中国临床护理2024,Vol.16Issue(1) :11-18.DOI:10.3969/j.issn.1674-3768.2024.01.003

加速康复理念下腹腔镜口腔黏膜输尿管成形术围术期护理方案的构建

Construction of perioperative nursing plan for patients receiving laparoscopic oral mucosal ureteroplasty based on ERAS

李念莲 付沫 张凤勤 赵晓松 张秀琴 周芳芳 冯庆
中国临床护理2024,Vol.16Issue(1) :11-18.DOI:10.3969/j.issn.1674-3768.2024.01.003

加速康复理念下腹腔镜口腔黏膜输尿管成形术围术期护理方案的构建

Construction of perioperative nursing plan for patients receiving laparoscopic oral mucosal ureteroplasty based on ERAS

李念莲 1付沫 1张凤勤 1赵晓松 1张秀琴 1周芳芳 1冯庆1
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作者信息

  • 1. 434020 湖北荆州,长江大学附属荆州医院
  • 折叠

摘要

目的 构建加速康复理念下腹腔镜口腔黏膜输尿管成形术围手术期的护理方案,为临床护理实践和科研提供理论依据.方法 系统检索加速康复外科(enhanced recovery after surgery,ERAS)腹腔镜口腔黏膜输尿管成形术相关文献,通过文献筛选和质量评价,初步拟定加速康复理念下腹腔镜口腔黏膜输尿管成形术围手术期的护理方案.采用德尔菲专家函询法,对方案条目进一步完善,形成最终护理方案.结果 共进行 2 轮专家函询,2 轮函询问卷有效回收率分别为 95.24%、100.00%,专家权威系数分别为 0.87、0.87,肯德尔和谐系数分别为0.18、0.21(均P<0.001).第 2 轮函询,各条目变异系数为 0~0.20,重要性评分为 3.95~5.00 分,最终形成包含 4 个一级条目,27个二级条目,60个三级条目的加速康复理念下腹腔镜口腔黏膜输尿管成形术围手术期护理方案.结论该研究构建的护理方案具有可靠性、实用性和针对性,应用该方案能缓解手术为患者带来的不适,促进患者术后恢复.

Abstract

Objective To construct the perioperative nursing plan for patients receiving laparoscopic oral mucosal ureteroplasty based on the concept of enhanced recovery after surgery(ERAS),so as to provide theoretical and research basis for clinical nursing.Methods Articles on perioperative nursing plan for patients receiving laparoscopic oral mucosal ureteroplasty based on the concept of ERAS were systematically searched in databases.After screening and quality evaluation,the draft for the perioperative nursing was prepared.The final items and their weights were settled using the Delphi method.Results The effective recovery rates for the two-round letter consultation were 95.24%and 100.00%respectively,and the expert authority coefficients were both 0.87,with the Kendall concordance coefficient of 0.18 and 0.21,respectively(P<0.001 for all).In the second-round letter consultation,the coefficient of variation of each item was 0~0.20,and the significance ranged from 3.95 to 5.00.The final nursing plan consisted of 4 first-level items,27 secondary ones and 60 third-level ones.Conclusion The nursing plan constructed is reliable,practical and well-targeted.Its application can alleviate the postoperative discomfort and promote patients'recovery.

关键词

加速康复外科/口腔黏膜/输尿管成形术/围手术期护理/德尔菲法

Key words

Enhanced recovery after surgery/Oral mucosa/Ureteroplasty/Perioperative nursing/Delphi method

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出版年

2024
中国临床护理
中国医师协会 武汉市医学科学研究所

中国临床护理

影响因子:0.843
ISSN:1674-3768
参考文献量13
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