基于快、慢通道的麻醉恢复室临床护理路径的构建  

Construction of clinical nursing pathway in Post Anesthesia Care Unit based on fast and slow channels

作　　者：杨华文 易凤琼[1] 曾彦超[1] 熊中雨 钟昌艳[1] Yang Huawen;Yi Fengqiong;Zeng Yanchao;Xiong Zhongyu;Zhong Changyan(Department of Anesthesiology,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学附属第一医院麻醉科,重庆400016

出　　处：《中华现代护理杂志》2020年第28期3908-3912,共5页Chinese Journal of Modern Nursing

基　　金：重庆市教委护理学十三五重点学科资助项目(2019hlxk19);国家临床重点专科建设项目(财社[2011]170号)。

摘　　要：目的构建基于快、慢通道的麻醉恢复室双轨临床护理路径,为实施规范的麻醉苏醒期护理提供参考。方法在文献回顾的基础上采用循证方法,构建以快通道、慢通道为理论框架的麻醉苏醒期患者的分类管理,研究小组于2019年5—6月初步拟定麻醉恢复室临床护理路径表,并于2019年7—10月进行了2轮德尔菲法专家函询,进一步修订完善形成路径表。结果 2轮专家函询回收率分别为90.91%、100.00%,专家权威系数为0.89,路径表的变异系数为0.06,肯德尔和谐系数为0.25,最终形成了基于快、慢通道的麻醉恢复流程图和三级条目。结论构建的麻醉恢复室临床护理路径结果可靠,基于快、慢通道对麻醉苏醒期患者病情危险程度进行评估,可为麻醉恢复室实施患者分类管理提供参考。Objective To construct a dual-track clinical nursing path based on fast and slow channels in Post Anesthesia Care Unit(PACU)to provide references for the implementation of standardized nursing for patients in the anesthesia recovery period.Methods On the basis of literature review,evidence-based methods were used to construct the classification management of patients in anesthesia recovery period based on the theoretical framework of fast and slow channels.The research team initially drafted the clinical nursing path table in the PACU from May 2019 to June 2019 and conducted two rounds of Delphi expert letter inquiries from July to October 2019 to further revise and improve the path table.Results The recovery rates of the two rounds of expert consultation were 90.91%and 100.00%.The expert authority coefficient was 0.89,the variation coefficient of the path table was 0.06,and the Kendall harmony coefficient was 0.25.Finally,the flow chart and three levels of anesthesia recovery based on fast and slow channels were formed.Conclusions The established clinical nursing path in the PACU has reliable results.Based on the fast and slow channels to assess the risk degree of patients in the anesthesia recovery period,the classified management of patients can be implemented in the PACU,providing a reference for clinical nursing practice.

关 键 词：围手术期护理 麻醉恢复室 临床护理路径 德尔菲法 

分 类 号：R473.6[医药卫生—护理学]