Desenvolvimento e validação de escala para classificação da complexidade de lesões cutâneas

Abstract

Objective: To develop and validate, in terms of content and reliability, a scale for classifying the complexity of skin wounds, grounded in a multifactorial assessment centered on the factors that influence the physiological healing process. The proposal aims to overcome the limitations of existing instruments— which are restricted to the local analysis of the wound—by integrating systemic, local, and modifiable variables, thereby promoting a broader and more targeted clinical approach. Method: Methodological study conducted in three stages: development of the scale based on a literature review, content validation by experts, and statistical analysis to verify the validity and reliability of the instrument. Results: The developed scale showed content validity indices ranging from 0.88 to 1.0, validity coefficients ranging from 0.892 to 0.961, and internal reliability coefficients (Cronbach’s alpha) between 0.728 and 0.810, being considered valid and reliable for use in clinical practice. Conclusion: The Scale for Classifying the Complexity of Skin Wounds presented satisfactory indices of validity and reliability, establishing itself as a promising instrument for nursing clinical practice in wound management. Future studies should investigate its applicability in different health care settings.