中文版ELPO手术体位相关性压力性损伤风险评估表在口腔颅颌面肿瘤手术中的应用评价  

Evaluation of the clinical value of the Chinese version of ELPO surgery position-related pressure ulcer risk assessment scale in oral and craniomaxillofacial tumor surgery

作　　者：应元婕 张莉[1] 杨旭[1] 薛慧敏[1] 黄燕[1] 杨悦来 YING Yuan-jie;ZHANG Li;YANG Xu;XUE Huimin;HUANG Yan;YANG Yue-lai(Operating Room,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China)

机构地区：[1]上海交通大学医学院附属第九人民医院手术室,上海200011

出　　处：《中国口腔颌面外科杂志》2020年第4期333-337,共5页China Journal of Oral and Maxillofacial Surgery

基　　金：上海交通大学医学院附属第九人民医院护理院级基金(JYHL20182106)。

摘　　要：目的:对英文版ELPO手术体位相关性压力性损伤风险评估量表进行汉化及信效度检验,评价中文版ELPO在口腔颅颌面肿瘤手术中的应用效果。方法:获得原作者同意后,将ELPO量表遵循汉化量表流程,进行翻译及回译。采取便利抽样法,选择上海交通大学医学院附属第九人民医院271例口腔颅颌面肿瘤择期手术患者,对研究对象进行压力性损伤风险评估。通过评估内容效度、结构效度、预测效度,验证量表效度;采用内部一致Cronbachα系数、评定者间信度,检验量表信度。应用量表对患者进行风险评估,实施相应干预措施。采用SPSS 23.0软件包对数据进行统计学分析。结果:总量表的内容效度为0.952。探索性因子分析共提取3个公因子,累积方差贡献率为61.538%;灵敏度86%,特异度83%,阳性预测值87%,阴性预测值60%,ROC曲线下面积为0.836。总量表内部一致性Cronbachα系数0.751,评定者间信度为0.812。271例患者仅2例发生术中压力性损伤,发生率为0.74%。结论:中文版ELPO量表具有良好的信、效度,用于口腔颅颌面肿瘤手术患者,可使手术室护士有计划地进行护理干预,有效降低压力性损伤的发生率,优化手术室护理服务。PURPOSE:To translate and verify the reliability and validity of the risk assessment scale for the development of injuries due to surgical positioning(ELPO),and to analyze the clinical value of Chinese version of ELPO in oral and craniomaxillofacial tumor surgery.METHODS:After obtaining the consent of the original authors,the ELPO scale follows the process of the Chinese standard scale for translation and back translation.A convenient sampling method was used to select 271 patients with elective surgery for oral and craniomaxillofacial tumors at Shanghai Ninth People’s Hospital,Shanghai Jiao Tong University School of Medicine.The scale was validated by evaluating content validity,structure validity and predictive validity.The internal consistency Cronbach’s alpha coefficient and inter-evaluator reliability were used to test the validity of the scale.The reliability of the scale was tested,the patients were assessed for risk by applying a scale,and interventions were implemented.SPSS 23.0 software package was used for statistical analysis.RESULTS:The content validity of the total scale was 0.952.The exploratory factor analysis extracted 3 common factors,the cumulative variance contribution rate was 61.538%.The sensitivity was 86%,the specificity was 83%,the positive prediction rate was 87%,and the negative prediction rate was 60%.The area under the ROC curve was 0.836,the internal consistency of the total table was Cronbach’sαcoefficient was 0.751,and the inter-rater reliability was 0.812.Only 2 of271 patients had intraoperative pressure ulcers,the incidence was 0.74%.CONCLUSIONS:The Chinese version of ELPO scale has good reliability and validity.It is used to implement nursing intervention for patients with oral and craniomaxillofacial tumor surgery.It enables the operating room nurses to systematically perform nursing interventions,thereby effectively reducing the incidence of stress injuries and optimizing operating room care services.

关 键 词：手术体位相关性 压力性损伤 口腔颅颌面肿瘤手术 信度 效度 

分 类 号：R739.8[医药卫生—肿瘤]