护士进修杂志2024,Vol.39Issue(6) :588-593.DOI:10.16821/j.cnki.hsjx.2024.06.005

基于护理风险管理理论的康复科鼻饲患者非计划性拔管风险评估指标体系构建

Construction of risk assessment index system for unplanned extubation of nasal feeding patients in rehabilitation department based on nursing risk management theory

鄢茵 管细红 童华章 张琪 冯珍 李立群
护士进修杂志2024,Vol.39Issue(6) :588-593.DOI:10.16821/j.cnki.hsjx.2024.06.005

基于护理风险管理理论的康复科鼻饲患者非计划性拔管风险评估指标体系构建

Construction of risk assessment index system for unplanned extubation of nasal feeding patients in rehabilitation department based on nursing risk management theory

鄢茵 1管细红 2童华章 2张琪 1冯珍 1李立群1
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作者信息

  • 1. 南昌大学第一附属医院,江西南昌 330006
  • 2. 江西省人民医院,江西南昌 330006
  • 折叠

摘要

目的 构建科学的康复科鼻饲患者非计划性拔管(UEX)风险指标体系,为预防鼻饲患者非计划性拔管提供依据.方法 通过文献回顾制定出康复科鼻饲患者UEX风险评估指标体系初稿,并应用德尔菲法对17名专家进行2轮函询,采用层次分析法确定各指标权重.结果 2轮专家问卷回收有效率分别为100%、94.1%,专家权威程度分别为0.94、0.91,肯德尔协调系数分别为0.558和0.534(均P<0.001),最终形成康复科鼻饲患者UEX风险指标体系,包括一级指标3项,二级指标24项,三级指标60项.结论 基于德尔菲法的康复科鼻饲患者UEX风险指标体系具有科学性和合理性,对指引临床工作具有重要意义.

Abstract

Objective To construct a scientific risk index system of unplanned extubation(UEX)for nasogastric feeding patients in rehabilitation department,and provide a basis for preventing unplanned extubation of nasogastric feeding patients.Methods The first draft of the risk assessment index system for UEX in patients with nasal feeding in rehabilitation department was formulated through literature review,and 2 rounds of letter inquiries with 17 ex-perts were conducted by using the Delphi method,and the weight of each index was determined by analytic hierarchy process.Results The recovery rates of the expert questionnaires in 2 round were 100%and 94.1%,respectively,and the degrees of expert authority were 0.94 and 0.91,and the Kendall coordination coefficients were 0.558 and 0.534(all P<0.001).The UEX risk index system for nasal feeding patients in rehabilitation department were finally formed,including 3 first-level indicators,24 second-level indicators,and 60 three-level indicators.Conclusion The risk index system of UEX for nasal feeding patients in rehabilitation department based on Delphi method is scientific and reasonable,and it is of great significance for guiding clinical work.

关键词

康复科/鼻饲患者风险性评估/德尔菲/专家函询/非计划性拔管/护理

Key words

rehabilitation department/nasal feeding patient risk assessment/delphi method/expert corre-spondence/unplanned extubation/nursing

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基金项目

江西省科技成果转化类项目(20171BEI90006)

出版年

2024
护士进修杂志
贵州省医药卫生学会办公室

护士进修杂志

CSTPCDCSCD
影响因子:2.59
ISSN:1002-6975
参考文献量19
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