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Validation of Harikrishna Periwound Skin Classification for wound assessment
Harikrishna K R Nair1, Sylvia Sy Chong1, Abdul Manan Othman1
1Ministry of Health Malaysia, Hospital Kuala Lumpur, Jalan Pahang, 50586 Kuala Lumpur.
Objective:
To validate the accuracy and reliability of Harikrishna Periwound Skin Classification (HPSC) for wound assessment.
Method:
Post-basic students (staff nurses and medical assistants) were given real life pictures showing the wound and periwound area. The students were asked to classify all pictures according to the HPSC at zero months (before attachment) and after two months of attachment. The images were the same but the answers were never given or discussed after the first test.
Results:
A total of 30 post-basic students participated in the study, assessing wound 30 images. The results showed that there was an increase of 25.42% in accuracy of wound assessment using the HSPC after two months of clinical attachment compared to pre-attachment. The reliability of the HPSC in wound assessment 79.87%.
Conclusion:
Health professionals have to be able to assess and classify wounds accurately to be able to manage them accordingly. Assessment and classifications of the periwound skin are important and need to be validated and integrated as a part of a full wound assessment. With experience and adequate training, health professionals are able to comprehensively assess wounds using the validated tool, to enable effective wound management and treatment, accelerating wound healing and improving the quality of life for patients.