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一个T2翻译科学修改的德尔菲研究:在资源稀缺的环境中,对陷入和的 extremities 的伦理分类和治疗
Eric S Weinstein1,2,3, Zachary Gilbert1, James Gosney4
1Department of Emergency Medicine-Morsani College of Medicine, University of South Florida, Tampa, Florida, USA.
World journal of surgery
|February 20, 2025
概括
在资源稀缺的环境 (RSE) 中,对于被困和被破坏的四肢 (E&ME) 缺乏道德治疗指南. 一种经过修改的Delphi方法在23个声明上达成了专家共识,以告知RSE.中的E&ME治疗指南.
科学领域:
- 创伤外科 手术 创伤外科
- 灾难医学 灾难医学
- 全球卫生道德全球卫生道德
背景情况:
- 资源稀缺的环境 (RSE) 缺乏对被困和的四肢 (E&ME) 的伦理分拣和治疗指南.
- 这种赤字影响了大规模伤亡事件,中低收入国家,人道主义紧急情况和长期运输场景.
- 制定具体的指导方针对于公平有效的患者护理至关重要.
研究的目的:
- 制定对RSE中E&ME的治疗指南.
- 在资源有限的环境中建立专家共识,以确定影响E&ME管理的关键因素.
- 使用修改后的Delphi方法,生成基于证据的陈述,用于准则的制定.
主要方法:
- 经过修改的Delphi (mD) 技术与专家参与者一起使用.
- 专家们以7分级评分对陈述的同意,共识被定义为标准偏差≤1.
- 代轮允许专家根据小组反重新考虑评级,直到达成共识.
主要成果:
- 77名专家参加了三轮的会议.
- 23个声明达到了专家的共识.
- 21个声明没有达成共识,需要进一步发展.
结论:
- 经过修改的Delphi技术成功地建立了关于RSE中E&ME治疗关键因素的共识.
- 23个共识声明为制定伦理和实际治疗指南提供了基础.
- 这些指导方针旨在提高资源有限的环境中对E&ME的护理标准.
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