Establishment of an evaluation system for thoracoscopic clinical function and applicability_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

WANG Zihao , WANG Fuqiang , ZHANG Hanlu , ZHENG Yu ,  WANG Yun

Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;

Corresponding author：

WANG Yun, Email: 2237454336@qq.com

Keywords：

Thoracoscope; Delphi method; evaluation; reliability; validity

DOI：

10.7507/1007-4848.201912037

Video：

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Objective By establishing a set of evaluation system for thoracoscopic clinical function and applicability, to evaluate and compare the advantages and disadvantages of different brands of thoracoscopes, and to provide some suggestions for the innovation and upgrade of thoracoscopes, especially for the domestic thoracoscopes.Methods The project coordination team initially formulated the evaluation index system for the clinical function and applicability of thoracoscope by querying literature and brainstorming. The Delphi expert consultation method was used to distribute questionnaires to the selected experts. Experts provided scores which were based on the importance of each indicator, and clarified the basis of their judgment and the familiarity with the evaluation indicators. After two rounds of screening by Delphi method, a thoracoscopic clinical function and applicability satisfactory questionnaire was formed. The appropriate sample for pre-investigation was selected, and the reliability and validity were tested. The index composition was adjusted based on the results of the test to form a final evaluation scale.Results The project coordination team initially formulated 24 thoracoscope-related evaluation indicators. After two rounds of experts consultation, the item "brightness adjustment" was deleted without any additional entries. The positive coefficients of the experts in the first round and the second round were 100.0% and 80.0%, respectively. The two rounds of authoritative coefficients were 0.86 and 0.90, and the coordination coefficients were 0.272 (P<0.001) and 0.523 (P<0.001), respectively. A total of 140 questionnaires were issued in this pre-investigation. The recovery rate was 100.0% and the effective rate was 90.0%. The Cronbach's α value of the scale was 0.936, and the Spearman-Brown split-half reliability coefficient was 0.972. The factor analysis finally extracted 3 common factors. The total variance of the cumulative interpretation was 70.9%. The three common factors were named "operation related", "image related" and "device related".Conclusion The evaluation index system developed in this study has good reliability and validity, and can be used as a tool to evaluate the clinical function and applicability of thoracoscopes.

Citation： WANG Zihao, WANG Fuqiang, ZHANG Hanlu, ZHENG Yu, WANG Yun. Establishment of an evaluation system for thoracoscopic clinical function and applicability. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2020, 27(8): 893-899. doi: 10.7507/1007-4848.201912037 Copy

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1. 蔡天智, 陈婧婧. 2015 年我国内窥镜贸易分析. 中国医疗器械信息, 2016, 22(11): 21-25.
2. 周方, 邱晓力, 方定, 等. 国产硬性内窥镜在基层医院的应用与评价. 中国医疗设备, 2016, 31(1): 86-88.
3. 陈宇轩, 白杨, 叶山亮, 等. 德尔菲法确定胶囊内镜图像质量影响因素权重系数的研究. 中国内镜杂志, 2012, 18(12): 1256-1259.
4. 唐小婵, 周洵, 杨兰, 等. 基于德尔菲法探讨分析苗医肺架痛症. 中国民族民间医药, 2019, 28(23): 12-15.
5. 何旭文, 冯玉韬, 刘国莲, 等. 基于德尔菲法的社区护士实践技能指标体系的构建研究. 护理研究, 2019, 33(18): 3227-3230.
6. 王春枝, 斯琴. 德尔菲法中的数据统计处理方法及其应用研究. 内蒙古财经学院学报(综合版), 2011, 9(4): 92-96.
7. 宋婷, 郭伟, 尤继芹, 等. 基于德尔菲法的重症监护室患者家属赋能心理护理量表构建. 中西医结合护理(中英文), 2018, 4(10): 45-48.
8. 柯思思, 朱朝阳, 张刚, 等. 应用德尔菲法构建医院突发公共卫生事件应对能力评价指标体系. 中国社会医学杂志, 2019, 36(6): 643-646.
9. 姚丹霓, 何泽慧, 卢传坚, 等. 基于寻常性银屑病患者报告结局评价量表的研制及其信度和效度评价. 中国皮肤性病学杂志, 2017, 31(1): 82-86.
10. 林燕平, 邱金花, 林宁, 等. 护士交接班评估量表的汉化及信效度检测. 中华护理杂志, 2015, 50(4): 404-407.
11. 刘秀荣, 刘勇, 张本金, 等. 中文创业人格问卷测评大学生样本的效度和信度. 中国临床心理学杂志, 2020, 28(1): 11-15.
12. 王倩, 王燕, 高健, 等. 肝硬化患者自我管理行为量表的研制. 中华护理杂志, 2014, 49(12): 1515-1520.
13. 刘万里, 贺连香. PICC 专科护士临床相关能力评估量表的编制及信效度分析. 护理学报, 2016, 23(1): 1-6.
14. 许世梅. 硕士研究生专业认同量表编制及信效度分析. 北京化工大学学报(社会科学版), 2018, 1: 106-110.
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16. Knudsen B, Miyaoka R, Shah K, et al. Durability of the next-generation flexible fiberoptic ureteroscopes: a randomized prospective multi-institutional clinical trial. Urology, 2010, 75(3): 534-538.
17. Monga M, Best S, Venkatesh R, et al. Durability of flexible ureteroscopes: a randomized, prospective study. J Urol, 2006, 176(1): 137-141.
18. 刘霞, 王军永, 王素珍, 等. 基于德尔菲法的基本诊疗路径效果评价指标体系构建过程浅析. 江西中医药, 2019, 50(12): 13-16.
19. 许国祥. 统计预测与决策. 上海: 上海财经大学出版社, 2005. 11.
20. 王瑞芳, 李春玲, 李敏, 等. 基于德尔菲法的胰体尾切除术围手术期临床护理路径表的构建. 上海护理, 2019, 19(5): 46-50.
21. 胡慧秀, 王志稳, 李颖堃, 等. 养老机构老年人关怀行为评价量表编制及信效度检验. 中华护理杂志, 2015, 50(8): 912-916.

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Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Establishment of an evaluation system for thoracoscopic clinical function and applicability

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