成人外科手术患者口渴管理方案的构建  

Construction of a thirst management scheme for adult surgical patients

作　　者：朱颖[1] 吕剑虹[2] 王欣琦 蔡梦怡 张伟英[4] Zhu Ying;Lyu Jianhong;Wang Xinqi;Cai Mengyi;Zhang Weiying(School of Nursing,Soochow University,Suzhou 215021,China;Department of Intensive Care Unit,East Hospital Affiliated to Tongji University,Shanghai 200120,China;School of Medicine,Tongji University,Shanghai 200092,China;Department of Nursing,East Hospital Affiliated to Tongji University,Shanghai 200120,China)

机构地区：[1]苏州大学护理学院,江苏苏州215021 [2]同济大学附属东方医院重症监护室,上海200120 [3]同济大学医学院,上海200092 [4]同济大学附属东方医院护理部,上海200120

出　　处：《中华现代护理杂志》2024年第22期3007-3013,共7页Chinese Journal of Modern Nursing

基　　金：上海市浦东新区卫生系统重要薄弱学科建设项目(PWZbr2022-04);上海市浦东新区卫生系统领先人才培养计划(PWR12020-10);上海市东方医院人才计划(DFRC2017017)。

摘　　要：目的构建成人外科手术患者口渴管理方案,为护理人员开展围手术期口渴管理提供实践指导。方法2023年4—5月通过文献检索提取国内外口渴相关证据,经小组讨论初步构建成人外科手术患者口渴管理方案;2023年5—6月选择18名专家进行2轮德尔菲专家函询,根据专家意见讨论修改形成成人外科手术患者口渴管理的正式方案。结果共18名专家完成2轮专家函询,问卷有效回收率均为100.00%,专家权威系数为0.915。第1轮专家函询的重要性和可操作性评分变异系数分别为0.05~0.25、0.06~0.42,肯德尔和谐系数分别为0.224和0.184(P<0.01);第2轮函询的重要性和可操作性评分变异系数分别为0.05~0.23、0.06~0.24,肯德尔和谐系数分别为0.166、0.154(P<0.01)。最终构建的口渴管理方案包括5个一级条目(前期准备、识别评估、术前缓解策略、术后干预措施和效果评价)和23个二级条目。结论本研究构建的成人外科手术患者口渴管理方案具有较好的科学性和全面性,可为临床实践提供参考依据。ObjectiveTo construct a thirst management scheme for adult surgical patients and provide practical guidance for nurses to carry out perioperative thirst management.MethodsFrom April to May 2023,literature search was conducted to extract domestic and foreign evidence related to thirst,and after group discussion,a preliminary management plan for thirst in adult surgical patients was constructed.From May to June 2023,18 experts were selected for two rounds of Delphi expert letter consultation,and a formal plan for thirst management of adult surgical patients was discussed and revised according to expert opinions.ResultsA total of 18 experts completed two rounds of expert letter consultation.The effective recovery rate of the questionnaire was 100.00%and the expert authority coefficient was 0.915.The coefficients of variation for the importance and operability scores of the first round of expert inquiry were 0.05-0.25 and 0.06-0.42,respectively,and the Kendall's harmony coefficients were 0.224 and 0.184(P<0.01).The coefficients of variation for the importance and operability scores of the second round of inquiry were 0.05-0.23 and 0.06-0.24,respectively,and the Kendall's harmony coefficients were 0.166 and 0.154(P<0.01).The final thirst management scheme included five primary items(preliminary preparation,identification and evaluation,preoperative relief strategies,postoperative intervention measures and effectiveness evaluation)and 23 secondary items.ConclusionsThe thirst management scheme for adult surgical patients constructed in this study is scientific and comprehensive,which can provide a reference basis for clinical practice.

关 键 词：围手术期护理 口渴 成人手术 预防 德尔菲法 

分 类 号：R473.6[医药卫生—护理学]