在老年白内障患者的日间手术中构建手术前评估计划:基于证据的德尔菲研究
Xiaoting Cao1, Xinyu Tang2, Yaqin Li3
1School of Nursing, Shanxi Health Vocational College, Jinzhong, Shanxi, China.
概括
使用基于证据的方法开发了一项用于白内障手术的新手术前评估计划. 这种工具提高了患者的安全性,并提高了手术患者的护理质量.
科学领域:
- 眼科医生 眼科 眼科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 白内障手术是一种常见的手术,通常作为日间手术进行.
- 有效的手术前评估对于患者安全和优化手术结果至关重要.
- 现有的评估工具可能缺乏全面的科学验证.
研究的目的:
- 开发和验证白内障日间手术的科学术前评估计划.
- 为医疗保健提供者提供一个可靠的工具,在手术前对患者进行评估.
主要方法:
- 对白内障手术的临床实践指南的文献综述和分析.
- 一个两轮的e-Delphi研究,包括咨询专家,以确定评估尺寸和项目.
- 对315名患者进行定量调查,以评估开发的程序的可靠性和有效性.
主要成果:
- 获得了高专家一致 (100%和95.83%) 和权威系数 (0.90,0.89).
- 最终的课程包括3个第一级,12个中级和48个三级指标.
- 该程序显示出良好的可靠性 (克朗巴赫的α=0.66) 和有效性.
结论:
- 开发的手术前评估计划是可靠的,科学验证.
- 它为临床护士提供了必要的指导,用于白内障手术的手术前评估.
- 该计划的实施可以提高患者的安全性,提高获取服务的质量.
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