ISSN 2097-6054(网络) ISSN 1672-9234(印刷) CN 11-5289/R
主管:中国科学技术协会 主办:中华护理学会
出版:中华护理杂志社
收录:中国科学引文数据库(CSCD)来源期刊
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临床实践

ICU入室前标准化访视内容的构建及效果评价

  • 孙顺霞 ,
  • 唐晓铃 ,
  • 官莉 ,
  • 张爱国
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  • 400016 重庆市 中国科学院大学重庆医院(重庆市人民医院)
孙顺霞:女,硕士,主管护师,E-mail:564262627@qq.com

收稿日期: 2019-06-05

  网络出版日期: 2020-01-20

基金资助

重庆市2018年科卫联合医学科研项目(2018MSXM029);重庆市人民医院“5.12人才工程”优秀青年人才项目

Development of ICU pre-admission standardized visiting contents

  • Shun-xia SUN ,
  • Xiao-ling TANG ,
  • Li GUAN ,
  • Ai-guo ZHANG
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Received date: 2019-06-05

  Online published: 2020-01-20

摘要

目的 初步构建符合我国临床使用的ICU入室前标准化访视内容,并进行效果评价。 方法 通过文献回顾分析以及患者半结构式访谈构建标准化访视内容框架并形成条目池,经过2轮专家咨询确定标准化访视内容。使用标准化访视内容对135例即将转入ICU的患者进行入室前访视,并采用自制访视效果调查表对访视效果进行评价。 结果 德尔菲法专家权威系数为0.78,2轮函询重要性评分的协调系数为0.17~0.30。最终形成包括人员介绍、环境介绍、相关制度介绍、沟通与配合、常见不适、用物准备6项一级条目,18项二级条目和39项三级条目的访视内容。访视效果调查表总得分为(18.40±0.53)分,访视效果良好。 结论 ICU入室前标准化访视内容的构建理论依据充分、内容全面,构建过程科学、规范,设计合理,具有良好的临床适用性,适合用于ICU入室前的访视。

本文引用格式

孙顺霞 , 唐晓铃 , 官莉 , 张爱国 . ICU入室前标准化访视内容的构建及效果评价[J]. 中华护理教育, 2020 , 17(1) : 80 -83 . DOI: 10.3761/j.issn.1672-9234.2020.01.017

Abstract

Objective To develop an ICU pre-admission standardized visiting contents which is suitable for clinical application in China and to evaluate its effects. Methods The theoretical framework and item pool were developed through literature review and patients’ semi-structured interview. The contents of the visiting were adjusted and revised with two rounds of Delphi method. A total of 135 patients who would transferred to ICU were visited before entering the room with standardized interview contents,and the visiting effects was evaluated by the self-made questionnaire. Results The degree of experts’ authority were 0.78. The two rounds’ Kendall’s coordination coefficients of ICU pre-admission visiting scale were 0.17~0.30. The contents of ICU pre-admission visiting include 6 first-level items which contained personnel introduction,environment introduction,related system introduction,communication and cooperation,common discomfort,and preparation of appliances,18 second-level items and 39 third-level item. The total scores of the questionnaire was 18.40±0.53,indicating a good visiting effects. Conclusion The development of ICU pre-admission visiting contents are based on sufficient theoretical evidence. The process of construction is scientific,standardized,and reasonable. It has good clinical practicability. They are suitable for the use of ICU pre-admission visit.

参考文献

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