Faculty of Nursing, Gazi University, Ankara, Turkey
Faculty of Health Sciences, Nursing Department, Necmettin Erbakan University, Konya, Turkey.
Res Theory Nurs Pract. 2024 Aug 21;38(3):371-381. doi: 10.1891/RTNP-2023-0123.
Patients who have been intubated ≥48 hours are at risk of dysphagia. Evaluation of swallowing before starting oral feeding after extubation is necessary to prevent aspiration and the problems caused by aspiration. The Postextubation Dysphagia Screening tool is a validated and reliable tool used to evaluate extubation-induced dysphagia. This study was conducted to evaluate the validity and reliability of the Postextubation Dysphagia Screening Tool for the Turkish population. The study had a methodological design and was carried out with 50 patients followed in the intensive care unit of a public hospital. The study was carried out in four stages: (1) language validity, (2) content validity, (3) establishing interrater reliability by agreement with two observers (intensive care nurse and intensivist), and (4) establishing sensitivity and specificity with the intensive care nurse and intensivist. The overall content validity index was 0.91, indicating content validity. Interrater reliability was established (Cohen's g = 0.93). The prevalence of postextubation dysphagia was 42%, and the sensitivity of the Postextubation Dysphagia Screening Tool was 82% and the specificity was 64%. The Turkish version of the Postextubation Dysphagia Screening Tool exhibited good evidence of validity and reliability and was determined important as it can help nurses evaluate postextubation dysphagia in intensive care patients. The use of this tool by a nurse reduces the risk of unsafe oral intake among patients after prolonged intubation. This tool allows accurate assessment of dysphagia and initiation of early and safe oral feeding in critical care patients.
对于那些插管时间超过 48 小时的患者，存在吞咽困难的风险。在开始经口喂养之前，需要对吞咽情况进行评估，以防止误吸及由误吸引起的问题。《拔管后吞咽障碍筛查工具》是一种经过验证和可靠的工具，用于评估拔管后引起的吞咽困难。本研究旨在评估土耳其人群中《拔管后吞咽障碍筛查工具》的有效性和可靠性。该研究采用方法学设计，对一家公立医院的重症监护病房中 50 名患者进行了研究。研究分四个阶段进行：（1）语言有效性；（2）内容有效性；（3）通过与两名观察者（重症监护护士和重症医学专家）达成一致来建立观察者间信度；（4）通过重症监护护士和重症医学专家建立敏感性和特异性。总体内容有效性指数为 0.91，表明内容有效。观察者间信度得到确立（Cohen's g = 0.93）。拔管后吞咽困难的患病率为 42%，《拔管后吞咽障碍筛查工具》的敏感性为 82%，特异性为 64%。《拔管后吞咽障碍筛查工具》土耳其语版具有良好的有效性和可靠性证据，具有重要意义，因为它可以帮助护士评估重症监护患者的拔管后吞咽困难。护士使用该工具可降低长时间插管后患者不安全口服摄入的风险。该工具可对吞咽困难进行准确评估，并在重症监护患者中尽早开始安全的口服喂养。
