分娩期高危妊娠预警评估指标体系的构建  

Construction of early warning evaluation index system for high-risk pregnancy during childbirth

作　　者：方惠[1] 杨靖萱 白桦[2] 杨晓宇[1] 渠利霞[3] 赵明 崔红霞 Fang Hui;Yang Jingxuan;Bai Hua;Yang Xiaoyu;Qu Lixia;Zhao Ming;Cui Hongxia(Department of Obstetrics,the Third Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Nursing Department,the Third Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Second Clinical Teaching and Research Section,School of Nursing and Health,Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第三附属医院产科,郑州450052 [2]郑州大学第三附属医院护理部,郑州450052 [3]郑州大学护理与健康学院临床二教研室,450052

出　　处：《中华现代护理杂志》2021年第29期3976-3980,共5页Chinese Journal of Modern Nursing

基　　金：河南省医学科技攻关计划联合共建项目(2018020212);河南省卫健委医学继续教育项目(Wjlx2019048)。

摘　　要：目的构建科学合理的分娩期高危妊娠预警评估指标体系,为建立信息化管理平台提供内容框架。方法采用便利抽样法,选取来自河南省2所高校、5所三甲综合医院及2所三甲妇幼保健院的15名专家为函询对象。采用文献研究、小组讨论、德尔菲专家咨询法确定分娩期高危妊娠预警评估指标。采取方便抽样法,选取河南省某三级甲等医院2020年2—4月入院分娩的288名孕妇为研究对象。采用分娩期高危妊娠预警评估指标体系对其进行评估。结果最终确定的分娩期高危妊娠预警评估指标体系包括7项一级指标及27项二级指标。两轮咨询的专家权威系数分别为0.91、0.93,肯德尔和谐系数分别为0.241、0.385(P<0.001)。分娩期高危妊娠预警评估指标体系预测病情危重的ROC曲线下面积均>0.85,最佳截断点均为9.98分。结论构建的分娩期高危妊娠预警评估指标体系内容全面,可信度高,有助于提高助产士识别分娩期高危妊娠。Objective To construct a scientific and reasonable early warning evaluation index system for high-risk pregnancy during childbirth,so as to provide a content framework for the establishment of an information management platform.Methods Convenience sampling was used to select 15 experts from 2 colleges and universities,5 ClassⅢGrade A general hospitals and 2 ClassⅢGrade A maternal and child health hospitals in Henan Province as the subject of consultation.The early warning evaluation indicators of high-risk pregnancy during childbirth were determined through literature research,group discussion,and Delphi expert consultation method.Convenience sampling method was adopted to select 288 pregnant women admitted to the hospital for delivery from February to April 2020 in a ClassⅢGrade A hospital in Henan Province as the research object.The early warning evaluation index system for high-risk pregnancy during childbirth was used to evaluate pregnant women.Results The final early warning evaluation index system for high-risk pregnancy during childbirth included 7 first-level indicators and 27 second-level indicators.The expert authority coefficients of the two rounds of consultation were 0.91 and 0.93,respectively,and the Kendall harmony coefficients were 0.241 and 0.385,respectively(P<0.001).The area under the ROC curve predicted by the early warning evaluation index system for high-risk pregnancy during childbirth was>0.85,and the best cut-off point was 9.98.Conclusions The constructed early warning evaluation index system for high-risk pregnancy during childbirth has comprehensive content and high reliability,which will help midwives to identify high-risk pregnancy during childbirth.

关 键 词：分娩期 妊娠 高危 预警 德尔菲法 

分 类 号：R714[医药卫生—妇产科学]