基于症状管理理论肝移植术后谵妄患者非药物干预方案的构建  

Construction of Non-Pharmacological Intervention Program for Patients with Postoperative Delirium After Liver Transplantation Based on Symptom Management Theory

作　　者：程莉洁 张丙良 娄连玉 孙慧慧 徐庆国 刘恒 Cheng Lijie;Zhang Bingliang;Lou Lianyu;Sun Huihui;Xu Qingguo;Liu Heng(School of Nursing,Qingdao University,Qingdao 266000,Shandong Province,China;Department of Liver Transplantation,Affiliated Hospital of Qingdao University,Qingdao 266000,Shandong Province,China)

机构地区：[1]青岛大学护理学院,山东青岛266000 [2]青岛大学附属医院肝移植科,山东青岛266000

出　　处：《中国社区医师》2025年第1期132-134,共3页Chinese Community Doctors

基　　金：国家自然科学基金项目(编号:81900575)。

摘　　要：术后谵妄(POD)是肝移植术后患者常见的并发症,严重影响术后康复及生活质量。因此,明确肝移植POD患者症状体验,并探索个性化的干预措施对其进行症状管理尤为重要。该研究参考国内外文献,采用德尔菲专家函询法构建基于症状管理理论肝移植POD患者的非药物干预方案,经过2轮专家函询,最终形成包括3个一级指标、8个二级指标、46个三级指标,具有可靠性和全面性,为肝移植POD患者的症状管理提供理论依据和实践参考。Postoperative delirium(POD)is a common complication in patients after liver transplantation,and seriously affects postoperative rehabilitation and quality of life.Therefore,it is particularly important to clarify the symptom experience of patients with POD after liver transplantation and explore individualized interventional measures to manage their symptoms.In this study,non-pharmacological intervention program for patients with POD after liver transplantation based on symptom management theory was constructed using Delphi expert consultation method and referencing the domestic and international literatures.After two rounds of expert consultation,the final program was formed,including 3 primary indicators,8 secondary indicators,and 46 tertiary indicators,which is reliable and comprehensive,and provides a theoretical basis and practical reference for the symptom management of patients with POD after liver transplantation.

关 键 词：症状管理理论 肝移植 谵妄 非药物干预 

分 类 号：R473.6[医药卫生—护理学]