严重腹部创伤患者护理查房清单体系的构建

Development of Nursing Rounds Checklist for Patients with Severe Abdominal Trauma

目的构建严重腹部创伤患者护理查房清单体系,为临床开展严重腹部创伤护理查房提供指引。方法通过文献回顾、半结构式访谈和专家会议法初步构建清单体系条目并进行2轮德尔菲专家函询,最终确立严重腹部创伤患者护理查房清单体系。结果通过2轮专家函询构建的严重腹部创伤患者护理查房清单体系包括3项一级指标、11项二级指标、42项三级指标;本研究2轮专家函询问卷的有效回收率分别为90%和100%,专家权威系数分别为0.918和0.916,第2轮函询后条目重要性和可操作性变异系数分别为0~0.189和0~0.192,肯德尔和谐系数为0.356和0.358,且P<0.001。结论本研究经过专家函询构建了严重腹部创伤患者护理查房清单体系,经过统计分析函询结果可靠,专家的积极程度、权威程度、意见协调程度均较高,可为临床护士开展严重腹部创伤患者护理查房提供指引。

Objective To develop a checklist of nursing rounds for patients with severe abdominal trauma,and provide guidelines for clinically structured nursing rounds.Methods Through literature review,semi-structured interview and expert meeting,a preliminary pool of items in the nursing rounds checklist was constructed.With Delphi method,two rounds of expert correspondence to the checklist among 18 experts were conducted,and finally the nursing rounds checklist for patients with severe abdominal trauma was developed.Results The final checklist consisted of 3 first-level,11 second-level and 42 third-level indicators.The effective recovery rate of the two rounds of expert inquiry was 90%and 100%,respectively;expert authority coefficient 0.918 and 0.916,respectively and Kendall’s W coefficient 0.356 and 0.358 respectively(P<0.001).The importance value of each item ranged from 0 to 0.189 and the coefficient of variation from 0 to 0.192.Conclusion In this study,a checklist of nursing rounds for patients with severe abdominal trauma is constructed after expert consultation and the experts are active,authoritative,and coordinated.Being reliable,the checklist provides reference for clinically structured nursing rounds for patients with severe abdominal trauma.