关键词: 重症监护室, 新生儿；皮肤损伤, 医源性；风险评估；德尔菲；量表

Abstract: Objective: To develop a risk assessment scale for iatrogenic skin injury in critically ill neonates, providing an objective tool for effectively evaluating the risk of iatrogenic skin injury in this population. Methods: The initial scale was designed based on a review of similar existing scales, using literature analysis, semi-structured interviews, and expert group discussions. A two-round Delphi method was employed to consult 20 experts and finalize the scale′s items and scoring methods. Results: The recovery rates of valid questionnaires, the expert authority coefficients, and the Kendall′s coefficients of concordance in the two rounds of inquiry were 90.9% and 100%, 0.84 and 0.91, 0.208 and 0.249, respectively (P<0.001). The final scale consists of six dimensions, including physiological condition, skin condition, current body status, risk factors for medical adhesive-related skin injury, risk factors for drug extravasation injury, and risk factors for medical device-related injuries. The scale includes 22 items, with importance scores ranging from 4.10 to 4.90, coefficient variations ranging from 0.060 to 0.207, and the full score rate between 45% and 90%. Conclusion: The iatrogenic skin injury risk assessment scale for critically ill neonates developed based on the Delphi method demonstrates high scientific rigor and authority. It can be used to assess the risk of iatrogenic skin injuries in critically ill neonates.

Key words: Critically ill neonates, Iatrogenic skin injury, Risk assessment, Delphi, Scale