住院阿尔茨海默病患者安全管理专家共识  

Expert consensus on safety management of inpatients with Alzheimer's disease

作　　者：乔雨晨[1] 常红[1] 孙红[2] 范凯婷 杨璇 田思颖 Qiao Yuchen;Chang Hong;Sun Hong;Fan Kaiting;Yang Xuan;Tian Siying(Department of Neurology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Nursing Department,Beijing Hospital,Beijing 100730,China)

机构地区：[1]首都医科大学宣武医院神经内科,北京100053 [2]北京医院护理部,北京100730

出　　处：《中华现代护理杂志》2024年第8期981-988,共8页Chinese Journal of Modern Nursing

基　　金：中华医学会杂志社2022—2023年护理学科研究课题(CMAPH-NRI2022033)。

摘　　要：目的形成住院阿尔茨海默病(AD)患者安全管理专家共识(简称《共识》),规范住院AD患者安全管理对策。方法检索、评价和汇总住院AD患者安全管理的证据,检索时限为建库至2023年7月31日。对纳入的文献进行方法学质量评价和证据提取后形成共识初稿。选取来自全国15所医院的24名专家进行2轮德尔菲专家函询,对专家意见进行分析、修改和完善,形成《共识》终稿。结果2轮专家函询的积极系数均为100.00%(24/24),第2轮函询的专家判断依据系数为0.925,熟悉程度为0.846,权威系数为0.886,肯德尔和谐系数为0.044(P<0.01)。本《共识》从评估、识别危险因素和护理对策3个方面阐述了住院AD患者的走失、跌倒、误吸/噎食、自伤/他伤、用药错误五大常见安全问题。结论本《共识》具有一定的科学性、实用性,为住院AD患者安全管理实践提供指导和参考依据。Objective To develop an expert consensus on safety management of inpatients with Alzheimer's disease(AD)(referred to as the"Consensus")and standardize safety management strategies for AD inpatients.Methods The evidence on safety management of AD inpatients was searched,evaluated,and summarized,with a search period from database establishment to July 31,2023.This study conducted methodological quality evaluation and evidence extraction on the included article to form a consensus draft.A total of 24 experts from 15 hospitals across the country were selected for two rounds of Delphi expert consultation to analyze,revise,and improve their opinions,forming the final draft of the Consensus.Results The positive coefficients for both rounds of expert consultation were 100.00%(24/24).In the second round of consultation,the expert judgment basis coefficient was 0.925,familiarity level was 0.846,authority coefficient was 0.886,Kendall harmony coefficient was 0.044(P<0.01).The Consensus elaborated on five common safety problems(loss,falling,aspiration/choking,self-injury/other injury,and medication errors in AD inpatients)from three aspects(assessment,identification of risk factors,and nursing strategies).Conclusions The Consensus is scientific and practical to a certain extent,providing guidance and reference for the safety management practice of AD inpatients.

关 键 词：阿尔茨海默病 安全管理 住院患者 护理 专家共识 

分 类 号：R749.16[医药卫生—神经病学与精神病学]