Construction of Standardized Nursing Indicators for Embedded Extracorporeal Membrane Oxygen-ation Combined with Continuous Renal Replacement Therapy
Objective To construct standardized nursing indicators for embedded extracorporeal membrane oxygenation(ECMO)combined with continuous renal replacement therapy(CRRT),aiming to provide a basis for healthcare providers in clinical practice of embedded ECMO combined with CRRT.Methods Articles regarding standardized nursing care in the embedded ECMO combined with CRRT were systematically retrieved in Chinese and foreign databases,including guidelines,expert consensuses,evidence summaries,system evaluations and clinical decisions.Then,the quality of the included articles was evaluated and the evidence was extracted and summarized from qualified articles.A standard nursing procedure for embedded ECMO combined with CRRT was drafted and then refined into a final version through two rounds of expert consultation by the Delphi method.Results A total of 10 relevant articles were included,including 2 guidelines,2 expert consensuses,2 evidence summaries,2 systematic evaluations and 2 clinical decisions.For the two rounds of expert consultation,the effective recovery rates of questionnaires were 100%,the authoritative coefficients were 0.910 and 0.915,the coefficients of variation were 0.12-0.29 and 0.05-0.21,and the coefficients of concordance were 0.674 and 0.721,respectively.A total of 15 nursing indicators encompassing the following 6 domains were finally constructed:coagulation function care,blood gas care,ventilation settings,hemodynamic care,CRRT-related care and post-withdrawal care.Conclusion The construction of nursing indicators for embedded ECMO combined with CRRT is rooted in an evidence-based approach and the Delphi method,ensuring their scientific credibility and practical utility.These indicators can provide certain references for healthcare providers involved in the clinical nursing of patients undergoing embedded ECMO combined with CRRT,thereby enhancing the treatment experience of patients.
Extracorporeal membrane oxygenationContinuous renal replacement therapyOperating proce-dureSummary of evidence
国家科技期刊平台
NSTL
万方数据
维普
