摘要
目的 探讨腹膜透析专科护士处方内容和形式.方法 采用德尔菲法对三级医院11位护理学专家、6位临床医学专家与3位药学专家进行2轮专家函询,整理归纳和统计分析每一轮的函询结果,初步确定处方内容.结果 2轮专家积极系数分别为0.80和1,权威系数分别为0.90和0.82;腹膜透析专科护士非药物处方73项,包括45项独立处方、19项协议处方、9项独立/协议处方;药物处方23项,包括9项独立处方、9项协议处方、1项独立/协议处方、4项协议/延长处方.结论 腹膜透析专科护士的处方主要以非药物处方为主,药物处方为辅.
Abstract
Objective:Nurse prescribing has been developed globally for more than 50 years,and based on the research and development of nurse prescribing at home and abroad,this study initiated a preliminary discussion on the content and form of nurse prescribing for peritoneal dialysis specialists.Methods:The Delphi method was used to conduct two rounds of expert correspondence with 11 nursing specialists,6 clinical medicine specialists and 3 pharmacy specialists in tertiary hospitals to collate,summarize and analyze statistically the results of each round of correspondence to determine initially the content of the prescription.Results:The two rounds of expert positivity coefficients were 0.80 and 1,respectively,and the authority coefficients were 0.90 and 0.82,respectively;there were 73 nonpharmacological prescriptions for peritoneal dialysis specialist nurses,including 45 stand-alone,19 protocol,and 9 stand-alone/protocol;and 23 pharmacological prescriptions,including 9 stand-alone,9 protocol,1 stand-alone/protocol,and 4 protocol/extended prescriptions.Conclusion:The two rounds of expert correspondence in this study were authoritative and the findings were reliable.It was initially established that the prescribing of peritoneal dialysis specialist nurses is mainly based on non-pharmacological prescribing,supplemented by pharmacological prescribing.
维普
万方数据