基于循证和德尔菲法构建突发急性传染病患者的航空医学救援转运流程  

Constructing an aviation medical rescue and transportation process for patients with sudden acute infectious diseases based on evidence based and Delphi methods

作　　者：廖莹莹 廖晓霞[2] 廖意芬 LIAO Yingying;LIAO Xiaoxia;LIAO Yifen(Department of Dermatology and Venereology,The Second Affiliated Hospital of Guangxi Medical University,Nanning City,Guangxi Zhuang Autonomous Region,530007,China;Emergency Department,The Second Affiliated Hospital of Guangxi Medical University,Nanning City,Guangxi Zhuang Autonomous Region,530007,China)

机构地区：[1]广西医科大学第二附属医院皮肤性病科,广西南宁530007 [2]广西医科大学第二附属医院急诊科,广西南宁530007

出　　处：《蛇志》2024年第4期438-442,共5页Journal of Snake

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(项目名称:基于循证和德尔菲法构建突发急性传染病患者的航空医学救援转运流程,项目编号:Z20201468)。

摘　　要：目的基于循证和德尔菲法构建科学、实用的突发急性传染病患者航空医学救援转运流程。方法通过中国期刊全文数据库(CKD)、万方数据库、中国知网等中文全文数据库和Web of Science、PubMed、Springerlink、Medline等外文数据库检索与本研究相关的文献,检索时限为2000~2023年,最终纳入6篇文献。基于筛选出的最佳证据,构建突发急性传染病患者的航空医学救援转运流程方案初稿,采用德尔菲法对广西壮族自治区的30名专家进行2轮函询论证。第1轮函询论证由专家对各项条目的重要性和可操作性进行评价,研究小组回收问卷后依据函询意见讨论并修改相关条目,在此基础上形成第2轮专家函询问卷,参照函询结果进一步修订完善突发急性传染病患者航空医学救援转运流程方案。结果经2轮专家函询后,统计其问卷有效回收率均为100%;第1轮函询指标重要性的Kendall'sW系数为0.374(χ^(2)=213.103,P<0.001),指标可操作性的Kendall'sW系数为0.114(χ^(2)=65.219,P<0.001),专家权威系数为0.86。第2轮函询指标重要性的Kendall'sW系数为0.264(χ^(2)=158.184,P<0.001),指标可操作性的Kendall'sW系数为0.105(χ^(2)=62.743,P<0.001),专家权威系数为0.86。突发急性传染病患者的航空医学救援转运流程最终构建了4项一级指标,14项二级指标,8项三级指标的转运流程。结论本研究构建了突发急性传染病患者的航空医学救援转运流程方案,构建方法科学、过程严谨、结果可靠,其对于临床护理实践工作具有一定的参考价值。Objective To establish a scientific and practical aeromedical rescue and transport process for patients with sudden infectious diseases based on evidence-based and Delphi method.Methods The literatures related to this study were searched through Chinese full-text databases such as China Journal Full-text Database(CKD),Wanfang Database,CNKI and foreign language databases such as Web of Science,PubMed,Springerlink and Medline from 2000 to 2023.Finally,6 literatures were included.Based on the best selected evidence,the draft of aeromedric rescue and transport process plan for patients with sudden acute infectious diseases was constructed,and 30 experts in Guangxi were consulted by letter for 2 rounds by Delphi method.In the first round of correspondence,experts evaluated the importance and operability of each item.The research team recovered the questionnaire and discussed and modified the relevant items according to the comments in the correspondence.On this basis,the second round of expert correspondence questionnaire was formed,and the aeromedical rescue and transport process plan for patients with sudden acute infection was further revised and improved with reference to the results of the correspondence.Results After 2 rounds of expert correspondence,the effective recovery rate of the questionnaire was 100%.The Kendall'sW coefficient for the importance of indicators in the first round of correspondence was 0.374(χ^(2)=213.103,P<0.001),the Kendall'sW coefficient for the operability of indicators was 0.114(χ^(2)=65.219,P<0.001),and the expert authority coefficient was 0.86.The Kendall'sW coefficient of the importance of indicators in the second round of correspondence was 0.264(χ^(2)=158.184,P<0.001),the Kendall'sW coefficient of the operability of indicators was 0.105(χ^(2)=62.743,P<0.001),and the expert authority coefficient was 0.86.The aeromedical rescue transport process for patients with sudden acute infectious diseases was finally constructed with 4 first-level indicators,14 second-level indicators and

关 键 词：突发急性传染病 航空医学救援 循证 德尔菲法 

分 类 号：R51[医药卫生—内科学] R184[医药卫生—临床医学]