肝移植受者术后"NANDA-I-NOC-NIC"链接体系的构建
Construction of the postoperative"NANDA-I-NOC-NIC"link system for liver transplant recipients
韩琳秋 1冯志仙 2万鹏夏 3鲁剑芳 3金亚仙 4朱晓筱 3沈鸣雁1
作者信息
- 1. 浙江树人学院树兰国际医学院护理教研室,杭州 310015
- 2. 树兰(杭州)医院护理部,杭州 310000
- 3. 树兰(杭州)医院肝移植中心,杭州 310000
- 4. 树兰(杭州)医院手术室,杭州 310000
- 折叠
摘要
目的 以"NANDA-I-NOC-NIC"链接(简称"NNN-链接")为理论框架,构建肝移植受者术后护理方案,优化肝移植术后护理流程,提高护理质量.方法 回顾性收集树兰(杭州)医院2019年1月—2021年12月的300例肝移植受者术后使用率＞50％的护理诊断,根据NNN-链接理论框架匹配护理结局和护理措施条目.经2轮德尔菲专家函询结合院内研究小组讨论,对条目内容进行评分、讨论与修改,形成最终版的肝移植受者术后核心NNN-链接.结果 2轮专家咨询法的回收率分别为96.67％(29/30)和100.00％(29/29),专家权威系数分别为0.83、0.84;第2轮函询的肯德尔和谐系数为0.50、0.38、0.35.最终形成的肝移植受者术后NNN-链接包括15项护理诊断、42项护理结局、106项护理措施.结论 肝移植受者术后NNN-链接构建过程科学合理,条目专业性强,可为临床肝移植术后护理提供参考依据.
Abstract
Objective To construct a postoperative nursing plan for liver transplant recipients using the NANDA international,nursing outcomes classification,nursing intervention classification(NANDA-I-NOC-NIC)link(referred to as NNN-link)as the theoretical framework,so as to optimize the nursing process after liver transplantation and improve the quality of nursing.Methods This study retrospectively collected nursing diagnoses with a postoperative usage rate of over 50％from 300 liver transplant recipients at Shulan(Hangzhou)Hospital from January 2019 to December 2021,and matched nursing outcomes and measures based on the NNN-link theory framework.After two rounds of Delphi expert consultation and group discussion,the entry content was rated,discussed,and modified to form the final version of the postoperative NNN-link for liver transplant recipients.Results In two rounds of expert consultation,the recovery rates were 96.67％(29/30)and 100.00％(29/29),respectively.The expert authority coefficients were 0.83 and 0.84,respectively.The Kendall harmony coefficients for the second round were 0.50,0.38,0.35.The final postoperative NNN-link for liver transplant recipients included 15 nursing diagnoses,42 nursing outcomes,and 106 nursing measures.Conclusions The process of constructing the postoperative NNN-link for liver transplant recipients is scientific and reasonable,and the entries are highly specialized,which can provide reference for clinical nursing after liver transplantation.
关键词
围手术期护理/肝移植/标准化护理语言/NNN-链接/德尔菲法Key words
Perioperative nursing/Liver transplantation/Standardized nursing language/NNN-link/Delphi method引用本文复制引用
基金项目
浙江省医药卫生科技计划(2023KY215)
出版年
2024
NETL
NSTL
万方数据