Simim S, Banharak S, Panpanit L, Chanaboon S, Sommana C, Promnoi C, Sae-Sia W, et al.
Scientific reports. Date of publication 2024 Nov 30;volume 14(1):29787.
1. Sci Rep. 2024 Nov 30;14(1):29787. doi: 10.1038/s41598-024-81577-7.
Translation, psychometric testing and implementation of the perineal assessment
tool for assessing incontinence-associated dermatitis risk in semi-intensive
care patients.
Simim S(1), Banharak S(2), Panpanit L(3), Chanaboon S(4), Sommana C(1), Promnoi
C(5), Sae-Sia W(6).
Author information:
(1)Srinagarind Hospital, RN, MNS, Registered Nurse, Khon Kean, Thailand.
(2)Department of Gerontological Nursing, Faculty of Nursing, Khon Kaen
University, Khon Kean, Thailand. sbanharak@kku.ac.th.
(3)Department of Gerontological Nursing, Faculty of Nursing, Khon Kaen
University, Khon Kean, Thailand.
(4)Sirindhorn College of Public Health Khon Kaen, Khon Kaen, Thailand.
(5)Department of Fundamental of Nursing, Faculty of Nursing, Prince of Songkla
University, Songkla, Thailand.
(6)Department of Surgical Adult and Gerontological Nursing, Prince of Songkla
University, Songkla, Thailand.
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.
© 2024. The Author(s).
DOI: 10.1038/s41598-024-81577-7
PMCID: PMC11608365
PMID: 39616249 [Indexed for MEDLINE]
Conflict of interest statement: Declarations. Competing interests: The authors
declare no competing interests.
