微创外科手术患者静脉血栓栓塞症个体化预防干预策略的构建  

Construction of personalized prevention and intervention strategies for venous thromboembolism in patients undergoing minimally invasive surgery

作　　者：王昔红 胡艳 张蝶 王梅玲 Wang Xihong;Hu Yan;Zhang Die;Wang Meiling(Department of Minimally Invasive Surgery,West China Fourth University Hospital,Sichuan University,Chengdu,Sichuan 610000,China)

机构地区：[1]四川大学华西第四医院微创外科,四川成都610000

出　　处：《现代临床医学》2024年第3期191-193,197,共4页Journal of Modern Clinical Medicine

摘　　要：目的:构建微创外科手术患者静脉血栓栓塞症(VTE)个体化预防干预策略,减少微创外科手术患者发生VTE的风险。方法:通过深入访谈结合文献回顾,拟定微创外科手术患者VTE个体化预防初步干预策略,选取15名专家开展两轮德尔菲专家咨询,对该策略各条目进行修订,最终构建出微创外科手术患者VTE个体化预防干预策略。结果:微创外科手术患者VTE个体化预防干预策略共包含一级指标3项、二级指标7项、三级指标17项;两轮函询专家问卷回收率均为100%,判断系数分别为0.91、0.93,熟悉程度分别为0.82、0.83,权威系数分别为0.86.0.88,Kendall系数分别为0.271.0.359。结论:微创外科手术患者VTE个体化预防干预策略的构建过程严谨,具有可靠性,可用于微创外科VTE的预防,以降低微创外科手术患者VTE发生率。Objective:To construct a personalized prevention and intervention strategy for venous thromboembolism(VTE)in patients undergoing minimally invasive surgery in order to reduce the risk of VTE in these patients.Methods:Through in-depth interviews and literature review,a preliminary intervention strategy for individualized prevention of VTE in patients undergoing minimally invasive surgery was formulated.Fifteen experts were selected to conduct two rounds of Delphi expert consultation to revise each item of the strategy.Finally,a personalized prevention intervention strategy for VTE in patients undergoing minimally invasive surgery was constructed.Results:The individualized prevention and intervention strategy for VTE in patients undergoing minimally invasive surgery includes 3 primary indicators,7 secondary indicators,and 17 tertiary indicators.The response rates of expert questionnaires for both rounds of inquiry were 100%.The two rounds of inquiry showed judgment coefficients of 0.91 and 0.93,familiarity levels of 0.82 and 0.83,authority coefficients of 0.86 and 0.88,and Kendall coefficients of 0.271 and 0.359,respectively.Conclusion:The construction process of personalized prevention and intervention strategies for VTE in patients undergoing minimally invasive surgery is rigorous and reliable.It can be used for the prevention of VTE in minimally invasive surgery to reduce the incidence of VTE in these patients.

关 键 词：微创外科手术 静脉血栓栓塞症 预防 干预 

分 类 号：R47[医药卫生—护理学]