ABSTRACT
Objective To develop an independent surgical pressure injury risk assessment scale in elec-tive adult surgery patients.Methods Items were collected by comprehensive literature search,clinical case analy-sis and interviewing clinical medical staff,and screened by scoring method to gain an initial test scale. Using the initial test scale for two round of Delphi methods consulted by the experts and then the experts pre-investigated of 103 elective adult surgery patients.Each scale items were tested and selected by Delphi method,data integrity,re-sponse's distribution,variance analysis,correlation coefficient method,factor analysis method and the Krone Bach coefficient method to form the scale. Results The final scale were composed of 16 items such as gender, body mass index,anesthesia mode and operative position.Conclusion The final scale screened by subjective and objective methods is accurate,independent and operable,and it can accurately predict the risk of pressure injury in elective adult surgery patients,guide nursing measures and reduce the incidence of pressure injury effectively.