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박성희 ( Park Seong-Hi ) - 배재대학교 간호학과
박유선 ( Park Yu-Sun ) - 고려대학교 안산병원 적정진료관리팀
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Abstract
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Purpose: The Braden Scale is one of the most intensively studied risk assessment scales used in identifying the risk of developing pressuresore. However, not all studies show that the predictive validity of this scale is sufficient. The purpose of this study was to evaluatethe Braden Scale for predicting pressure ulcer development.
Methods: Articles published 1946 and 2013 from periodicals indexed inOvid Medline, Embase, CINAHL, KoreaMed, NDSL and other databases were selected, using the following keywords: ‘pressure ulcer’. The QUADAS-II was applied to assess the internal validity of the diagnostic studies. Selected studies were analyzed using meta-analysiswith MetaDisc 1.4.
Results: Thirty-eight diagnostic studies with high methodological quality, involving 17,934 patients, were included.
Results of the meta-analysis showed that the pooled sensitivity and specificity of the Braden Scale were 0.74 (95% CI: 0.72-0.76), 0.75(95% CI: 0.74-0.76) respectively. However the predictive validity of the Braden Scale has limitation because there was high heterogeneitybetween studies.
Conclusion: The Braden Scale’s predictive validity of risk for pressure ulcer is interpreted as at a moderate level. Howeverthere is a limitation to the interpretation of the results, because of high heterogeneity among the studies.
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KeyWords
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욕창, 민감도, 특이도, 메타분석
Pressure sore, Sensitivity, Specificity, Meta-analysis
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원문 및 링크아웃 정보
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등재저널 정보
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