Clinical Validation of the Preterm Oral Feeding Readiness Assessment Scale in Taiwan

doi:10.1016/j.pedn.2021.02.005

中山醫學大學機構典藏 CSMUIR > 中山醫學大學研究成果 > 期刊論文 > Item 310902500/23981

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题名:	Clinical Validation of the Preterm Oral Feeding Readiness Assessment Scale in Taiwan
作者:	Chang, YJ;Hao, RAC;Huang, JY;Yang, SF;Huang, CC;Chen, SAC
关键词:	Preterm;Oral feeding readiness;Traditional Chinese;TC-POFRAS
日期:	2021
上传时间:	2022-08-05T09:45:55Z (UTC)
出版者:	ELSEVIER SCIENCE INC
ISSN:	0882-5963
摘要:	Purpose: A successful transition from gavage to full oral feeding is a decisive indicator for discharging premature infants from the neonatal intensive care unit. A clinically useful measure of oral feeding readiness would help nurses initiate implementation of the cue-based feeding model in Taiwan. The study aimed to assess the validity and reliability of the Traditional Chinese Preterm Oral Feeding Readiness Assessment Scale (TC-POFRAS). Design and methods: 81 preterm infants were enrolled and assessed by TC-POFRAS regarding their oral feeding readiness. This study included two phases. Phase 1 conducted a cross language validation procedure and item level content validity indices (I-CVIs) for content validity were estimated. In phase 2, Cronbach's alpha for internal consistency at each category and total scale levels were estimated. A receiver operating characteristic (ROC) curve was estimated to explore the scale's performance. The optimal cut-off value of TC-POFRAS was identified by the best Youden's Index [maximum (sensitivity + specificity - 1)]. Results: All of the I-CVIs were 1.00. The whole Cronbach's alpha for internal consistency was 0.804 (95% CI = 0.736-0.862), and Cronbach's alpha values were between 0.538 (95% = 0.332-0.689) and 0.687 (95%CI = 0.572-0.781) for categories. The area under ROC was 92.2%, and an optimal cut-off value of TC-POFRAS was 29 (sensitivity: 0.938, specificity: 0.941). Conclusions: The TC-POFRAS has been verified to be an effective and accurate instrument to determine the initiation of oral feeding in preterm infants. Practice implications: The TC-POFRAS is an appropriate and complementary assessment instrument for professionals to conveniently use in clinical practice. (c) 2021 Published by Elsevier Inc.
URI:	http://dx.doi.org/10.1016/j.pedn.2021.02.005 https://www.webofscience.com/wos/woscc/full-record/WOS:000677490000026 https://ir.csmu.edu.tw:8080/handle/310902500/23981
關聯:	JOURNAL OF PEDIATRIC NURSING-NURSING CARE OF CHILDREN & FAMILIES ,2021,v59 , PE84-E92
显示于类别:	[中山醫學大學研究成果] 期刊論文

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