自制神经外科压疮危险因素评估量表与Braden量表信度与.pdf

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1、中华现代护理杂志2008年第l4卷第24期ChinjModNurs，Seotember2008，Vol14，No．24．论著．自制神经外科压疮危险因素评估量表与Braden量表信度与效度的比较研究魏忠梅安聪娟王秀丽桑琳霞卢金菊【摘要】目的更准确地评估神经外科患者发生压疮的危险性，降低压疮发生率。方法采用两个评估量表(即自制神经外科压疮危险因素评估量表和Braden量表)评估500例神经外科患者的压疮危险因素，并进行信度和效度的比较。结果自制神经外科压疮危险因素评估量表的Cronbach’S为0．941，Braden量表的Cronbach’So【为0．743。因子分析

2、结果显示，两个量表的结构效度与原设想的基本一致。预测效度显示，当自制神经外科压疮危险因素评估量表的诊断界值取16分时，灵敏度和特异度分别为89％和78％；当Braden量表取18分时，灵敏度和特异度分别为78％和58％。结论两种量表均具有较好的内部一致性信度、结构效度和预测效度，但自制神经外科压疮危险因素评估量表优于Braden量表，是适合神经外科患者人群的压疮危险评估工具。【关键词】压疮；Braden量表；信度；效度；神经外科Comparisonofreliabilityandvaliditybetweenself-designedmeasuringscalean

3、dBradenscaleinpatien~、vithneurosurgicaldiseasesWEIZhong—mei，ANCong-jnan，WANGXiu—li，SANGLin—xia，LUJin-ju．DepartmentofNeurosurgery，theSecondHospitalofHebeiMedicalUniversity，Sh~fiazhuang050000，ChinaCorrespondingauthor：WEIZhong—mei，Email：we&hongmei@sohu．corn【Abstract】ObjectiveToevaluatethe

4、riskofpressureulcerinpatientswithneurosurgicaldiseasesmoreexactely．andtoreducetheoccurrencerateofpressureulcer．MethodsTheriskfactorsof500patientswithwneurosurgicaldiseaseswereevaluatedusingtwoscales(theself-designedpressureulcerriskmeasuringscaleandtheBradenscale)，andthereliabilityandv

5、aliditywerecompared．ResultsTheCronbach’Sforself-madepressureulcermeasuringscalewas0．941．t}latf0rBradenscalewas0．743．Thefactoranalysisshowedbothtwomeasuringscalehadgoodstructuralvalidity．Whendiagnosecriticalvalueforself-mademeasuringscalearrivedto16，thesensitivitywas89％andthespecificity

6、was78％．WhendiagnosecriticalvalueforBradenscalearrivedto18，thesensitivitywas78％andthespecificitywas58％．ConclusionsThetwomeasuringscalesbeargoodreliability，structuralvalidityandpredictivevalidity，buts~f-madepressureulcermeasuringscaleisbetterthanBradenscaleinpatientswithneurosurgicaldise

7、ases．Self-designedpressureulcermeasuringscalecouldbeasuitablemeasuringtoolinthepredictionofpressureulcerforpatientswithneurosurgicaldisease．【Keywords】Decubitusulcer；Bradenscale；Reliability；Validity；Neurosurgery有研究表明，神经科患者的压疮发生率达科患者压疮的评估和预防还处于经验性决策阶段，30％一60％¨。因此，预防压疮的发生是护理工因此建立一套针对神经外