汉化版Neonatal/Infant Braden Q Scale在NICU新生儿压力性损伤风险评估中的应用

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Abstract Objective: To introduce and translate the US Neonatal/Infant Braden Q Scale (N/I Braden Q scale) into Chinese version, and test the reliability and validity of the scale. Methods: The N/I Braden Q scale was translated according to the Brislin translation model and cross-cultural adaptation using the Delphi technique. Then, the scale was applied to the NICU hospitalized newborns for skin condition assessment in one Grade A hospital of Zhejiang Province, and the reliability and validity of the scale in the Chinese context were tested. Results: Inter-rater reliability coefficient of the scale was 0.908 (P<0.001). The overall consistency of the scale was 0.75, the mean S-CVI was 0.9583 and the item-level content validity index was 0.83~1. The predicting cut-off point of the scale is score 20, showing a sensitivity of 75.00%, specificity of 74.16%, positive predictive value of 28.13%, negative predictive value of 95.62%, Yoden index of 0.4916 and receiver operating characteristic curve was 0.815 (95%CI: 0.684-0.945) (P<0.001). Conclusion: The Chinese version of N/I Braden Q scale has good reliability and validity, and has an early warning effect on the occurrence of neonatal PI. It can be used as a structured guidance tool for clinical nurses to conduct skin assessment on children.

Key words： pressure injury intensive care unit, neonatal tool reliability validity

Received: 15 January 2019

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	WU Yujie
	LU Ping
	LYU Junying
	SONG Fei
	ZHANG Shuanghong
	ZHANG Liping

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https://xb.wmu.edu.cn/EN/ OR https://xb.wmu.edu.cn/EN/Y2019/V49/I7/538

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