Yoğun Bakım Hastalarında Basınç Yaralanması Gelişme Riskinin Belirlenmesinde Jackson/Cubbin ve Braden Basınç Yarası Risk Değerlendirme Araçlarının Karşılaştırılması

Abstract

ADIBELLİ Ş. Comparison of Jackson/Cubbin and Braden Pressure Ulcer Risk Assessment Tools in Determination of Pressure Injury Risk of Intensive Care Unit Patients, Hacettepe University, Graduate School of Health Sciences, Fundamentals of Nursing Program, Master’s Thesis, Ankara, 2018. In this study, Jackson/Cubbin Scale was compared to Braden Scale in patients admitted to intensive care units (ICU). The study sample consisted of 176 ICU patients from the Internal Medicine, General Surgery, Anesthesia and Reanimation, Neurosurgery Intensive Care Units of Hacettepe University Adults’ Hospital during November 2017 to April 2018. The risk assessment of the patients included in the study was conducted daily by the researcher and risk assessment tools were applied simultaneously to the patients. Researcher ceased patient follow-up; after assessing the development of first pressure injury occurence, patients’ discharge or transfer to another unit and exitus. Data was collected with the Jackson/Cubbin and Braden Pressure Ulcer Risk Assessment Scales and Socio-demographic Data Sheet. Chi-square test, Mann-Whitney U test, phi statistic, ROC analysis, sensitivity, specificity, positive and negative predictive values, reliability value (Cronbach’s alpha), multivariate linear regression analysis were used for data evaluation. Reliability values were found 0.78 for the Jackson/Cubbin Scale; 0.85 for the Braden Scale. The area under the ROC curve, sensitivity, specificity, positive and negative predictive values were calculated as 0.87, 0.83, 0.86, 0.48, 0.97 for the Jackson/Cubbin Scale and 0.86, 0.95, 0.63, 0.29, 0.99 for the Braden Scale respectively. As a result, it was found that the reliability of both risk assessment tools was higher for the ICU patients, but the predictive validity of the Jackson/Cubbin Scale was found higher according to the Braden Scale for ICU patients.