A comparison of predictive effect of two scales for the neonatal pressure injury on the neonatal intensive care unit
LYU Junying1, WU Yujie2, XIA Fangqin1, Ruan Shuqin1, LU Ping1
1.Department of Neonatal Intensive Care Unit, the Second Affiliated Hospital & Yuying Children’s Hospital of Wenzhou Medical University,Wenzhou 325027, China; 2.Department of Neonatal Intensive Care Unit, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325015, China
LYU Junying,WU Yujie,XIA Fangqin, et al. A comparison of predictive effect of two scales for the neonatal pressure injury on the neonatal intensive care unit[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2021, 51(9): 759-762.
Abstract：Objective: To compare the neonatal skin risk assessment scale (NSRAS) and neonatal/infant Braden Q scale (N/I Braden-Q scale) in predicting the formation of pressure injury (PI) in the NICU. Methods:A continuous convenient sample of 106 infants were included from a hospital of Zhejiang Province. Scale score and skin examination were performed on the newborns every day. A self-made questionnaire was used for data collection and the occurrence of PI was taken as the end point of the outcome. Results: PI developed in 13 neonates(12.3%), which distributed at nose (8 cases), posterior occipital (3 cases), underlip (1 case) and sacrococcygeal (1 case). The scores of Cronbach’s coefficient of NSRAS on the day of admission, 24 h before PI occurred/interim hospitalization and the highest day ranged from 0.539, 0.557, 0.579, while the Cronbach’s coefficient scores of N/I Braden-Q scale ranged from 0.559, 0.568, 0.679. The area under the ROC curve of NSRAS ranged from 0.539 to 0.737, and that of N/I Braden-Q scale ranged from 0.725 to 0.875. Conclusion: N/I Braden-Q scale has higher predictive validity than NSRAS, and is more suitable for predicting PI formation in NICU neonates.
