重症自身免疫性脑炎血浆置换护理专家共识
Expert consensus on plasma exchange nursing for severe autoimmune encephalitis
龚立超 1常红 2刘芳 1田思颖 1孙蕊1
作者信息
- 1. 首都医科大学宣武医院神经内科,北京 100053
- 2. 首都医科大学宣武医院神经内科,北京 100053;北京护理学会神经内科专业委员会,北京 100005
- 折叠
摘要
目的 形成重症自身免疫性脑炎血浆置换护理专家共识(简称《共识》),规范重症自身免疫性脑炎血浆置换护理实践.方法 查阅和汇总重症自身免疫性脑炎血浆置换相关文献后,提取相关护理证据,形成《共识》初稿.于2023年9-10月选取20名专家进行2轮专家函询,对专家函询结果进行分析、整理、修改,形成《共识》终稿.结果 专家积极系数为100.00％(20/20),专家判断依据系数为0.89,专家熟悉程度为0.85,专家权威系数为0.87,肯德尔和谐系数为0.15～0.22(P＜0.05).最终形成的《共识》包括血浆置换质控管理、置换前的准备与评估、置换中的设置与监测、置换后的评价与维护.结论 本《共识》实用性较强,为重症自身免疫性脑炎血浆置换临床护理实践和质量控制提供指导依据.
Abstract
Objective To form an expert consensus on plasma exchange nursing for severe autoimmune encephalitis("Consensus"for short)and standardize the practice of plasma exchange nursing for severe autoimmune encephalitis.Methods After reviewing and summarizing the literature related to plasma exchange of severe autoimmune encephalitis,the relevant nursing evidence was extracted and the draft of Consensus was formed.From September to October 2023,a total of 20 experts were selected to conduct two rounds of expert letter consultation,and then the expert results were analyzed,sort outed and modified to form the final draft of the Consensus.Results The expert positive coefficient was 100.00％(20/20),the expert judgment basis coefficient was 0.89,the expert familiarity coefficient was 0.85,the expert authority coefficient was 0.87,and the Kendall harmony coefficient was 0.15-0.22(P＜0.05).The final Consensus included plasma exchange quality control management,preparation and evaluation before plasma exchange,setting and monitoring during plasma exchange,and evaluation and maintenance after plasma exchange.Conclusions This Consensus is practical and can provide guidance for clinical nursing practice and quality control of plasma exchange in severe autoimmune encephalitis.
关键词
重症监护/自身免疫性脑炎/血浆置换/护理/专家共识Key words
Intensive care/Autoimmune encephalitis/Plasma exchange/Nursing care/Expert consensus引用本文复制引用
出版年
2024
NETL
NSTL
万方数据