普通外科患者静脉血栓栓塞症风险评估与预防护理专家共识  

Expert consensus on risk assessment and prevention of venous thromboembolism in general surgical patients

作　　者：中华护理学会外科护理专业委员会 中华医学会外科学分会护理学组 马玉芬 徐园[3] 王晓杰 邓海波[5] 王磊[6] 孙建华 刘戈 郭雅萍[9] 耿倩 王钰 朱丽筠 鲁乔丹 安然逊 The Surgical Nursing Committee of Chinese Nursing Association;The Nursing Group of Chinese Society of Surgery of Chinese Medical Associaton;MA Yufen;XU Yuan;WANG Xiaojie;DENG Haibo;WANG Lei;SUN Jianhua;LIU Ge;GUO Yaping;GENG Qian;WANG Yu;ZHU Liyun;LU Qiaodan;AN Ranxun

机构地区：[1]不详 [2]中国医学科学院北京协和医院工会,北京市100730 [3]中国医学科学院北京协和医院骨科,北京市100730 [4]中国医学科学院北京协和医院乳腺外科,北京市100730 [5]中国医学科学院北京协和医院心外科,北京市100730 [6]中国医学科学院北京协和医院血管外科,北京市100730 [7]中国医学科学院北京协和医院重症医学科,北京市100730 [8]中国医学科学院北京协和医院神经外科,北京市100730 [9]中国医学科学院北京协和医院基本外科,北京市100730 [10]中国医学科学院北京协和医院护理部,北京市100730

出　　处：《中华护理杂志》2022年第4期444-449,共6页Chinese Journal of Nursing

摘　　要：目的编写《普通外科患者静脉血栓栓塞症风险评估与预防护理专家共识》(以下简称《共识》),以期推动国内普通外科患者静脉血栓栓塞症的规范化管理。方法查阅国内外文献并对25名临床医疗和护理专家进行访谈,编写《共识》初稿,编制函询表,在全国范围内遴选专家召开2次专家现场论证会,并先后进行2轮专家函询,结合专家意见修改相应条目,评定证据等级和推荐等级,形成《共识》。结果通过专家函询,确立了4个一级主题和26个二级主题,函询问卷的有效回收率均为100%,专家判断依据系数为0.960,熟悉程度系数为0.912,权威程度系数为0.936;2轮专家函询一、二级主题的肯德尔和谐系数分别为0.149、0.261和0.122、0.203,差异均具有统计学意义(P<0.05)。《共识》包括普通外科患者静脉血栓栓塞症危险因素、风险评估、风险应对、培训与质量控制4个方面内容,适用于普通外科围手术期患者。结论《共识》融合了25名临床医疗和护理专家的建议,结果具有科学性、严谨性和权威性,可为临床护理人员开展普通外科患者静脉血栓栓塞症的防控工作提供指引。Objective To explore the expert consensus on risk assessment and preventive nursing of venous thromboembolism(VTE)in general surgical patients.Methods This consensus was drafted through a systemic literature review on VTE prevention and the interviews of nursing experts.The draft was thereafter reviewed by a total of experts in related fields,and it was finalized after 2 rounds of expert consultation.Results 4 domains with 26 components were established through a modified Delphi method.The effective recovery of the ques-tionnaire was 100%;the expert judgment coefficient was 0.960;the familiarity was 0.912;the authority coefficient was 0.936.The Kendall coefficients of the first and second level topics in the 2 rounds were 0.149 and 0.261,and 0.122 and 0.203,respectively,with statistically significant differences(P<0.05).The consensus includes risk factors for VTE in general surgical patients,risk assessment,risk response,education and quality control,and it is applicable to perioperative patients of general surgery.Conclusion The consensus was based on the recommendations of 25 clinical nursing experts.The results are scientific,rigorous and authoritative,and can provide guidance for clinical nursing staff in the prevention and control of VTE in general surgical patients.

关 键 词：静脉血栓栓塞症 普通外科患者 风险评估 围手术期护理 专家共识 

分 类 号：R47[医药卫生—护理学]