Serap Sayar, MSc, RN, Surgical Nursing Department, Dokuz Eylül University Health Sciences Institute, Balçova, I.zmir, Turkey.
Fatma Vural, PhD, RN, Assistant Professor, Surgical Nursing Department, Dokuz Eylül University Nursing Faculty, Balçova, I.zmir, Turkey.
J Wound Ostomy Continence Nurs. 2020 Jan/Feb;47(1):45-49. doi: 10.1097/WON.0000000000000600.
The purpose of this study was to evaluate the content validity and interrater reliability of a Turkish language version of the Pittman Ostomy Complication and Severity Index (OCSI).
Psychometric evaluation of instrument.
The sample comprised 90 individuals living with an ostomy for 2 to 6 months. Their mean age was 59.48 years (SD 13.292); 52.2% were female. Almost two-thirds (73.3%, n = 66) had experienced at least 1 ostomy complication. The study was conducted in the Wound and Stoma Therapy Unit of the Dokuz Eylül University Hospital General Surgery Clinic and Polyclinic in Izmir, Turkey.
A Turkish language version of the OCSI was created using a translation, back-translation technique. The instrument's content validity was analyzed by 26 experts. Interrater reliability test was evaluated using Cohen's κ and intraclass correlation coefficients. Data were collected between January 15, 2017 and July 30, 2017 through face-to-face interviews conducted in our Wound and Stoma Therapy Unit.
The overall content validity index was 0.95. Cohen's κ coefficient varied from 0.70 and 1.0 for all items. The Pearson correlation coefficient and intraclass correlation coefficient were 0.982 (P = .000) and 0.986 (P = .000), respectively, indicating good internal consistency. The most prevalent complications were leakage (41.1%), peristomal moisture-associated skin damage (42.2%), and stomal retraction (27.7%).
Findings indicate that the Turkish language version of the Pittman OCSI is a reliable and valid instrument for assessment of presence and severity of early postoperative complications in individuals with an ostomy. We found the instrument parsimonious, easy-to-use, and clinically practical. It can be used to determine appropriate interventions to prevent or treat complications and evaluate the effects of nursing interventions designed to improve outcomes for patients with ostomies.
本研究旨在评估土耳其语版皮特曼造口并发症和严重程度指数（OCSI）的内容效度和评分者间信度。
仪器的心理测量评估。
样本由 90 名患有造口术 2 至 6 个月的个体组成。他们的平均年龄为 59.48 岁（SD 13.292）；52.2%为女性。近三分之二（73.3%，n=66）经历过至少 1 种造口并发症。该研究在土耳其伊兹密尔的多乌泽尔大学医院普通外科诊所和综合诊所的伤口和造口治疗科进行。
使用翻译、回译技术创建土耳其语版 OCSI。通过 26 名专家分析该工具的内容效度。通过 Cohen's κ 和组内相关系数评估评分者间信度测试。2017 年 1 月 15 日至 2017 年 7 月 30 日期间，通过我们的伤口和造口治疗科进行面对面访谈收集数据。
总体内容效度指数为 0.95。所有项目的 Cohen's κ系数从 0.70 到 1.0 不等。Pearson 相关系数和组内相关系数分别为 0.982（P=.000）和 0.986（P=.000），表明具有良好的内部一致性。最常见的并发症是渗漏（41.1%）、造口周围潮湿相关皮肤损伤（42.2%）和造口回缩（27.7%）。
研究结果表明，土耳其语版皮特曼 OCSI 是一种可靠且有效的工具，可用于评估造口术后早期并发症的发生和严重程度。我们发现该工具简洁、易用且具有临床实用性。它可用于确定适当的干预措施，以预防或治疗并发症，并评估旨在改善造口患者结局的护理干预措施的效果。
