Konateke Sema, Güner Şükriye İlkay
Department of Surgical Nursing, Faculty of Health Sciences, Gaziantep University, Gaziantep, Türkiye.
J Clin Nurs. 2025 Nov;34(11):4841-4853. doi: 10.1111/jocn.17765. Epub 2025 Apr 8.
To develop the Surgery-Related Pressure Injury Risk Assessment Scale (SURPIRAS) and conduct validity and reliability analyses.
A methodological study.
Data were collected from 200 patients with "Patient Identification Form", "Postoperative Patient Assessment Form", "SURPIRAS", "Risk Assessment Scale for Injuries Related to Surgical Position (ELPO)" and "Perioperative Pressure Injury Risk Assessment Scale (Munro Scale)". Number, percentage and mean, standard deviation were calculated in descriptive statistics. Intraclass correlation coefficient was used to evaluate the validity and reliability of the scale to determine content validity, criterion-related validity and interobserver agreement. The scale's cut-off point, sensitivity and selectivity values were calculated. The study was prepared according to the STARD publication checklist, following EQUATOR guidelines.
Pressure injuries occurred in 20.5% of the patients. The total score of the SURPIRAS was found to be statistically significant in terms of postoperative pressure injury development. A positive correlation was found between the developed scale and ELPO and Munro Scale. The strength of this correlation is higher between SURPIRAS and Munro Scale. The cut-off point for the SURPIRAS was determined as 27, and patients with a total score of 28 points and above were classified as high risk.
It was determined that the SURPIRAS is a valid and reliable measurement tool in determining the risk of pressure injury in surgical patients in the Turkish population.
The first thing to do to prevent pressure injuries in surgical patients is risk assessment. The study provides a new contribution to the literature because it is the development of a risk assessment scale.
Patients were included in the study after being informed about the study before surgery and giving written and verbal consent. Patients were monitored for pressure injury by the researchers after surgery.
开发手术相关压力性损伤风险评估量表（SURPIRAS）并进行效度和信度分析。
一项方法学研究。
收集200例患者的“患者识别表”“术后患者评估表”“SURPIRAS”“手术体位相关损伤风险评估量表（ELPO）”和“围手术期压力性损伤风险评估量表（Munro量表）”数据。描述性统计中计算数量、百分比以及均值、标准差。使用组内相关系数评估量表的效度和信度，以确定内容效度、标准关联效度和观察者间一致性。计算量表的截断点、敏感度和特异度值。本研究依据EQUATOR指南，按照STARD发表清单编写。
20.5%的患者发生了压力性损伤。发现SURPIRAS总分在术后压力性损伤发生方面具有统计学意义。所开发的量表与ELPO和Munro量表之间存在正相关。SURPIRAS与Munro量表之间这种相关性的强度更高。SURPIRAS的截断点确定为27分，总分28分及以上的患者被归类为高风险。
确定SURPIRAS是一种有效且可靠的测量工具，可用于确定土耳其人群手术患者的压力性损伤风险。
预防手术患者压力性损伤首先要进行风险评估。该研究为文献提供了新的贡献，因为它是一种风险评估量表的开发。
患者在术前被告知研究并给予书面和口头同意后被纳入研究。术后研究人员对患者进行压力性损伤监测。
