基于德尔菲方法,为新生儿构建一次性手术降温预防和管理协议
Jiaxuan Mai1, Ying Zhang1, Tao Song2
1Neonatal Surgical Department, Guangdong Women and Children Hospital, Guangzhou, Guangdong, China.
概括
一个新的协议有效指导新生儿的外科手术期间温度管理,预防和管理低温症. 这种科学方法可以确保在手术期间为新生儿提供最佳的护理.
科学领域:
- 新生儿手术 新生儿手术
- 儿科麻醉学 儿科麻醉学
- 热调节 热调节 热调节
背景情况:
- 外科手术期间的低温对新生儿构成重大风险.
- 有效的温度管理对于新生儿手术结果至关重要.
研究的目的:
- 为新生儿外科手术期低温症的预防和管理制定一个科学基础和可行的方案.
主要方法:
- 一个全面的文献审查确定了最初的协议组件.
- 为了在协议项目上达成专家共识,采用了德尔菲方法.
- 专家反完善了该协议的临床适用性和科学严谨性.
主要成果:
- 两轮德尔菲测试实现了高响应率 (100%和94.12%).
- 权威系数 (0.86,0.92) 和肯德尔的W (0.127,0.122) 表示了专家的强烈共识.
- 建立了一个最终的23项协议.
结论:
- 开发的协议为新生儿外科手术期温度管理提供了有效的指导.
- 这种基于证据的方法提高了患者的安全性和临床实践.
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