Evaluation of the clinical value of the Chinese version of ELPO surgery position-related pressure ulcer risk assessment scale in oral and craniomaxillofacial tumor surgery

doi:10.19438/j.cjoms.2020.04.009

Abstract

Abstract: PURPOSE: To translate and verify the reliability and validity of the risk assessment scale for the development of injuries due to surgical positioning（ELPO）,and to analyze the clinical value of Chinese version of ELPO in oral and craniomaxillofacial tumor surgery. METHODS: After obtaining the consent of the original authors, the ELPO scale follows the process of the Chinese standard scale for translation and back translation. A convenient sampling method was used to select 271 patients with elective surgery for oral and craniomaxillofacial tumors at Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine. The scale was validated by evaluating content validity, structure validity and predictive validity. The internal consistency Cronbach's alpha coefficient and inter-evaluator reliability were used to test the validity of the scale. The reliability of the scale was tested, the patients were assessed for risk by applying a scale, and interventions were implemented. SPSS 23.0 software package was used for statistical analysis. RESULTS: The content validity of the total scale was 0.952. The exploratory factor analysis extracted 3 common factors, the cumulative variance contribution rate was 61.538%. The sensitivity was 86%, the specificity was 83%, the positive prediction rate was 87%, and the negative prediction rate was 60%. The area under the ROC curve was 0.836, the internal consistency of the total table was Cronbach's α coefficient was 0.751, and the inter-rater reliability was 0.812. Only 2 of 271 patients had intraoperative pressure ulcers, the incidence was 0.74%. CONCLUSIONS: The Chinese version of ELPO scale has good reliability and validity. It is used to implement nursing intervention for patients with oral and craniomaxillofacial tumor surgery. It enables the operating room nurses to systematically perform nursing interventions, thereby effectively reducing the incidence of stress injuries and optimizing operating room care services.

Key words: Surgical position-related, Pressure ulcers, Oral and craniomaxillofacial tumor surgery, Reliability, Validity

CLC Number:

R739.8

YING Yuan-jie, ZHANG Li, YANG Xu, XUE Hui-min, HUANG Yan, YANG Yue-lai. Evaluation of the clinical value of the Chinese version of ELPO surgery position-related pressure ulcer risk assessment scale in oral and craniomaxillofacial tumor surgery[J]. China Journal of Oral and Maxillofacial Surgery, 2020, 18(4): 333-337.

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