关键词: assessment critically ill patients develop nursing reliability scale thirst validity

来  源:   DOI:10.1111/jocn.17385

Abstract:
OBJECTIVE: Developing a severity assessment scale for critically ill patients\' thirst and conducting reliability and validity tests, aiming to provide healthcare professionals with a scientific and objective tool for assessing the level of thirst.
METHODS: Based on literature review and qualitative interviews, a pool of items was generated, and a preliminary scale was formed through two rounds of Delphi expert consultation. Convenience sampling was employed to select 178 ICU patients in a top-three hospital from May 2023 to October 2023 as the study subjects to examine the reliability and validity of the severity assessment scale for critically ill patients\' thirst.
RESULTS: The developed severity assessment scale for critically ill patients\' thirst consists of 8 evaluation items and 26 evaluation indicators. The agreement coefficients for two rounds of expert consultation were 100% and 92.6% for the positive coefficient, and the authority coefficients were .900 and .906. Kendall\'s concordance coefficients were .101 and .120 (all p < .001). The overall Cronbach\'s α coefficient for the scale was .827. The inter-rater reliability coefficient was .910. The Item-Content Validity Index (I-CVI) ranged from .800 to 1.000, and the Scale-Content Validity Index/Average (S-CVI/Ave) was .950.
CONCLUSIONS: The critically ill patients\' thirst assessment scale is reliable and valid and can be widely used in clinical practice.
UNASSIGNED: The AiMi Academic Services (www.aimieditor.com) for English language editing and review services.
CONCLUSIONS: The scale developed in this study is a simple and ICU-specific scale that can be used to assess the severity of thirst in critically ill patients. As such, the severity of thirst in critically ill patients can be evaluated quickly so that targeted interventions can be implemented according to the patient\'s specific disease and treatment conditions. Therefore, patient comfort can be improved, and thirst-related health problems can be prevented.
摘要:
目的:制定危重患者口渴严重程度评估量表,并进行信度和效度测试,旨在为医疗保健专业人员提供科学和客观的工具来评估口渴水平。
方法:基于文献综述和定性访谈,生成了一个项目池,并通过两轮德尔菲专家咨询形成了初步量表。采用便利抽样方法选择2023年5月至2023年10月前三医院的178名ICU患者作为研究对象,以检查危重患者口渴严重程度评估量表的信度和效度。
结果:开发的危重患者口渴严重程度评估量表由8个评估项目和26个评估指标组成。两轮专家咨询的一致系数为100%,正系数为92.6%,权威系数分别为.900和.906。肯德尔的协调系数分别为.101和.120(所有p<.001)。该量表的总体克朗巴赫α系数为.827。评估者间可靠性系数为.910。项目内容有效性指数(I-CVI)范围为.800至1.000,量表内容有效性指数/平均值(S-CVI/Ave)为.950。
结论:危重患者口渴评估量表可靠有效,可广泛应用于临床。
AiMi学术服务(www。aimieditor.com)用于英语语言编辑和评论服务。
结论:本研究中开发的量表是一种简单且特定于ICU的量表,可用于评估危重患者口渴的严重程度。因此,可以快速评估危重患者口渴的严重程度,以便根据患者的具体疾病和治疗情况实施有针对性的干预措施。因此,患者舒适度可以提高,与口渴相关的健康问题可以预防。
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