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

作　　者：王惠芬[1] 俞蕾蕾[1] 阮洪[1] 胡嘉乐[1] 袁卫军[1] 蒋莉莉[1] 郝桂华[1] 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)

机构地区：[1]上海交通大学医学院附属第九人民医院护理部,上海200011

出　　处：《上海口腔医学》2017年第5期539-544,共6页Shanghai Journal of Stomatology

基　　金：上海市卫生和计划生育委员会科研课题(201440094)

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。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.

关 键 词：气管切开 护理 DELPHI法 方案构建 

分 类 号：R473.6[医药卫生—护理学]