妊娠相关静脉血栓风险评估量表的编制及信效度检验  

Development,reliability and validity test of pregnancy associated venous thromboembolism risk assessment scale

作　　者：张莉莉[1] 张焱 王鲁娜 方璐璐 竺童炜 金爱云[1] ZHANG Lili;ZHANG Yan;WANG Lu'na;FANG Lulu;ZHU Tongwei;JIN Aiyun(Zhejiang University School of Medicine First Affiliated Hospital,Zhejiang 310003 China)

机构地区：[1]浙江大学医学院附属第一医院,浙江310003

出　　处：《护理研究》2024年第11期1919-1926,共8页Chinese Nursing Research

基　　金：浙江省医药卫生科技项目,编号:2022KY157,2023RC161。

摘　　要：目的:编制适合我国孕产妇妊娠相关静脉血栓风险的评估量表,并验证其信效度。方法:通过文献研究法和2轮专家函询形成预试量表。选取202名孕产妇进行调查,对预试量表进行项目分析和信效度检验。结果:妊娠相关静脉血栓风险评估量表包含非手术相关因素、血液相关因素、手术相关因素、妊娠相关因素、人工辅助生殖5个维度,共16个条目,探索性因子分析共提取6个公因子,累计方差贡献率为60.832%,受试者工作特征(ROC)曲线下面积为0.836,总量表的Cronbach’s α系数为0.852,2周后重测信度为0.920。结论:编制的妊娠相关静脉血栓风险评估量表具有良好的信效度,可有效评估孕产妇妊娠相关静脉血栓的风险。Objective:To develop a risk assessment scale for maternal pregnancy⁃related venous thrombosis in China,and to verify its reliability and validity.Methods:The pre⁃test scale was formed by literature research and two rounds of expert evaluation.It is convenient to select 202 pregnant women for investigation,and carry out item analysis and reliability and validity test of the pre⁃test scale.Results:The pregnancy⁃related venous thrombosis risk assessment scale contained 5 dimensions and 16 items,and a total of 6 common factors were extracted by exploratory factor analysis.The cumulative variance contribution rate was 60.832%,the area under ROC curve was 0.836,the Cronbach'sαcoefficient of the scale was 0.852,and the total retest reliability was 0.920 after two weeks.Conclusion:The pregnancy-related venous thrombosis risk assessment scale developed in this study has good reliability and validity,and can effectively evaluate the risk coefficient of pregnancy⁃related venous thrombosis in pregnant women.

关 键 词：妊娠相关静脉血栓栓塞症 风险评估 量表研制 信度 效度 德尔菲法 

分 类 号：R473.71[医药卫生—护理学]