基于德尔菲法构建ICU患者身体约束评估量表  

Construction of physical restraint assessment scale for ICU patients based on Delphi method

作　　者：崔念奇 甘秀妮[1] 张传来[2] 周世群[1] 龙梦云 张恬[1] 何成雨 Cui Nianqi , Gan Xiuni , Zhang Chuan- lai, Zhou Shiqun, Long Mengyun, Zhang Tian, He Chengyu.(Nursing Department, The Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, Chin)

机构地区：[1]重庆医科大学附属第二医院护理部,重庆400010 [2]重庆医科大学附属第二医院重症医学科,重庆400010 [3]重庆医科大学附属第二医院第二临床学院,重庆400010

出　　处：《护理学杂志》2018年第2期62-64,共3页Journal of Nursing Science

基　　金：重庆市卫生和计划生育委员会2017年医学科研计划项目(2017MSXM036)

摘　　要：目的研制适合重症监护病房(ICU)患者使用的身体约束评估量表,为重症患者的身体约束评估提供参考。方法选择相关领域专家21人,应用德尔菲法对ICU患者身体约束评估量表评估内容进行2轮函询。结果第1、2轮专家函询专家的积极系数分别为95.5%和100%;权威系数分别为0.910和0.925;专家协调程度分别为0.359、0.359(均P<0.01)。最终形成了包含行为等级、治疗等级、肌力等级3个维度38个指标的ICU患者身体约束评估量表。结论应用德尔菲法编制的ICU患者身体约束评估量表可靠性高,可作为ICU患者身体约束的评估工具,为身体约束评估的研究奠定了基础。Objective To develop aphysical restraint assessment scale suitable for patients in intensive care unit（ICU）,and to provide reference for physical restraint assessment in critically ill patients.Methods A total of 21 experts in related fields were selected,and Delphi method was utilized to assess the content of physical restraint assessment scale for ICU patients in 2 rounds consultation.Results Expert response rate in the first and second round was 95.5%and 100%,the authority coefficient was 0.910 and 0.925,and experts′coordination degree was 0.359 and 0.359 respectively（P〈0.01 for both）.The ICU physical restraint assessment scale,which contained behavior level,treatment level,muscle strength level 3 dimensions and 38 indicators,was eventually formed.Conclusion The physical restraint assessment scale for ICU patients developed by Delphi method has high reliability,it can be used as an assessment tool for physical restraint in critically ill patients,and lays a foundation for further researches on physical restraint assessment.

关 键 词：ICU 身体约束 评估量表 德尔菲法 行为等级 治疗等级 肌力 

分 类 号：R472[医药卫生—护理学]