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Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
Published on: July 4, 2018
Assessing Oral Mucosal Pressure Injuries in Intubated Intensive Care Patients: Adaptation and Reliability of the
Ecem Ozdemir1, Fatos Korkmaz2, Necla Dereli3
1Faculty of Nursing, Ankara University, Ankara, Turkey.
Aim:
This study aimed to adapt the Reaper Oral Mucosa Pressure Injury Scale into Turkish and evaluate its reliability and validity for use by intensive care unit nurses in assessing oral mucosal membrane pressure injuries among intubated patients.
Methods:
A methodological study was conducted with 165 intensive care unit nurses in a tertiary hospital. The adaptation process followed international guidelines, including translation, back-translation, expert review and pilot testing. Psychometric testing included content validity, exploratory factor analysis, internal consistency and test-retest reliability.
Results:
Although 83% of nurses reported familiarity with mucosal membrane pressure injuries, only 38% had received formal training, underscoring a practice gap. Turkish Reaper Oral Mucosa Pressure Injury Scale demonstrated strong psychometric performance: exploratory factor analysis confirmed a unidimensional structure (Kaiser-Meyer-Olkin = 0.92; Bartlett's χ2(136) = 2185.6, p < 0.001) explaining 52.4% of variance. Internal consistency was excellent (α = 0.874; full scale α = 0.94; item-total correlations 0.42-0.80).
Conclusions:
Turkish Reaper Oral Mucosa Pressure Injury Scale is a valid, reliable scale for oral mucosal membrane pressure injuries assessment.
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