手术患者压疮危险因素评估量表在骨科后路手术患者中的信效度检验

手术患者压疮危险因素评估量表在骨科后路手术患者中的信效度检验

王英丽张圣洁蒲霞王惠珍钱维明徐梅

中国医学科学院北京协和医院手术室（王英丽，张圣洁，蒲霞，王惠珍，徐梅）；浙江大学医学院附属第二医院手术室（钱维明）

出版日期:2016-07-25 发布日期:2016-07-25

The reliability and validity of Surgery-related Pressure Sore Risk Assessment Scale for posterior orthopaedics surgery patients

Online:2016-07-25 Published:2016-07-25

摘要/Abstract

摘要： 目的：检验手术患者压疮危险因素评估量表的信效度。方法：采用便利抽样的方法，抽取2015 年6-8 月在我院实施骨科后路手术的患者261 例进行调查，对手术患者压疮危险因素评估量表的信效度进行检验。结果：手术患者压疮危险因素评估量表的Cronbach’s α 系数为0.812 ；评价者间信度为0.886。评估量表中各个条目的内容效度指数为0.6 ～ 1.0，整个评估量表的内容效度指数为0.940 ；探索性因子分析析出4 个公因子，这4 个公因子累计方差贡献率为58.824% ；该评估量表的敏感度为87%，特异度为77%，阳性预测率为3%，阴性预测率为98%，曲线下面积（AUC) 为0.832。结论：手术患者压疮危险因素评估量表具有良好的信效度，可用于手术患者术中压疮风险的评估。

Abstract: Objective: To test the reliability and validity of a Surgery-related Pressure Sore Risk Assessment Scale.Methods: Totally 261 posterior orthopaedics surgery patients during June to August, 2015 in Peking Union Medical College Hospital were recruited by convenience sampling method and investigated by the scales. Results: The Cronbach's α coefficient of the scale was 0.812 and the correlation between the assessors was 0.886. The content validity of each item ranges from 0.6 to 1 and the content validity of the scale was 0.940. Four factors were extracted by exploratory factor analysis and they could explain 58.824 percent of the total variance. The scale had a sensitivity of 87 percent and a specificity of 77 percent. The positive and negative predictive value was 3 percent and 98 percent, respectively. The Area Under Curve (AUC) was 0.832. Conclusion: The Surgery-related Pressure Sore Risk Assessment Scale is proved to be reliable and valid. It could be used to assess the press ulcer risk of surgical patients.

王英丽张圣洁蒲霞王惠珍钱维明徐梅. 手术患者压疮危险因素评估量表在骨科后路手术患者中的信效度检验[J]. , 2016, 16(7): 906-909.