[Development of items for the assessment of paediatric incontinence-associated dermatitis in German: Delphi study].

IF 0.8 4区医学 Q4 NURSING Pflege Pub Date : 2024-11-13 DOI:10.1024/1012-5302/a001020

Sibylle Reick, Ulrike Blume-Peytavi, Bettina Walcher, Rebecca Palm

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Abstract

Development of items for the assessment of paediatric incontinence-associated dermatitis in German: Delphi study Abstract: Background: Paediatric incontinence-associated dermatitis (PIAD) is a common problem in premature infants, neonates, infants and young children. Standardized instruments for the assessment of PIAD can support clinical decision-making, but no standardized instrument is yet available for German-speaking countries. Aim: Selection, development and agreement of appropriate items for the assessment of PIAD in newborns, infants and young children in German (aIADchild Delphi). Method: Using a Delphi technique, international items were formulated in German by a steering committee, the items were assessed by panellists using an online survey, and a consensus (I-CVI > = 75%, comments) was formed by the steering committee and panellists. Results: 54 experts from four German-speaking countries were recruited. 44 (1st round) and 33 (2nd round) completed the questionnaire in full. Twelve items for the assessment of PIAD were rated as relevant, comprehensive and comprehensibility: erythema, skin change without and with damage to the skin surface, exudation, bleeding, oedema, overheating, signs of mycotic/bacterial superinfection, pain, itching, localization/extension and duration. Conclusion: The items aIADchild Delphi for the assessment of PIAD in German should be tested for their measurement properties prior to clinical use and the construction of an instrument.

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[德语儿科失禁相关皮炎评估项目开发：德尔菲研究]。

德语儿科大小便失禁相关皮炎评估项目的开发：德尔菲研究摘要：背景：儿科大小便失禁相关皮炎（PIAD）是早产儿、新生儿、婴幼儿的常见问题。用于评估 PIAD 的标准化工具可为临床决策提供支持，但德语国家目前尚无标准化工具。目的：为新生儿、婴幼儿的 PIAD 评估选择、开发合适的德语项目并达成一致（aIADchild Delphi）。方法：采用德尔菲技术，由指导委员会用德语制定国际项目，由专家组成员通过在线调查对项目进行评估，并由指导委员会和专家组成员达成共识（I-CVI > = 75%，评论）。结果：招募了来自四个德语国家的 54 名专家。44位（第一轮）和33位（第二轮）专家完整填写了问卷。评估 PIAD 的 12 个项目被评为相关、全面和易懂：红斑、皮肤表面无损伤和有损伤的皮肤变化、渗出、出血、水肿、过热、真菌/细菌超级感染迹象、疼痛、瘙痒、定位/扩展和持续时间。结论用于评估德语 PIAD 的 "儿童德尔菲 "项目应在临床使用和构建工具之前对其测量特性进行测试。

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来源期刊

Pflege NURSING-

CiteScore

1.40

自引率

20.00%

发文量

审稿时长

>12 weeks

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