Wojastyk Laís Del'Moro Cespedes, Beeckman Dimitri, Santos Vera Lúcia Conceição Gouveia
School of Nursing, University of São Paulo, 419, Avenue Doutor Enéas Carvalho de Aguiar, São Paulo, SP, 05403-000, Brazil.
Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium; Swedish Centre for Skin and Wound Research, Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden.
J Tissue Viability. 2024 Nov;33(4):871-876. doi: 10.1016/j.jtv.2024.08.003. Epub 2024 Aug 29.
Incontinence-associated dermatitis (IAD) poses a significant challenge for individuals experiencing incontinence, characterized by irritative contact dermatitis due to prolonged exposure to urine and/or faeces.
This study aimed to culturally adapt the Ghent Global IAD Monitoring Tool - GLOBIAD-M to Brazilian Portuguese and to assess the adapted version's measurement properties quality.
A clinimetric study was conducted, comprising cultural adaptation and psychometric assessment. Cultural adaptation followed international guidelines, while psychometric properties were evaluated for content validity, inter-rater reliability, and correlation with other variables (thermography). Inter-rater reliability was assessed through clinical and photographic evaluations. The study samples included linguists and, IAD specialists, nurses, and adult patients with IAD according to the cultural adaptation or psychometric evidence assessment.
The process of cultural adaptation resulted in a cumulative coefficient of variation ratio (CVR) of 0.66. Subsequently, the study included 57 patients and 57 nurses for clinical assessments, totalling 166 evaluations of IAD. The inter-rater reliability among nurses was deemed satisfactory, with a Gwet coefficient of 0.77. Moreover, out of 215 photographic assessments conducted by 54 nurses, there was a 92.1 % concurrence in the categorization of IAD. Furthermore, thermography analysis revealed significant temperature differences between healthy individuals and those with IAD, particularly in patients categorized under IAD Cat. 1B, showing a difference of 1.90 °C.
and Impact on Clinical Practice: The results confirm the availability of the GLOBIAD-M in its Brazilian Portuguese version. This tool will allow health professionals to obtain a standardized IAD classification and monitoring in Brazil, enhancing its diagnostic accuracy and aiding clinical decision-making.
失禁相关性皮炎（IAD）给失禁患者带来了重大挑战，其特征为因长期接触尿液和/或粪便而导致的刺激性接触性皮炎。
本研究旨在将根特全球IAD监测工具 - GLOBIAD-M文化适应为巴西葡萄牙语，并评估改编版本的测量属性质量。
进行了一项临床计量学研究，包括文化适应和心理测量评估。文化适应遵循国际指南，同时对心理测量属性进行内容效度、评分者间信度以及与其他变量（热成像）的相关性评估。通过临床和照片评估来评估评分者间信度。根据文化适应或心理测量证据评估，研究样本包括语言学家、IAD专家、护士以及患有IAD的成年患者。
文化适应过程导致累积变异系数比（CVR）为0.66。随后，该研究纳入了57名患者和57名护士进行临床评估，对IAD进行了总计166次评估。护士之间的评分者间信度被认为是令人满意的，Gwet系数为0.77。此外，在54名护士进行的215次照片评估中，IAD分类的一致性为92.1%。此外，热成像分析显示健康个体与IAD患者之间存在显著的温度差异，特别是在IAD分类1B下的患者中，差异为1.90°C。
结果证实了巴西葡萄牙语版本的GLOBIAD-M的可用性。该工具将使巴西的卫生专业人员能够获得标准化的IAD分类和监测，提高其诊断准确性并辅助临床决策。
