手部烧伤严重程度评估工具的汉化及初步临床应用研究  

The introduction and preliminary clinical application of Hand Burn Severity Assessment Tool

作　　者：张娟[1] 蔡娟 李海芬[1] 姚苗[1] ZHANG Juan;CAI Juan;LI Haifen;YAO Miao

机构地区：[1]宁夏医科大学总医院烧伤整形美容科,银川市750004

出　　处：《中华急危重症护理杂志》2023年第5期399-404,共6页Chinese Journal of Emergency and Critical Care Nursing

基　　金：2022年宁夏回族自治区重点研发计划项目(2022BEG03094)。

摘　　要：目的 汉化手部烧伤严重程度(Hand Burn Severity,HABS)评估工具并初步在临床应用,分析其临床意义。方法 依据Brislin翻译模型对HABS评估工具进行正译、回译以及跨文化调适。采用便利抽样法,于2020年6月-8月在银川市某三级甲等综合医院烧伤整形美容科对40例手部烧伤患者实施预调查,形成中文版手部烧伤严重程度(Chinese Hand Burn Severity,C-HABS)评估工具,并判断评定者间一致性。2020年9月-2021年12月对335例手部烧伤患者开展正式调查,分析其手部烧伤严重程度的分级情况,运用C-HABS评估工具使用性评价表判断临床效用和实际指导意义。结果 预调查结果中2位评定者间的Kappa值为0.695>0.60。使用C-HABS评估工具正式调查了335例手部烧伤患者。C-HABS评分标准:0~11分为轻度烧伤,12~21分为中度烧伤,22~28分为重度烧伤,29~36分为特重度烧伤。50名烧伤科医护人员中,96%认为C-HABS评估工具考虑到手部解剖结构,84%认为手部烧伤的评估结果相对更准确,90%认为C-HABS手部烧伤的量化评估对临床更具指导意义。结论 C-HABS评估工具能够将手部烧伤患者的病情严重程度进行量化分级,有利于尽早识别风险,及时启动紧急救援,帮助医护人员有效实施机构间转运和分级诊疗。ObjectiveThe evaluation tool of Hand Burn Severity(HABS)was introduced and its severity classification was identified after clinical application,and its clinical guiding significance was analyzed.Methods Forward translation,back translation and cross-cultural adaptation of HABS were conducted based on the Brislin translation model.Convenience sampling method was applied to select 40 patients with hand burn from June to August 2020 for pre-survey.The Chinese Hand Burn Severity(C-HABS)assessment tool was developed and the consistency among raters was judged.From September 2020 to December 2021,335 patients with hand burn were formally recruited to analyze the severity classification of hand burn,and C-HABS usability evaluation form was used to determine the clinical effect and practical guiding significance.Results In the preliminary application results,the Kappa value between the two raters was 0.695>0.60,which indicated a strong consistency level among raters.A total of 342 application forms of C-HABS evaluation tool were administered for official application,and 335 questionnaires were actually collected,with effective response rate of 97.95%.C-HABS scoring criteria:0~11 was rated as mild burn;12~21 moderate burn;22~28 severe burn;29~36 extremely severe burn.There were 96%of the 50 staff from Burn Department agreed that the C-HABS assessment tool considered hand anatomy;84%thought that the assessment result of hand burn was more accurate;90%of them thought that the quantitative evaluation of C-HABS hand burn was more instructive in clinical practice.Conclusion C-HABS assessment tool can quantify and grade the severity of hand burn patients,which is helpful for early identification of risks,timely initiation of emergency rescue,and effective implementation of inter-agency transport and hierarchical diagnosis and treatment.

关 键 词：全手 烧伤 损伤严重度评分 跨文化调试 

分 类 号：R473.6[医药卫生—护理学]