Srinagarind Hospital, RN, MNS, Registered Nurse, Khon Kean, Thailand.
Department of Gerontological Nursing, Faculty of Nursing, Khon Kaen University, Khon Kean, Thailand.
Sci Rep. 2024 Nov 30;14(1):29787. doi: 10.1038/s41598-024-81577-7.
Skin injury is a growing issue among older adults, especially when admitted to an intensive care unit or long-term care facility. Skin prevention is a key point in dealing with this issue, and prompt and effective screening instruments should be used to identify risks and start preventive interventions and care. This descriptive study aimed to translate and examine the psychometric property and implement the Perineal Assessment Tool for incontinence associated dermatitis risk assessment. The English version was translated into Thai following the international guidelines from the World Health Organization by the bilinguals. From May to June 2023, 119 patients from the semi-intensive care unit were included using a consecutive sampling method. The research instruments included the demographic questionnaires, the original English version, and the translated Thai version. The Thai Version had a content validity index, an index of item-objective congruence, a Pearson correlation coefficient of percent agreement, the Pearson correlation coefficient of the interrater reliability, the Kappa coefficient of interrater reliability, the Pearson correlation coefficient of the intra-rater reliability, and the Kappa coefficient of intra-rater reliability ranked from 0.75 to 1.00. The 21.95% had a high risk of developing incontinence-associated dermatitis, which was associated with females, the length of stay in hospital and semi-intensive care unit longer than or equal to four days, receiving antibiotics, disease severity greater than or equal to 20 points, the albumin level less than 3.8 g/dl, and neuropathy and brain disorders. In conclusion, this instrument has high validity and reliability and can assess patients at risk of incontinence-associated dermatitis. This tool will help with early risk detection and guide for planning to manage various risk conditions to prevent dermatitis instead of taking care of them after the skin has already been damaged.
皮肤损伤是老年人日益严重的问题，尤其是在入住重症监护病房或长期护理机构时。皮肤预防是处理这个问题的关键，应该使用及时有效的筛查工具来识别风险，启动预防干预和护理。本描述性研究旨在翻译和检验失禁相关性皮炎风险评估的会阴评估工具的心理测量学特性并进行实施。英文版本按照世界卫生组织的国际准则由双语人员翻译成泰文。2023 年 5 月至 6 月，采用连续抽样法，从半重症监护病房纳入 119 名患者。研究工具包括人口统计学问卷、原始英文版和翻译后的泰文版。泰文版具有内容有效性指数、项目-目标一致性指数、百分一致的 Pearson 相关系数、评分者间信度的 Pearson 相关系数、评分者间信度的 Kappa 系数、评分者内信度的 Pearson 相关系数和评分者内信度的 Kappa 系数，范围从 0.75 到 1.00。21.95%的患者有发生失禁相关性皮炎的高风险，这与女性、住院和半重症监护病房的停留时间大于或等于四天、使用抗生素、疾病严重程度大于或等于 20 分、白蛋白水平小于 3.8 g/dl 以及神经病变和脑部疾病有关。总之，该工具具有较高的有效性和可靠性，可评估失禁相关性皮炎风险患者。该工具将有助于早期发现风险，并指导规划管理各种风险状况，以预防皮炎，而不是在皮肤受损后再进行护理。
