成人手术患者全麻前评估内容的构建

Construction of pre-anesthesia assessment content in adult patients with general anesthesia

目的构建成人手术患者全麻前评估内容,探讨麻醉门诊评估的规范化和标准化。方法通过对麻醉前评估指南、麻醉风险评估工具、临床麻醉评估单进行内容分析,构建麻醉前评估初稿。运用两轮德尔菲专家咨询明确麻醉前评估内容的维度、条目和指标。结果选入专家31名,两轮问卷有效率均为100%,专家权威系数均为0.91,协调系数W值为0.217和0.163(P<0.01),显示入选专家的积极程度、权威程度及协调程度较高。专家咨询共提出意见173条,研究小组采纳135条(78.0%)。最终明确成人手术患者全麻前评估内容,包括6个维度、53个条目和106个指标。结论本研究构建的成人手术患者全麻前评估内容较为科学合理,并适合我国国情,后续研究将聚焦评估模式,促进麻醉前评估的信息化和专业化。

Objective To construct the pre-anesthesia assessment content of adult general anesthesia in order to provide evidence for pre-anesthesia assessment standard. Methods The pre-anesthesia assessment was constructed by content analysis of pre-anesthesia assessment guidelines, anesthesia risk assessment tools, and clinical anesthesia assessment sheets. Use 2 rounds of Delphi expert consultation to identify the dimensions, entries, and indicators of the pre-anesthetic assessment. Results After 2 rounds of Delphi expert consultation, 31 experts were selected. The efficiency of the two rounds of questionnaires was 100%, the expert authority coefficient was 0.91, and Coordination coefficient W was 0.217 and 0.163(P<0.01), indicating the positive degree, authority and coordination degree of the selected experts higher. In the second round of Delphi expert consultation, a total of 173 comments were made and the research team adopted 135 articles(78.0%). Finally, the pre-anesthesia assessment of adult general anesthesia patients was defined, including 6 dimensions, 53 items, and 106 indicators. Conclusion The pre-anesthesia assessment of adult general anesthesia is scientific and reasonable, and it is suitable for use in China. The follow-up study will focus on the evaluation model and promote the evaluation and specialization of the pre-anesthesia assessment center.