ICU患者暴露性角膜炎风险评估量表的编制及信效度检验  

Development and validation of the Risk Assessment Scale for Exposure Keratopathy in ICU Patients

作　　者：厉春林[1] 张雅芝 周雁荣[2] 刘洪娟[3] 王兰 Li Chunlin;Zhang Yazhi;Zhou Yanrong;Liu Hongjuan;Wang Lan(Neurosurgery Department,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院神经外科,湖北武汉430030 [2]华中科技大学同济医学院附属同济医院外科学系,湖北武汉430030 [3]华中科技大学同济医学院附属同济医院骨科,湖北武汉430030 [4]华中科技大学同济医学院附属同济医院心脏大血管外科,湖北武汉430030

出　　处：《护理学杂志》2024年第14期37-40,共4页Journal of Nursing Science

摘　　要：目的编制ICU患者暴露性角膜炎风险评估量表,并检验其信度和效度。方法基于循证系统查阅文献编制量表初始条目池;通过2轮德尔菲专家函询,形成初始版量表;采用方便抽样法选取298例ICU患者,采用暴露性角膜炎风险评估量表进行调查,对量表信效度进行检验,并绘制受试者工作特征曲线确定最佳临界值。结果ICU患者暴露性角膜炎风险评估量表包括3个维度、12个条目;2轮函询专家积极系数分别为100%和80.95%,权威系数为0.892、0.888,肯德尔和谐系数为0.364和0.492;量表整体的Cronbach′sα系数为0.834,折半信度为0.795,评定者间信度0.841,内容效度为0.917;最佳临界值为8.5分,受试者工作特征曲线下面积为0.925。结论ICU患者暴露性角膜炎风险评估量具有良好的信效度,可用于ICU患者暴露性角膜炎的风险评估。Objective To develop a risk assessment scale for exposure keratopathy in ICU patients,and to test its reliability and validity.Methods An initial item pool was formed after systematic literature review,which was improved through a 2-round Delphi consultation to develop a Risk Assessment Scale for Exposure Keratopathy in ICU Patients.A total of 298 ICU patients were selected by convenience sampling method,then they were investigated by utilizing the scale to testits reliability and validity,and its optimal critical value was determined by drawing the operating characteristic curve.Results The Risk Assessment Scale for Exposure Keratopathy in ICU Patients included 3 dimensions and 12 risk factors.In the two rounds consultation,the positive coefficients were 100%and 80.95%,and the authority coefficients were 0.892 and 0.888,and Kendall harmony coefficients were 0.364 and 0.492.The overall Cronbach′sαcoefficient of the scale was 0.834,its half-fold reliability,inter-rater reliability and content validity index were 0.795,0.841 and 0.917 respectively.The optimal critical value was 8.5 points and the area under the operating characteristic curve was 0.925.Conclusion The Risk Assessment Scale for Exposure Keratopathy in ICU Patients has good reliability and validity,and it can be used to assess the risk of exposure keratopathy for ICU patients.

关 键 词：重症监护病房 暴露性角膜炎 危险因素 风险评估 量表 信度 效度 重症护理 

分 类 号：R473.77[医药卫生—护理学]