Lewis-Abney K, Rosenkranz C F
Nurs Diagn. 1994 Jan-Mar;5(1):36-42. doi: 10.1111/j.1744-618x.1994.tb00366.x.
The purpose of this study was to examine content validity of two nursing diagnoses in the home health setting: impaired skin integrity and altered urinary elimination: total incontinence. Eighty-two home health nurses rated the importance of each of the defining characteristics for the two nursing diagnoses. Diagnostic content validity scores (DCV) were calculated for each defining characteristic for both diagnoses using the method described by Fehring (1986). Four characteristics for each diagnosis had DCV scores greater than .75, indicating characteristics were critical indicators for the diagnosis. Erythema, denuded skin, disruptions of dermal and epidermal tissue, and lesions were critical indicators for impaired skin integrity. Lack of awareness of incontinence, constant flow of urine, lack of awareness of bladder cues to void, and incontinence refractory to other treatments were critical indicators for alteration in urinary elimination: total incontinence.
皮肤完整性受损和排尿异常：完全失禁。82名家庭健康护士对这两个护理诊断的每个定义特征的重要性进行了评分。使用费林（1986年）描述的方法，为两个诊断的每个定义特征计算了诊断内容效度分数（DCV）。每个诊断的四个特征的DCV分数大于0.75，表明这些特征是该诊断的关键指标。红斑、皮肤剥脱、真皮和表皮组织破坏以及损伤是皮肤完整性受损的关键指标。对失禁缺乏意识、持续尿液外流、对膀胱排尿提示缺乏意识以及对其他治疗无效的失禁是排尿异常：完全失禁的关键指标。
