摘要
目的构建围生期静脉血栓栓塞症风险评估表,为围生期静脉血栓预警预控系统提供依据。方法于2020年3—5月选择在产科及血管外科领域有影响力的资深临床专家23名为函询对象,通过文献回顾及德尔菲专家咨询初步确定评分表各项条目,通过层次分析法确定各指标权重及赋值。结果2轮咨询专家权威系数分别为0.8675、0.8875,积极系数均为100%;肯德尔协调系数分别为0.180、0.354(P<0.05)。最终形成包括5个一级条目、19个二级条目、38个三级条目的围生期静脉血栓栓塞症风险评估条目。层次分析结果显示,三级条目各矩阵的CR或CI值均<0.1,符合一致性检验要求。结论咨询专家的权威性、积极性、意见集中程度、意见协调程度均较高,构建的围生期静脉血栓栓塞症风险评估表具有借鉴作用。
Objective To construct a risk assessment scale for perinatal venous thromboembolism(VTE),so as to provide the basis for the early warning and control system of VTE in perinatal period.Methods From March to May 2020,a total of 23 influential senior clinical experts in the field of obstetrics and vascular surgery were selected as the subjects of the inquiry.Through literature review and Delphi expert consultation,the items of the scoring table were preliminarily determined,and the weights and assignments of the indicators were determined through the analytic hierarchy process.Results The expert authority coefficients of the two rounds of consultation were respectively 0.8675 and 0.8875,and the positive coefficients were both 100%.Kendall coefficients of the two rounds of consultation were respectively 0.180 and 0.354(P<0.05).Finally,a perinatal VTE risk assessment item was formed,including 5 first-level items,19 second-level items and 38 third-level items.The results of the analytic hierarchy process showed that the CR or CI values of each matrix of three-level items were all less than 0.1,which met requirements of the consistency test.Conclusions The authority,enthusiasm,concentration and coordination degree of the consulting experts are relatively high,and the constructed risk assessment scale for perinatal VTE can be used for reference.
作者
周璇
龚文艳
Zhou Xuan;Gong Wenyan(8th Floor of Department of Obstetrics,International Pease Maternity and Child Health Hospital of Shanghai Jiao Tong University School of Medicine,Shanghai 200030,China)
出处
《中华现代护理杂志》
2021年第22期2964-2969,共6页
Chinese Journal of Modern Nursing
基金
上海交通大学医学院附属国际和平妇幼保健院院级课题(YN201906)。
关键词
围生期
静脉血栓
风险评估
德尔菲法
层次分析法
Perinatal
Venous thrombosis
Risk assessment
Delphi method
Analytic hierarchy process
