摘要
目的:基于渥太华决策支持框架(ODSF)构建危重症病人初级安宁疗护咨询方案。方法:以ODSF为理论指导,基于文献回顾和前期调查结果,构建危重症病人初级安宁疗护咨询方案初稿。通过2轮专家咨询形成危重症病人初级安宁疗护咨询方案终稿。结果:第1轮专家咨询问卷回收率为100.0%,专家意见提出率为57.1%;第2轮专家咨询问卷回收率为92.9%,专家意见提出率为15.4%;2轮专家咨询专家权威系数分别为0.905和0.898;第2轮专家咨询条目重要性评分的变异系数为0.00~0.17,肯德尔和谐系数为0.149(P=0.001);可行性评分的变异系数为0.00~0.19,肯德尔和谐系数为0.220(P<0.001)。最终形成包括3个一级条目、9个二级条目、24个三级条目的危重症病人初级安宁疗护咨询内容框架及危重症病人初级安宁疗护咨询流程。结论:危重症病人初级安宁疗护咨询方案具有科学性、可靠性、实用性及可行性,其咨询过程逐层推进,咨询结果有据可循,可为危重症救治与安宁疗护的整合提供参考。
Objective:To develop primary palliative care consultation program for critically ill patients based on the Ottawa decision support framework(ODSF).Methods:The draft of primary palliative care consultation program for critically ill patients was constructed under the guidance of ODSF theory,based on literature reviews and preliminary survey results.The final version of primary palliative care consultation program for critically ill patients was developed through 2 rounds of expert consultations.Results:Questionnaire recovery rate in the first round of expert consultations was 100.0%,with 57.1%of experts providing feedback.Questionnaire recovery rate in the second round of expert consultations was 92.9%,with 15.4%of experts providing feedback.The expert authority coefficients for the 2 rounds were 0.905 and 0.898,respectively.In the second round,the coefficient of variation for item importance scores ranged from 0.00 to 0.17,and the Kendall's W was 0.149(P=0.001).The coefficient of variation for feasibility scores ranged from 0.00 to 0.19,and the Kendall's W was 0.220(P<0.001).Finally,framework for primary palliative care consultation program for critically ill patients included 3 first⁃level items,9 second⁃level items,and 24 third⁃level items was formed,along with flow for primary palliative care consultation program for critically ill patients.Conclusions:The primary palliative care consultation program for critically ill patients was scientific,reliable,practical,and feasible.Its consultation process was progressive,and the outcome was evidence⁃based.It could provide reference for integrating critical care and palliative care.
作者
邓存清
郝燕萍
黄宇飞
林海洋
张军杰
彭美芳
DENG Cunqing;HAO Yanping;HUANG Yufei;LIN Haiyang;ZHANG Junjie;PENG Meifang(School of Nursing,Guangzhou Medical University,Guangdong 511436 China;Affiliated Cancer Hospital and Institute of Guangzhou Medical University)
出处
《护理研究》
北大核心
2025年第14期2461-2466,共6页
Chinese Nursing Research
关键词
渥太华决策支持框架
危重症
安宁疗护
专家咨询
Ottawa decision support framework
critical illness
palliative care
expert consultation
