机械通气胃肠功能障碍患者护理管理方案的构建  

Construction of a nursing management plan for gastrointestinal dysfunction in patients receiving mechanical ventilation

作　　者：张利娟[1,2] 王璞 郭诗畅 薛孟奇 马世红[1,2] 吴巧媚[1,2] Zhang Lijuan;Wang Pu;Guo Shichang;Xue Mengqi;Ma Shihong;Wu Qiaomei(Intensive Care Unit,Fangcun Hospital,Guangdong Provincial Hospital of Chinese Medicine,Guangzhou 510120,China;The Second Clinical College of Guangzhou University of Chinese Medicine,Guangzhou 510405,China;Yiyang Medical College,Yiyang 413000,China)

机构地区：[1]广东省中医院芳村医院重症医学科,广州510120 [2]广州中医药大学第二临床医学院,广州510405 [3]益阳医学高等专科学校,益阳413000

出　　处：《国际医药卫生导报》2025年第1期163-168,共6页International Medicine and Health Guidance News

基　　金：2020年度广东省中医院中医药科学技术研究专项课题(YN2020HL14,YN2020HL17);2022年度广东省中医院中医药科学技术研究专项课题(YN2022HL15);2021年度广州民政科技基金(2021MZK36)。

摘　　要：目的构建机械通气胃肠功能障碍患者护理管理方案。方法系统检索各大中英文数据库中关于机械通气胃肠功能障碍患者护理管理的文献,检索时限为建库至2022年9月。筛选并提取证据,初步拟定机械通气胃肠功能障碍患者护理管理方案。2023年1—3月采用德尔菲法对15名专家进行2轮函询,对方案初稿内容进行讨论、修订,形成机械通气胃肠功能障碍患者护理管理方案终稿。结果2轮函询专家积极系数均为100%,专家权威系数分别为0.863和0.860,肯德尔协调系数分别为0.546和0.477(均P<0.001)。最终构建的机械通气胃肠功能障碍患者护理管理方案包括3项一级指标、9项二级指标和25项三级指标。结论机械通气胃肠功能障碍患者护理管理方案的构建科学、可靠,能为该类患者的临床护理管理提供参考依据。Objective To construct a nursing management plan for gastrointestinal dysfunction in patients receiving mechanical ventilation.Methods The relevant literatures on nursing management for gastrointestinal dysfunction in patients receiving mechanical ventilation were systematically searched in major Chinese and English databases from the establishment of the databases to September 2022.The evidences were screened and extracted,and the nursing management plan for gastrointestinal dysfunction in patients receiving mechanical ventilation was initially drawn up.From January to March 2023,the Delphi method was used to conduct two rounds of correspondence with 15 experts,then the experts'opinions were integrated,the contents of the plan were revised,and the final draft of nursing management plan for gastrointestinal dysfunction in patients receiving mechanical ventilation was formed.Results The positive coefficients of the two rounds of expert correspondence were both 100%,the expert authority coefficients were 0.863 and 0.860,respectively,and the Kendall coordination coefficients were 0.546 and 0.477,respectively(both P<0.001).The final nursing management plan for gastrointestinal dysfunction in patients receiving mechanical ventilation included 3 first-level indicators,9 second-level indicators,and 25 third-level indicators.Conclusions The construction of nursing management plan for gastrointestinal dysfunction in patients receiving mechanical ventilation is scientific and reliable,which can provide reference for the clinical management of gastrointestinal dysfunction in patients receiving mechanical ventilation.

关 键 词：机械通气 胃肠功能障碍 德尔菲法 循证护理 方案构建 

分 类 号：R473.5[医药卫生—护理学]