慢性呼吸疾病肺康复护理专家共识

Expert consensus on pulmonary rehabilitation nursing of chronic respiratory diseases

目的编写《慢性呼吸疾病肺康复护理专家共识》(以下简称《共识》),以期推动我国肺康复护理的规范化发展。方法在大量文献回顾的基础上,通过对5名专家进行访谈、对19名专家进行函询确立《共识》的一级、二级主题,邀请10名该领域护理专家对形成的《共识》初稿进行同行评议,对《共识》内容进行修改及完善。结果通过专家函询,确立了14个一级主题和40个二级主题,函询问卷的有效回收率为100%,专家的判断系数为0.895,熟悉程度为0.839,权威系数为0.867;2轮专家函询一级、二级主题的肯德尔和谐系数分别为0.121、0.151和0.205、0.149,均具有统计学意义(P<0.05);第1轮专家函询一级、二级主题变异系数为0.197、0.200,第2轮专家函询一级、二级主题变异系数为0.202、0.237,均<0.25,表明专家的判断结果相对一致。结论《共识》融合了19名临床护理专家的建议,结果具有科学性、严谨性和权威性。该《共识》不仅能够为临床护理实践提供指引,还为该领域指南、标准的制订奠定了基础,但仍需要进一步的理论和实证研究验证。

Objective To standardize an expert consensus on pulmonary rehabilitation nursing of chronic respiratory diseases.Methods On the basis of literature review,5 experts were interviewed and 19 experts were consulted to establish the primary and secondary themes.10 nursing experts in this field were invited to conduct peer review on the draft consensus to modify and improve the consensus content.Results After expert consultations,14 first-level themes and 40 second-level themes were established.The value of Ca(judgment coefficient),Cs(familiarity coefficient)and Cr(authority coefficient)were 0.895,0.839 and 0.867,which indicated the expert consultation have high authority and credibility.The Kendall coefficients of first-round expert consultation were 0.121 and 0.151,and they were 0.205 and 0.149 in the second round(P<0.05).In the first-round expert consultation,the coefficients of variation of the first and second themes were 0.197 and 0.200,and in the second round,they were 0.202 and 0.237.They were all less than 0.25,indicating that the expert’s judgment results were relatively consistent.Conclusion As this consensus was developed based on 19 clinical nursing professionals from across the country,it is scientific and authoritative.This consensus can not only benefit to clinical nursing practice,but also lay the foundation for the development of guideline,and it still needs further theoretical and empirical research verification.