在重症患者中构建和验证针对多抗药细菌感染的风险评估尺度
Jia Zhao1, Li Yuan2, Yujing Wang1
1School of Nursing, Xinjiang Medical University, Xinjiang, China.
Frontiers in medicine
|December 1, 2025
概括
开发了一种新的风险评估尺度,用于对重症患者多重耐药生物体 (MDRO) 感染的风险评估. 这个尺度表现出良好的可靠性和有效性,用于评估重症监护病房的感染风险.
科学领域:
- 关键护理医学 关键护理医学
- 传染病 传染病 传染病
- 医疗信息学 医疗信息学
背景情况:
- 多种耐药生物 (MDROs) 对重症监护病房 (ICU) 的患者构成重大威胁.
- 对MDRO感染的准确风险评估对于及时干预和改善重症患者的治疗结果至关重要.
研究的目的:
- 开发和验证MDRO感染的可靠和科学合理的风险评估尺度.
- 为医疗保健专业人员提供一个工具,以系统地评估重症患者的感染风险.
主要方法:
- 一个系统的文献综述,德尔菲法和分析层次过程被用来开发初始的规模.
- 对来自中国750名重症患者的数据进行了探索性和确认性因子分析.
- 使用Cronbach的alpha来评估可靠性,并通过内容有效性指数和因子分析来评估有效性.
主要成果:
- 开发的尺度包括五个维度和20个项目,显示出高的内部一致性 (Cronbach的alpha = 0.873) 和内容有效性 (CVI = 0.925).
- 因子分析证实了尺度的结构,解释了67.861%的差异.
- 该尺度表现出良好的区分能力,AUC为0.788,灵敏度为0.741,特异性为0.707.
结论:
- 在重症患者中MDRO感染的风险评估尺度表现出卓越的可靠性和有效性.
- 这种尺度为评估感染风险提供了科学和可靠的方法,有助于临床决策.
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