止血带止血术检核表的研制及其应用  

Development and application of the tourniquet hemostasis checklist

作　　者：刘晶晶 桂莉 于海容 唐红玉 周玲君 Liu Jingjing;Gui Li;Yu Hairong;Tang Hongyu;Zhou Lingjun(Division of Medical Affairs,The First Affiliated Hospital of Naval Medical University,Shanghai 200433,China)

机构地区：[1]海军军医大学第一附属医院医务处,上海200433 [2]海军军医大学护理系

出　　处：《海军医学杂志》2024年第5期472-475,共4页Journal of Navy Medicine

基　　金：海军军医大学教学成果立项培育项目(JPY2020B22);军事医学创新工程(18CXZ009)。

摘　　要：目的研制止血带止血术检核表,并评价其应用效果。方法研究小组通过文献研究构建止血带止血术检核表,并通过专家咨询进行权重分析。由2名资深教员和2名学员教官共4名评价者分别使用检核表和常规评分表对59名学员进行止血带止血术考核。结果专家咨询权威系数为0.91,肯德尔和谐系数为0.726(P<0.001)。最终形成的检核表由7个条目组成,包含3个核心要素和4个一般要素。使用止血带止血术检核表和评分表评价时4位评价者间的一致性均较好,其肯德尔和谐系数分别为0.697和0.764(P<0.001)。结论本研究研制的止血带止血术检核表,过程科学合理,应用机动灵活,具有推广价值。Objective To develop a tourniquet hemostasis checklist and evaluate its application effect.Methods The tourniquet hemostasis checklist was constructed through literature research,and weight analysis was conducted by Delphi expert consultation.Two senior instructors and 2 trainee instructors conducted tourniquet hemostasis assessments in 59 students using the constructed checklist and conventional rating scale,respectively.Results The authority coefficient of expert consultation was 0.91,and the Kendall coefficient of concordance was 0.726(P<0.001).The final checklist contained 7 items,including 3 core elements and 4 general elements.There was good consistency of evaluation among the four raters of the two evaluation tools,and the Kendall coefficient was 0.697 and 0.764,respectively(P<0.001).Conclusion The developing process of tourniquet hemostasis checklist in this study is scientific and reasonable,and the application of the checking table is flexible,with good popularization prospect.

关 键 词：止血带 检核表 战救技术 考核 

分 类 号：R826.1[医药卫生—临床医学]