成年ICU患者内吸管评估工具©的有效性和可靠性:一项方法研究
1Dokuz Eylul University, Nursing Faculty, Fundamentals of Nursing Department, 35340, Inciralti, Izmir, Turkey.
Intensive & critical care nursing
|October 20, 2024
概括
内道吸管评估工具© (ESAT©) 现在已被验证用于成人重症监护室 (ICU) 患者. 这种可靠的工具有助于护士确定内肌吸管的需求,改善患者的护理.
科学领域:
- 关键护理医学 关键护理医学
- 护理实践 护理实践
- 呼吸系统疗法 呼吸系统疗法
背景情况:
- 新手护士需要帮助识别内肌吸管的需求.
- 腹腔内吸评估工具© (ESAT©) 对儿科患者有效,但缺少成人版本.
- 需要一个验证的工具来评估成人重症监护室 (ICU) 患者的吸气要求.
研究的目的:
- 评估ESAT©对于成年ICU患者的有效性和可靠性.
- 为适应ESAT©在成人重症监护机构的使用.
- 支持内吸管中自主临床决策.
主要方法:
- 一项方法研究,涉及106次吸手术在第三级成人ICU.
- 两个独立观察员使用ESAT©,评估呼吸,通风和临床参数.
- 心理测量评估包括内容有效性指数 (CVI) 和可靠性的类内相关系数 (ICC).
主要成果:
- 通过0.96.9 的 CVI 量表,ESAT© 证明了高内容有效性.
- 通过0.933的ICC和高的Cohen's Kappa系数,证实了优异的评级者间可靠性.
- 对于大多数规模项目,评级者之间观察到近乎完美的协议.
结论:
- ESAT©是一种有效且高度可靠的仪器,用于评估成年ICU患者的内肌吸管需求.
- 该工具支持护士在吸血方面做出自主决定.
- 经过调整的ESAT©提高了重症监护机构的护理实践.
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