摘要
目的构建ICU患者谵妄分层护理预防策略,为预防ICU患者发生谵妄提供参考。方法基于循证医学方法初步筛选条目,经课题组讨论后形成ICU患者谵妄分层护理预防策略初稿。运用德尔菲法对15名专家进行2轮函询,结合专家意见,构建ICU患者谵妄分层护理预防策略。结果2轮函询问卷的有效回收率分别为93.75%和100.00%,专家权威系数分别为0.893和0.897,各级指标的肯德尔和谐系数为0.203~0.213(P<0.01)。最终形成包括5个一级指标,12个二级指标,28个三级指标的ICU患者谵妄分层护理预防策略。结论本研究基于循证和德尔菲法构建的ICU患者谵妄分层护理预防策略科学可靠,具有可行性和针对性,可为ICU患者预防谵妄提供借鉴。
Objective To construct a stratified nursing prevention strategy for delirium in ICU patients to provide reference for the prevention of delirium in ICU patients.Methods Preliminary items were screened based on evidence-based medicine method.After discussion by the research group,the first draft of stratified nursing prevention strategy for ICU patients with delirium was formed.Using the Delphi method,a total of two rounds of correspondence with 15 experts were conducted.Combined with expert opinions,a stratified nursing prevention strategy for delirium in ICU patients was constructed.Results The effective recovery rates of the two rounds of questionnaires were 93.75%and 100.00%,respectively.The expert authority coefficients were respectively 0.893 and 0.897,and the Kendall's harmony coefficients of indicators at all levels were 0.203-0.213(P<0.01).Finally,a delirium stratified nursing prevention strategy for ICU patients was formed,including 5 first-level indicators,12 secondary indicators and 28 tertiary indicators.Conclusions The stratified nursing prevention strategy constructed in this study is based on evidence-based and Delphi method,which is scientific,reliable,practical and targeted.It can provide reference for the prevention of delirium in ICU patients.
作者
左贤芳
张爱琴
张凌晨
Zuo Xianfang;Zhang Aiqin;Zhang Lingchen(Intensive Care Unit,Jinling Hospital Affiliated to Medical School of Nanjing University(General Hospital of Eastern Theater Command),Nanjing 210002,China;Department of Burn Plastic Surgery,Jinling Hospital Affiliated to Medical School of Nanjing University(General Hospital of Eastern Theater Command),Nanjing 210002,China)
出处
《中华现代护理杂志》
2022年第4期485-489,共5页
Chinese Journal of Modern Nursing
基金
国家临床护理重点专科项目(2016ZDZK001)。
关键词
重症监护病房
谵妄
预防
分层护理
德尔菲法
Intensive Care Unit
Delirium
Prevention
Stratified nursing
Delphi method
