重度及特重度烧伤患者康复期照护干预方案的多维度构建  

Construction of rehabilitation care intervention plans for severe and extremely severe burn patients based on multiple perspectives

作　　者：沈婷 石磊磊 赵海洋 张美霞 焦晓春 陈宝莉 王志娟 王立娜 赵向阳 周琴 Shen Ting;Shi Leilei;Zhao Haiyang;Zhang Meixia;Jiao Xiaochun;Chen Baoli;Wang Zhijuan;Wang Lina;Zhao Xiangyang;Zhou Qin(Department of Burns and Cutaneous Surgery,the First Affiliated Hospital of Air Force Medical University,Xi′an 710032,China;Department of Nursing,Burn Center of PLA,the First Affiliated Hospital of Air Force Medical University,Xi′an 710032,China)

机构地区：[1]空军军医大学第一附属医院全军烧伤中心烧伤与皮肤外科,西安710032 [2]空军军医大学第一附属医院全军烧伤中心护理处,西安710032

出　　处：《中华损伤与修复杂志(电子版)》2025年第2期133-140,共8页Chinese Journal of Injury Repair and Wound Healing(Electronic Edition)

基　　金：陕西省重点研发计划项目(2023-YBSF-578);军队护理创新与培育专项计划(2023HL046)。

摘　　要：目的多维度构建重度及特重度烧伤患者康复期照护干预方案,为提高患者康复期生活质量提供护理依据。方法以护理程序理论、福利多元理论及ABC-X模型为参考,通过文献回顾和半结构化访谈初步制定重度及特重度烧伤患者康复期照护干预方案,运用德尔菲法进行2轮专家函询,总结后形成最终干预方案。结果第1轮、第2轮专家函询问卷回收率分别为93.75%和100%。第2轮专家函询的肯德尔和谐系数为0.163~0.195(P<0.05),各指标变异系数均<0.25。最终构建了重度及特重度烧伤患者康复期照护干预方案,包括烧伤康复评估、康复期照护计划、康复期照护实施和康复期照护评价4个维度,共61个条目。结论多维度构建重度及特重度烧伤患者康复期照护干预方案,能够为临床护理人员及患者提供更加科学、清晰、明确的指导,从而提高患者康复疗效及生活质量。Objective To construct the rehabilitation care intervention plans for severe and extremely severe burn patients based on multiple perspectives,provide nursing basis for improving patients′quality of life during the rehabilitation period.Methods Based on the nursing program theory,welfare diversity theory,and ABC-X model,a preliminary rehabilitation care intervention plan for severe and extremely severe burn patients was developed through literature review and semi-structured interviews.The Delphi method was used for two rounds of expert consultations and formed the final intervention plans after summary.Results The response rates for the first and second rounds of questionnaires was 93.75%and 100%,respectively.The kendall′s coefficient of concordance of expert consultations in the second round were 0.163-0.195(P<0.05).The coefficients of variation of the indexes in the second round was<0.25.The rehabilitation care intervention plans for severe and extremely severe burn patients were constructed,consisting of 61 items in four dimensions:burn rehabilitation assessment,rehabilitation care plan,rehabilitation care implementation,and rehabilitation care evaluation.Conclusion Multidimensional construction of rehabilitation care intervention plans for severe and extremely severe burn patients can provide more scientific,clear,and precise guidance for clinical nursing staff and patients,thereby improving the rehabilitation efficacy and quality of life of patients.

关 键 词：烧伤 康复期 照护干预 德尔菲法 

分 类 号：R47[医药卫生—护理学]