产后出血预警评估指标体系的构建

Construction of early warning and evaluation index system for postpartum hemorrhage

目的构建产后出血预警评估指标体系,为进一步建立和完善产后出血预警评估工具提供内容框架。方法采用文献研究法和德尔菲专家咨询法,确定产后出血危险因素并对其进行划分,构建产后出血预警评估指标体系。结果 2轮咨询问卷的有效回收率均为90%,专家权威系数均为0.75,肯德尔和谐系数分别为0.351和0.590。最终形成的产后出血预警评估指标体系包括产前危险因素12项,产时、产后危险因素7项。结论构建的产后出血预警评估指标体系对产妇产前、产时及产后进行连续性评估,评估内容较为全面,可提高临床医护人员对产妇产后出血的预测能力。

Objective To construct a preliminary early warning and evaluation index system for postpartum hemorrhage,and to provide a content framework for further establishing and improving the postpartum hemorrhage early warning evaluation system. Methods The literature search and Delphi technique were used to identify and classify the risk factors of postpartum hemorrhage and to construct an early warning and evaluation index system for post-partum hemorrhage. Results The recovery rates of two rounds of inquiry were both 90%,expert authority coefficients of two rounds of inquiry were both 0.75,the opinion coordination coefficient was 0.351 and 0.590. The resulting early warning and evalvation index system for postpartum hemorrhage included 12 prenatal risk factors,7 intrapartumand postpartum risk factors. Conclusion The constructed postpartum hemorrhage early warning and evaluation index system carries out continuous evaluation on maternal antenatal,intrapartum and postpartum, the evaluation content is comprehensive,which can improve the predictive ability of clinical medical staff on maternal postpartum hemorrhage.