成人重症患者深静脉血栓医护一体快速筛查流程的构建  

Construction of an integrated medical and nursing rapid screening workflow for deep venous thrombosis in critically ill adult patients

作　　者：孙建华 徐园 李雅楠[3] 王钰 周新艺 罗红波 赵明曦 井杰 李尊柱 李奇 马玉芬[5] Sun Jianhua;Xu Yuan;Li Yanan;Wang Yu;Zhou Xinyi;Luo Hongbo;Zhao Mingxi;Jing Jie;Li Zunzhu;Li Qi;Ma Yufen(Department of Critical Care Medicine,Peking Union Medical College Hospital,Peking Union Medical College,Chinese Academy of Medical Sciences,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医学院北京协和医院重症医学科,北京100730 [2]中国医学科学院北京协和医学院北京协和医院保健医疗部,北京100730 [3]中国医学科学院北京协和医学院北京协和医院国际医疗部,北京100730 [4]中国医学科学院北京协和医学院北京协和医院护理部,北京100730 [5]中国医学科学院北京协和医学院北京协和医院工会,北京100730

出　　处：《护理学杂志》2023年第24期37-39,43,共4页Journal of Nursing Science

基　　金：北京协和医院中央高水平医院临床科研专项青年培优计划(2022-PUMCH-A-132);重症超声研究会超声专项研究课题(2022-CCUSG-A-03)。

摘　　要：目的 探讨适合我国成人重症患者深静脉血栓快速筛查的流程,为血栓预防护理提供参考。方法 应用循证护理方法,针对成人重症患者深静脉血栓筛查流程提出问题,进行系统检索、证据提取等,形成成人重症患者深静脉血栓医护一体筛查的证据;通过2轮焦点小组访谈确定成人重症患者深静脉血栓医护一体快速筛查流程。结果 形成的成人重症患者深静脉血栓医护一体快速筛查流程包括风险评估、超声筛查、深静脉血栓预防、管理与质控4个步骤。结论 本研究构建的成人重症患者深静脉血栓医护一体快速筛查流程,可用于成人重症患者深静脉血栓风险筛查。Objective To explore a rapid screening workflow for deep venous thrombosis(DVT) in adult critically ill patients in China,so as to provide a reference for thrombosis prevention and nursing.Methods Using evidence-based nursing methods,we formulated research questions for screening DVT in adult critically ill patients,searched and reviewed literature systematically,extracted related evidence,and the evidence on integrated medical and nursing screening for DVT in critically ill adult patients was identified,which was then used to conduct a 2-round focus group interview to construct an integrated medical and nursing rapid screening workflow for DVT in adult critically ill patients.Results The constructed integrated medical and nursing rapid screening workflow for DVT in adult critically ill patients consisted of four steps:risk assessment of DVT,screening DVT by using ultrasound,DVT prevention,management and quality control of DVT.Conclusion The integrated medical and nursing rapid screening workflow can be used for the risk screening of DVT in critically ill adult patients.

关 键 词：重症患者 深静脉血栓 快速筛查流程 超声检查 护理评估 焦点小组访谈 

分 类 号：R473.6[医药卫生—护理学]