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Original Research

Health Care Acad J. 2014; 1(1): 57-66


Development of a Diagnostics Tool for Pediatric Pressureh Ulcer Risk in Behçet Uz Children’s Hospital (BUCH))

Saime Yıldırım, Sibel Çevik Yöntem, Hatice Yıldırım Sarı, Tuğba Kaplan, Murat Bektaş.

Abstract
Objective: This study was designed to develop a reliable and valid measurement tool to diagnose pressure ulcer risk in non-neonatal children staying in intensive care units (ICU).
Methods: Patients hospitalized in the intensive care units comprised the sample of this study conducted in Izmir Dr. Behçet Uz Children's Diseases and Pediatric Surgery Training and Research Hospital. In order to determine the items of the scale, the pertinent literature was reviewed, interviews were held with the nurses working in intensive care units, pediatric physicians, physicians in charge of the intensive care units, nurses and nurse educators. Finally, the scale was administered to 333 pediatric patients hospitalized in the intensive care units by nurses working in the intensive care units.
Results: The mean scores obtained from the pressure ulcer risk scale by the patients who developed pressure ulcers (group 1) and the patients who did not were compared (group 2). The difference between the mean scores of the two groups was statistically significant (1th day: U = U=1066.500, p=0.025, 4th day: U=498.500, p=0.000, 10th day: U=586.000, p=0.000).
As result of the ROC analysis, the cut-off point was determined as 18.5 based on the diagnostic index and Youden index values. At this cut-off point, the sensitivity of the scale was 0.82 and its specificity was 0.84. Those who received 18.5 points or more from the pressure ulcer risk scale were considered to have a high risk for developing pressure ulcers. The EAA of the pressure ulcer risk scale was determined as 0.699 (0.555-0.843) for the first day and 0.859 (0.782-0.936) for the fourth day. These values indicated that the scale discriminated at a very good level. Based on the results obtained from the scale, 81.8% of the children were identified to be at high risk for pressure ulcers.
Conclusion: Our findings indicate that the pressure ulcers risk scale is effective in diagnosing the risk of pressure ulcers. It is recommended that BUÇH Pressure Ulcers Risk Scale be used in pediatric clinics.

Key words: Children, pressure ulcer, intensive care units



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