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持续膀胱冲洗引流液颜色评估工具一致性检验的研究 被引量:3

Inter-observer and intra-observer reliability of Color Assessment Tool for Continuous Bladder Irrigation Fluid
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摘要 目的 :对自制的持续膀胱冲洗(Continuous Bladder Irrigation,CBI)引流液颜色评估工具进行一致性检验并完善。方法 :由12名评估者使用CBI引流液颜色评估工具(共有7个色阶)评估16例样本颜色,以检验工具的一致性,并调查评估者使用该工具的满意度。结果 :CBI引流液颜色评估工具的评估者间Kendall’s W系数为0.971~0.997;评估者内、各色阶的评估值与实际值间以及不同光线下各色阶评估值间Weighted Kappa系数,除2号色阶的评估值与实际值间为0.375外,其余为0.727~1.000,均P<0.001。完善后的工具剔除2号色阶,共有6个色阶。评估者对使用该工具普遍满意,重要性、简便性得分分别为4.92±0.29和4.75±0.45。结论 :完善后的CBI引流液颜色评估工具一致性好,且简单易用,是评估CBI引流液颜色的有效工具。 Objective: To test and improve the self-made Color Assessment Tool for Continuous Bladder Irrigation(CBI) Fluid. Methods: The tool was used to observe the color of 16 samples by 12 examiners. The inter-and intra-observer reliability of the tool was tested. Examiners were also asked to complete a satisfaction questionnaire. Results: The interobserver agreement between examiners was high, and Kendall’s W value was 0.971-0.997. Except for the low agreement between the assessed value and the actual value of No.2 color scale with the Weighted Kappa value of 0.375, all the interobserver agreement among examiners and the agreement between the assessed value and the actual value of color scale and all color scales in different light were high, with Weighted Kappa value 0.727~1.000(P<0.001). After deleting No.2 color scale, a total of 6 color scales was left. The satisfaction questionnaire showed that importance and simplicity scores were 4.92±0.29 and 4.75±0.45, respectively, indicating general satisfaction with the tool among all examiners. Conclusion: The improved Color Assessment Tool for Continuous Bladder Irrigation Fluid has a good inter-and intra-observer reliability. It is an effective tool to evaluate the color of CBI fluid.
作者 马铮铮 钮美娥 王卫珍 韩燕霞 阚亚楠 MA Zhengzheng;NIU Mei'e;WANG Weizhen;HAN Yanxia;KAN Yanan(Department of Urology,The First Affiliated Hospital of Soochow University,Jiangsu province,215006,China;不详)
出处 《中国护理管理》 CSCD 2021年第2期207-211,共5页 Chinese Nursing Management
关键词 持续膀胱冲洗 引流液颜色 评估工具 一致性检验 continuous bladder irrigation color of fluid assessment tool test of agreement
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