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J Korean Wound Management Soc > Volume 7(2); 2011 > Article
Journal of the Korean Wound Management Society 2011;7(2): 075-080.
상처간호사를 대상으로 한 욕창 분류 체계 도구 평가
이윤진1ㆍ김정윤2ㆍ이태화3
1연세대학교 신촌세브란스병원 WOCN, 2분당서울대학교병원 성형외과 WOCN, 3연세대학교 간호대학 교수
Inter-rater Reliability of the Pressure Ulcer Classification System
Yun Jin Lee1, Jung Yoon Kim2, Tae Wha Lee3
1Department of Nursing, Yonsei University Health System, Severance Hospital, Seoul, 2Department of Plastic Surgery, Seoul National University Bundang Hospital, Seongnam, 3Graduate School of Nursing, Yonsei University, Seou
  Published online: 30 November 2011.
ABSTRACT
The European and National Pressure Ulcer Advisory Panel classification system has been using since 2009. Pressure ulcer classification is an essential tool for assessing ulcers. Many classification systems are described in the literature. There are only a limited number of studies that evaluate the interrater reliability of the European and National Pressure Ulcer Advisory Panel classification. The purpose of this research is to examine the inter-rater reliability of the European and National Pressure Ulcer Advisory Panel classification system when using photographs of pressure ulcers and incontinence lesions. This study was taken 26 wound care nurses by e-mail. The study consisted of two phases. In the first phage, 21 photos of 78 photographs were selected. These pictures agreed above 83% with pressure ulcer research panels. In the second phase, the validated 21 photographs consisted of blanchable erythema, pressure ulcer (six stages) and incontinence lesion with information. The multirater-Kappa for the 26 participating wound care nurses was 0.81 (P<0.001). The interrater reliability appears to be good for the assessment of photographs in visual differential diagnostic tool by wound care nurses. The visual differential diagnostic tool with photographs might be useful to evaluate clinical nurses' knowledge about pressure ulcers and continence lesion. (J Korean Wound Management Soc 2011;7:75-80)
Key Words: European and National Pressure Ulcer Advisory Panel classification system, Interrater reliability, Pressure ulcer, Incontinence lesions
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