Escala Glamorgan para la valoración del riesgo de desarrollar úlceras por presión en pediatría. Estudio piloto para la versión española

  1. Fernández García, Daniel
  2. Ordás Campos, Beatriz
  3. Crespo Alonso, Estrella
  4. Merino Bodelón, Carmen
  5. Busto Parada, Lorena
  6. Sánchez Martínez, Marta
Journal:
Metas de enfermería

ISSN: 1138-7262

Year of publication: 2014

Volume: 17

Issue: 3

Type: Article

DIALNET GOOGLE SCHOLAR

More publications in: Metas de enfermería

Abstract

Objective: linguistic validation, through a process of translation and cultural adaptation, of the Glamorgan Scale to assess the risk of developing pressure ulcers in pediatric patients. Materials and method: descriptive study conducted in the Pediatric Department of the Complejo Asistencial Universitario de León. The original scale was translated-back translated into Spanish. All children admitted to the Pediatric Department from 9/04/2012 to 8/06/2012 were included, with their parents signing a written consent form. Internal consistency and intra and inter-observer concordance were determined with the SPSS program. Results: a total of 38 records were conducted, from the Pediatric, Neonatology and Pediatric ICU departments. Out of these, 84.2% were for children in non-critical condition. Their mean hospitalization was 3.5 days, and their weight average was 7.63 kg. 55.3% were male and 86.8% were white/Caucasian. The most frequent reason for admission was premature birth (34%). The scale has shown a good internal consistency, with 0.7 Cronbach�s Alpha. The intra-observer concordance for the total score measured through the interclass correlation coefficient was 0.997, while inter-observer concordance was 0.584. Conclusions: the Glamorgan Scale has presented a high internal consistency. Intra-observer consistency has been high, unlike inter-observer concordance, which could be due to the low number of records, lack of understanding about any of the items, or to the influence of observers. It is suggested to increase the number of records, to prepare a form explaining the assessment of each one of the items, and to improve observer selection, for the sake of continuing the validation process of the tool.

Bibliographic References

  • Grupo Nacional para el Estudio y Asesoramiento en Úlceras por Presión y Heridas Crónicas (GNEAUPP). Clasificación-estadiaje de las úlceras por presión. Doc. II. Logroño: GNEAUPP; 2003. [En línea] [fecha de acceso: 29 de enero de 2014]. URL disponible en: http://www.gneaupp.org
  • Soldevilla Agreda J, Torra i Bou JE, Verdú Soriano J, Martínez Cuervo F, López Casanova P, Rueda López J et al. 2º Estudio Nacional de Prevalencia de Úlceras por Presión en España. Epidemiología y variables definitorias de las lesiones y pacientes. Gerokomos 2006; 17(3):145-172.
  • Aizpitarte Pegenaute E, García de Galdiano Fernández A, Zugazagoitia Ciarrusta N, Margall Coscojuela MA, Asiain Erro MC. Úlceras por presión en cuidados intensivos: valoración del riesgo y medidas de prevención. Enferm Intensiva 2005; 16:153-164.
  • Noonan C, Quigley S, Curley MA. Using the Braden Q Scale to Predict Pressure Ulcer Risk in pediatric patients. J Pediatr Nurs 2011; 26(6):566-575.
  • Pancorbo Hidalgo PL, García Fernández FP, López Medina IMS, Álvarez Nieto C. Risk assessment scales for pressure ulcer prevention: a systematic review. J Adv Nurs 2006; 54(1):94-110.
  • Pancorbo Hidalgo PL, García Fernández FP, Soldevilla Ágreda JJ, Blasco García C. Escalas e instrumentos de valoración del riesgo de desarrollar úlceras por presión. Serie Documentos Técnicos GNEAUPP nº 11. Logroño: Grupo Nacional para el Estudio y Asesoramiento en Úlceras por Presión y Heridas Crónicas; 2009.
  • Quesada Ramos C. Manual de atención enfermera de úlceras por presión en pediatría. Madrid: Difusión Avances de Enfermería (DAE); 2006.
  • Willock J. Pressure ulcer risk assessment in children. En: White R, Denyer J, editors. Paediatric skin and Wound Care. Aberdeen: Wounds UK. 2006; p. 70-86.
  • Curley MA, Quigley SM, Lin M. Pressure ulcers in pediatric intensive care: incidence and associated factors. Pediatr Crit Care Med 2003; 4(3):284-290.
  • Wound, Ostomy & Continence Nurses Society (WOCN). Guideline for Prevention and Management of Pressure Ulcers. WOCN Clinical Practice Guideline Series. Glenview, IL: Wound, Ostomy, and Continence Nurses Society; 2003.
  • Curley MA, Razmus IS, Roberts KE, Wypij D. Predicting pressure ulcer risk in pediatric patients-the Braden Q Scale. Nurs Res 2003; 52:22-31.
  • Association of Women’s Health, Obstetric and Neonatal Nurses. Neonatal skin care evidence-based clinical practice guideline. Washington, DC: Association of Women’s Health, Obstetric and Neonatal Nurses; 2001.
  • Pallija G, Mondozzi M, Webb AA. Skin care of the pediatric patient. J Pediatr Nurs 1999; 14:80-87.
  • Law J. Transair paediatric mattress replacement system evaluation. Br J Nurs 2002; 11:343-346.
  • Willock J, Baharestani M, Anthony D. The development of the Glamorgan paediatric pressure ulcer risk assessment scale. J Child Young People Nurs 2007; 1(5):211-218.
  • Beaton D, Bombardier C, Guillemin F, Bosi Ferraz M. Guidelines for the Process of Cross-Cultural Adaptation of Self-Report Measures. SPINE 2000; 25(24):3186-91.
  • Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol 1993; 46:1417-32.
  • Willock J, Anthony D, Richardson J. Inter-rater reliability of Glamorgan Paediatric Pressure Ulcer Risk Assessment Scale. Paediatr Nurs 2008; 20:14-19.
  • Anthony D, Willock J, Baharestani M. A comparison of Braden Q, Garvin and Glamorgan risk assessment scales in paediatrics. Journal of Tissue Viability 2010; 19:98e-105.
  • Field A. Discovering Statistics using SPSS. 3rd ed. London: Sage; 2013.
  • Streiner DL, Norman GR. Health measurement scales. A practical guide to their development and use. 2nd ed. Oxford: Oxford University Press; 1995. p. 65.
  • Fleiss JL. The measurement of interrater agreement. In: Fleiss JL (ed.). Statistical methods for rates and proportions. 2nd ed. Toronto: Willey press; 1981. p. 212-236.
Data source: Dialnet