脓毒症患者ICU获得性衰弱风险因素评估表的构建  

Construction of a risk factor assessment scale for ICU-acquired weakness in sepsis patients

作　　者：许金玲 刘艺[3] 姜金霞[2] 刘树炀 孙晓[4] 王冶金 夏天娇 李仲蕖 XU Jinling;LIU Yi;JIANG Jinxia;LIU Shuyang;SUN Xiao;WANG Yejin;XIA Tianjiao;LI Zhongqu(School of Medicine,Tongji University,Shanghai 200092;Department of Nursing,Tenth People’s Hospital of Tongji University,Shanghai 200072;Department of Rehabilitation,Tenth People’s Hospital of Tongji University,Shanghai 200072;Department of Nursing,Fourth People’s Hospital of Tongji University,Shanghai 200434,China)

机构地区：[1]同济大学医学院,上海200092 [2]同济大学附属第十人民医院护理部,上海200072 [3]同济大学附属第十人民医院康复科,上海200072 [4]同济大学附属上海市第四人民医院护理部,上海200434

出　　处：《临床与病理杂志》2025年第1期38-45,共8页Journal of Clinical and Pathological Research

基　　金：国家自然科学基金(72104181);上海申康医院发展中心医企融合创新支撑技能培训专项基金(SHDC2023CRS002)。

摘　　要：目的:目前临床上对脓毒症患者发生重症监护病房(IntensiveCareUnit,ICU)获得性衰弱的危险因素缺乏系统的评估。本研究旨在构建脓毒症患者ICU获得性衰弱的风险因素评估表,为脓毒症患者ICU获得性衰弱的早期评估提供依据。方法:成立研究小组,通过文献检索筛选出脓毒症患者ICU获得性衰弱的风险因素,小组内讨论后初步构建风险因素评估表,并运用德尔菲法和层次分析法制订脓毒症患者ICU获得性衰弱风险因素评估表和确定各指标权重。结果:共进行了2轮专家函询,2轮专家函询的积极系数均为100%,权威系数均为0.90,肯德尔协调系数(Kendall’sW)分别为0.379和0.416,差异均有统计学意义(均P<0.01)。最终构建的风险因素评估表,其包括5个维度33个条目。结论:构建的脓毒症患者ICU获得性衰弱风险因素评估表具有一定的科学性,能够为脓毒症患者ICU获得性衰弱的风险测评提供参考依据。Objective:Currently,there is a lack of systematic evaluation of risk factors for Intensive Care Unit(ICU)-acquired weakness in sepsis patients in clinical practice.This study aims to construct a risk factor assessment scale for ICU-acquired weakness in sepsis patients to provide a basis for early evaluation.Methods:A research group was established to extract risk factors of ICU-acquired weakness in sepsis patients through literature review.After group discussion,a preliminary risk factor assessment scale was drafted.The Delphi method and analytic hierarchy process were then used to finalize the assessment scale and determine the weight of each indicator.Results:Two rounds of expert consultations were conducted,with a 100%positive response rate in both rounds and an authority coefficient of 0.90.The Kendall’s W values were 0.379 and 0.416,respectively,both with statistically significant(P<0.01).The final assessment scale included 5 dimensions comprising a total of 33 items.Conclusion:The constructed risk factor assessment scale for ICU-acquired weakness in sepsis patients is scientifically sound and provides a reference for the risk evaluation of ICU-acquired weakness in this population.

关 键 词：脓毒症 重症监护病房获得性衰弱 风险评估 护理 层次分析法 

分 类 号：R473.5[医药卫生—护理学]