高危妊娠自我筛查表的效果评价  

Effect evaluation of high-risk pregnancy self-screening tool

作　　者：白鸽[1] 吕军[1] 李笑天[2] 周英凤[3] 宋魏[4] 毛红芳[4] 王秋伟 张雅英 罗晓航[6] 李虹[6] 郝模[1] 

机构地区：[1]复旦大学公共卫生学院,上海200032 [2]复旦大学附属妇产科医院,上海200011 [3]复旦大学护理学院,上海200032 [4]上海市嘉定区妇幼保健院,上海201800 [5]江苏省常州市妇幼保健院,江苏常州213003 [6]北京市朝阳区妇幼保健院,北京100021

出　　处：《中国卫生资源》2012年第5期414-416,共3页Chinese Health Resources

基　　金：国家科技部"十一五"支撑计划基金资助项目;项目编号:2007BAI24B02;教育部2009年度创新团队项目基金资助;项目编号:IRT0912;上海曙光计划基金资助项目;项目编号:08SG08

摘　　要：目的:对高危妊娠自我筛查表进行信度、效度和健康教育效果的检验。方法:在6家妇幼保健机构中共调查235名孕产妇,通过检验内部一致性信度、重测信度、内容效度和效标效度完成筛查表的效能考评;通过分析干预效果考察筛查表的健康教育效果。结果:筛查表折半信度位于0.708～0.847之间,各条目的重测信度均达到了0.7以上;筛查表灵敏度为84.6%,特异度为74.5%,Kappa值为0.41,ROC曲线AUC面积为0.796。结论:高危妊娠自我筛查表的信效度考评结果基本达到要求,干预效果初现,建议通过扩大干预试点进一步验证其效能。Objective： To test reliability and validity of high-risk pregnancy self-screening tool as well as its intervention effects. Methods： Two hundred and thirty-five pregnant women from 6 maternal and child health eare institutions were investigated. Evaluation was completed by analysis of internal consistency reliability, test-retest reliability, content validity, criterion validity and health intervention effects. Results： The split-half reliability was between 0. 708 -0.847 and the test-retest reliability reached more than 0.7. The sensitivity was 84.6%, specificity was 74.5%, Kappa was 0.41 and ROC curve AUC area was 0.796. Conclusion： The reliability and validity of high-risk pregnancy self-sereenlng tool basicaUy met the requirements, and its effectiveness still needs to be verified by expanding the pilot intervention.

关 键 词：妊娠风险 自我筛查 效果评价 

分 类 号：R714.1[医药卫生—妇产科学]