Authors

1Daniel Fernández García, 2Beatriz Ordás Campos, 3Estrella Crespo Alonso, 4Carmen Merino Bodelón, 5Lorena Busto Parada, 5Marta Sánchez Martínez

Position

¹Enfermero. Supervisor de la Unidad de Prematuros y Cuidados Intensivos Pediátricos. Complejo Asistencial Universitario de León.²Enfermera. Complejo Asistencial Universitario de León.³Enfermera. Unidad de Prematuros y Cuidados Intensivos Pediátricos. Complejo Asistencial Universitario de León.⁴Enfermera. Supervisora de la Unidad de Pediatría. Complejo Asistencial Universitario de León.⁵EIR Pediatría. Complejo Asistencial Universitario de León.

Contact address

Complejo Asistencial de León. C/ Altos de Nava, s/n. 24071 León.

Contact email: danifega@gmail.com

Abstract

Objective: linguistic validation, through a process of translation and cultural adaptation, of the Glamorgan Scale to assess the risk of developing pressure ulcers in pediatric patients. 

Materials and method: descriptive study conducted in the Pediatric Department of the Complejo Asistencial Universitario de León. The original scale was translated-back translated into Spanish. All children admitted to the Pediatric Department from 9/04/2012 to 8/06/2012 were included, with their parents signing a written consent form. Internal consistency and intra and inter-observer concordance were determined with the SPSS program.

Results: a total of 38 records were conducted, from the Pediatric, Neonatology and Pediatric ICU departments. Out of these, 84.2% were for children in non-critical condition. Their mean hospitalization was 3.5 days, and their weight average was 7.63 kg. 55.3% were male and 86.8% were white/Caucasian. The most frequent reason for admission was premature birth (34%). The scale has shown a good internal consistency, with 0.7 Cronbach’s Alpha. The intra-observer concordance for the total score measured through the interclass correlation coefficient was 0.997, while inter-observer concordance was 0.584.

Conclusions: the Glamorgan Scale has presented a high internal consistency. Intra-observer consistency has been high, unlike inter-observer concordance, which could be due to the low number of records, lack of understanding about any of the items, or to the influence of observers. It is suggested to increase the number of records, to prepare a form explaining the assessment of each one of the items, and to improve observer selection, for the sake of continuing the validation process of the tool. 

Keywords:

Pediatrics; pressure ulcer; risk; scales; Glamorgan; validation; translationtransversal descriptive study

Versión en Español

Título:

Escala Glamorgan para la valoración del riesgo de desarrollar úlceras por presión en pediatría. Estudio piloto para la versión española