为重症病房重症病患开发早期动员实践:德尔菲方法研究研究
Biantong Jiang1, Huan Liu1, Yao Liu1
1Department of Critical Care Medicine, West China Hospital/West China School of Nursing, Sichuan University Chengdu 610041, Sichuan, China.
这项研究开发了第一个中国早期康复系统,用于重症患者使用德尔菲方法. 这一基于证据的框架为重症监护机构提供了一个结构化的方法.
科学领域:
- 关键护理医学 关键护理医学
- 康复医学 康复医学 康复医学
- 基于证据的实践.
背景情况:
- 危急病患者需要系统的康复以改善结果.
- 现有的康复框架可能缺乏全面的,基于证据的结构.
- 早期干预对于重症监护机构的康复至关重要.
研究的目的:
- 开发一个全面的,基于证据的早期康复框架,为重症患者.
- 建立一个系统和科学基础的康复系统.
- 为在重症监护中早期康复实践创建一个参考.
主要方法:
- 一个两轮的Delphi调查,涉及24名多学科专家.
- 基于文献证据,制定一项康复系统草案.
- 评估和改进使用利克尔特尺度,并定义了包含标准 (平均得分≥4,CV<0.25,共识≥75%).
主要成果:
- 高专家参与度和达成的共识 (召回率>85%).
- 专家判断,熟悉度和权威系数高 (≥0.94).
- 最终的系统包括5个初级,21个二级和56个三级指标 (共82个条目).
结论:
- 建立了中国首个针对重症患者的早期康复系统.
- 该系统以科学为基础,使用德尔菲方法.
- 这一框架为重症监护机构的早期康复提供了有价值的参考.
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