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基于李克特量表构建妇幼专科医院对突发公共卫生事件应急能力的评价指标体系
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作者 杨会 赵彩 秦娟 《临床医学进展》 2024年第10期428-438,共11页
目的:基于李克特量表构建市级妇幼专科医院突发公共卫生事件应急能力评价体系,为妇幼医院进一步完善应急体系建设提供科学参考。方法:结合前期工作,采用李克特量表设计专家咨询问卷,邀请贵州省内11名公共卫生领域专家填写,经统计筛选后... 目的:基于李克特量表构建市级妇幼专科医院突发公共卫生事件应急能力评价体系,为妇幼医院进一步完善应急体系建设提供科学参考。方法:结合前期工作,采用李克特量表设计专家咨询问卷,邀请贵州省内11名公共卫生领域专家填写,经统计筛选后,初步确定本研究评价指标体系。结果:经统计,专家积极系数为100%;权威系数为0.950;各评分结果的变异系数为0%~39.10%。信度检验结果中,除应急指挥体系及应急组织外,其余方面评价的克朗巴赫系数(α)均高于0.6,整个体系的克朗巴赫系数(α)为0.951,最终构建的指标体系包括9个一级指标、33个二级指标。结论:本研究建立的妇幼专科医院突发公共卫生应急能力评价指标体系的可信度较好,可对本省市各妇幼医院应急处置能力的强弱评价提供指导性参考,但其结构合理性有待进一步证实。Objective: To construct an evaluation system of the emergency response capacity of municipal-level maternal and child hospitals for public health emergencies based on the Likert scale, so as to provide a scientific reference for further improving the emergency system construction of maternal and child hospitals. Methods: Based on the previous work, the expert consultation questionnaire was designed with Likert scale, and 11 public health experts in Guizhou province were invited to fill out the questionnaire. After statistical screening, the evaluation index system of this study was preliminarily determined. Results: The expert positive coefficient was 100%, the expert authority coefficient was 0.950, and the variation coefficient of the expert scoring results was between 0% and 39.10%. Except for the emergency command system and emergency response organization, the Cronbach’s α of other response capabilities was higher than 0.6, and the Cronbach’s α of the whole evaluation system was 0.951. The final index system included 9 first-level indicators and 33 second-level indicators. Conclusions: The evaluation index system for the emergency public health response capacity of maternal and child hospitals established in this study has good reliability, which can provide a guiding reference for evaluating the emergency response capacity of maternal and child hospitals in the province, but its structural rationality needs to be further confirmed. 展开更多
关键词 突发公共卫生事件 妇幼专科医院 应急能力 指标体系 李克特量表
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妊娠期宫颈鳞状细胞癌的治疗(附5例报告)
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作者 苏岚岚 叶合欢 +1 位作者 杨会 秦娟 《山东医药》 CAS 2024年第30期63-65,共3页
目的分析妊娠合并宫颈鳞状细胞癌的治疗方法,为妊娠期宫颈癌的治疗提供更多的临床经验。方法对5例妊娠合并宫颈鳞状细胞癌患者的临床资料作回顾性分析。结果5例患者中后续采用剖宫产术+放疗+化疗1例、剖宫产术+根治性子宫切除术+化疗2... 目的分析妊娠合并宫颈鳞状细胞癌的治疗方法,为妊娠期宫颈癌的治疗提供更多的临床经验。方法对5例妊娠合并宫颈鳞状细胞癌患者的临床资料作回顾性分析。结果5例患者中后续采用剖宫产术+放疗+化疗1例、剖宫产术+根治性子宫切除术+化疗2例、化疗1例、单纯保胎治疗1例。5例患者中1例终止妊娠放弃胎儿,4例新生儿分娩孕周27~39周,Apgar评分均为10分。随访时间8个月~8年,5例患者存活2例、失访3例,4例新生儿中存活2例。结论妊娠合并宫颈鳞状细胞癌的治疗应根据肿瘤病理分期、孕周及患者生育意愿,制定个体化治疗方案,改善妊娠结局。 展开更多
关键词 宫颈肿瘤 宫颈癌 宫颈鳞状细胞癌 妊娠
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