Hdl Handle:
http://hdl.handle.net/10034/49220
Title:
A tool for assessing perineal trauma
Authors:
Steen, Mary; Cooper, Keith
Abstract:
The initial aim of this study was to develop a reliable visual tool to assist in the assessment of the severity of oedema and bruising in perineal trauma, using a categorical scale of `none', `mild', `moderate' and `severe'. A standardised set of photographs was selected by 10 clinically experienced midwives to represent these categories. The tool was tested in a clinical trial involving 77 women, recording and monitoring changes in the level of oedema and bruising during the first 48 hours following suturing of an episiotomy. The results demonstrated a statistically significant change for both oedema and bruising. However, the less experienced assessors reported some uncertainties in assessing a small proportion of women. A combined method, using this tool with a categorical scoring scale, was used to minimise difficulties in the assessment. Two pairs of midwives, one pair very experienced in assessing perineal trauma and the other less experienced, evaluated the combined method. The results showed a high level of agreement. The standard set of photographs and categorical scoring scale together resulted in a reliable and sensitive assessment tool to evaluate severity of perineal trauma.
Affiliation:
Leeds Teaching Hospitals NHS Trust/Leeds Metropolitan University
Citation:
Journal of Wound Care, 1997, 6(9), pp 432-436.
Publisher:
Macmillan Magazines
Journal:
Journal of Wound Care
Issue Date:
Oct-1997
URI:
http://hdl.handle.net/10034/49220
Additional Links:
http://www.journalofwoundcare.com/
Type:
Article
Language:
en
Description:
This article is not available through ChesterRep.
ISSN:
0969-0700
Appears in Collections:
Health and Social Care

Full metadata record

DC FieldValueLanguage
dc.contributor.authorSteen, Mary-
dc.contributor.authorCooper, Keith-
dc.date.accessioned2009-02-16T13:11:02Z-
dc.date.available2009-02-16T13:11:02Z-
dc.date.issued1997-10-
dc.identifier.citationJournal of Wound Care, 1997, 6(9), pp 432-436.en
dc.identifier.issn0969-0700-
dc.identifier.urihttp://hdl.handle.net/10034/49220-
dc.descriptionThis article is not available through ChesterRep.en
dc.description.abstractThe initial aim of this study was to develop a reliable visual tool to assist in the assessment of the severity of oedema and bruising in perineal trauma, using a categorical scale of `none', `mild', `moderate' and `severe'. A standardised set of photographs was selected by 10 clinically experienced midwives to represent these categories. The tool was tested in a clinical trial involving 77 women, recording and monitoring changes in the level of oedema and bruising during the first 48 hours following suturing of an episiotomy. The results demonstrated a statistically significant change for both oedema and bruising. However, the less experienced assessors reported some uncertainties in assessing a small proportion of women. A combined method, using this tool with a categorical scoring scale, was used to minimise difficulties in the assessment. Two pairs of midwives, one pair very experienced in assessing perineal trauma and the other less experienced, evaluated the combined method. The results showed a high level of agreement. The standard set of photographs and categorical scoring scale together resulted in a reliable and sensitive assessment tool to evaluate severity of perineal trauma.en
dc.language.isoenen
dc.publisherMacmillan Magazinesen
dc.relation.urlhttp://www.journalofwoundcare.com/en
dc.subjectevaluating toolen
dc.subjectperineal traumaen
dc.subjectoedemaen
dc.subjectbruisingen
dc.subjectseverity of traumaen
dc.titleA tool for assessing perineal traumaen
dc.typeArticleen
dc.contributor.departmentLeeds Teaching Hospitals NHS Trust/Leeds Metropolitan Universityen
dc.identifier.journalJournal of Wound Careen
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