Evaluation of Oncology/Hematology Nurses' Proficiency in Assessing Lower-Extremity Skin and Edema in Patients with Cancer: An Observational Study.

IF 1.7 4区医学 Q3 DERMATOLOGY

Advances in Skin & Wound Care Pub Date : 2025-04-01 Epub Date: 2025-01-27 DOI:10.1097/ASW.0000000000000248

Zeliha Genç, Ayda Kebapci, Dilek Yildirim, Gulbeyaz Can, Orhan Zeytun, Elif Kök

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引用次数: 0

Abstract

Objective: To assess the competency of oncology/hematology nurses in evaluating the lower extremities of patients with cancer for skin conditions and edema.

Methods: This prospective and descriptive observational study was conducted with patients in a university hospital's 48-bed oncology/hematology service. Patients with cancer admitted to the oncology/hematology service were examined independently by three evaluators (two nurse researchers and the patient's primary nurse) daily. Interrater reliability for assessing patients' right and left legs was determined using Fleiss κ statistics for categorical variables.

Results: The study revealed a high degree of agreement among the three evaluators in the assessment of skin surface, skin color, and presence of petechiae and rashes on the right and left leg, as well as itching on the left leg. However, only moderate agreement was found for temperature assessment, ecchymoses edema on the left and right leg, and itching on the right leg. The reliability of the two researcher nurses' assessment of edema on the right and left legs was excellent.

Conclusions: Although the agreement between the two researcher nurses was near excellent, only moderate agreement was observed among all evaluators in the edema assessment. The result underscores the importance of healthcare providers' knowledge and enhancing clinical skills through innovative training strategies.

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肿瘤/血液科护士评估癌症患者下肢皮肤和水肿的熟练程度：一项观察性研究。

目的：评估肿瘤科/血液科护士在评估癌症患者下肢皮肤状况和水肿方面的能力。方法：这项前瞻性和描述性观察性研究是在一所大学医院的48张床位的肿瘤/血液科进行的。肿瘤/血液科收治的癌症患者每天由三名评估人员（两名护士研究员和患者的主要护士）独立检查。评估患者右腿和左腿的判据信度采用Fleiss κ统计对分类变量进行测定。结果：研究显示，三个评估者在皮肤表面、皮肤颜色、右腿和左腿上的斑点和皮疹的存在以及左腿的瘙痒方面的评估高度一致。然而，在温度评估、左右腿瘀斑水肿和右腿瘙痒方面，只有中等程度的一致。两位研究员护士对右腿和左腿水肿评估的可靠性非常好。结论：尽管两位研究人员护士之间的一致性接近于极好，但在水肿评估中，所有评估者之间的一致性仅为中等。结果强调了医疗保健提供者的知识和通过创新培训策略提高临床技能的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Advances in Skin & Wound Care DERMATOLOGY-NURSING

CiteScore

2.50

自引率

12.50%

发文量

271

审稿时长

>12 weeks

期刊介绍： A peer-reviewed, multidisciplinary journal, Advances in Skin & Wound Care is highly regarded for its unique balance of cutting-edge original research and practical clinical management articles on wounds and other problems of skin integrity. Each issue features CME/CE for physicians and nurses, the first journal in the field to regularly offer continuing education for both disciplines.