{"title":"手术相关压力损伤风险评估量表（SURPIRAS）的发展：一项方法学研究。","authors":"Sema Konateke, Şükriye İlkay Güner","doi":"10.1111/jocn.17765","DOIUrl":null,"url":null,"abstract":"<p><strong>Aim: </strong>To develop the Surgery-Related Pressure Injury Risk Assessment Scale (SURPIRAS) and conduct validity and reliability analyses.</p><p><strong>Design: </strong>A methodological study.</p><p><strong>Methods: </strong>Data were collected from 200 patients with \"Patient Identification Form\", \"Postoperative Patient Assessment Form\", \"SURPIRAS\", \"Risk Assessment Scale for Injuries Related to Surgical Position (ELPO)\" and \"Perioperative Pressure Injury Risk Assessment Scale (Munro Scale)\". Number, percentage and mean, standard deviation were calculated in descriptive statistics. Intraclass correlation coefficient was used to evaluate the validity and reliability of the scale to determine content validity, criterion-related validity and interobserver agreement. The scale's cut-off point, sensitivity and selectivity values were calculated. The study was prepared according to the STARD publication checklist, following EQUATOR guidelines.</p><p><strong>Results: </strong>Pressure injuries occurred in 20.5% of the patients. The total score of the SURPIRAS was found to be statistically significant in terms of postoperative pressure injury development. A positive correlation was found between the developed scale and ELPO and Munro Scale. The strength of this correlation is higher between SURPIRAS and Munro Scale. The cut-off point for the SURPIRAS was determined as 27, and patients with a total score of 28 points and above were classified as high risk.</p><p><strong>Conclusion: </strong>It was determined that the SURPIRAS is a valid and reliable measurement tool in determining the risk of pressure injury in surgical patients in the Turkish population.</p><p><strong>Relevance to clinical practice: </strong>The first thing to do to prevent pressure injuries in surgical patients is risk assessment. The study provides a new contribution to the literature because it is the development of a risk assessment scale.</p><p><strong>Patient or public contribution: </strong>Patients were included in the study after being informed about the study before surgery and giving written and verbal consent. Patients were monitored for pressure injury by the researchers after surgery.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2000,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Development of A Surgery-Related Pressure Injury Risk Assessment Scale (SURPIRAS): A Methodological Study.\",\"authors\":\"Sema Konateke, Şükriye İlkay Güner\",\"doi\":\"10.1111/jocn.17765\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Aim: </strong>To develop the Surgery-Related Pressure Injury Risk Assessment Scale (SURPIRAS) and conduct validity and reliability analyses.</p><p><strong>Design: </strong>A methodological study.</p><p><strong>Methods: </strong>Data were collected from 200 patients with \\\"Patient Identification Form\\\", \\\"Postoperative Patient Assessment Form\\\", \\\"SURPIRAS\\\", \\\"Risk Assessment Scale for Injuries Related to Surgical Position (ELPO)\\\" and \\\"Perioperative Pressure Injury Risk Assessment Scale (Munro Scale)\\\". Number, percentage and mean, standard deviation were calculated in descriptive statistics. Intraclass correlation coefficient was used to evaluate the validity and reliability of the scale to determine content validity, criterion-related validity and interobserver agreement. The scale's cut-off point, sensitivity and selectivity values were calculated. The study was prepared according to the STARD publication checklist, following EQUATOR guidelines.</p><p><strong>Results: </strong>Pressure injuries occurred in 20.5% of the patients. The total score of the SURPIRAS was found to be statistically significant in terms of postoperative pressure injury development. A positive correlation was found between the developed scale and ELPO and Munro Scale. The strength of this correlation is higher between SURPIRAS and Munro Scale. The cut-off point for the SURPIRAS was determined as 27, and patients with a total score of 28 points and above were classified as high risk.</p><p><strong>Conclusion: </strong>It was determined that the SURPIRAS is a valid and reliable measurement tool in determining the risk of pressure injury in surgical patients in the Turkish population.</p><p><strong>Relevance to clinical practice: </strong>The first thing to do to prevent pressure injuries in surgical patients is risk assessment. The study provides a new contribution to the literature because it is the development of a risk assessment scale.</p><p><strong>Patient or public contribution: </strong>Patients were included in the study after being informed about the study before surgery and giving written and verbal consent. Patients were monitored for pressure injury by the researchers after surgery.</p>\",\"PeriodicalId\":50236,\"journal\":{\"name\":\"Journal of Clinical Nursing\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":3.2000,\"publicationDate\":\"2025-04-08\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Clinical Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/jocn.17765\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/jocn.17765","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
Development of A Surgery-Related Pressure Injury Risk Assessment Scale (SURPIRAS): A Methodological Study.
Aim: To develop the Surgery-Related Pressure Injury Risk Assessment Scale (SURPIRAS) and conduct validity and reliability analyses.
Design: A methodological study.
Methods: Data were collected from 200 patients with "Patient Identification Form", "Postoperative Patient Assessment Form", "SURPIRAS", "Risk Assessment Scale for Injuries Related to Surgical Position (ELPO)" and "Perioperative Pressure Injury Risk Assessment Scale (Munro Scale)". Number, percentage and mean, standard deviation were calculated in descriptive statistics. Intraclass correlation coefficient was used to evaluate the validity and reliability of the scale to determine content validity, criterion-related validity and interobserver agreement. The scale's cut-off point, sensitivity and selectivity values were calculated. The study was prepared according to the STARD publication checklist, following EQUATOR guidelines.
Results: Pressure injuries occurred in 20.5% of the patients. The total score of the SURPIRAS was found to be statistically significant in terms of postoperative pressure injury development. A positive correlation was found between the developed scale and ELPO and Munro Scale. The strength of this correlation is higher between SURPIRAS and Munro Scale. The cut-off point for the SURPIRAS was determined as 27, and patients with a total score of 28 points and above were classified as high risk.
Conclusion: It was determined that the SURPIRAS is a valid and reliable measurement tool in determining the risk of pressure injury in surgical patients in the Turkish population.
Relevance to clinical practice: The first thing to do to prevent pressure injuries in surgical patients is risk assessment. The study provides a new contribution to the literature because it is the development of a risk assessment scale.
Patient or public contribution: Patients were included in the study after being informed about the study before surgery and giving written and verbal consent. Patients were monitored for pressure injury by the researchers after surgery.
期刊介绍：
The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice.
JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice.
We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
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