摘要
目的构建基于简体中文版五级检伤与急迫度量表的信息系统,并检验其信效度。方法采用正向翻译结合专家小组审议的形式对台湾五级检伤与急迫度量表进行调适后形成简体中文版五级检伤与急迫度量表,并构建基于此的分诊信息系统;采用简单随机抽样方法对长沙市某三甲医院2 058例急诊患者实施分诊,完成该系统信效度评价。结果简体中文版五级检伤与急迫度量表评定者间信度为0.822;内容效度为0.982;预测效度评价显示不同分诊等级间的留院观察率、医疗资源使用数量、医疗费用、急诊科滞留时间比较,差异有统计学意义(均P<0.01)。结论基于简体中文版五级检伤与急迫度量表的分诊信息系统具有较高的评定者间信度、内容效度和预测效度,能准确区分患者病情轻重缓急,各功能模块经测试符合实际需求,可投入临床应用。
Objective To develop a simplified Chinese version of Triage and Acuity Scale(TAS)with an electronic decision support tool and to test the reliability and validity.Methods The simplified Chinese version of TAS was developed by forward translation and expert group discussion based on Taiwan Triage and Acuity Scale(TTAS),then a computerized decision support system was created.The reliability and validity of the simplified Chinese version of TAS were tested in a convenience sample of 2058 emergency patients attending a tertiary hospital in Changsha.Results The inter-rater reliability was 0.822 and the content validity index was 0.982.Predictive validity showed that hospitalisation rate,medical resource consumption,medical costs and length of stay in emergency department had significant differences among different TAS triage acuity levels(P<0.01 for all).Conclusion The electronic triage system based on the simplified Chinese version of TAS has high inter-rater reliability,content validity and predictive validity.The system can accurately prioritize patients on the basis of the urgency of interventions,and each functional module meets the actual needs and can be put into clinical practice.
作者
黄辉
安文红
刘欢
范思思
华威
刘珏
肖涛
郭美英
Huang Hui;An Wenhong;Liu Huan;Fan Sisi;Hua Wei;Liu Jue;Xiao Tao;Guo Meiying(Teaching Office of Nursing,Xiangya Third Hospital of Central South University,Changsha 410013,China)
出处
《护理学杂志》
CSCD
北大核心
2020年第13期23-26,共4页
Journal of Nursing Science
基金
湖南省自然科学基金面上项目(2018JJ2615)。
关键词
五级检伤与急迫度量表
急诊患者
分诊标准
分诊
信息化
信度
效度
Triage and Acuity Scale
emergency patient
triage standards
triage
information technology
reliability
validity
