严重腹部创伤患者损伤控制复苏护理方案的构建

Construction of nursing of damage control resuscitation for patients with severe abdominal trauma:a Delphi study

目的基于损伤控制复苏理念,构建严重腹部创伤患者损伤控制复苏护理方案。方法通过文献回顾、临床观察及头脑风暴等方法,整合腹部创伤相关指南和文献,制订护理方案初稿,经德尔菲法专家函询,确定严重腹部创伤患者损伤控制复苏护理方案。结果2轮专家函询中,专家积极系数分别为88.89%、100%,专家权威系数均为0.88,2轮函询条目的肯德尔和谐系数分别为0.29、0.32,最终形成的护理方案包括2项一级条目,15项二级条目,50项三级条目。结论本研究构建的护理方案具有科学性、可靠性及适用性,可为临床创伤护理提供指导。

Objective To construct a nursing plan for damage control resuscitation in patients with severe abdominal trauma based on the concept of damage control resuscitation.Methods Based on literature reviews,clinical structure observation and expert meetings,the guidelines and literature related to abdominal trauma were integrated,and the first draft of the nursing plan was formulated.After Delphi expert consultations,the practice plan of damage control resuscitation for patients with severe abdominal trauma was determined.Results In the 2 rounds of expert consultations,the expert positive coefficients were 88.89%and 100%,and the expert authority coefficients were 0.88.The coordination coefficients of items in 2 rounds of inquiry were 0.29 and 0.32,respectively.The final practice plan includes 2 first-level items,15 second-level items,and 50 third-level items.Conclusion The nursing plan constructed in this study is scientific,reliable and practical,and provides guidance for clinical trauma care.