Evaluation of the Effectiveness of Deep Learning Model in Detection and Classification of Pressure Injury
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 60
- 试验地点
- 2
- 主要终点
- Knowledge levels
研究概览
简要总结
In the health care system, pressure injuries, which are among the quality indicators, are a serious patient safety problem that affects the length of hospital stay and the cost of care. Pressure injuries are generally defined as localized injuries caused by pressure on bony prominences or by shear force combined with pressure. This health problem reduces the quality of life of the patient and their family, causes the individual to be socially isolated , requires more intensive and prolonged nursing care, and can cause mortality , morbidity and nosocomial infections if appropriate treatment and care are not provided .
systematic staging of pressure injuries positively directs the treatment process and the patient's prognosis . Correct staging of pressure injuries not only affects patient care outcomes but also increases the quality of nursing care provided by providing a common language among nurses.Today, with the increasing use of technology, it is seen that larger data is needed to solve complex problems. In order to meet this need, Convolutional Neural Networks have emerged, which are used in many areas such as object recognition, speech recognition, and natural language processing, and can automatically learn from the symbols of data belonging to images, videos, audio, and texts, instead of learning with coded rules, unlike traditional machine learning methods, based on Artificial Neural Networks. Convolutional Neural Networks are one of the Deep Learning methods, which is a sub-branch of machine learning methods and has the ability to learn from examples. Convolutional Neural Networks are methods that can also learn from raw image or text data and whose prediction accuracy increases according to the size of the data. It has been proven in the literature that artificial intelligence and deep learning models are effective in the risk analysis of pressure injuries. However , no study has been found on the classification of pressure injuries. In light of this information, the study was conducted to develop a deep learning model in the detection and classification of pressure injuries and to determine the effect of the model on the knowledge and satisfaction levels of nurses.
详细描述
Today, with the increasing use of technology, it is seen that larger data is needed to solve complex problems. In order to meet this need, Convolutional Neural Networks have emerged, which are used in many areas such as object recognition, speech recognition, and natural language processing, and can automatically learn from the symbols of data belonging to images, videos, audio, and texts, instead of learning with coded rules, unlike traditional machine learning methods, based on Artificial Neural Networks. Convolutional Neural Networks are one of the Deep Learning methods, which is a sub-branch of machine learning methods and has the ability to learn from examples. Convolutional Neural Networks are methods that can also learn from raw image or text data and whose prediction accuracy increases according to the size of the data. It has been proven in the literature that artificial intelligence and deep learning models are effective in the risk analysis of pressure injuries. However , no study has been found on the classification of pressure injuries. Raju , Su, Patrician et al. (2015), provided more accurate and faster prediction of Braden risk scale scores with the deep learning model they developed as a result of a four-year follow-up in a military hospital . Alderden , Pepper , Wilson et al. (2018) developed a deep learning model that reveals the risk analysis of pressure injuries in intensive care patients, and provided more accurate and meaningful pressure injury risk analysis with more sensitive measurements for intensive care patients who are considered high risk according to risk assessment tools. Demircan, Yücedağ , Toz et al. (2016) developed a mathematical model that analyzes the risk factors in the formation process of pressure injuries, and ensured that pressure injuries were detected at an early stage. The use of these innovative applications, which are included and used in the world literature , is limited in our country. In an environment where technology is rapidly developing and consumed, not remaining indifferent to innovative initiatives and integrating technology into nursing practices will increase the visibility of our profession by training innovative nurses. In light of this information, the study was conducted to develop a deep learning model in the detection and classification of pressure injuries and to determine the effect of the model on the knowledge and satisfaction levels of nurses.
Aim A randomized controlled experimental study was conducted to develop a deep learning model for the detection and classification of pressure injuries and to determine the effect of the model on the knowledge and satisfaction levels of nurses .
Hypotheses of the Research; H1: Deep Learning Model Provides Detection of Pressure Sores.
H2: Deep Learning Model Provides Classification of Pressure Sores.
H3: Mobile Application Developed with Deep Learning Model Plays an Active Role in Pressure Sore Treatment and Care.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 35 Years(Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •The nurse must;
- •Be over 18 years of age
- •Work as an intensive care or clinical nurse
- •Agree to participate in the research verbally and in writing.
排除标准
- •Being under the age of 18
- •Working in a place other than intensive care and clinic (e.g. blood collection unit, laboratory, etc.)
- •Not accepting to participate in the research verbally or in writing.
结局指标
主要结局
Knowledge levels
时间窗: 12 month
Nurses were informed about the knowledge exam. Modified Pieper Pressure Sore Knowledge Test: As a result of the research, the Modified Scale was developed by Pieper and Mott in 1995, modified by Lawrence , and its validity and reliability were determined by Asiye Gül and her colleagues in 2017. Pieper Pressure Wound Knowledge Test was used. This test consists of 49 items. The scale is divided into three sub-dimensions. The general knowledge score can be up to 49 points, the prevention knowledge score can be up to 33 points, the staging knowledge score can be up to 9 points, and the wound identification score can be up to 7 points. Modified Permission was requested from Prof. Dr. Asiye Gül for the Pieper Pressure Sore Knowledge Test. A reliability analysis was performed to determine the reliability level of the scale used in the study and the Chronbach alpha coefficient of the experimental group was obtained as 0.838 and that of the control group as 0.812.
次要结局
- Nurse Satisfaction levels(12 month)
研究者
Hamiyet KIZIL
PhD RN Assistant Professor Hamiyet KIZIL
University of Beykent
