| 607 | 1 | 55 |
| 下载次数 | 被引频次 | 阅读次数 |
目的 构建孕前和孕期妇女营养评价指标体系。方法 通过文献查阅、基层调研和专家讨论初步构建孕前和孕期妇女营养评价指标体系，应用德尔菲法对25名专家进行2轮咨询，分析专家积极程度、权威程度、专家意见的集中程度和协调程度，根据指标筛选标准并结合专家意见和建议以及研究小组讨论，最终形成指标体系。结果 2轮咨询专家积极系数均为100%,权威程度分别为(0.95±0.06)和(0.96±0.06)。二级指标重要性平均得分范围分别为3.44～5.00和4.04～5.00,可行性平均得分范围分别为3.36～5.00和3.64～5.00。二级指标重要性、可行性的Kendall协调系数分别为0.277(χ2=338.26,P<0.05)和0.300(χ2=292.50,P<0.05)、0.308(χ2=359.21,P<0.05)和0.404(χ2=377.84,P<0.05),最终形成5项一级指标及39项二级指标的孕前和孕期妇女营养评价指标体系。结论 通过德尔菲法构建孕前和孕期妇女营养评价指标体系，专家积极程度、权威程度、意见集中程度和协调程度均较高，表明该指标体系较为可靠。
Abstract：OBJECTIVE To establish index system for evaluating nutritional status of women before and during pregnancy.METHODS Preliminary construction of this index system was based on literature review, grass-roots investigation and expert discussions. The Delphi method was applied to conduct two rounds of consultation with 25 experts. The active coefficient, authority coefficient, concentration coefficient and harmony coefficient were analyzed after consultation. Then the index system was finally formed based on the criteria for screening indicators and combining the experts' opinions and suggestions as well as the discussions of the research team.RESULTS The active coefficients of the consultation in two rounds were both 100%. The authority coefficients were(0.95±0.06) and(0.96±0.06). The ranges of average scores for importance of second-level indicators were(3.44-5.00) and(4.04-5.00), for feasibility of second-level indicators being(3.36-5.00) and(3.64-5.00). The harmony coefficients for importance of second-level indicators were 0.277(χ2=338.26, P<0.05) and 0.300(χ2=292.50, P<0.05), and for feasibility of second-level indicators were 0.308(χ2=359.21, P<0.05) and 0.404(χ2=377.84, P<0.05), respectively. Finally, the index system was established with 5 first-level and 39 second-level indicators.CONCLUSIONConstructing a system of indicators for evaluating the nutritional status of women before and during pregnancy based on Delphi method showed a performance of good activism and authority of experts. Experts' opinions were coordinated and unified, indicating this index system was relatively reliable.
[1] 董彩霞，荫士安.中国孕妇营养与健康状况十年回顾[J].中华预防医学杂志，2018,52(1):94-100.
[2] 隽娟，杨慧霞.孕前及孕期营养促进母婴远期健康的推荐[J].中国医刊，2019,54(11):1173-1176.
[3] 赵丽云，丁刚强，赵文华.2015—2017年中国居民营养与健康状况监测报告[M].北京：人民卫生出版社，2022.
[4] 毕烨，王杰，段一凡，等.2015年中国女性妊娠中晚期增重状况及影响因素[J].卫生研究，2022,51(3):392-396.
[5] MARSHALL N E,ABRAMS B,BARBOUR L A,et al.The importance of nutrition in pregnancy and lactation:lifelong consequences[J].Am J Obstet Gynecol,2022,226(5):607-632.
[6] YANG S,HUANG L H,ZHAO X H,et al.Using the Delphi method to establish nursing-sensitive quality indicators for ICU nursing in China[J].Res Nurs Health,2019,42(1):48-60.
[7] 陈希，邹启，甄若楠，等.构建大规模人群新型冠状病毒核酸筛查指标体系研究[J].中华流行病学杂志，2021,42(8):1353-1359.
[8] 刘丽华，贾忠萍，韩颖.应用德尔菲法构建护理院成本效益评价指标[J].中国老年保健医学，2018,12(6):149-151.
[9] 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[J].护理研究，2019,33(18):3227-3230.
[10] 王子云，刘永泉，王洪波，等.德尔菲法在住宿场所卫生量化分级管理评分表指标体系改进中的应用[J].中华预防医学杂志，2009,43(4):287-292.
[11] CANTOR A G,JUNGBAUER R M,MCDONAGH M,et al.Counseling and behavioral interventions for healthy weight and weight gain in pregnancy:evidence report and systematic review for the us preventive services task force[J].Jama,2021,325(20):2094-2109.
