基于德尔菲法构建成人ICU患者压力性损伤风险评估工具  

Development of pressure injury risk assessment tool for adult ICU patients based on Delphi method

作　　者：杨小辉 赵媛媛[1] 钮美娥 Yang Xiaohui;Zhao Yuanyuan;Niu Meie(School of Nursing of Soochow University,Suzhou Jiangsu 215000;The First Affiliated Hospital of Soochow University,Suzhou Jiangsu 215006)

机构地区：[1]苏州大学医学部护理学院,江苏苏州215000 [2]苏州大学附属第一医院,江苏苏州215006

出　　处：《护士进修杂志》2019年第13期1157-1161,共5页Journal of Nurses Training

基　　金：江苏省研究生科研与实践创新项目(编号:SJCX17-0670)

摘　　要：目的构建科学、可行的成人ICU患者压力性损伤风险评估工具。方法在文献调研和小组讨论的基础上,运用德尔菲法对20名ICU相关领域专家进行2轮咨询,确定风险评估工具。结果2轮专家咨询中,问卷回收率均为100%,权威系数分别为0.857和0.865,最终确定的一级条目重要性评分均数为4.30~4.95,满分比为0.30~0.95,变异系数为0.05~0.11;等级条目准确性评分均数为4.05~4.80,满分比为0.25~0.80,变异系数为0.09~0.18。2轮咨询专家的肯德尔协调系数分别为0.310和0.376(P<0.001),最终构建了包含7个一级条目和25个等级条目的成人ICU患者压力性损伤风险评估工具。结论本研究基于德尔菲法构建的风险评估工具具有较高的科学性和可靠性,可为成人ICU患者压力性损伤风险评估工作提供一定的参考依据。Objective To develop a scientific and feasible pressure injury risk assessment tool for adult ICU patients.Methods The risk assessment tool was developed after literature review,group discussion and two-round expert consultations conducted among 20 experts in ICU related fields.Results In two rounds of surveys,response rates of the questionnaire were 100% and 100% respectively and the authoritative coefficients were 0.857 and 0.865 respectively.Eventually determine the mean value of importance scoring of first-level items ranged from 4.30 to 4.95,the full score ratio from 0.30 to 0.95,the variation coefficient from 0.05 to 0.11;The mean value of accuracy scoring of the secondary items ranged from 4.05 to 4.80,the full score ratio from 0.25 to 0.80,the variation coefficient from 0.09 to 0.18.The Kendall's coordination coefficients of the two rounds of consultation were 0.310 and 0.376 respectively( P <0.001).Finally,an adult ICU risk assessment tool for pressure injury containing 7 first-level items and 25 secondary-level items was constructed.Conclusion The risk assessment tool based on Delphi method have high scientific and reliability,which can provide certain reference for the risk assessment of pressure injury in adult ICU patients.

关 键 词：德尔菲法 压力性损伤 风险评估 成人 重症监护室 护理 

分 类 号：R473[医药卫生—护理学]