肝移植受者术后“NANDA-I-NOC-NIC”链接体系的构建  

Construction of the postoperative"NANDA-I-NOC-NIC"link system for liver transplant recipients

作　　者：韩琳秋 冯志仙 万鹏夏 鲁剑芳 金亚仙 朱晓筱 沈鸣雁 Han Linqiu;Feng Zhixian;Wan Pengxia;Lu Jianfang;Jin Yaxian;Zhu Xiaoxiao;Shen Mingyan(Nursing Teaching and Research Office,Shulan International Medical College,Zhejiang Shuren University,Hangzhou 310015,China;Nursing Department,Shulan(Hangzhou)Hospital,Hangzhou 310000,China;Liver Transplantation Center,Shulan(Hangzhou)Hospital,Hangzhou 310000,China;Operating Room,Shulan(Hangzhou)Hospital,Hangzhou 310000,China)

机构地区：[1]浙江树人学院树兰国际医学院护理教研室,杭州310015 [2]树兰(杭州)医院护理部,杭州310000 [3]树兰(杭州)医院肝移植中心,杭州310000 [4]树兰(杭州)医院手术室,杭州310000

出　　处：《中华现代护理杂志》2024年第15期2033-2041,共9页Chinese Journal of Modern Nursing

基　　金：浙江省医药卫生科技计划项目(2023KY215)。

摘　　要：目的以"NANDA-I-NOC-NIC"链接(简称"NNN-链接")为理论框架,构建肝移植受者术后护理方案,优化肝移植术后护理流程,提高护理质量。方法回顾性收集树兰(杭州)医院2019年1月—2021年12月的300例肝移植受者术后使用率>50%的护理诊断,根据NNN-链接理论框架匹配护理结局和护理措施条目。经2轮德尔菲专家函询结合院内研究小组讨论,对条目内容进行评分、讨论与修改,形成最终版的肝移植受者术后核心NNN-链接。结果2轮专家咨询法的回收率分别为96.67%(29/30)和100.00%(29/29),专家权威系数分别为0.83、0.84;第2轮函询的肯德尔和谐系数为0.50、0.38、0.35。最终形成的肝移植受者术后NNN-链接包括15项护理诊断、42项护理结局、106项护理措施。结论肝移植受者术后NNN-链接构建过程科学合理,条目专业性强,可为临床肝移植术后护理提供参考依据。Objective To construct a postoperative nursing plan for liver transplant recipients using the NANDA international,nursing outcomes classification,nursing intervention classification(NANDA-I-NOC-NIC)link(referred to as NNN-link)as the theoretical framework,so as to optimize the nursing process after liver transplantation and improve the quality of nursing.Methods This study retrospectively collected nursing diagnoses with a postoperative usage rate of over 50%from 300 liver transplant recipients at Shulan(Hangzhou)Hospital from January 2019 to December 2021,and matched nursing outcomes and measures based on the NNN-link theory framework.After two rounds of Delphi expert consultation and group discussion,the entry content was rated,discussed,and modified to form the final version of the postoperative NNN-link for liver transplant recipients.Results In two rounds of expert consultation,the recovery rates were 96.67%(29/30)and 100.00%(29/29),respectively.The expert authority coefficients were 0.83 and 0.84,respectively.The Kendall harmony coefficients for the second round were 0.50,0.38,0.35.The final postoperative NNN-link for liver transplant recipients included 15 nursing diagnoses,42 nursing outcomes,and 106 nursing measures.Conclusions The process of constructing the postoperative NNN-link for liver transplant recipients is scientific and reasonable,and the entries are highly specialized,which can provide reference for clinical nursing after liver transplantation.

关 键 词：围手术期护理 肝移植 标准化护理语言 NNN-链接 德尔菲法 

分 类 号：R473.6[医药卫生—护理学]