在重症患者中建立一个对口渴严重程度的评估尺度,以及其可靠性和有效性的构建
Chunli Liao1, Qiongyao Guan1, Xiangping Ma1
1Department of Intensive Care Medicine, The Yunnan Cancer Hospital (The Third Affiliated Hospital of Kunming Medical University), Kunming, China.
Journal of clinical nursing
|August 11, 2024
概括
一个新的尺度有效地评估了重症患者的口渴严重程度,为临床医生提供了可靠的工具. 这种经过验证的尺度有助于及时进行干预,以改善患者的舒适性和预防并发症.
科学领域:
- 关键护理医学 关键护理医学
- 护理研究 护理研究
- 健康评估工具 健康评估工具
背景情况:
- 饥渴是重症患者常见但往往未被评估的症状.
- 缺乏标准化工具阻碍了在重症监护病房 (ICU) 中对口渴的客观评估和管理.
- 有效的口渴评估对于患者的舒适性和预防相关并发症至关重要.
研究的目的:
- 开发和验证严重病患者口渴的严重程度评估尺度.
- 为医疗保健专业人员提供一个科学和客观的工具来评估口渴水平.
- 促进及时和有针对性的干预措施,以管理ICU中的口渴.
主要方法:
- 规模开发涉及文献审查和定性访谈,随后进行了两轮德尔菲专家咨询.
- 对178名ICU患者进行了初步可靠性和有效性测试.
- 统计分析包括克伦巴赫的alpha,评级者之间的可靠性和内容有效性指数计算.
主要成果:
- 最终的规模包括8个项目和26个指标,表明高专家一致 (92.6%-100%) 和权威 (0.900-0.906).
- 该尺度表现出极好的可靠性 (克朗巴赫的α = .827) 和评级者之间的可靠性 (0.910).
- 内容的有效性很强,Item-CVI在0.800到1.000之间,Scale-CVI/Ave在0.950.
结论:
- 开发的口渴评估尺度是可靠的,有效的,适合于ICU的临床应用.
- 这种简单的,特定于ICU的工具可以快速评估口渴的严重程度.
- 促进个性化干预,以提高患者的舒适性和预防与口渴有关的问题.
更多相关视频
10:38Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
Published on: January 16, 2019
20.2K
11:05SECONDs Administration Guidelines: A Fast Tool to Assess Consciousness in Brain-injured Patients
Published on: February 6, 2021
14.6K
相关概念视频
01:25Regulation of Water Intake
488
Osmolality refers to the number of solute particles per kilogram of solvent in a solution. Plasma osmolality specifically indicates the total number of solute particles per kilogram of water in blood plasma. This value reflects the body's hydration status and is tightly regulated through mechanisms controlling water intake and output. While water consumption is a conscious decision, the body has intrinsic regulatory systems to maintain fluid balance. Dehydration, a state of water deficit...
488
01:14SBAR II: Application of SBAR
4.3K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.3K
01:19Assessing Body Temperature - Temporal Artery
537
Here is a stepwise guide to assessing the body temperature at the temporal artery using a temporal artery thermometer
Step 1: Perform hand hygiene and don a fresh pair of gloves to prevent cross-infection and ensure patient safety.
Step 2: Explain the procedure to the patient to establish trust. Clear communication establishes trust with the patient, ensures they understand what to expect, promotes cooperation, and enhances comfort during the procedure.
Step 3: Assess the patient's...
Step 1: Perform hand hygiene and don a fresh pair of gloves to prevent cross-infection and ensure patient safety.
Step 2: Explain the procedure to the patient to establish trust. Clear communication establishes trust with the patient, ensures they understand what to expect, promotes cooperation, and enhances comfort during the procedure.
Step 3: Assess the patient's...
537
01:29Disorder of Water Balance
327
Water balance disorders are medical conditions that occur when there is a deviation from the body's water volume or osmolarity, disrupting normal homeostasis and leading todehydration, hypotonic hydration, hyperhydration, edema, or water intoxication.
Dehydration
Dehydration occurs when the body loses fluids (particularly water).
Causes:
The major causes of dehydration include excessive sweating, fever, vomiting, diarrhea, and diuresis.
Signs and Symptoms:
Symptoms primarily include intense...
Dehydration
Dehydration occurs when the body loses fluids (particularly water).
Causes:
The major causes of dehydration include excessive sweating, fever, vomiting, diarrhea, and diuresis.
Signs and Symptoms:
Symptoms primarily include intense...
327
01:17Flow Sheet
1.6K
Flowsheets are valuable tools in nursing documentation. They enable healthcare professionals to efficiently record and monitor various patient assessments and measurements in a consolidated format.
Here's a closer look at the examples of flowsheets commonly used by nurses:
Graphic Sheet Documentation:
Here's a closer look at the examples of flowsheets commonly used by nurses:
Graphic Sheet Documentation:
1.6K
01:25Assessment of apical radial pulse
736
Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
736