医疗救护飞机重症监护关键技术的筛选研究

Study on screening of key techniques for new medical rescue aircraft ICU nursing

目的初步筛选出一套适合我国平战时使用的医疗救护飞机重症监护关键技术。方法本研究以文献回顾和现场调研法初步拟订技术指标,以专家议题小组法确定咨询问卷,利用德尔菲法对来自不同专业的16名专家进行两轮专家咨询,使用层次分析法及TOPSIS综合评价法对数据进行处理并汇总分析。结果在两轮专家咨询反馈结果中,专家的积极系数均为100%,专家权威程度系数为0.958,肯德尔和谐系数分别为0.568、0.525、0.474,差异均有统计学意义(P<0.05)。最终确立了包含4个一级指标、36个二级指标的适合平战时使用的医疗救护飞机重症监护关键技术,其中基础护理技术12项,专科护理技术8项,急救护理技术10项,战创伤护理技术7项。结论初步筛选的医疗救护飞机重症监护关键技术具有较高的科学性和可行性,专家意见集中,为以后空中转运危重患者提供更多生命保障。

Objective To screen a set of key techniques for new medical rescue aircraft ICU care for peacetime and wartime. Methods The study used the literature review and field research method to propose the initial technical indicators. The consultation questionnaire was developed by expert panel method. Delphi method was applied to conduct two rounds of consultation among 16 experts from different fields. Analytic hierarchy process and TOP-SIS comprehensive evaluation method were used to analyze and summarize data. Results In two rounds of consultation,the positive coefficients of experts were 100%,the authority coefficient of experts was 0.958,and Kendall coordination coefficients were 0.568,0.525,0.474,and the differences were statistically significant（P〈0.05）. The new medical rescue aircraft ICU care key techniques for peacetime and wartime was established finally,including 4 firstlevel indicators,37 second-level indicators,and there were 12 basic care techniques,8 specialty care techniques,10 emergency care techniques,and 7 war wound care techniques. Conclusion Key techniques for new medical rescue aircraft ICU care has high scientificity and feasibility,and experts＇ opinions are concentrated,which can provide additional safeguard for the transit of critically ill patients in the air.