开发"JPCC儿童结肠镜护理障碍评分系统":修改后的Delphi研究
Giulia Brisighelli1,2, Catterina Bebington2,3, Marion Arnold4
1Department of Pediatric Surgery, Chris Hani Baragwanath Academic Hospital School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
World journal of surgery
|September 23, 2025
概括
这项研究开发了一种评分系统,以确定南非儿科结肠直肠术护理方面的挑战. 该JPCC评分系统旨在改善低资源环境中的结肠切除术儿童的护理.
科学领域:
- 儿科手术 儿科手术
- 全球健康 全球健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 低收入和中等收入国家 (LMICs) 的儿科结肠直肠切除护理存在重大临床,社会和经济挑战.
- 这些挑战会对患者的治疗结果和结肠切割儿童的生活质量产生负面影响.
研究的目的:
- 确定影响南非儿科结肠术护理的关键障碍.
- 开发一个有效的评分系统来评估这些障碍.
主要方法:
- 一项经过修改的Delphi研究,涉及南非23名参与者 (12名医疗保健专业人员,11名护理人员).
- 利用在线REDCap调查来识别障碍 (第一轮) 和相关性评级 (第二轮).
- 一个虚拟的专家小组在第三轮中改进了陈述,以最终确定分数系统.
主要成果:
- 在参与者对所有已识别的障碍陈述达成共识.
- 一个由36项组成的JPCC (联合儿科结肠管护理) 对结肠管护理障碍的评分系统最终确定.
- 该研究在第一轮中实现了57.5%的参与率,16名参与者完成了第二轮.
结论:
- 这项研究引入了首个针对南非儿童结肠直肠术护理障碍物量身定制的评分系统.
- 该JPCC评分系统为研究,临床评估和宣传提供了一个实用的工具.
- 建议进行多中心验证,以确保评分系统的更广泛适用性.
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