TIPS术后集束化延续性护理管理方案的构建  

The establishment of cluster continuing nursing care management after transjugular intrahepatic portosystemic shunt

作　　者：徐寅[1] 王玲[1] 王忠敏[1] 杨如美[1] XU Yin;WANG Ling;WANG Zhongmin;YANG Rumei(Department of Nursing,Luwan Branch of Affiliated Ruijin Hospital,School of Medicine,Shanghai Jiao Tong University,Shanghai 200020,China)

机构地区：[1]上海交通大学医学院附属瑞金医院卢湾分院,200020

出　　处：《介入放射学杂志》2021年第8期832-836,共5页Journal of Interventional Radiology

基　　金：上海市卫生计生委科研项目(201740143)。

摘　　要：目的构建科学、可靠的经颈动脉门体分流术(TIPS)术后集束化延续性护理管理方案。方法通过文献研究及分析,应用德尔菲专家咨询法明确TIPS术后患者实施集束化延续性护理管理方案的具体干预内容。结果建立了包含8个维度共32个条目的 TIPS术后集束化延续性护理管理方案;两轮德尔菲咨询专家积极系数均大于0.8,专家权威系数为0.84,专家协调系数为0.566~0.613。第2轮专家函询后各维度的重要性赋值为4.08~4.91分,变异系数为0.06~0.10,各条目的重要性赋值为4.08~4.91分、变异系数为0.06~0.11。结论通过德尔菲专家咨询法确立的TIPS术后集束化延续性护理管理方案具有科学性、适用性,可有效减少TIPS术后并发症的发生率,为进一步完善延续性护理质量的标准化构建提供依据和参考。Objective To establish a scientific and reliable cluster continuing nursing care management norm for patients after transjugular intrahepatic portosystemic shunt(TIPS). Methods Through analyzing literature research and using Delphi expert consultation method, the specific intervention contents about cluster continuing nursing care management norm for patients after TIPS were listed. Results The established cluster continuing nursing care management norm for patients after TIPS was composed of 32 items which were contained in 8 dimensions. The positive coefficients of Delphi experts was >0.8, the authority coefficient of experts was 0.84, and the coordination coefficient of experts was 0.566-0.613. After the second round of expert correspondence, the importance of each dimension was assigned 4.08-4.91 points, the coefficient of variation was 0.06-0.10, the importance of each item was assigned 4.08-4.91 points, and the coefficient of variation was 0.06-0.11. Conclusion Through Delphi expert consultation method, this established cluster continuing nursing care management norm for patients after TIPS is scientific and applicable, the implementation of this norm can effectively reduce the incidence of post-TIPS complications and provide basis and reference for further improving the standardization of continuing nursing quality.(J Intervent Radiol, 2021, 30: 832-836)

关 键 词：TIPS术后 延续性护理 集束化管理 德尔菲法 

分 类 号：R735.7[医药卫生—肿瘤]