Avaliação da cicatrização da episiotomia: confiabilidade da escala REEDA (Redness, Oedema, Ecchymosis, Discharge, Approximation)
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Arquivos
Citações na Scopus
24
Tipo de produção
article
Data de publicação
2015
Título da Revista
ISSN da Revista
Título do Volume
Editora
UNIV SAO PAULO, ESCOLA DE ENFERMAGEM DE RIBEIRAO PRETO
Autores
ALVARENGA, Marina Barreto
FRANCISCO, Adriana Amorim
OLIVEIRA, Sonia Maria unqueira Vasconcellos de
SILVA, Flora Maria Barbosa da
DAMIANI, Lucas Petri
Citação
REVISTA LATINO-AMERICANA DE ENFERMAGEM, v.23, n.1, p.162-168, 2015
Resumo
Objective: to analyse the Redness, Oedema, Ecchymosis, Discharge, Approximation (REEDA) scale reliability when evaluating perineal healing after a normal delivery with a right mediolateral episiotomy. Method: observational study based on data from a clinical trial conducted with 54 randomly selected women, who had their perineal healing assessed at four time points, from 6 hours to 10 days after delivery, by nurses trained in the use of this scale. The kappa coefficient was used in the reliability analysis of the REEDA scale. Results: the results indicate good agreement in the evaluation of the discharge item (0.75< Kappa >= 0.88), marginal and good agreement in the first three assessments of oedema (0.16< Kappa >= 0.46), marginal agreement in the evaluation of ecchymosis (0.25< Kappa >= 0.42) and good agreement regarding redness (0.46< Kappa >= 0.66). For the item coaptation, the agreement decreased from excellent in the first assessment to good in the last assessment. In the fourth evaluation, the assessment of all items displayed excellent or good agreement among the evaluators. Conclusion: the difference in the scores among the evaluators when applying the scale indicates that this tool must be improved to allow an accurate assessment of the episiotomy healing process.
Palavras-chave
Episiotomy, Wound Healing, Scales, Postpartum Period
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