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土耳其版本的Postextubation Dysphagia查工具的有效性和可靠性
Ozlem Canbolat1, Serpil Yuksel2, Umit Gorgulu3
1Faculty of Nursing, Gazi University, Ankara, Turkey ozlemcanbolat@gazi.edu.tr.
Research and theory for nursing practice
|August 21, 2024
概括
对土耳其重症监护室患者来说,Postextubation Dysphagia查工具是有效和可靠的. 这种工具有助于护士在长时间输管后评估吞问题,确保安全的口服养.
科学领域:
- 关键护理医学 关键护理医学
- 吞障碍 吞障碍 吞障碍
- 护理实践 护理实践
背景情况:
- 长时间的输入管 (≥48小时) 会增加输入管后食症的风险.
- 早期的吞评估对于预防吸食及其并发症至关重要.
- 输出管后食障碍查工具 (PDST) 是用于评估输出管后食障碍的经过验证的工具.
研究的目的:
- 评估PDST在土耳其人口中的有效性和可靠性.
- 为土耳其医疗保健专业人员使用PDST进行调整和验证.
主要方法:
- 方法研究涉及50名重症监护病房患者.
- 阶段包括语言有效性,内容有效性,评价者之间的可靠性和敏感性/特异性评估.
- 两名观察员 (重症监护护士和重症监护医生) 参与了可靠性和准确性测试.
主要成果:
- 高内容有效性 (内容有效性指数 = 0.91).
- 绝佳的雷间可靠性 (科恩的g=0.93).
- 在 PDST 检测出 82% 的灵敏度和 64% 的特异性,用于检测脱口后食障碍,影响了 42% 的患者.
结论:
- 土耳其版本的PDST显示出强大的有效性和可靠性.
- 该工具使护士能够有效地选和管理脱口症后食障碍.
- 实施PDST有助于在重症监护患者的输出术后提供早期,安全的口服养.
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