全身麻醉手术患者围手术期低体温风险评估量表的构建与信效度检验  

Construction of risk assessment scale on inadvertent perioperative hypothermia for patients undergoing general anesthesia and test on reliability and validity

作　　者：项海燕[1] 黄立峰[1] 钱维明[1] 金静芬[1] Xiang Haiyan;Huang Lifeng;Qian Weiming;Jin Jingfen(The Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou Zhejiang 310009, China)

机构地区：[1]浙江大学医学院附属第二医院,浙江杭州310009

出　　处：《护理与康复》2022年第2期21-26,共6页Journal of Nursing and Rehabilitation

基　　金：浙江省医药卫生科技计划基金项目,编号2020KY146。

摘　　要：目的构建全身麻醉手术患者围手术期低体温风险评估量表,并进行信效度检验。方法在文献研究和德尔菲专家函询的基础上筛选全身麻醉手术患者围手术期低体温的风险因素,结合39名被函询专家意见以及课题组的研判,制订全身麻醉手术患者围手术期低体温风险评估量表,并检验其信效度。结果全身麻醉手术患者围手术期低体温风险评估量表包括年龄、体质量指数、基础体温、预计麻醉时间、手术体位、预计手术出血量等6个一级风险指标和18个二级分类指标。经检验,量表的Cronbach’sα系数为0.764,条目水平的内容效度指数为0.914,量表水平的内容效度指数为0.921,受试者工作特征曲线下面积为0.879(95%CI:0.835~0.923)。结论全身麻醉手术患者围手术期低体温风险评估量表具有良好的信效度,可作为预防全身麻醉手术患者围手术期发生低体温的评估工具。Objective To construct a risk assessment scale on inadvertent perioperative hypothermia(IPH)for patients undergoing general anesthesia and provide reference for scientific hypothermia prevention.Method Screen risk factors of IPH for patients undergoing general anesthesia by Delphi method based on literature study and expert consultation.Develop a risk assessment scale on IPH for patients undergoing general anesthesia according to 39 interviewed experts’opinion and judgment of the research group and test its reliability and validity.Result The risk assessment scale on IPH for patients undergoing general anesthesia includes 6 primary risk indicators of age,Body Mass Index,basal body temperature,estimated anesthesia time,operative position and estimated intraoperative blood loss and 18 secondary classification indicators.The Cronbach’sαcoefficient of the scale is 0.764.The item-level content validity index is 0.914 and the scale-level content validity index is 0.921.The area under receiver operating characteristic curve is 0.879(95%CI:0.835~0.923).Conclusion The risk assessment scale on IPH for patients undergoing general anesthesia has nice reliability and validity,which can be a assessment tool for preventing IPH of patients undergoing general anesthesia.

关 键 词：手术 低体温 德尔菲法 围手术期 评估工具 

分 类 号：R471[医药卫生—护理学]