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Risk Assessment Scale for the Development of Medical Adhesive-related Skin Injuries
Maíla Fidalgo de Faria1,2, Talita Silva Alves Tibola1,2, Maria Beatriz Guimarães Raponi3
1Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brazil.
A new Risk Assessment Scale for Medical Adhesive-related Skin Injuries was developed and validated. This tool accurately identifies hospitalized adults at high risk for these injuries.
Area of Science:
- Nursing
- Dermatology
- Medical Device Safety
Background:
- Medical adhesive-related skin injuries (MARSI) are a common problem in hospitalized patients.
- Early identification of patients at risk is crucial for prevention and management.
Purpose of the Study:
- To develop and validate a comprehensive scale for assessing the risk of MARSI in hospitalized adults.
Main Methods:
- A methodological study involving scale development, face and content validity testing with expert judges.
- Predictive criterion validity and interobserver reliability were assessed using patient data.
Main Results:
- The developed scale has 48 items across eight domains.
- High validity (content validity coefficient 0.94) and reliability (intraclass correlation coefficient 0.92) were demonstrated.
- The scale effectively differentiated between low (<11) and high (≥11) risk patients, with significant association to MARSI occurrence (p < 0.001).
Conclusions:
- The Risk Assessment Scale is a valid and reliable instrument for identifying hospitalized adults at risk of developing MARSI.
- This tool can aid clinicians in implementing targeted preventive strategies.
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