中华护理杂志 ›› 2021, Vol. 56 ›› Issue (1): 21-27.DOI: 10.3761/j.issn.0254-1769.2021.01.003
乔成平(),曾丽华(),赵蕾,方一宇,乔敏敏,叶敏,张慧雯,刘娅玲,汤聪,屈敏,许华华
收稿日期:
2020-02-01
出版日期:
2021-01-15
发布日期:
2021-01-15
通讯作者:
曾丽华
作者简介:
乔成平:女,本科,主任护师,护士长, E-mail: 基金资助:
QIAO Chengping(),ZENG Lihua(),ZHAO Lei,FANG Yiyu,QIAO Minmin,YE Min,ZHANG Huiwen,LIU Yaling,TANG Cong,QU Min,XU Huahua
Received:
2020-02-01
Online:
2021-01-15
Published:
2021-01-15
Contact:
Lihua ZENG
摘要:
目的 构建妇科患者危重病情变化早期预警评估表,并对预测效果进行验证。方法 采用回顾性病例分析,收集南京市某三级甲等医院2018年1月1日—2019年7月31日389例妇科患者资料,确定影响妇科患者危重病情变化的因素,构建妇科患者危重病情变化早期预警评估表,并检验预测效果。 结果 妇科患者危重病情变化早期预警评估表纳入疾病类型、呼吸频率、心率、收缩压、血氧饱和度、是否吸氧、意识、体温、下腹痛、血红蛋白浓度、阴道流血量、相关症状共12项预警指标,其中是否吸氧、体温、下腹痛、阴道流血量赋值0~2分,其余指标赋值0~3分,12项指标评分相加为总分,总分为0~32分;ROC曲线的最佳截断值为3.5分,灵敏度为92.32%,特异度为88.85%。 结论 妇科患者危重病情变化早期预警评估表能有效预测妇科患者危重病情变化的风险,有助于提高妇科危重症患者救治的成功率。
乔成平,曾丽华,赵蕾,方一宇,乔敏敏,叶敏,张慧雯,刘娅玲,汤聪,屈敏,许华华. 妇科患者危重病情变化早期预警评估表的构建及验证[J]. 中华护理杂志, 2021, 56(1): 21-27.
QIAO Chengping,ZENG Lihua,ZHAO Lei,FANG Yiyu,QIAO Minmin,YE Min,ZHANG Huiwen,LIU Yaling,TANG Cong,QU Min,XU Huahua. Formulation of early warning assessment scale system for the critical illness changes on gynecologic patients and the test of its predictive effectiveness[J]. Chinese Journal of Nursing, 2021, 56(1): 21-27.
图1 妇科患者危重病情变化早期预警评估表与国家改良早期预警量表的ROC曲线
Fig 1 The ROC curve of the early warning assessment form for critical illness changes in gynecological patients and the modified version of the national modified early warning scale
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