian-language version of the Risk Assessment Pressure Sore (RAPS) scale.
Risk assessment scales for pressure ulcer (PU) prevention have become an aspect of quality improvement in healthcare, but their effectiveness depends on the reliability and validity of the scale.
A convenience sample of 481 residents in 15 nursing homes in rural Norway was included between January and June 2007. The English-language version of the RAPS scale was translated into Norwegian, and this scale was used to collect the data, including a skin examination. The number of PUs and grades were documented. Reliability was assessed in a small group of 26 residents and construct validity in the total study group.
Equivalence between two assessments regarding total scores of the RAPS scale was reflected in an intraclass correlation coefficient (ICC) of 0.95. Construct validity was supported, and the RAPS scale could define groups with expected low and high scores. Further evidence of construct validity was shown in a confirmatory factor analysis.
The Norwegian version of the RAPS scale has shown sufficient psychometric properties to be considered a reliable and valid scale for identifying risk of PUs among nursing home residents. However, further testing is needed.
本研究旨在翻译并检验挪威语版风险评估压疮（RAPS）量表的心理测量特性。
压疮（PU）预防风险评估量表已成为医疗保健质量改进的一个方面，但它们的有效性取决于量表的可靠性和有效性。
2007 年 1 月至 6 月，在挪威农村的 15 家养老院中选取了 481 名居民作为便利样本。RAPS 量表的英文版本被翻译成挪威语，并使用该量表收集数据，包括皮肤检查。记录了压疮的数量和等级。在一个由 26 名居民组成的小样本中评估了可靠性，在总研究组中评估了结构有效性。
在 RAPS 量表总分的两次评估之间的等效性反映在内部一致性系数（ICC）为 0.95。结构有效性得到支持，RAPS 量表可以确定预期低风险和高风险的评分组。在验证性因子分析中进一步证明了结构有效性。
挪威语版 RAPS 量表具有足够的心理测量特性，可被视为一种可靠有效的量表，用于识别养老院居民发生压疮的风险。但是，还需要进一步的测试。
