两种失禁性皮炎风险评估工具在失禁患者中信效度的比较  

Comparison of the reliability and validity of two incontinence-associated dermatitis risk assessment instruments in the patients with incontinence

作　　者：徐慧敏[1] 吴娟[2] 卢丽华[3] 陈晓艳[4] 许惠芬[2] 陈鑫[2] 茅裕伟[3] 

机构地区：[1]南通大学护理学院,226000 [2]南通大学附属医院ICU,226000 [3]南通大学附属医院神经内科,226000 [4]南通大学附属医院神经外科,226000

出　　处：《中国实用护理杂志》2017年第19期1446-1449,共4页Chinese Journal of Practical Nursing

摘　　要：目的对失禁性皮炎（IAD）风险评估量表和会阴部位皮肤状况评估工具（PAT）在失禁患者中的信效度进行比较，为IAD提供最佳的风险评估工具。方法选取南通大学附属医院神经内、外科及重症监护室失禁患者101例，分别采用IAD风险评估量表和PAT进行评价，信度以评估者问一致性、内部一致性、条目敏感性分析及重测信度评价；效度则以结构效度和预测效度评价。结果IAD风险评估量表Cronbach仅系数值为0．313，PAT为0．421；IAD风险评估量表和PAT分别去掉“更换床单和垫子”“相关影响因素”条目后Cronbaeh0l系数最高，分别为0．431、0．428；IAD风险评估量表2次测量总分相关系数为0．711（P〈0．01），PAT2次测量总分相关系数为0．498（P〈0．01）；IAD风险评估量表和PATROC曲线下面积分别为0．661、0．864；IAD风险评估量表和PAT不良预后预测最佳界值分别为53．5、6．5分。结论IAD风险评估量表和PAT在国内使用信效度均低，建议分别从“更换床单和垫子”“相关影响因素”2个条目着手，进一步调整、修订。Objective To compare the reliability and validity of 2 incontinence-associated dermatitis （IAD） risk assessment tools （IAD risk assessment scale and PAT） in patients with incontinence, and to search for the best risk assessment tool. Methods A total of 101 IAD cases were chosen from the Affiliated Hospital of Nantong University.Reliability was evaluated by the inter-rater reliability,internal consistency,item sensitivity analysis and retest reliability; validity was evaluated by the structure validity and predictive validity. Results Cronbach α was 0.313 （IAD risk assessment scale） and 0.421（PAT）; Cronbach α coefficient was the highest after the items that ＂Change sheets and mats＂ and ＂relevant factors＂ were removed respectively in two tools,which were 0.431, 0.428; The correlation between the total scores were 0.711 （P〈0.01）（IAD risk assessment scale） and 0.498 （PAT）（P〈0.01）;Area under curve were 0.661 （IAD risk assessment scale）,0.864 （PAT）; the best cut-off value to forecast a poor prognosis was 53.5 （lAD risk assessment scale）, 6.5 （PAT）. Conclusions The reliability and validity of lAD risk assessment scale and PAT are low. ＂The change of sheets and mats＂ and ＂Related influencing factors＂ are needed to be adjusted and revised.

关 键 词：失禁性皮炎 失禁性皮炎风险评估量表 会阴部位皮肤状况评估工具 

分 类 号：R472[医药卫生—护理学]