妇科患者手术期静脉血栓风险评估量表的构建

Construction of a risk assessment scale of venous thrombosis for intraoperative gynecological patients

目的构建妇科患者手术期静脉血栓风险评估量表,为临床提供有效评估工具。方法以Virchow血栓形成三要素为理论基础,广泛查阅文献,参考相关指南及临床常用量表形成初始量表条目池,运用Delphi法对15名专家进行2轮咨询。结果2轮专家咨询问卷有效回收率均为100%,专家权威系数为0.81,专家意见的协调系数分别为0.55和0.58;最终形成的评估量表包含4个一级指标、16个二级指标、38个三级指标。结论构建的妇科患者手术期静脉血栓风险评估量表内容全面、科学,可进一步验证其临床预测效能,为妇科患者手术期静脉血栓风险评估提供工具。

Objective To construct a risk assessment scale of venous thrombosis for intraoperative gynecological patients,so as to provide an effective clinical assessment tool.Methods Based on the theory of three elements of Virchow thrombosis,the items pool of a draft scale was developed by extensive literature review and referring to relevant guidelines and commonly used scales,then a 2-round expert consultation was conducted on 15 experts using Delphi method.Results The experts'response rate was both 100% in the 2 rounds,the coefficient of expert authority was 0.81,and the coordination coefficient of expert opinions was 0.55 and 0.58 respectively.The final assessment scale included 4 first-level indicators,16 second-level indicators and 38 third-level indicators.Conclusion The content of the constructed risk assessment scale of venous thrombosis for intraoperative gynecological patients is comprehensive and scientific.It is necessary to further verify its clinical predictive effect,so as to provide a tool assessing the risk of venous thrombosis for intraoperative gynecological patients.