基于护理风险管理理论的康复科鼻饲患者非计划性拔管风险评估指标体系构建  

Construction of risk assessment index system for unplanned extubation of nasal feeding patients in rehabilitation department based on nursing risk management theory

作　　者：鄢茵[1] 管细红[2] 童华章[2] 张琪 冯珍[1] 李立群 YAN Yin;GUAN Xihong;TONG Huazhang;ZHANG Qi;FENG Zhen;LI Liqun(The First Affiliated Hospital of Nanchang University,Nanchang 330006,Jiangxi,China;Jiangxi Provincial People's Hospital,Nanchang 330006,Jiangxi,China)

机构地区：[1]南昌大学第一附属医院,江西南昌330006 [2]江西省人民医院,江西南昌330006

出　　处：《护士进修杂志》2024年第6期588-593,共6页Journal of Nurses Training

基　　金：江西省科技成果转化类项目(编号:20171BEI90006)。

摘　　要：目的构建科学的康复科鼻饲患者非计划性拔管(UEX)风险指标体系,为预防鼻饲患者非计划性拔管提供依据。方法通过文献回顾制定出康复科鼻饲患者UEX风险评估指标体系初稿,并应用德尔菲法对17名专家进行2轮函询,采用层次分析法确定各指标权重。结果2轮专家问卷回收有效率分别为100%、94.1%,专家权威程度分别为0.94、0.91,肯德尔协调系数分别为0.558和0.534(均P<0.001),最终形成康复科鼻饲患者UEX风险指标体系,包括一级指标3项,二级指标24项,三级指标60项。结论基于德尔菲法的康复科鼻饲患者UEX风险指标体系具有科学性和合理性,对指引临床工作具有重要意义。Objective To construct a scientific risk index system of unplanned extubation(UEX)for nasogastric feeding patients in rehabilitation department,and provide a basis for preventing unplanned extubation of nasogastric feeding patients.Methods The first draft of the risk assessment index system for UEX in patients with nasal feeding in rehabilitation department was formulated through literature review,and 2 rounds of letter inquiries with 17 experts were conducted by using the Delphi method,and the weight of each index was determined by analytic hierarchy process.Results The recovery rates of the expert questionnaires in 2 round were 100%and 94.1%,respectively,and the degrees of expert authority were 0.94 and 0.91,and the Kendall coordination coefficients were 0.558 and 0.534(all P<0.001).The UEX risk index system for nasal feeding patients in rehabilitation department were finally formed,including 3 first-level indicators,24 second-level indicators,and 60 three-level indicators.Conclusion The risk index system of UEX for nasal feeding patients in rehabilitation department based on Delphi method is scientific and reasonable,and it is of great significance for guiding clinical work.

关 键 词：康复科 鼻饲患者风险性评估 德尔菲 专家函询 非计划性拔管 护理 

分 类 号：R471[医药卫生—护理学]