临床小儿外科杂志2024，Vol.23Issue(10)：918-923,6.DOI:10.3760/cma.j.cn101785-202406067-004
儿童日间手术离院评分量表的编制及应用
Development and application of a discharge scoring scale for pediatric day surgery
摘要
Abstract
Objective To develop a discharge scoring scale for pediatric day surgery,assess its reliabili-ty and validity,and implement it in clinical practice,providing an effective tool for assessing the safe discharge of pediatric day surgery patients.Methods This retrospective study was based on the indicators of the Post Anesthetic Discharge Scoring System(PADSS),incorporating the unique physiological and psychological char-acteristics of pediatric patients.A discharge scoring scale tailored for pediatric day surgery was developed,tested for reliability and validity,and applied in the Day Surgery Center at Kunming Children's Hospital,Yunnan Prov-ince.A total of 5,843 children who underwent day surgery between January 2023 and December 2023 were se-lected as study subjects.The newly developed pediatric day surgery discharge scoring scale was used to evaluate the patients'readiness of discharge,and the results were compared with the quality control indicators for day surgery from 2022.Results The pediatric day surgery discharge scoring scale included 5 dimensions and 15 i-tems.The overall Cronbach's alpha coefficient for the scale was 0.809,with a test-retest reliability coefficient of 0.916.The content validity index at the scale level was 0.930,while the item-level content validity index ranged from 0.900 to 1.000.Exploratory factor analysis showed that the factor loadings for each item on the cor-responding factors ranged from 0.748 to 0.891.Confirmatory factor analysis revealed a chi-square/degrees of freedom ratio of 1.490,a root mean square error of approximation of 0.050,and all fit indices were greater than 0.8.Comparing the 2023 data with the 2022 day surgery quality control indicators,there were statistically signif-icant differences in the incidence of postoperative adverse reactions or complications[1.33％(78/5 843)vs.2.46％(127/5 171)],unplanned re-admission rates[0.10％(6/5 843)vs.0.27％(14/5 171)],unplanned delayed discharge rates[0.09％(5/5 843)vs.0.37％(19/5 171)],and unplanned transfer rates[0.39％(23/5 843)vs.0.68％(35/5 171)](P＜0.05).Conclusions The pediatric day surgery discharge scoring scale is well-designed,reliable,and valid,with high practicality and safety.It can serve as a standard for evalua-ting the safe discharge of pediatric day surgery patients.关键词
日间手术/离院评分量表/信度/效度/儿童Key words
Day Surgery/Discharge Score Scale/Reliability/Validity/Child引用本文复制引用
李本红,任宗艳,汤文香,蒋文艳,刘灵芝,窦红昆..儿童日间手术离院评分量表的编制及应用[J].临床小儿外科杂志,2024,23(10):918-923,6.基金项目
云南省昆明市卫生健康委员会卫生科研课题项目(2020-06-02-112) Health Research Project of Kunming Health Commission,Yunnan Province(2020-06-02-112) （2020-06-02-112）
