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开发和初步验证使用修改后的Delphi和临床测试方法的中央静脉接入装置相关的皮肤损伤分类工具

Hui Grace Xu^1,2,3,4,5, Jill Campbell⁴, Mari Takashima^3,5

¹Nursing and Midwifery Research Centre, Royal Brisbane and Women's Hospital, Herston, Brisbane, Queensland, Australia.

Journal of advanced nursing

|September 11, 2024

概括

开发了一个新的分类工具来识别与中央静脉接入装置相关的皮肤问题. 这种经过验证的工具为医疗保健提供者提供了共同的语言,改善了患者护理,减少了错误诊断.

科学领域:

医疗器械技术医疗器械技术
皮肤病学皮肤病学
护理研究护理研究

背景情况:

基于证据的标准化仪器对于分类与中央静脉接入装置 (CVAD) 相关的皮肤损伤至关重要.
目前的分类方法缺乏共识,导致患者护理中的潜在不一致.
在临床实践中,需要一个可靠的工具来解决CVAD相关的皮肤问题是显而易见的.

研究的目的:

设计和验证一个新的分类工具,用于中央静脉接入装置相关的皮肤损伤.
为医疗保健专业人员在评估和管理这些皮肤病时建立一个共同的语言.
改善与CVAD皮肤并发症相关的诊断准确性和临床决策.

主要方法:

采用了两相修改的Delphi研究方法.
第1阶段涉及文献审查和CVAD和伤口管理专家的分类工具的开发.
第二阶段包括使用临床照片进行验证,以及由专家小组对内容有效性和评审者之间的可靠性进行评估.

主要成果:

开发的仪器具有五个主要的病因分类 (接触性皮肤炎,机械损伤,感染,压力损伤,复杂的临床表现) 和14个含有定义的子类别.
对于初步规模内容有效性和项目内容有效性 (I-CVI=1) 达成了高度一致.
对于病因分类和个别定义/征兆和症状,均表现出优异的评价者间可靠性.

结论:

开发和验证的分类工具提供了一种标准化的方法来评估CVAD相关的皮肤损伤.
预计这种共同的语言将减少临床不确定性,误诊和管理不当.
该工具将加强临床决策,从而改善治疗质量和患者的治疗结果.

关键词:

德尔菲的方法方法德尔菲方法.中心静脉接入装置的设备.分类工具是分类工具.定义的定义的定义.护理护理护理皮肤损伤皮肤损伤

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