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KMID : 1190620110070020075
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Journal of the Korean Wound Care Society
2011 Volume.7 No. 2 p.75 ~ p.80
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Inter-rater Reliability of the Pressure Ulcer Classification System
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Lee Yun-Jin
Kim Jung-Yoon
Lee Tae-Wha
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Abstract
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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.
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KEYWORD
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European and National Pressure Ulcer Advisory Panel classification system, Interrater reliability, Pressure ulcer, Incontinence lesions
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