江苏卫生事业管理2024,Vol.35Issue(3) :372-376.

基于德尔菲法构建断指再植患者围手术期血管危象风险评估量表

The Scale of Perioperative Vascular Crisis Risk Assessment in Patients with Severed Fin-ger Replantation was Constructed Based on Delphi Method

毛雷音 周文 莫兰 朱琳怡 赵刚 陈丽佳 朱晓丹
江苏卫生事业管理2024,Vol.35Issue(3) :372-376.

基于德尔菲法构建断指再植患者围手术期血管危象风险评估量表

The Scale of Perioperative Vascular Crisis Risk Assessment in Patients with Severed Fin-ger Replantation was Constructed Based on Delphi Method

毛雷音 1周文 1莫兰 1朱琳怡 2赵刚 3陈丽佳 1朱晓丹1
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作者信息

  • 1. 无锡市第九人民医院护理部,江苏 无锡 214000
  • 2. 无锡市第九人民医院运动医学科,江苏 无锡 214000
  • 3. 无锡市第九人民医院手外科,江苏 无锡 214000
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摘要

目的:构建断指再植患者围手术期血管危象风险评估量表,为降低或避免术前、术中、术后血管危象的发生提供参考依据.方法:通过文献回顾、半结构式访谈及临床资料分析,形成断指再植患者围手术期血管危象风险评估初期量表,应用德尔菲法对30名相关领域专家进行2轮咨询.结果:2轮函询专家的积极系数分别为100.00%、93.33%,权威系数分别为0.92、0.93,专家协调程度分别为0.41和0.41(均P<0.001).最终形成包括术前、术中和术后3个维度、20个条目的断指再植患者围手术期血管危象风险评估量表.结论:断指再植患者围手术期血管危象风险评估量表构建方法科学、内容简明实用,可作为断指再植患者围手术期血管危象风险评估的参考工具.

Abstract

Objective:To construct a perioperative vascular crisis risk assessment scale for patients with severed finger replantation,so as to provide reference for reducing or avoiding the occurrence of preoperative,intraoperative and postoperative vascular crises.Methods:Through literature review,semi-structured interview and clinical data analysis,the initial scale of perioperative vascular cri-sis risk assessment in patients with severed finger replantation was formed,and 30 experts in related fields were consulted by Delphi method for 2 rounds.Results:The positive coefficients were 100.00%and 93.33%,the authority coefficients were 0.92 and 0.93,and the coordination degree of experts were 0.41 and 0.41(all P<0.001).Finally,the perioperative vascular crisis risk assessment scale of patients with severed finger regrafting was formed,which included 3 dimensions before,during and after operation and 20 items.Con-clusion:The perioperative vascular crisis risk assessment scale is scientific,simple and practical,and can be used as a reference tool for perioperative vascular crisis risk assessment in patients with severed finger replantation.

关键词

断指再植/围手术期/血管危象/风险评估/德尔菲法

Key words

Severed Finger Replantation/Perioperative/Vascular Crisis/Risk Assessment/Delphi Method

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基金项目

中华护理学会青年项目(ZHKYQ202317)

江苏省医院管理创新研究项目(JSYGY-3-2023-10)

无锡市护理学会面上项目(M202113)

无锡市护理学会青年项目(Q202310)

出版年

2024
江苏卫生事业管理
江苏省医学会

江苏卫生事业管理

影响因子:0.453
ISSN:1005-7803
参考文献量12
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