摘要
目的:构建产后出血预警评估工具,并验证其效度。方法:对北京市某三级甲等医院6790例孕产妇的病例进行回顾性分析,验证产后出血预警评估工具的效度。结果:评估工具ROC曲线下面积(AUC)为0.632[95%CI(0.613,0.651)],最佳临界值为5分,对应灵敏度为51.9%[95%CI(48.7%,55.1%)],特异度为66.7%[95%CI(65.5%,67.9%)]。结论:产后出血预警模型具有一定的准确性,为临床医护人员预测患者产后出血的发生提供模型。对有发生产后出血可能的患者早期预警并实施干预措施,从而减少产后出血的发生。
Objective:To construct an early warning evaluation model for Postpartum Hemorrhage and verify its validity.Methods:A retrospective analysis of 6790 maternal cases in a tertiary hospital in Beijing was conducted to verify the validity of the Postpartum Hemorrhage warning evaluation model.Results:The area under ROC curve of the evaluation model is 0.632[95%CI(0.613,0.651)].The optimal cutoff value is 5 points,and the corresponding sensitivity is 51.9%[95%CI(48.7%,55.1%)],the specificity was 66.7%[95%CI(65.5%,67.9%)].Conclusion:The early warning model of Postpartum Hemorrhage has certain accuracy,which provides a model for clinical medical staff to predict the occurrence of Postpartum Hemorrhage.Early warning and interventions of Postpartum Hemorrhage should be taken to reduce the occurrence.
作者
赵菁
丛雪
王兆年
陈延亭
刘艳丽
李林亚
刘珊珊
陆虹
ZHAO Jing;CONG Xue;WANG Zhaonian;CHEN Yanting;LIU Yanli;LI Linya;LIU Shanshan;LU Hong(Nursing Department,China-Japan Friendship Hospital,Beijing,100029,China)
出处
《中国护理管理》
CSCD
北大核心
2019年第11期1649-1654,共6页
Chinese Nursing Management
基金
首都临床特色应用研究与成果推广（Z161100000516152）
关键词
产后出血
危险因素
预警评估工具
效度
护理评估
Postpartum Hemorrhage
risk factors
early warning evaluation model
validity
nursing evaluation
