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[儿科患者压疮风险评估量表:Braden QD量表的法语翻译、内部一致性、收敛效度、可行性及临床效用]

[Risk assessment scale for pressure ulcers in pediatric patients: French translation, internal consistency, convergent validity, feasibility, and clinical utility of the Braden QD Scale].

作者信息

Verdon Mélanie, Rae Anne-Claire, Palleron Corinne, Roulin Marie-José

机构信息

Infirmière, Ph.Dc, chargée de recherche et qualité des soins, Hôpitaux Universitaires de Genève, Genève, Suisse

Infirmière, chargée de recherche et qualité des soins, Hôpitaux Universitaires de Genève, Genève, Suisse

出版信息

Rech Soins Infirm. 2022;149(2):51-61. doi: 10.3917/rsi.149.0051.

Abstract

INTRODUCTION

Pediatric patients are particularly vulnerable to pressure ulcers. Structured evaluation with a risk assessment tool is recommended in order to identify patients at risk. The Braden QD Scale integrates the risks of both immobility-related and medical device-related pressure ulcers in pediatric patients.

OBJECTIVES

To translate and pretest the Braden QD Scale into French (Swiss-French version), and to evaluate its consistency, convergent validity, feasibility, and clinical utility.

METHOD

Over five prevalence surveys, the Braden QD Scale was used on all hospitalized pediatric patients. Convergent validity and internal consistency were tested. A self-administered questionnaire on feasibility and clinical utility was completed by nurses.

RESULTS

The translated version of the Braden QD Scale was pretested on 352 children. The prevalence surveys showed that 5.1% were at risk of developing pressure ulcers. Medical devices were present in 85.8% of cases. A Cronbach's alpha of 0.710 and a high convergent validity were measured. High scores of feasibility and clinical utility were found.

DISCUSSION AND CONCLUSION

This study suggests that the Swiss-French version of the Braden QD Scale is reliable, valid, feasible, and has clinical utility.

摘要

引言

儿科患者尤其容易发生压疮。建议使用风险评估工具进行结构化评估,以识别有风险的患者。布拉登儿童版量表综合了儿科患者中与活动受限相关和与医疗器械相关的压疮风险。

目的

将布拉登儿童版量表翻译成法语(瑞士法语版)并进行预测试,评估其一致性、收敛效度、可行性和临床实用性。

方法

在五次现况调查中,对所有住院儿科患者使用布拉登儿童版量表。测试收敛效度和内部一致性。护士完成了一份关于可行性和临床实用性的自填式问卷。

结果

对352名儿童进行了布拉登儿童版量表翻译版本的预测试。现况调查显示,5.1%的儿童有发生压疮的风险。85.8%的病例使用了医疗器械。测得Cronbach's alpha系数为0.710,收敛效度高。发现可行性和临床实用性得分较高。

讨论与结论

本研究表明,布拉登儿童版量表的瑞士法语版可靠、有效、可行且具有临床实用性。

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