Abstract
This study aimed to evaluate the inter rater reliability of the Pressure Ulcer Scale for Healing (PUSH), in its version adapted to the Portuguese language, in patients with chronic leg ulcers. Kappa index was used for the analysis. After accomplishing ethical issues, 41 patients with ulcers were examined. A total of 49% of the ulcers were located in the right leg and 36% of them were venous ulcers. The Kappa indices (0.97 to 1.00) obtained in the comparison between the observations of the clinical nurses and the stomal therapists for all sub-scales and for total score, confirmed the tool inter rater reliability, with statistical significance (p<0.001). The PUSH instrument, in its Portuguese adapted version, showed to be reliable to the use in patients with chronic leg ulcers. Further studies should be conducted to evaluate its prospective performance.
Highlights
– confirmed in the study[6] – as well as its Health professionals have taken special component factors or subscales interest in wound care
In a retrospective cohort study of 260 patients, the authors[3] demonstrated that the initial area of the ulcer, the presence of fibrin and the excess of exudate were some of the risk factors process of PU and intervention results, was developed and validated, in 1996, by the Pressure Ulcer Scale for Healing (PUSH) Task Force at National Pressure Ulcer Advisory Panel (NPUAP)[7,8]
This property was verified by comparing observations made by stomal therapy specialist nurses (ST) and clinical nurses, when using PUSH simultaneously and independently
Summary
– confirmed in the study[6] – as well as its Health professionals have taken special component factors or subscales (length and width, exudate amount and tissue type in the wound bed) interest in wound care. In this context, the nurses’ – common and essential to assess the healing role stands out, who have searched for new knowledge process of any chronic wound – motivated the to base their practice. This study aimed to test the interrater reliability of the PUSH in its adapted version for the Portuguese language These patients, in which wound assessment is a determinant factor for adequate therapy. Other authors[4,5] verified that chronic leg wound area
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