Translation, psychometric testing and implementation of the perineal assessment tool for assessing incontinence-associated dermatitis risk in semi-intensive care patients

Abstract Skin injury is a growing issue among older adults, especially when admitted to an intensive care unit or long-term care facility. Skin prevention is a key point in dealing with this issue, and prompt and effective screening instruments should be used to identify risks and start preventive i...

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Main Authors: Supin Simim, Samoraphop Banharak, Ladawan Panpanit, Sutin Chanaboon, Chakkarin Sommana, Chantra Promnoi, Wipa Sae-Sia
Format: Article
Language:English
Published: Nature Portfolio 2024-11-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-024-81577-7
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author Supin Simim
Samoraphop Banharak
Ladawan Panpanit
Sutin Chanaboon
Chakkarin Sommana
Chantra Promnoi
Wipa Sae-Sia
author_facet Supin Simim
Samoraphop Banharak
Ladawan Panpanit
Sutin Chanaboon
Chakkarin Sommana
Chantra Promnoi
Wipa Sae-Sia
author_sort Supin Simim
collection DOAJ
description Abstract Skin injury is a growing issue among older adults, especially when admitted to an intensive care unit or long-term care facility. Skin prevention is a key point in dealing with this issue, and prompt and effective screening instruments should be used to identify risks and start preventive interventions and care. This descriptive study aimed to translate and examine the psychometric property and implement the Perineal Assessment Tool for incontinence associated dermatitis risk assessment. The English version was translated into Thai following the international guidelines from the World Health Organization by the bilinguals. From May to June 2023, 119 patients from the semi-intensive care unit were included using a consecutive sampling method. The research instruments included the demographic questionnaires, the original English version, and the translated Thai version. The Thai Version had a content validity index, an index of item-objective congruence, a Pearson correlation coefficient of percent agreement, the Pearson correlation coefficient of the interrater reliability, the Kappa coefficient of interrater reliability, the Pearson correlation coefficient of the intra-rater reliability, and the Kappa coefficient of intra-rater reliability ranked from 0.75 to 1.00. The 21.95% had a high risk of developing incontinence-associated dermatitis, which was associated with females, the length of stay in hospital and semi-intensive care unit longer than or equal to four days, receiving antibiotics, disease severity greater than or equal to 20 points, the albumin level less than 3.8 g/dl, and neuropathy and brain disorders. In conclusion, this instrument has high validity and reliability and can assess patients at risk of incontinence-associated dermatitis. This tool will help with early risk detection and guide for planning to manage various risk conditions to prevent dermatitis instead of taking care of them after the skin has already been damaged.
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spelling doaj-art-72e8067cabbf4aa49f82b717c80608d62024-12-01T12:27:13ZengNature PortfolioScientific Reports2045-23222024-11-0114111310.1038/s41598-024-81577-7Translation, psychometric testing and implementation of the perineal assessment tool for assessing incontinence-associated dermatitis risk in semi-intensive care patientsSupin Simim0Samoraphop Banharak1Ladawan Panpanit2Sutin Chanaboon3Chakkarin Sommana4Chantra Promnoi5Wipa Sae-Sia6Srinagarind HospitalDepartment of Gerontological Nursing, Faculty of Nursing, Khon Kaen UniversityDepartment of Gerontological Nursing, Faculty of Nursing, Khon Kaen UniversitySirindhorn College of Public Health Khon KaenSrinagarind HospitalDepartment of Fundamental of Nursing, Faculty of Nursing, Prince of Songkla UniversityDepartment of Surgical Adult and Gerontological Nursing, Prince of Songkla UniversityAbstract Skin injury is a growing issue among older adults, especially when admitted to an intensive care unit or long-term care facility. Skin prevention is a key point in dealing with this issue, and prompt and effective screening instruments should be used to identify risks and start preventive interventions and care. This descriptive study aimed to translate and examine the psychometric property and implement the Perineal Assessment Tool for incontinence associated dermatitis risk assessment. The English version was translated into Thai following the international guidelines from the World Health Organization by the bilinguals. From May to June 2023, 119 patients from the semi-intensive care unit were included using a consecutive sampling method. The research instruments included the demographic questionnaires, the original English version, and the translated Thai version. The Thai Version had a content validity index, an index of item-objective congruence, a Pearson correlation coefficient of percent agreement, the Pearson correlation coefficient of the interrater reliability, the Kappa coefficient of interrater reliability, the Pearson correlation coefficient of the intra-rater reliability, and the Kappa coefficient of intra-rater reliability ranked from 0.75 to 1.00. The 21.95% had a high risk of developing incontinence-associated dermatitis, which was associated with females, the length of stay in hospital and semi-intensive care unit longer than or equal to four days, receiving antibiotics, disease severity greater than or equal to 20 points, the albumin level less than 3.8 g/dl, and neuropathy and brain disorders. In conclusion, this instrument has high validity and reliability and can assess patients at risk of incontinence-associated dermatitis. This tool will help with early risk detection and guide for planning to manage various risk conditions to prevent dermatitis instead of taking care of them after the skin has already been damaged.https://doi.org/10.1038/s41598-024-81577-7Incontinence Associated DermatitisPerineal Assessment ToolPsychometric testTranslation
spellingShingle Supin Simim
Samoraphop Banharak
Ladawan Panpanit
Sutin Chanaboon
Chakkarin Sommana
Chantra Promnoi
Wipa Sae-Sia
Translation, psychometric testing and implementation of the perineal assessment tool for assessing incontinence-associated dermatitis risk in semi-intensive care patients
Scientific Reports
Incontinence Associated Dermatitis
Perineal Assessment Tool
Psychometric test
Translation
title Translation, psychometric testing and implementation of the perineal assessment tool for assessing incontinence-associated dermatitis risk in semi-intensive care patients
title_full Translation, psychometric testing and implementation of the perineal assessment tool for assessing incontinence-associated dermatitis risk in semi-intensive care patients
title_fullStr Translation, psychometric testing and implementation of the perineal assessment tool for assessing incontinence-associated dermatitis risk in semi-intensive care patients
title_full_unstemmed Translation, psychometric testing and implementation of the perineal assessment tool for assessing incontinence-associated dermatitis risk in semi-intensive care patients
title_short Translation, psychometric testing and implementation of the perineal assessment tool for assessing incontinence-associated dermatitis risk in semi-intensive care patients
title_sort translation psychometric testing and implementation of the perineal assessment tool for assessing incontinence associated dermatitis risk in semi intensive care patients
topic Incontinence Associated Dermatitis
Perineal Assessment Tool
Psychometric test
Translation
url https://doi.org/10.1038/s41598-024-81577-7
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