[12] International Weight Management in Pregnancy (i-WIP) Collaborative Group.Effect of diet and physical activity based interventions in pregnancy on gestational weight gain and pregnancy outcomes:meta-analysis of individual participant data from randomised trials[J].BMJ,2017,358:3119.
[13] NNAM N M.Improving maternal nutrition for better pregnancy outcomes[J].Proc Nutr Soc,2015,74(4):454-459.
[14] PAN Y,ZHANG S,WANG Q,et al.Investigating the association between prepregnancy body mass index and adverse pregnancy outcomes:a large cohort study of 536 098 Chinese pregnant women in rural China[J].BMJ Open,2016,6(6):e011227.
[15] 中华医学会妇产科学分会产科学组.孕前和孕期保健指南(2018)[J].中华妇产科杂志，2018,53(1):7-13.
[16] WHO.WHO Guidelines Approved by the Guidelines Review Committee,WHO Recommendations on Antenatal Care for a Positive Pregnancy Experience[R].Geneva:WHO,2016.
[17] HANSON M A,BARDSLEY A,DE-REGIL L M,et al.The International Federation of Gynecology and Obstetrics (FIGO) recommendations on adolescent,preconception,and maternal nutrition:“Think Nutrition First”[J].Int J Gynaecol Obstet,2015,131 Suppl 4:S213-253.
[18] GYNECOL O.ACOG Committee Opinion No.762:Prepregnancy Counseling[J].Obstet Gynecol,2019,133(1):e78-e89.
[19] 李冬华，赵丽云.五国营养监测与调查指标的比较[J].中国食物与营养，2014,20(4):63-65.
[20] KWEON S,KIM Y,JANG M J,et al.Data resource profile:the Korea National Health and Nutrition Examination Survey (KNHANES)[J].Int J Epidemiol,2014,43(1):69-77.
[21] NIEDERBERGER M,SPRANGER J.Delphi technique in health sciences:a Map[J].Front Public Health,2020,8:457.
[22] SHANG Z.Use of delphi in health sciences research:a narrative review[J].Medicine,2023,102(7):e32829.
[23] 王少娜，董瑞，谢晖，等.德尔菲法及其构建指标体系的应用进展[J].蚌埠医学院学报，2016,41(5):695-698.
[24] 李耀强，郭晓雷，苏玉娟，等.慢性病综合防控示范区的防控效果评价指标体系的构建[J].中国慢性病预防与控制，2023,31(10):727-731.
[25] 向芳，邵月琴，张一英，等.应用德尔菲法构建慢性病防控政策评价指标体系[J].上海预防医学，2018,30(3):236-240.
[26] 罗业飞，杜瑶瑶，徐慧芳，等.应用德尔菲法构建青年学生HIV感染风险评估指标体系[J].中华流行病学杂志，2021,42(11):1918-1922.
[27] 陈卓，岳文涛，阴赪宏.建立基础、临床科研项目结题评价体系及其应用[J].中华医学科研管理杂志，2022,35(4):286-292.
[28] 周雅琳，刘伟，李雍，等.中国孕期妇女营养素养核心条目的建立[J].中华预防医学杂志，2020,54(10):1081-1086.
[29] 杨月欣，葛可佑.中国营养科学全书 [M].2版.北京：人民卫生出版社，2019.
[30] 胡贻椿，陈竞，李敏，等.2010—2012年中国城市孕妇贫血及维生素A、维生素D营养状况[J].中华预防医学杂志，2017,51(2):125-131.
[31] 中国营养学会.中国居民膳食指南(2022)[M].北京：人民卫生出版社，2022.
[32] 王淑霞，姜珊，杨振宇，等.孕妇素食与维生素B12状况的关联性[J].中华围产医学杂志，2022,25(10):745-750.
基本信息:
DOI：10.19813/j.cnki.weishengyanjiu.2025.03.015
中图分类号:R153.1
引用信息:
[1]董洪利,苏丹萍,孙鸿,等.应用德尔菲法构建孕前和孕期妇女营养评价指标体系[J].卫生研究,2025,54(03):449-454.DOI:10.19813/j.cnki.weishengyanjiu.2025.03.015.
基金信息:
国家卫生健康委员会食品安全标准与监测评估司项目(No.SPSYYC2019-037)
2024-03-21
2024
2025-01-03
2025
2
2025-05-21
2025-05-21