神经外科重症患者谵妄综合干预方案的构建  

Construction of a comprehensive intervention program for delirium in severe neurosurgical patients

作　　者：纪媛媛 王军[1] 欧梦仙 张娜芹 王娜[1] JI Yuanyuan;WANG Jun;OU Mengxian;ZHANG Naqin;WANG Na(Department of Neurosurgery,Xuanwu Hospital,Capital Medical University,Beijing,100053,China)

机构地区：[1]首都医科大学宣武医院神经外科,北京市100053

出　　处：《中国护理管理》2023年第10期1569-1574,共6页Chinese Nursing Management

基　　金：首都医科大学宣武医院院级重点课题(HLZD202005)。

摘　　要：目的:构建神经外科重症患者谵妄综合干预方案,为临床进行系统、规范的干预提供参考。方法:在文献回顾基础上,拟订神经外科重症患者谵妄综合干预方案初稿。于2022年8月—9月,选取15名专家,进行2轮德尔菲专家函询,结合专家函询意见,经研究小组讨论形成终版神经外科重症患者谵妄综合干预方案。结果:2轮专家函询的专家积极系数均为100%;专家权威系数为0.900;肯德尔和谐系数分别为0.194和0.131(P<0.01);最终形成包含6个方面、39条具体措施的神经外科重症患者谵妄综合干预方案。结论:构建的神经外科重症患者谵妄综合干预方案具有科学性、可靠性、专科性和实用性,能为临床更好地开展神经外科重症患者谵妄护理提供参考。Objective:To construct a comprehensive intervention program for delirium in severe neurosurgery patients,and to provide reference for systematic and standardized clinical intervention.Methods:Based on the literature review,the first draft of the comprehensive intervention program for delirium in severe neurosurgery patients was developed.From August to September 2022,15 experts were selected to conduct two rounds of Delphi expert consultation.Combined with expert consultations,the final comprehensive intervention program for delirium in severe neurosurgery patients was developed through discussion by the research panel.Results:The positive coefficients of the two rounds of expert consultation were both 100%.The expert authority coefficient was 0.900;Kendall's coefficient of concordance were 0.194 and 0.131(P<0.01),respectively.Finally,a comprehensive intervention program for delirium in severe neurosurgical patients was formed,which included 6 categories and 39 interventions.Conclusion:The comprehensive intervention program for delirium in severe neurosurgery patients is reliable and practical,and can provide reference for intervention and nursing of severe neurosurgery patients with delirium.

关 键 词：神经外科 重症监护 谵妄 德尔菲法 综合干预方案 

分 类 号：R473.6[医药卫生—护理学] R197[医药卫生—临床医学]