在使用临床专家知识的成年,医疗外科患者中确定医院获得的压力损伤的候选预测因素:Delphi研究
Urszula A Snigurska1,2,3,4,5, Ragnhildur I Bjarnadottir1,2,3,4,5, Ann L Horgas1,2,3,4,5
1Urszula A. Snigurska, PhD, RN, Department of Family, Community and Health Systems Science, College of Nursing, University of Florida, Gainesville, Florida.
概括
临床医生确定了132个重要因素来预测医院获得的压力损伤 (HAPI). 这项共识研究为为成人患者开发更好的HAPI风险评估工具提供了基础.
科学领域:
- 临床研究是临床研究.
- 患者的安全性 患者安全性
- 医疗信息学医学信息学
背景情况:
- 医院获得的压力损伤 (HAPI) 对患者的福祉和医疗保健成本构成重大威胁.
- 有效的风险评估对于预防HAPI至关重要.
- 现有的HAPI预后模型需要通过强大的变量选择来改进.
研究的目的:
- 在成年医疗外科患者中确定临床显著的HAPI候选预测因子.
- 在跨学科的临床医生之间就导致HAPI风险的因素建立共识.
- 为HAPI风险评估工具的开发和改进提供信息.
主要方法:
- 一种经过修改的Delphi技术,涉及16名临床医生的跨学科专家小组.
- 通过对HAPI预后模型的文献综述,进行多轮电子问卷调查.
- 专家组在HAPI风险评估中评估了205个概念的临床重要性,将它们分类为易感或加速因素.
主要成果:
- 在205个概念中,132个 (64%) 被专家小组认为具有临床重要性.
- 在重要的概念中,99个 (75%) 是诱导因素,33个 (25%) 是导致因素.
- 13个概念在小组成员之间达成了100%的共识.
结论:
- 专家的共识确定了HAPI风险评估中132个重要概念的综合清单.
- 该汇编作为创建新的或增强现有的HAPI风险评估工具的基础.
- 未来的研究应该验证这些概念作为预测因素,并将它们整合到标准化工具中.
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