护理学报2016，Vol.23Issue(5)：1-5,5.DOI:10.16460/j.issn1008-9969.2016.05.001
非计划拔管风险评估工具的研究
Development of Risk Assessment Tool for Unplanned Extubation
摘要
Abstract
Objective To develop a risk assessment tool for unplanned extubation for the identification of high-risk patients and reduce the incidence of unplanned extubation. Methods With Delphi method, a risk assessment tool for unplanned extubation was developed and then it was applied in 684 patients for the assessment of the incidence of unplanned extubation. The reliability, validity, sensitivity, specificity and area under the ROC curve were analyzed and the best threshold was analyzed with Youden Index. Results The risk assessment tool developed after two-round expert consultation included 8 items. Cr value of experts ’ authority was 0.71, Cronbach’s αof internal consistency reliability 0.818 and content validity index 0.94. The relationships among the total score and each items all indicated statistical significance (all P<0.01). The area under ROC curve was 0.902 (P<0.01). With threshold value of 15.5, sensitivity of 0.853, and specificity of 0.824, Youden Index reached the highest of 0.677. Conclusion With good reliability and validity, high sensitivity and specificity, the developed risk assessment tool for unplanned extubation is effective for the identification of patients with high risk of unplanned extubation and it is a scientific tool for the assessment of unplanned extubation.关键词
非计划拔管/评估工具/高危风险Key words
unplanned extubation/assessment tool/high risk分类
医药卫生引用本文复制引用
王欣,贺婷,李云,颜国慧,陈静,梁义..非计划拔管风险评估工具的研究[J].护理学报,2016,23(5):1-5,5.基金项目
中山市科技局项目 （）
