孕期糖尿病风险评估尺度的开发:一个有效性和可靠性研究
1İstanbul Provincial Health Directorate, İstanbul, Turkiye.
Turkish journal of medical sciences
|May 30, 2024
概括
开发了一种新的尺度,GEDRISK,用于评估妊娠糖尿病风险. 这种有效和可靠的工具准确地识别了有风险的孕妇,有助于早期发现和管理这种情况.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 医学统计 医学统计
背景情况:
- 孕期糖尿病 (GDM) 对母亲和胎儿都有重大风险.
- 准确的风险评估对于及时干预和改善妊娠结果至关重要.
- 现有的风险评估工具可能需要对特定人群进行验证或调整.
研究的目的:
- 开发和验证一个可靠的妊娠糖尿病风险评估尺度 (GEDRISK).
- 在多样化的孕妇样本中评估GEDRISK尺度的心理特征.
- 建立GEDRISK作为一种实用的工具,用于识别高风险的GDM个体.
主要方法:
- 在伊斯坦布尔的652名孕妇参与的方法研究.
- 使用内容有效性指数 (CVI) 评估内容有效性.
- 通过探索性和确认性因子分析 (EFA/CFA) 评估的构造有效性.
- 使用克朗巴赫的alpha,分半方法和测试复试分析测试了可靠性.
主要成果:
- 在GEDRISK尺度表现出强烈的内容有效性 (CVI=0.83).
- EFA揭示了一个18项,5次维度的尺度,解释了57.48%的差异.
- 确认因素分析表明模型很适合 (例如,RMSEA=0.04,CFI=0.95).
- 证实了高的内部一致性 (克朗巴赫α=0.756) 和可靠性 (斯皮尔曼-布朗=0.826).
- 该尺度通过口服葡萄糖耐受性测试确定了51%的被诊断为GDM的女性.
结论:
- 吉德里斯克尺度是衡量妊娠糖尿病风险的有效和可靠工具.
- 该尺度适合在土耳其人口中使用,有助于早期识别GDM风险.
- GEDRISK可以支持临床决策和针对GDM风险的孕妇的有针对性的干预措施.
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