Hilditch W G, Asbury A J, Jack E, McGrane S
University Department of Anaesthesia, Gartnavel General Hospital, 30 Shelley Court, Glasgow G12 OYN, UK.
Anaesthesia. 2003 Sep;58(9):874-7. doi: 10.1046/j.1365-2044.2003.03335.x.
We developed a screening questionnaire to be used by nurses to decide which patients should see an anaesthetist for further evaluation before the day of surgery. Our objective was to measure the accuracy of responses to the questionnaire. Agreement between questionnaire responses and the anaesthetist's assessment was assessed. For questions with a prevalence of 5 to 95%, the Kappa coefficient was used; percentage agreement was used for all other questions. Criterion validity was excellent/good for all questions with a prevalence between 5 and 95%, except for the question 'Do you have kidney disease?' For questions with prevalence < 5%, all demonstrated adequate criterion validity except the questions 'Has anyone in your family had a problem following an anaesthetic?' and 'If you have been put to sleep for an operation were there any anaesthetic problems?' Therefore, it is reasonable for nurses to use this questionnaire to determine which patients an anaesthetist should see before the day of surgery.
我们设计了一份筛查问卷，供护士用来确定哪些患者在手术前一天应就诊于麻醉医生处进行进一步评估。我们的目的是衡量问卷回答的准确性。评估了问卷回答与麻醉医生评估之间的一致性。对于患病率在5%至95%之间的问题，使用Kappa系数；对于所有其他问题，使用百分比一致性。除了“您是否患有肾脏疾病？”这一问题外，所有患病率在5%至95%之间的问题的标准效度均为优/良。对于患病率<5%的问题，除了“您的家人中有人在麻醉后出现问题吗？”和“如果您曾因手术接受麻醉，是否有任何麻醉问题？”这两个问题外，所有问题的标准效度均足够。因此，护士使用这份问卷来确定哪些患者在手术前一天应就诊于麻醉医生处是合理的。
