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使用COMHON指数评估重症监护室中压力损伤风险:一个间隔测量器可靠性研究

Yasemin Uslu¹, Paul Fulbrook², Esra Eren³

¹Faculty of Nursing, Istanbul University, Fatih, Istanbul 34452, Turkey.

Intensive & critical care nursing

|February 21, 2024

概括

作为重症监护室压力损伤风险评估工具的COMHON指数,在护士中显示出近乎完美的互评值可靠性. 这一发现支持其用于特定患者群体,以改善压力损伤预防策略.

科学领域:

护理护理护理
临床评估临床评估
患者安全患者安全

背景情况:

压力伤害是重症监护室 (ICU) 中的一个重要问题.
一般风险评估工具可能无法充分解决ICU患者的独特风险因素.
COMHON (意识水平,移动性,血液动力学,氧化,营养) 指数是专为重症监护室设置而设计的专门工具.

研究的目的:

为了评估COMHON指数的评价者间可靠性.
确定护士是否能够一致地应用COMHON指数来评估ICU中的压力损伤风险.

主要方法:

在土耳其伊斯坦布尔的25名ICU患者中评估了Interrater可靠性.
25名ICU护士参与了这项研究,每个患者都被五个不同的评级者评估.
统计分析包括类内相关性 (ICC),标准测量误差 (SEM) 和最小可检测变化 (MDC).

主要成果:

在COMHON指数表现出非常高的interrater可靠性,与0.998.99的ICC.
总得分的SEM是0.14和MDC是0.39,总得分为0.39.
在所有规模项目和风险级别的配对评级者之间观察到很强的一致性.

结论:

康指数显示,在重症监护护士中,评级者之间的可靠性非常出色.
该工具适用于ICU的特定设置压力损伤风险评估.
建议进行进一步的研究,以探索其心理测量特性和对预防性干预措施的影响.

关键词:

在COMHON指数上.重症监护室的重症监护室是重症监护室的重症监护室.测量器间的可靠性压力损伤的压力损伤.风险评估风险评估风险评估

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