基于证据的成人患者气管切开护理临床实践方案的构建

doi:10.19439/j.sjos.2017.05.015

上海口腔医学 ›› 2017, Vol. 26 ›› Issue (5): 539-544.doi: 10.19439/j.sjos.2017.05.015

基于证据的成人患者气管切开护理临床实践方案的构建

王惠芬, 俞蕾蕾^*, 阮洪^*, 胡嘉乐, 袁卫军, 蒋莉莉, 郝桂华

上海交通大学医学院附属第九人民医院护理部,上海 200011

收稿日期:2017-02-12 修回日期:2017-04-05 出版日期:2017-10-25 发布日期:2017-11-23
通讯作者: 俞蕾蕾,E-mail: sile1988@126.com。阮洪,E-mail：ruanhong2003@hotmail.com。^*共同通信作者
作者简介:王惠芬（1960-）,女,主任护师,E-mail:huifenwang2362@163.com
基金资助:
上海市卫生和计划生育委员会科研课题（201440094）

Establishment of an evidence-based protocol for tracheotomy care in adult patients

WANG Hui-fen, YU Lei-lei, RUAN Hong, HU Jia-le, YUAN Wei-jun, JIANG Li-li, HAO Gui-hua

Department of Nursing, Shanghai Ninth Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011, China

Received:2017-02-12 Revised:2017-04-05 Online:2017-10-25 Published:2017-11-23

摘要/Abstract

摘要： 目的构建国内成人患者气管切开护理临床实践方案。方法通过结构化文献检索、知情人员访谈、头脑风暴形成实践方案初稿,运用Delphi法对来自上海市10所三甲医院的15名专家进行2轮问卷咨询明确成人患者气管切开护理临床实践方案的具体维度及条目。采用SPSS 16.0软件包对数据进行统计学分析。结果2轮Delphi专家咨询问卷有效回收率分别为100%、93.3%,专家权威系数0.83,专家协调系数检验P<0.05。最终确立的方案包括5个方面、16个维度、61个具体条目。结论本研究以循证证据为基础,结合临床情境及专家意见,构建的方案具有科学性、可靠性,对临床实践具有指导作用。

关键词: 气管切开, 护理, Delphi法, 方案构建

Abstract: PURPOSE: To establish a clinical practice protocol for tracheotomy care of adult patients. METHODS: Though constructive document retrieval, personnel interview and brain-storming, protocol draft was constructed. Delphi method was used in the study, and the final protocol was based on two rounds of consultation among 15 experts from 10 tertiary general hospitals. SPSS 16.0 software package was used for statistical analysis. RESULTS: The effective rates of two rounds of questionnaire were 100% and 93.3%, the authority coefficient was 0.83, and the P value of expert coordination coefficients W was less than 0.05. The final evidence-based protocol for tracheotomy care in adult patients consists of 5 sections, 16 dimensions and 61 items. CONCLUSIONS: The evidence-based tracheotomy care protocol was combined with Chinese clinical status and experts' opinion. The protocol was scientific and credible, which may play an important role in clinical practice.

Key words: Tracheotomy, Nursing, Delphi method, Plan constructed

中图分类号:

R473

王惠芬, 俞蕾蕾, 阮洪, 胡嘉乐, 袁卫军, 蒋莉莉, 郝桂华. 基于证据的成人患者气管切开护理临床实践方案的构建[J]. 上海口腔医学, 2017, 26(5): 539-544.

WANG Hui-fen, YU Lei-lei, RUAN Hong, HU Jia-le, YUAN Wei-jun, JIANG Li-li, HAO Gui-hua. Establishment of an evidence-based protocol for tracheotomy care in adult patients[J]. Shanghai Journal of Stomatology, 2017, 26(5): 539-544.

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基于证据的成人患者气管切开护理临床实践方案的构建

Establishment of an evidence-based protocol for tracheotomy care in adult patients

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