Department of Nursing, National and Kapodistrian University of Athens, 123 Papadiamantopoulou str., Goudi, 11527 Athens, Greece.
University of São Paulo, School of Nursing, Medical-Surgical Nursing Department, São Paulo, Brazil.
Intensive Crit Care Nurs. 2018 Oct;48:3-9. doi: 10.1016/j.iccn.2018.03.005. Epub 2018 Apr 11.
To assess the reliability and validity of the Greek version of Nursing Activities Score (NAS), and Therapeutic Intervention Scoring System for Critically Ill Children (TISS-C) in a Greek Paediatric Intensive Care Unit (PICU).
A methodological study was performed in one PICU of the largest Paediatric Hospital in Athens-Greece. The culturally adapted and validated Greek NAS version, enriched according to the Norwegian paediatric one (P-NAS), was used. TISS-C and Norwegian paediatric interventions were translated to Greek language and backwards. Therapeutic Intervention Scoring System (TISS-28) was used as a gold standard. Two independent observers simultaneously recorded 30 daily P-NAS and TISS-C records. Totally, 188 daily P-NAS, TISS-C and TISS-28 reports in a sample of 29 patients have been obtained during five weeks. Descriptive statistics, reliability and validity measures were applied using SPSS (ver 22.0) (p ≤ 0.05).
Kappa was 0.963 for P-NAS and 0.9895 for TISS-C (p < 0.001) and Intraclass Correlation Coefficient for all scale items of TISS-C was 1.00 (p < 0.001). P-NAS, TISS-28 and TISS-C measurements were significantly correlated (0.680 ≤ rho ≤ 0.743, p < 0.001). The mean score(±SD) for TISS-28, P-NAS and TISS-C was 23.05(±5.72), 58.14(±13.98) and 20.21(±9.66) respectively.
These results support the validity of P-NAS and TISS-C scales to be used in greek PICUs.
评估希腊版护理活动评分（NAS）和危重病儿童治疗干预评分系统（TISS-C）在希腊儿科重症监护病房（PICU）中的可靠性和有效性。
在雅典最大的儿科医院的一个 PICU 中进行了一项方法学研究。使用了经过文化适应和验证的希腊版 NAS 版本，该版本根据挪威儿科版（P-NAS）进行了丰富。TISS-C 和挪威儿科干预措施被翻译成希腊语并进行了反向翻译。治疗干预评分系统（TISS-28）被用作金标准。两名独立观察员同时记录了 30 份日常 P-NAS 和 TISS-C 记录。在五周的时间里，对 29 名患者的 188 份日常 P-NAS、TISS-C 和 TISS-28 报告进行了采样。使用 SPSS（版本 22.0）（p≤0.05）进行描述性统计、可靠性和有效性测量。
P-NAS 的 Kappa 值为 0.963，TISS-C 的 Kappa 值为 0.9895（p<0.001），TISS-C 所有量表项目的组内相关系数为 1.00（p<0.001）。P-NAS、TISS-28 和 TISS-C 测量值呈显著相关（0.680≤rho≤0.743，p<0.001）。TISS-28、P-NAS 和 TISS-C 的平均得分（±SD）分别为 23.05（±5.72）、58.14（±13.98）和 20.21（±9.66）。
这些结果支持 P-NAS 和 TISS-C 量表在希腊 PICU 中使用的有效性。
