一个经过修改的德尔菲过程,以制定由护理人员服务系统对时间依赖护理的共识定义.
Luc de Montigny1,2, Ryan Lee3, Eddy S Lang4,5
1Urgences-Santé, Montreal, Quebec, Canada.
Prehospital and disaster medicine
|November 19, 2025
概括
研究人员在护理医疗中定义了时间依赖性护理,以改善患者的治疗结果. 为了提高医院前护理质量,建立了一个共识定义和17项依赖时间的干预措施清单.
科学领域:
- 准医疗和紧急医疗服务.
- 临床干预研究 临床干预研究
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 准确区分患者的敏度对于有效的医院前护理和研究至关重要.
- 目前用于评估患者敏度的基于生命体征的仪器具有局限性.
- 需要补充现有的方法,定义时间依赖的护理和干预措施.
研究的目的:
- 建立一个共识定义的时间依赖的护理在医疗保健.
- 在医院前的环境中识别和分类时间依赖的干预措施.
- 开发一种用于改善医院前护理和系统性能的工具.
主要方法:
- 采用了包括四轮投票的德尔菲方法.
- 一个由22名加拿大专家组成的双省小组参加了会议,包括急救人员,护理人员和医生.
- 该小组首先同意了时间依赖性护理的定义,然后分类了临床和药物干预措施.
主要成果:
- 达成共识的定义是:"根据省级协议,大多数应接受干预的患者,如果干预在最初的呼叫后的八分钟内没有进行,那么他们健康或安全将受到直接损害".
- 在63项干预措施中有52项 (82.5%) 达成共识.
- 17项干预 (32.7%) 被确定为时间依赖,包括11项临床干预和6项药理干预.
结论:
- 在护理医疗中成功建立了对时间依赖护理的共识定义.
- 确定了时间依赖干预的清单可以作为一个有价值的工具.
- 这项工作旨在提高医院前护理的质量和整体系统性能.
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