Fakülteler / Faculties
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Item Reliability and Validity of a Turkish Language Version of the Bates-Jensen Wound Assessment Tool(2014) Karahan, Azize; Toruner, Ebru Kilicarslan; Ceylan, Aysun; Abbasoglu, Aysel; Tekindal, Agah; Buyukgonenc, Lale; https://orcid.org/0000-0001-6698-2121; https://orcid.org/0000-0002-4060-7048; 24988512; B-8478-2015PURPOSE: The aim of this study was to evaluate content and construct validity of a Turkish language version of the Bates Wound Assessment Tool (BWAT) as well as its internal consistency and interrater reliability. SUBJECTS AND SETTING: The study was conducted in 13 intensive care units that included patients with pressure ulcers; the units were located in a university hospital in Central Anatolia, Turkey. The sample comprised 70 nurses and 20 patients who have stage II, III, and IV pressure ulcers. METHODS: Data were collected between January and April 2011. Content validity was measured using the Davis Technique. The BWAT was scored by 2 groups, nurses with expertise in wound care and staff nurses. An expert nurse and a ward nurse conducted pressure ulcer evaluation on the same patient consecutively in order to determine interrater reliability. We also measured internal consistency via the Cronbach a. RESULTS: The content validity agreement rate was 0.82. The interrater reliability of the instrument was 0.82; its internal consistency calculated via the Cronbach alpha was 0.85. CONCLUSION: The findings of this study support the Turkish language version of the BWAT as possessing content validity, interrater reliability and internal consistency.Item Factors Affecting Wound Healing in Individuals With Pressure Ulcers: A Retrospective Study(2018) Karahan, Azize; Abbasoglu, Aysel; Isik, Sevcan Avci; Cevik, Banu; Saltan, Cigdem; Elbas, Nalan Ozhan; Yalili, Ayse; 0000-0001-6698-2121; 29481325; B-8478-2015; AAN-3284-2021Owing to the number and severity of concomitant factors, pressure ulcers remain a significant problem. A retrospective study of data from adult patients with a pressure ulcer was conducted to identify factors that may affect their healing. Data from patients who were hospitalized between January 1, 2011, and December 31, 2015, in a private Turkish university hospital who had a Stage 2, Stage 3, Stage 4, or unstageable pressure ulcer that was assessed using the Bates-Jensen Wound Assessment Tool (BWAT) were abstracted. The following variables were examined: demographic characteristics (gender, age, hospital unit, duration of hospitalization), health status and disease data (vital signs, mobility, nutrition, diagnosis, chronic diseases, medication), laboratory values (albumin. hemoglobin, blood glucose), and pressure ulcer characteristics (stage, location, healing status, duration) and pressure ulcer risk status as determined by patient Braden Scale score. Seventy-eight (78) patient records were identified. Patient mean age was 70.8 +/- 13.47 years, and length of hospitalization was on average 32.52 +/- 27.2 days. Most ulcers (62, 79.5%) were Stage 2 and located in the sacral area (59; 75.6%). Thirty-four (34) patients (43.6%) were discharged and 44 (56.4%) died. At the time of discharge or death, 65.4% of the ulcers had not healed. Patients whose wounds were healed were significantly more likely to have higher hemoglobin and mean arterial pressure, better mobility, received oral nutrition, and discharged from the hospital than patients whose ulcers did not heal. The results suggest that these variables, including Braden Scale and BWAT scores, might be considered when developing a treatment plan of care. Additional studies examining risk factors for nonhealing pressure ulcers, including studies with large samples to facilitate multivariate analyses, are needed.