[1]李怡轩,周雅琴,毛平,等.Bristol母乳喂养评估工具的修订及其诊断性评价分析[J].军事护理,2022,39(04):1-4.[doi:10.3969/j.issn.1008-9993.2022.04.001]
 LI Yixuan,ZHOU Yaqin,MAO Ping,et al.Revision of Bristol Breastfeeding Assessment Tools and Diagnostic Evaluation Analysis[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(04):1-4.[doi:10.3969/j.issn.1008-9993.2022.04.001]
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Bristol母乳喂养评估工具的修订及其诊断性评价分析
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年04期
页码:
1-4
栏目:
论著
出版日期:
2022-04-15

文章信息/Info

Title:
Revision of Bristol Breastfeeding Assessment Tools and Diagnostic Evaluation Analysis
文章编号:
1008-9993(2022)04-0001-04
作者:
李怡轩1周雅琴1毛平2袁青2隆益香2
(1.中南大学 湘雅护理学院,湖南 长沙 410013; 2.中南大学湘雅三医院 护理部,湖南 长沙 410013)
Author(s):
LI Yixuan1ZHOU Yaqin1MAO Ping2YUAN Qing2LONG Yixiang2
(1.Xiangya School of Nursing,Central South University,Changsha 410013,Hunan Province,China; 2.Department of Nursing,Third Xiangya Hospital,Central South University,Changsha 410013,Hunan Province,China)
关键词:
母乳喂养 评估工具 信效度 诊断性评价
Keywords:
breastfeeding assessment tools validity and reliability diagnostic evaluation
分类号:
R473.73
DOI:
10.3969/j.issn.1008-9993.2022.04.001
文献标志码:
A
摘要:
目的 修订Bristol母乳喂养评估工具(Bristol breastfeeding assessment tool,BBAT)以适应目前临床环境,并进行初步测试; 探索Bristol母乳喂养评估工具的评估效能。方法 参考量表的跨文化翻译步骤,经过翻译、修订及信效度检验,形成BBAT量表的临床应用版。进一步开展量表初步测试,基于BBAT评分及产后6周的母乳喂养结局绘制受试者工作特征(receiver operating characteristic,ROC)曲线。研究工具包括产妇一般资料调查表、修订后BBAT量表、母乳喂养技能评估表。结果 修订后BBAT量表的Cronbach's α系数为0.711,重测信度为0.960,内容效度指数为0.963,效标关联效度0.769。该量表的诊断性评价分析显示,ROC曲线下面积为0.792,最佳截点值为>5分,特异度89.74%,灵敏度51.81%。结论 BBAT量表的心理学测量结果均达到量表应用标准,具有一定的信效度。BBAT量表是一个有效的母乳喂养技能评估工具,且在一定程度上能预测母乳喂养结局,对有早期断奶风险的产妇具有筛查作用。
Abstract:
Objective To revise the Bristol breastfeeding assessment tool(BBAT)to fit in the current clinical setting and conduct preliminary testing.And to explore the efficacy of the BBAT.Methods The clinical application version of BBAT scale was established after translation,revision and reliability and validity test,and the preliminary test of the scale was conducted.The ROC curve was drawn based on BBAT score combined with the outcomes of breastfeeding at 6 weeks postpartum.Results The Cronbach's α coefficient and retest reliability of the revised BBAT scale were 0.711 and 0.960 respectively.The content validity index was 0.963,and the criterion correlation validity was 0.769.The diagnostic evaluation analysis of BBAT scale showed that the area under ROC curve was 0.792,the optimal cut-off point value was>5 points,the specificity was 89.74%,and the sensitivity was 51.81%.Conclusions The psychological measurement results of BBAT scale have reached the standard of scale application and have certain reliability and validity.The BBAT scale is an effective evaluation tool for breastfeeding skills,and can predict the outcome of breastfeeding to a certain extent.It has certain screening value for women at risk of early weaning.

参考文献/References:

[1] VICTORA C G,BAHL R,BARROS A J D,et al.Breastfeeding in the 21st century:epidemiology,mechanisms,and lifelong effect[J].Lancet,2016,387(10017):475-490.
[2] 张建荣,林元姑.产后2 d内护士床旁干预提高纯母乳喂养率的研究[J].中外医学研究,2018,16(6):184-185.
[3] BRUGALETTA C,ROCH K L,SATON J,et al.Breastfeeding assessment tools for at-risk and malnourished infants aged under 6 months old:a systematic review[J/OL].[2021-08-01].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7898355/.DOI:10.12688/f1000research.24516.2.
[4] WAKHANRITTEE J,KHORANA J,KIATIPUNSODSAI S.The outcomes of a frenulotomy on breastfeeding infants followed up for 3 months at Thammasat university hospital[J].Pediatr Surg Int,2016,32(10),945-952.
[5] INGRAM J,DEBBIE J,MARION D,et al.The development of a new breast feeding assessment tool and the relationship with breast feeding self-efficacy[J].Midwifery,2015,31(1):132-137.
[6] DOLGUN G,SRVIL N,LEYLA E,et al.Reliability and validity of the bristol breastfeeding assessment tool in the Turkish population[J].Midwifery,2018,57:47-53.
[7] JENSEN D,WALLACE S,KELSAY P.LATCH:A breastfeeding charting system and documentation tool[J].J Obstet Gynecol Neonatal Nurs,1994,23(1):27-32.
[8] SOUSA V D,WILAIPORN R.Translation,adaptation and validation of instruments or scales for use in cross-cultural health care research:a clear and user-friendly guideline[J].J Eval Clin Pract,2015,17(2):268-274.
[9] TANG S T,DIXON J.Instrument translation and evaluation of equivalence and psychometric properties:the Chinese sense of coherence scale[J].J Nurs Meas,2002,10(1):59-76.
[10]谢幸,苟文丽.妇产科学[M].9版,北京:人民卫生出版社,2018:5-6.
[11]SHOUKRI M M,ASYALI M H,DONNER A.Sample size requirements for the design of reliability study:review and new results[J].Stat Methods Med Res,2004,13(4):251-271.
[12]周玉峰,顾则娟.临床护士白班工作时间分配的调查分析[J].华西医学,2010,25(4):797-799.
[13]CECILE A J,JANSSENS W,MARTENS F K.Reflection on modern methods:revisiting the area under the ROC curve[J].Int J Epidemiol,2020,49(4):1397-1403.
[14]李雪迎.诊断能力评价的统计学方法——准确度与约登指数[J].中国介入心脏病学杂志,2011,19(4):213.

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备注/Memo

备注/Memo:
【 收稿日期 】 2021-08-29 【 修回日期 】 2022-02-23
【 基金项目 】 湖南省教育平台创新开发项目(17K104)
【 作者简介 】 李怡轩,博士在读,护师,从事母乳喂养及母婴健康研究
【 通信作者 】 隆益香,电话:0731-88618516
更新日期/Last Update: 2022-04-15