3种手术患者压力性损伤评估量表的信效度及预测效果分析  

Reliability and validity of three kinds of assessment scales on stress injury during surgery and their predictive effects

作　　者：朱勤春 东莉 杨丽君 吕令 方玲 沈洋 Zhu Qinchun;Dong Li;Yang Lijun;Lyu Ling;Fang Ling;Shen Yang(Operating Room,Zhongshan Hospital Affiliated to Fudan University,Shanghai 200032,China)

机构地区：[1]复旦大学附属中山医院手术室,上海200032

出　　处：《中华现代护理杂志》2020年第25期3429-3432,共4页Chinese Journal of Modern Nursing

基　　金：上海市护理学会青年人才育苗计划。

摘　　要：目的比较3种手术患者压力性损伤的危险因素评估量表,为术中压力性损伤的预防提供依据。方法于2018年1月—2019年6月在复旦大学附属中山医院手术室应用3种评估工具(Waterlow危险因素评估量表、Munro Scale压疮评估表和Scott触发点评估量表)对173例手术患者进行风险程度评估,术后进行全身皮肤检查,记录压力性损伤发生情况,比较3种量表的信度和效度、预测效果。结果Scott触发点评估量表、Munro Scale压疮评估表的重测信度分别为0.932、0.992,专家内容效度分别为0.759、0.705,校表关联效度分别为0.381、0.190,敏感度分别为0.74、0.32,特异度分别为0.58、0.89,ROC曲线下面积均大于Waterlow危险因素评估量表,分别为0.714、0.711。结论Scott触发点评估量表、Munro Scale压疮评估表对手术患者压力性损伤的评估可以推广,同时Scott触发点评估量表较Munro Scale压疮评估表更准确、便捷,推荐临床使用。Objective To compare three kinds of stress injury risk factors assessment scales during intraoperative period,and to provide evidence for the prevention of intraoperative stress injury.Methods Three assessment tools(Waterlow Risk Factor Assessment Scale,Munro Pressure Ulcer Assessment Scale and Scott Triggers Evaluation Scale)were used to assess the risk degree of 173 surgical patients in the Operating Room of Zhongshan Hospital Affiliated to Fudan University from January 2018 to June 2019.After the operation,a whole-body skin examination was performed to record the occurrence of pressure ulcer,and the reliability,validity,and prediction effect of every scale were compared.Results The retest reliability of Scott Triggers Evaluation Scale and Munro Pressure Ulcer Assessment Scale was respectively 0.932 and 0.992,the expert content validity was respectively 0.759 and 0.705,the calibration correlation validity was respectively 0.381 and 0.190,the sensitivity was respectively 0.74 and 0.32 and specificity was respectively 0.58 and 0.89.The area under the ROC curve of Scott Triggers Evaluation Scale and Munro Pressure Ulcer Assessment Scale was larger than that of Waterlow Risk Factor Assessment Scale,which was 0.714 and 0.711,respectively.Conclusions Scott Triggers Evaluation Scale and Munro Pressure Ulcer Assessment Scale can be used to evaluate the stress injury of surgical patients.At the same time,Scott Triggers Evaluation Scale is more accurate and convenient than the Munro Pressure Ulcer Evaluation Scale.Thus,Scott Triggers Evaluation Scale is recommended for clinical application.

关 键 词：手术期间 压力性损伤 Waterlow危险因素评估量表 Scott触发点评估量表 Munro Scale压疮评估表 信度 效度 

分 类 号：R473.6[医药卫生—护理学]