摘要
目的通过专家咨询法确定分娩时综合评估指标及内容,为分娩时正确评估产妇情况以及选择合适的会阴保护方式提供参考依据。方法选取2012年4月上海市和杭州市4所医院15名助产士为参与讨论的15名专家,其中2所为3级甲等专科医院,1所为3级甲等医院,1所为2级甲等专科医院,采用函询法对专家进行2轮咨询,内容包括分娩时产妇综合评估指标及内容。结果第1轮专家咨询的应答率为93%,第2轮专家咨询应答率为100%,专家的权威程度Cr=0.950,变异系数<0.5%的指标占93%,最终确定的分娩时产妇综合评估指标与内容由5项1级指标、11项2级指标和30项3级指标构成。结论采用专家咨询法研究分娩时产妇综合评估指标及内容,为助产时如何综合评估产妇情况、正确应用保护方式、合理使用会阴切开术提供了依据,也为最终建立临床会阴切开术的指征奠定了基础。
Objective To determine the indicators and contents of comprehensive assessment of childbirth by expert consultation. Methods In April 2012 fifteen midwives from were selected as experts to participate in the two-round discussion by four hospitals in Shanghai and Hangzhou letters of inquiry. Results The response rate of the first round was 93%, and the second one was 100%. The specialist authority coefficient （Cr） was 0. 950. The indexes with variation coefficient 〈 0.5 occupied 93 %. The determined indicators and contents of comprehensive assessment of childbirth included 5 first-class indicators, 11 second-class indicators and 30 third- class indicators. Conclusion The determined indicators and contents of comprehensive assessment of childbirth not only provide a basis for clinical application, but also lay the foundation for surgical indications of episiotomy.
出处
《上海护理》
2014年第1期5-7,共3页
Shanghai Nursing
关键词
分娩
产妇
综合评估
指标与内容
Childbirth
Puerpera
Comprehensive assessment
Indicator and content
