儿童营养不良风险评分表(PYMS)在中国住院患儿应用中的.pdfVIP

儿童营养不良风险评分表 （PYMS）在中国住院患儿应用中的初步评价 1 1 2 于圣娟 郑显兰 孔粼 摘要： 目的 对引进的儿童营养不良风险评分表（ Paediatric Yorkhill Malnutrition Score，PYMS）判定国内住院患儿营养不良风险的效能进行评估。方法 对 PYMS 进行翻译、 回译和修订，并应用中文版PYMS 对符合纳入标准的 164 例新住院患儿进行评定，分析评定 结果的效度和信度。结果 ①可行性：PYMS 评估内容简单，耗时少，平均完成时间为 7.5 min。 ②效度：与无／低度营养风险和中度营养风险患儿比较，高度营养风险患儿体重更低、发育 更迟缓、更消瘦、营养生化指标值更低以及住院时间更长；高度营养风险筛出率及体格营养 不良检出率间的相关系数 r 为 0.884。③信度：护士与营养师使用该评分表的评价者信度 Kappa 系数为 0.845。结论 PYMS 具有较好的可行性、效度和信度，在国内住院患儿中的应 用是可行的。 关键词 儿童营养不良风险；PYMS；住院患儿；可行性；效度；信度 Evaluation of the Paediatric Yorkhill Malnutrition Score (PYMS）in screening hospitalized children in China 1 Yu Shengjuan , Zheng Xianlan* Department of Nursing,Children ’s Hospital,Chongqing Medical University，Chongqing 400014, China First author: Yu Shengjuan, E-mail：103080480@ *:Corresponding author Abstract Objective To evaluate the e ect o European children malnutritional risk screening （Paediatric Yorkhill Malnutrition Score ，PYMS ）method for malnutritional risk assessment in hospitalized children in China. Methods The PYMS was translated into Chinese and modified. A total o 164 hospitalized children were included , according to the inclusion criteria , and evaluated with the modified PYMS. The validity and reliability were examined. Results ① Feasiblity The evaluation content of the PYMS was simple and completed in a short time. The average completion time was7.5 min.②Validity Compared with low or moderate risk , the children with high risk had obviously lower weight, slower growth, thinner, lower nutrition 1作者单位：重庆医科大学附属儿童医院 400014 重庆市 通讯作者：郑显兰，主任护师，护理部主任，硕士生导师 第一作者：于圣娟，护理学专业，硕士在读，E-mail ： 103080480@ 2作者单位：重庆医科大学附属儿童医院营养科 biochemical index and more prolonged hospital staying time.The correlation coe icient between detection rates of high nutritiona1 risk and physica