Validity and Reliability of the Turkish Version of Pittman Ostomy Complication Severity Index
Journal Title: Turkish Journal of Colorectal Disease - Year 2020, Vol 30, Issue 1
Abstract
Aim: This study aimed to investigate the reliability and validity of the Turkish version of the Pittman Ostomy Complication Severity index. Method: This methodological research was carried out between January 1, 2017, and January 1, 2018, at the Stomatherapy Unit of a Health Practice and Research Center in the Western Black Sea Region. The sample of the study consisted of 90 patients with an ostomy who had colostomy and ileostomy for at least one month. Stoma Individual Follow-up Form and Pittman Ostomy Complication Severity Index form were used in the study. Preoperative demographic characteristics, stoma-related characteristics within the first 24 hours after surgery, and 30 days postoperatively were evaluated according to the Pittman Ostomy Complication Severity Index. SPSS 19.0 and Excel 2016 software were used for statistical analysis. Results: The mean age of patients was 60.22±13.23 years. It was determined that 44.4% of the patients were women, and 55.6% were men. Of all patients, 90% were married, 71.1% were primary school graduates, and 41.1% were housewives. Translation-back translation was performed for the language validity of the index. Content validity was taken from 11 experts, and Content Validity Index was determined to be 0.95. Complication-related parameters for the construct validity of the index were calculated from the significance of the total score of the Pittman Ostomy Complication Severity index. The reliability of the Pittman Ostomy Complication Severity index was evaluated with the compliance between independent observers. The linguistic compliance, which was evaluated with the compliance between observers in expert opinions, was significant (p<0.001; Kendall’s W=0.131; chi-square: 66.668). The content compliance, which was evaluated with the compliance between observers in expert opinions, was significant (p<0.001; Kendall’s W=0.132; chi-square: 67.529). Conclusion: We showed that the Turkish version of the Ostomy Complication Severity index is a valid and reliable tool for evaluating the severity of complications in individuals with an ostomy. This index can also be used to identify and measure the severity of early complications in patients with an ostomy.
Authors and Affiliations
Ahu Uzun Arslantaş, Elif Karahan, Mustafa Çağatay Büyükuysal
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