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构建一个护理计划来管理神经临界护理患者的腹内压力:修改后的Delphi研究

Mingyu Yan^1,2, Lijun Xiang¹, Yansi Luo¹

¹Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.

Journal of clinical nursing

|March 3, 2025

概括

开发了一项护理计划,以管理神经临界护理患者的腹内压力 (IAP). 这项德尔菲方法研究涉及16名专家,最终获得了最佳IAP管理的批准协议.

科学领域:

关键护理医学关键护理医学
护理科学护理科学
重症监护病房管理部门的管理.

背景情况:

增加的腹内压力 (IAP) 是神经临界护理患者的一个关键问题.
有效的IAP管理对于改善患者的治疗结果和预防并发症至关重要.

研究的目的:

构建一个全面的护理计划来管理神经临界护理患者的腹内压力 (IAP).
为照顾高IAP患者的护士制定基于证据的指南.

主要方法:

采用了两轮的Delphi方法,涉及16名在重症监护方面有丰富经验的专家.
一个初步的护理计划是基于国际文献和专家投入而开发的.
使用问卷收集专家反,并就管理协议达成共识.

主要成果:

德尔菲进程包括两轮专家咨询,响应率高 (88.9%和100%).
最初的计划进行了重大修订,第一轮修订了22项,第二轮修订了8项.
在73个项目上达成共识,分为1级 (6项),2级 (17项) 和3级 (50项),表明了专家的强烈共识.

结论:

一个由16名专家组成的小组一致批准了开发的护理计划,用于在神经临床护理中管理IAP.
该协议为IAP管理提供了一种系统的方法,提高护士的技能,并可能预防相关的健康问题.

关键词:

德尔菲的方法方法德尔菲方法.关键护理关键护理关键护理腹内压力管理腹内压力管理神经学神经学神经学护理计划护理计划

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