江苏省省级创伤中心创伤团队启动标准的构建  

Construction of trauma team activation criteria for Jiangsu provincial trauma center

作　　者：张阳春[1] 季学丽[1] 张丽[1] 黄萍[2] 李小勤[3] 姜丽丽[1] 吴永祥 周娟[1] Zhang Yangchun;Ji Xueli;Zhang Li;Huang Ping;Li Xiaoqin;Jiang Lili;Wu Yongxiang;Zhou Juan(Emergency Department,The First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China)

机构地区：[1]南京医科大学第一附属医院急诊科,江苏南京210029 [2]南京大学医学院鼓楼医院急诊科 [3]苏州大学附属第一医院急诊科

出　　处：《护理学杂志》2022年第16期31-35,共5页Journal of Nursing Science

基　　金：江苏省人民医院2020年度“临床能力提升工程”青年护理项目(JSPH-NC-2020-15)。

摘　　要：目的构建江苏省省级创伤中心创伤团队启动标准,以指导临床规范救治,提高救治成功率。方法以美国《国家创伤分类协议》为基本框架,检索国内外数据库获取关于创伤团队启动标准识别严重创伤患者相关文献,初步拟定江苏省省级创伤中心创伤团队启动标准草案。采用德尔菲专家咨询及层次分析法确定启动标准及各条目权重。结果2轮专家咨询的问卷有效回收率92.0%、100.0%,专家权威系数Cr分别为0.91、0.93,肯德尔协调系数分别为0.183~0.245、0.153~0.311(均P<0.05)。最终形成的创伤团队启动标准包含一级条目4个、二级条目30个。结论江苏省省级创伤中心创伤团队启动标准具有科学性、可靠性,可为急诊预检分诊识别严重创伤患者,及时正确地启动创伤团队提供指导。Objective To establish trauma team activation criteria for Jiangsu provincial trauma center.Methods Using the National Trauma Triage Protocol in the United States as the basic framework,we searched domestic and foreign databases to obtain publications related to the trauma team activation criteria that are helpful in identifying patients with severe trauma,and drafted a preliminary version of trauma team activation criteria for Jiangsu provincial trauma center.Then we conducted Delphi expert consultation regarding the activation criteria and used hierarchy analytic process(AHP)technique to establish the weight of each item.Results The expert questionnaire response rate was 92.0%,and 100.0%,and expert authority coefficient was 0.91 and 0.93,for the first and second round of consultation respectively;Kendall′s coordination coefficients ranged 0.183-0.245,and 0.153-0.311 for the first and second round,respectively(P<0.05 for both).The final version of trauma team activation criteria included 4 first-level items,30 second-level items.Conclusion The trauma team activation criteria for Jiangsu provincial trauma center are scientific and reliable,and can identify patients with severe trauma.The criteria provide prompt and correct guidance regarding trauma team activation.

关 键 词：创伤中心 严重创伤 急诊 预检分诊 检伤分类 创伤团队 启动标准 德尔菲法 层次分析法 

分 类 号：R471[医药卫生—护理学] R64[医药卫生—临床医学]