待产孕妇风险预警评估工具的构建及评试 .pdfVIP

待产孕妇风险预警评估工具的构建及评试 张灵芳;赵明利;张雪葳;韩梦丹;王孟妮 【摘要】Objective To develop a risk assessment tool for pregnant women waiting for delivery and test its reliability and validity. Methods The first draft of early risk warning assessment form for pregnant women waiting for delivery was made based on the basic content framework of \ Pregnancy Risk Assessment Form for Pregnant Women\ and \ Ireland Obstetrics Early Warning Scoring Guidelines \. 241 pregnant women waiting for delivery were selected for evaluation, and the reliability and validity of risk early warning assessment form were evaluated by content validity, criterion validity and rater reliability. Results The formal scale consisted of 38 entries in 6 dimensions. The scorer reliability was 0. 90 (95 ％ CI: 0. 82- 0. 96), The sensitivity, specificity, and Kappa value was 67. 2％,74. 5％ and 0. 63 respectively and AUC area of ROC curve was 0. 82. Conclusion The scale in our study has good reliability and validity which could provide reference for risk assessment in pregnant women waiting for delivery.% 目的 研制待产孕妇妊娠风险程度评估工具,并检验该评估工具信度和效 度.方法 以我国《孕产妇妊娠风险评估表》和《爱尔兰产科早期预警评分指南》为 基本内容框架,采用专家咨询法,形成待产孕妇风险预警评估表初稿;选取 241 名待产 孕妇进行测评,通过内容效度、效标效度和评分者信度完成风险预警评估表信度和 效度的评测.结果 正式评估表包括 6 个维度,38 个条目,评分者信度 0.90(95％ CI:0.82-0.96),评估表灵敏度为 67.2％,特异度为 74.5％,Kappa 值为 0.63,ROC 曲 线 AUC 面积为 0.82.结论 待产孕妇风险预警评估表具有较好的信度和效度 ,可为孕 妇待产期间的风险评估提供参考 . 【期刊名称】《中国生育健康杂志》 【年(卷),期】2019(030)003 【总页数】4 页(P211-214) 【关键词】产科;风险预警;信度;效度 【作者】张灵芳;赵明利;张雪葳;韩梦丹;王孟妮 【作者单位】郑州大学护理学院, 450000;河南大学附属郑州颐和医院护理部;郑州 大学护理学院, 450000;郑州大学护理学院, 450000;郑州大学护理学院, 450000 【正文语种】中 文 母婴安全是妇女儿童健康的前提和基础。研究数据显示，全世界每天约有 830 名 妇女死于妊娠或分娩相关并发症[1] ，其中99%的事件发生在发展中国家[2]。随着 我国全面二胎政策的开放，高危人群的增加 ，妊娠威胁还将进一步加大[3]。如何 积极防治妊娠危险，尽早识别危险人群 ，对保障母婴安全、改善妊娠结局具有重要 意义[4,5]。英国最早依据早期预警评分(early warning score, EWS)研究开发了多 种产科风险预警工具，用于危重孕产妇的风险预警及转运评估[6,7]。我国原国家 卫生计生委于 2017 年发布了 《孕产妇妊娠风险评估表》，提出了孕期保健 “五色 预警”管理策略 ，根据孕产妇风险级别转诊至相应医疗机构 ，实现了妊娠风险与医