不同量表对髋膝关节置换患者深静脉血栓形成预测效果的对比研究  

Comparison of predictive power for deep vein thrombosis among hip and knee joint replacement patients using two risk assessment scales

作　　者：张成欢 李莹[2] 刘云[3] 黄燕鹏[4] 夏韦[5] 凌琳[6] 薛慧娟[7] 王颖[8] 董丰琴[9] 丁敏华[10] 朱冬梅[11] 严文婕 

机构地区：[1]常州市第一人民医院骨科,213000 [2]南京军区南京总医院骨科 [3]南京军区南京总医院技术干部训练中心 [4]解放军第174医院骨科 [5]徐州医学院附属医院骨科 [6]解放军第101医院骨科 [7]解放军第82医院骨科 [8]解放军第97医院骨科 [9]解放军第98医院骨科 [10]解放军第105医院骨科 [11]解放军第81医院护理部 [12]解放军第100医院骨科

出　　处：《中华护理杂志》2017年第4期503-506,共4页Chinese Journal of Nursing

基　　金：江苏省科技厅社会发展面上项目(BE2015686)

摘　　要：目的比较Autar量表与Wells量表对骨科髋膝关节置换患者深静脉血栓形成的预测效度。方法采用方便抽样法,选取在10所三级甲等医院骨科进行髋膝关节置换的331例患者作为研究对象,采用一般资料调查表、Autar量表和Wells量表进行资料收集。在患者出院后2周、1个月、3个月进行电话随访,随访主要终点为深静脉血形成,次要终点为出院后3个月无深静脉血形成。结果 Autar量表手术前24 h、手术后24 h、出院当天3次评分的Cronbach’sα系数为0.716~0.762,Wells量表3次评分的Cronbach’sα系数为0.580~0.603;Autar量表3次评分的ROC曲线下面积为0.726~0.798,Wells量表3次评分的ROC曲线下面积为0.568~0.628。结论 Autar量表灵敏度高于Wells量表,更适合用于预测骨科髋膝关节置换患者深静脉血栓形成的风险。Objective To compare predictive power for deep vein thrombosis among hip and knee joint replacement patients using Autar scale and Wells scale. Methods Convenience sampling method was used. Totally 331 patients from ten tertiary hospitals receiving hip and knee joint replacement were recruited, General information questionnaire, Autar scale and Wells scale were used to collect data. Telephone follow-up was performed at 2 weeks, 1 month and 3 months after hospital discharge. The primary endpoint of follow-up was occurrence of DVT, and the secondary endpoint was no occurrence of DVT within 3 months after hospital discharge. Results The Cronbaeh＇s o~ coefficients of Autar scale ranged from 0.716 to 0.762 for scores 24h before operation, 24h after op- eration and at the day of discharge, and those of Wells scale ranged from 0.580 to 0.603. The area under the ROC curve of Autar scale ranged from 0.726 to 0.798. The area under the ROC curve of Wells scale ranged from 0.568 to 0.628. Conclusion The predictive power of Autar scale was higher than that of Wells scale which enabled Autar scale to better predict deep vein thrombosis for patients receiving hip and knee joint replacement.

关 键 词：静脉血栓形成 关节成形术 置换 Autar量表 Wells量表 

分 类 号：R473.6[医药卫生—护理学]