无创机械通气相关面部压力性损伤预防方案的构建  

Construction of non-invasive mechanical ventilation-related facial pressure injury prevention scheme

作　　者：王霞[1] 王海妍 孙超[1] 王蕾[1] 王雪莲[1] 郭红[3] Wang Xia;Wang Haiyan;Sun Chao;Wang Lei;Wang Xuelian;Guo Hong(Nursing Department,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,China;Department of Geriatrics,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,China;School of Nursing,Beijing University of Chinese Medicine,Beijing 102488,China)

机构地区：[1]北京医院护理部,国家老年医学中心,中国医学科学院老年医学研究院,100730 [2]北京医院老年医学科,国家老年医学中心,中国医学科学院老年医学研究院,100730 [3]北京中医药大学护理学院,102488

出　　处：《中华现代护理杂志》2021年第26期3572-3577,共6页Chinese Journal of Modern Nursing

摘　　要：目的基于证据构建无创机械通气相关面部压力性损伤预防方案,为预防面部压力性损伤提供指导。方法在前期证据总结的基础上初步构建无创机械通气相关面部压力性损伤预防方案专家函询问卷,于2020年11月—2021年3月,通过德尔菲法构建基于证据的无创机械通气相关面部压力性损伤预防方案。结果2轮专家函询的专家积极系数为100%,专家权威系数为0.94,变异系数分别为0~0.29、0~0.22。最终构建的无创机械通气相关面部压力性损伤预防方案包括评估、预防策略、多学科团队合作、教育培训、实施流程。结论基于证据构建的无创机械通气相关面部压力性损伤预防方案具有较高的可靠性,对于面部压力性损伤的预防具有较强的临床指导作用,同时对于提高护理质量、改善患者结局具有重要意义。Objective To construct a non-invasive mechanical ventilation-related facial pressure injury prevention scheme based on the evidence,so as to provide guidance for the prevention of facial pressure injury.Methods On the basis of the previous evidence summary,the expert letter questionnaire for prevention of non-invasive mechanical ventilation related facial pressure injury was initially constructed.From November 2020 to March 2021,the Delphi method was used to construct an evidence-based non-invasive mechanical ventilation-related facial pressure injury prevention scheme.Results The positive coefficient of expert for the two rounds of expert letter inquiries was 100%,the expert authority coefficient was 0.94,and the coefficient of variation was 0 to 0.29 and 0 to 0.22,respectively.The final non-invasive mechanical ventilation-related facial pressure injury prevention scheme included evaluation,prevention strategies,multidisciplinary teamwork,education and training and implementation procedures.Conclusions Evidence-based non-invasive mechanical ventilation-related facial pressure injury prevention scheme has high reliability and strong clinical guidance for the prevention of facial pressure injuries,which is of great significance for improving quality of nursing and patient outcomes.

关 键 词：通气机 机械 压力性损伤 预防 德尔菲法 方案构建 

分 类 号：R473[医药卫生—护理学]