在中国三级新生儿重症监护能力清单的制定:修改后的Delphi研究
Xing Li1, Lei Li1, Qiuping Li1,2
1Department of Neonatology, Faculty of Pediatrics, National Engineering Laboratory for Birth Defects Prevention and Control of Key Technology, Beijing Key Laboratory of Pediatric Organ Failure, The Seventh Medical Center of PLA General Hospital, Beijing, China.
这项研究建立了专家的共识,对中国分层新生儿重症监护的基本能力. 新生儿复苏等关键干预措施对于脆弱的新生儿在各个层面都至关重要.
科学领域:
- 新生儿医学 新生儿医学
- 关键护理医学 关键护理医学
- 医疗保健管理的管理
背景情况:
- 新生儿重症监护中心的标准化管理改善了脆弱新生儿的结果.
- 在中国,新生儿重症监护中心的建设和管理需要基于证据的指导.
研究的目的:
- 在中国的三个行政层面建立专家共识,对新生儿重症监护的基本能力清单.
主要方法:
- 一个经过修改的Delphi研究,涉及中国新生儿学会的20名新生儿学家.
- 能力分为县级 (基础/特殊),城市级 (密集),省级 (综合/外科) 等级.
- 专家的重要性评级使用了5点的利克特等级,肯德尔的W.R.证明了良好的互评分协议.
主要成果:
- 县级:29个项目,其中新生儿复苏,内内管管道输入和CPAP≥72h被确定为关键.
- 市级:38项必需品,包括县级以外的重症监护能力.
- 省级:64项,包括新生儿手术和高级子专业干预.
结论:
- 制定了中国新生儿重症监护三级能力清单.
- 新生儿复苏是所有护理层面的基本要求.
- 对早产婴儿和先天性异常的治疗按护理水平分层,外科手术只适用于高级别的中心.
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