对急性上胃肠道出血的术后检查清单的构建和应用研究
Lina Chen1, Qing Shao1, Liangyu Fang1
1Nursing Department, The Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, China.
针对急性上部胃肠道出血的新术前检查清单显著改善了反应时间和团队协作. 这种经过验证的工具增强了在重症监护管理期间的患者安全和沟通.
科学领域:
- 医疗信息学 医疗信息学
- 患者安全 患者安全
- 手术护理 手术护理
背景情况:
- 急性上部胃肠道出血在外科手术期间存在重大风险.
- 在这些情况下,有效的沟通和及时的反应对于患者的安全至关重要.
研究的目的:
- 开发和验证急性上部胃肠道出血的术前检查清单.
- 评估检查清单对患者安全,沟通和响应时间的影响.
主要方法:
- 一项涉及文献审查和Delphi方法用于检查列表开发的方法学研究.
- 心理测量评估包括可靠性 (克朗巴赫的α,分半) 和有效性 (内容,构造) 测试.
- 干预前后研究,分析临床结果,反应时间和满意度.
主要成果:
- 19项检查清单显示出强大的可靠性 (克朗巴赫的α=0.775) 和优秀的内容有效性 (S-CVI/Ave>0.904).
- 临床实施显示,紧急内镜反应时间显著改善 (P < 0.05).
- 实施后,团队协作满意度显著增加 (P < 0.05).
结论:
- 开发的外科手术期间检查清单是可靠的,有效的,并且在实践中很有用.
- 检查清单有效地提高了反应时间,患者安全和团队合作,以管理急性上部胃肠道出血.
- 这种工具为术后护理协调提供了宝贵的改进.
更多相关视频
03:27The Role of Indocyanine Green Fluorescence in Complex Laparoscopic Cholecystectomy Navigation
Published on: January 31, 2025
04:01Indocyanine Green-Guided Intraoperative Imaging to Facilitate Video-Assisted Retroperitoneal Debridement for Treating Acute Necrotizing Pancreatitis
Published on: September 8, 2022
相关概念视频
Endoscopic Procedures I: Esophagogastroduodenoscopy
During an EGD, the endoscope can be used to:
Assessment of the Abdomen I: Inspection and Auscultation
The abdominal examination is a cornerstone of clinical medicine, serving as a critical tool in diagnosing various gastrointestinal (GI) diseases. It involves a systematic approach that includes inspection and auscultation, each with distinct yet complementary roles in assessing the abdomen. This article will delve into these two primary methods healthcare professionals use to examine the abdomen.
Inspection of the Abdomen
The first step in any abdominal examination is inspection....
Endoscopic Procedures V: ERCP
Patient...
Upper GI Series: Barium Swallow
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
Appendicitis-II: Diagnostic Studies and Management
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
