Comparison of the Predictive Validity of Norton and Braden Scales in Determining the Risk of Pressure Injury in Elderly Patients
Clinical Nurse Specialist, cilt.38, sa.3, ss.141-146, 2024 (SCI-Expanded, SSCI, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 38 Sayı: 3
- Basım Tarihi: 2024
- Doi Numarası: 10.1097/nur.0000000000000815
- Dergi Adı: Clinical Nurse Specialist
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus
- Sayfa Sayıları: ss.141-146
- Anahtar Kelimeler: elderly patient, nurse, pressure injury, pressure ulcer, prevention, risk assessment
- Kırklareli Üniversitesi Adresli: Evet
Özet
Aim: To compare the reliability and predictive validity of Norton and Braden scales in determining the risk of pressure injury in elderly patients. Design: This research used a comparative design. One hundred thirty elderly patients participated in the study. Methods: The daily pressure injury risk of participants was evaluated by a researcher using both the Norton and Braden scales in a consecutive manner. Results: The mean age of patients was 75.1 ± 8.5 years, and that for those without and with pressure injury development was 75.0 ± 8.3 years and 76.1 ± 9.7 years (P < .001), respectively. The reliability coefficients of the Norton and Braden scales were .82 and .89, respectively. The sensitivity, specificity, and positive and negative predictive values of the Norton Scale were 100%, 40.7%, 20.2%, and 100%, and those of the Braden Scale were 100%, 32.7%, 18.3%, and 100%, respectively. Conclusions: The reliability of both scales for elderly patients was found to be high, and their ability to differentiate patients at risk was comparable. However, both scales had low specificity. Further research is needed to develop scales that have higher predictive validity for the elderly population, taking into account other risk factors that influence total scale scores.