老年择期手术患者术前护理评估内容的构建

Construction of the content of preoperative nursing assessment for geriatric patients undergoing elective surgery

目的构建科学、规范的老年择期手术患者术前护理评估内容。方法在文献研究、质性访谈及专家会议的基础上,通过德尔菲法进行2轮专家咨询确定评估内容。结果来自老年护理、临床护理、护理管理及老年医学领域的12名专家参加咨询,专家工作年限(28.17±5.05)年,2轮专家咨询问卷的回收率均为100%,专家权威系数为0.89。形成的老年择期手术患者术前护理评估内容包括一级指标3项(一般状况评估、老年综合评估、手术相关评估),二级指标12项,三级指标51项。结论构建的老年择期手术患者术前护理评估内容具有科学性及临床实用性,可引导、规范外科护士的术前评估行为,为制订个性化的老年患者围手术期照护计划提供依据。

Objective To construct the content of preoperative nursing assessment for geriatric patients undergoing elective surgery. Methods Based on the literature review,qualitative interviews and expert panel meetings,a two-round Delphi expert consultation was conducted to finalize the content. Results A total of 12 experts from geriatric nursing,clinical nursing,nursing management and geriatric medicine participated in the consultation. The average length of working was (28.17±5.05) years. The response rates of two-round consultation were 100%. Experts’authority coefficient was 0.89. The content of preoperative nursing assessment included 3 first-level indexes(general condition assessment,geriatric comprehensive assessment and surgery-related assessment),12 second-level indexes and 51 third-level indexes. Conclusion The content of preoperative nursing assessment is scientific and applicable which can guide standard assessment conducted by surgical nurses and provide reference for developing personalized perioperative care plan for patients.