对成人气管切除术患者的脱管切除方案的内容验证
Margaret Mendonça Diniz da Côrte1, Laélia Cristina Caseiro Vicente1, Amélia Augusta de Lima Friche1
1Departamento de Fonoaudiologia, Faculdade de Medicina, Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brasil.
CoDAS
|September 13, 2023
概括
这项研究验证了使用Delphi技术对气管切除术患者的脱管协议. 专家的共识导致了大量的修订,改善了在气道管理中临床使用的协议.
科学领域:
- 医学 医学 医学 医学 医学
- 呼吸系统疗法 呼吸系统疗法
- 语音语言病理学 语音语言病理学
背景情况:
- 气管切除术是成年患者常见的手术,需要一个标准化的协议,以确保安全的断管.
- 现有的脱协议可能缺乏全面的内容验证,可能会影响患者的治疗结果.
- 德尔菲技术提供了一个结构化的方法,用于协议开发中的专家共识.
研究的目的:
- 为了对有气管切除的成年患者进行脱管切除协议的内容验证.
- 通过专家审查和共识来完善和增强现有协议.
- 建立一个强大且基于证据的脱仪器.
主要方法:
- 采用了德尔菲技术,涉及通过电子邮件进行反复的专家评估.
- 最初的协议中的11个项目被语言治疗师,呼吸系统物理治疗师和医生评估.
- 协议项目的最终确定为≥80%的协议门.
主要成果:
- 24名专业人士完成了第三轮,代表了不同的临床专业知识.
- 进行了实质性修改:两个项目没有变化,七个项目重新制定,六个项目增加,两个项目被排除.
- 最后的协议包括关键方面,如分泌物管理,咳的有效性和意识水平.
结论:
- 德尔菲技术成功验证了解锁协议的内容,并纳入了重要的专家驱动的修订.
- 修订后的协议为脱程序提供了更全面的框架.
- 未来的研究应该专注于增强协议的内部结构有效性.
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