Objective To develop and validate a safety assessment scale for early mobilization in lung transplant patients after surgery. Methods From September 2022 to April 2023，a preliminary scale was constructed using litera...
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Objective To develop and validate a safety assessment scale for early mobilization in lung transplant patients after surgery. Methods From September 2022 to April 2023，a preliminary scale was constructed using literature analysis，expert meetings，and the Delphi method. From June 2023 to May 2024，a convenience sampling was used to select 135 patients admitted to the lung transplant center of a tertiary general hospital in Jiangsu Province. Item analysis，reliability analysis，and validity analysis were applied to adjust the items，forming the final scale. Results The post-operative early mobilization safety assessment scale for lung transplant patients includes 5 dimensions（consciousness level，vital signs，disease-related factors，mobility，and nutritional status） and 18 items. The inter-rater reliability of the scale is 0.985;the overall content validity index is 0.853;the split-half reliability is 0.716. The area under the receiver operating characteristic curve for predicting adverse events within 72 hours of mobilization is 0.845，with a 95% confidence interval of 0.767 to 0.917（P<0.001）. The optimal cutoff value is 18.5，with a sensitivity of 0.735 and a specificity of 0.782. Conclusion The developed safety assessment scale for early mobilization in lung transplant patients after surgery demonstrates good reliability and validity，and it can serve as a clinical tool to assess the safety of early mobilization activities in these patients. Copyright 2025 by the Chinese Nursing Association.
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