JCNRJournal of Clinical and Nursing Research2208-36852208-3693Bio-Byword Scientific Publishing Pty. Ltd.10.26689/jcnr.v9i11.13008ArticleDevelopment and Reliability and Validity Analysis of an Assessment Tool for Postoperative Wound Healing in Adult Patients with Benign Anal Canal and Rectal Diseases https://artdesignp.com/journal/JCNR/9/11/10.26689/jcnr.v9i11.13008ChangXiaomei,HuShenglin,ZhuMin,ZouMin,LiMin,LiGuorong,FengZhi,LiHongbo20259112025-12-10Objective: This study aims to develop an assessment tool for postoperative wound healing in adult patients with benign anal canal and rectal diseases and to validate its reliability and validity. Methods: Based on Levine’s Conservation Model as the theoretical framework, an item pool was formed through literature review, and the initial draft of the scale was refined through two rounds of Delphi expert consultation. A total of 200 postoperative patients were selected for item analysis, internal consistency testing, content validity, and structural validity analysis. Results: The final tool comprises four dimensions: energy conservation, structural integrity, personal integrity, and social integrity, with a total of 24 items. It demonstrates good content validity (I-CVI 0.82–1.00, S-CVI/Ave 0.95, S-CVI/UA 0.87) and excellent internal consistency (Cronbach’s α for the overall scale was 0.934). Exploratory factor analysis revealed a KMO value of 0.931, Bartlett’s test of sphericity χ2 = 4147.853 (p < 0.001), and four common factors were extracted, accounting for a cumulative variance contribution rate of 64.345%, indicating ideal structural validity. Conclusion: The results indicate that the assessment tool has good reliability and validity and can systematically evaluate postoperative wound healing, providing a scientific basis for clinical individualized nursing interventions.

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