在非侵入性通风过程中评估加湿的新型尺度:一项前性观察研究
Longfang Pan1, Yueling Hong1, Xiaoqing Zhong1
1Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.
一个新的尺度有效地评估了非侵入性通风 (NIV) 患者的口腔加湿. 该尺度显示了临床医生之间的中度一致,并准确地反映了患者报告的干燥程度.
科学领域:
- 关键护理医学 关键护理医学
- 呼吸系统疗法 呼吸系统疗法
- 医疗器械开发 医疗器械开发
背景情况:
- 湿化对于患者的舒适性和在非侵入性通风 (NIV) 期间预防并发症至关重要.
- 在NIV期间对口腔加湿的客观评估可能具有挑战性,需要可靠的测量工具.
研究的目的:
- 开发和验证一种新的,客观的尺度,用于评估接受NIV.患者的口腔加湿.
主要方法:
- 经验丰富的ICU从业人员根据文献审查和对50名患者口腔图像的分析开发了一种口腔加湿度表 (1-4分).
- 该尺度由10名从业者和33名NIV患者在ICU环境中验证.
- 医生和患者独立评估了口腔干燥,患者使用视觉模拟尺度.
主要成果:
- 开发的尺度显示了从业者之间中等的评价者间协议 (Fleiss' kappa = 0.516).
- 患者的评估与从业人员的评估相一致,其中55.7%的评估完全匹配,89%的评估差不多为1分.
- 在患者和从业人员分数之间观察到中等的一致性 (kappa = 0.483).
结论:
- 新型口腔加湿量表提供了一种可靠的方法来评估NIV患者的加湿水平.
- 该尺度在临床医生中显示出中等可靠性,并且在反映患者感知到的口腔干燥时具有很好的准确性.
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