ICU成人患者谵妄防治家庭参与式多感官刺激方案的构建

Construction of a family participatory multisensory stimulation program for management of delirium for ICU adults patients

目的构建ICU成人患者谵妄防治家庭参与式多感官刺激方案,为谵妄的非药物管理提供参考。方法通过文献回顾及ICU医护人员、患者家属半结构式访谈拟定方案条目池,采用德尔菲专家函询法对20名专家进行2轮咨询。结果2轮专家函询问卷有效回收率均为100%,专家权威系数分别为0.837、0.880。构建的家庭参与式多感官刺激方案包括刺激准备、视觉刺激、听觉刺激、动觉刺激和触觉刺激5个一级条目、15个二级条目和44个三级条目。结论构建的家庭参与式多感官刺激方案具有较好的可靠性,未来可将此非药物管理方案用于防治ICU成人患者谵妄。

Objective To construct a family participatory multisensory stimulation program for management of delirium for ICU adults patients, and to provide reference for non-drug management of delirium. Methods Through literature review, and semi-structured interviews with ICU medical staff and family members of ICU patients, a pool of items were constructed. The 2 rounds of Delphi expert consultation were conducted in 20 experts.Results The response rate for each round of consultation reached 100%. The expert authority coefficient was 0.837 and 0.880 respectively for the first and the second round. The finalized family participatory multisensory stimulus scheme consisted of 5 first-level indexes(stimulus preparation, visual, auditory, kinesthetic and tactile stimuli), 15 second-level items and 44 third-level items. Conclusion The family participatory multisensory stimulation program constructed is reliable, and can be added to non-drug management of delirium in ICU patients.