ICU危重症患者病情评估指标体系的研究

Construction of Condition Assessment Index System for Patients in ICU

目的构建ICU危重症患者病情评估指标体系,以提升危重症患者救治成功率和生命质量。方法在文献查阅、半结构式专家访谈的基础上,初拟ICU危重症患者病情评估指标体系,运用专家函询法对12名专家进行问卷函询确立指标体系,并确定各级指标权重。结果研制的ICU危重症患者病情评估指标体系包括3个一级指标、17个二级指标。2轮专家咨询的积极系数均是100%,2轮专家咨询的协调系数检验差异均具有统计学意义(P<0.01);第2轮专家咨询判断系数为0.883,熟悉系数为0.900,权威系数为0.891。结论构建的ICU危重症患者病情评估指标体系各级条目专家意见集中,研究结果可信度高,该指标体系的构建具有科学性及可信性,能有效提高护理工作的预见性,值得临床推广使用。

Objective To develop a condition assessment index system for patients in intensive care unit（ICU） and to improve the success rate of treatment and patients ＇ quality of life. Methods Based on literature review and semi-structure expert interview, the framework of disease assessment system for critical patients in ICU was developed. Indexes were determined by adopting Delphi method and inquiring 12 experts with questionnaire. The weight of every index had been determined. Results 3 first-level indicators and 17 second-level indicators were identified in the condition assessment index system for patients in ICU. The experts ＇positive coefficients in two rounds of consultations were all 100% respectively, and both of the coordination coefficients were statistically significant（P〈0.01）. In the second round of consultation, the experts ＇ coefficient of determination was 0.883, familiar coefficient 0.900, and authority coefficient 0.891. Conclusion The condition assessment index system for critical patients in ICU is reliable and valid, which can effectively improve the predictability of nursing and be promoted clinically.