临床实习医学生测量儿童体格指标的可信度研究

发布时间：2018-06-20 23:38

  本文选题：婴幼儿 + 体格测量　； 参考：《重庆医学》2017年33期

【摘要】：目的评价临床实习学生测量儿童体格数据的可信度。方法采用方便抽样,收集实习学生入科培训后及出科时对婴幼儿头围、身长及顶臀长的测量数据,同步收集带教老师的复测数据,比较实习学生与带教老师的测量差异。采用测量者之间测量差异绝对值的均值(MAD)、关键差异值百分率等指标描述数据的可信度。结果入科时头围、身长及顶臀长的MAD分别为0.46、0.55及0.81cm,出科时分别为0.30、0.43及0.51cm,差异有统计学意义(P0.05)。入科时头围、身长及顶臀长数据属于较好质量标准的关键差异值百分率分别为41.5%、58.0%及36.0%,出科时分别提高至53.5%、70.0%及59.0%,出科时头围、身长及顶臀长属于错误的数据分别为19.0%、10.0%及13.0%。结论临床实习学生测量儿童身长数据质量较好,头围及顶臀长测量值存在较大的误差。
[Abstract]:Objective to evaluate the reliability of physical data of clinical students. Methods convenient sampling was used to collect the measurement data of the head circumference, body length and top and hip length of infants and toddlers after entering the course of training and leaving the subject, and to collect the repeated data of the teachers in the same time, and to compare the difference of the measurement between the students and the teachers. The reliability of the data is described by using the mean value of absolute value of measurement difference and the percentage of key difference value. Results the mad of head circumference, body length and top and hip length were 0.46 and 0.81 cm at the time of entering the department, and 0.30 ~ 0.43 and 0.51 cm respectively when they came out of the department. The difference was statistically significant (P 0.05). The percentage of key difference values of head circumference, body length and top and hip length were 41.5% 58.0% and 36.0%, respectively, and increased to 53.5% and 59.0% respectively. The data of head circumference, body length and top and hip length were 19.010% and 13.010%, respectively. Conclusion the data of children's body length measured by clinical practice students are of good quality, and there is a great error in measuring the head circumference and the length of the top and buttocks.
【作者单位】： 重庆医科大学附属儿童医院儿保科/儿童发育疾病研究教育部重点实验室/儿科学重庆市重点实验室/儿童发育重大疾病国家国际科技合作基地;
【基金】：2013-2014年度国家临床重点专科建设项目(国卫办医涵[2013]544号)
【分类号】：G642;R-4
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本文编号：2046144