摘要
目的构建核辐射损伤院内救治护理关键技术指标体系,为核辐射损伤患者院内救治护理的开展提供依据。方法通过文献检索、病例检索、实地调研确定核辐射损伤患者院内救治护理关键技术指标体系初稿,经过2轮德尔菲法、优序图法确定指标内容。根据指标判定标准、专家意见可靠性程度调查结果和研究小组意见对指标进行梳理评价。结果纳入20名函询专家,2轮专家函询的问卷有效回收率为100%;专家权威系数分别为0.945;肯德尔和谐系数分别为0.347和0.448(P<0.05)。汇总2轮专家函询后修订结果,删除1项指标,增加12项指标,修改6项指标,本研究构建的核辐射损伤院内救治护理关键技术指标体系包括一级指标4项,二级指标17项,三级指标73项,所有指标的重要性赋值均数均>4.00分,变异系数均<0.25。结论本研究构建的核辐射损伤院内救治护理关键技术指标体系具有较高的科学性和实践基础,指标具有较强的专业性,对核辐射损伤患者院内救治护理具有重要的指导意义。
Objective To construct a key technical indicator system for in-hospital treatment and nursing of patients with nuclear radiation injury,and provide a basis for the implementation of such treatment and nursing.Methods The draft of the key technical indicator system for in-hospital treatment and nursing of patients with nuclear radiation injury was determined by literature review,case study,and field investigation.The indicators of the system were determined through two rounds of Delphi consultation and using the precedence chart method.According to the criteria of indicator evaluation,the reliability of expert opinions,and the opinions of the research group,the indicators were refined and evaluated.Results Twenty experts were included for two rounds of consultation via mailed inquiries,with a 100%effective response rate in both rounds.The expert authority coefficients were both 0.945,and the Kendall’s W values were 0.347 and 0.448,respectively(P<0.05).Following the expert consultations,1 indicator was deleted,12 indicators were added,and 6 indicators were modified.The key technical indicator system for in-hospital treatment and nursing of patients with nuclear radiation injury established in this study included 4 first-level indicators,17 second-level indicators,and 73 third-level indicators.The means of importance assignment for all indicators were>4.00,and the coefficients of variation were<0.25.Conclusion The key technical indicator system for in-hospital treatment and nursing of patients with nuclear radiation injury established in this study is scientifically rigorous and practically grounded.The indicators demonstrate strong professional relevance and provide important guidance for in-hospital treatment and nursing of patients with nuclear radiation injury.
作者
刘柳
侯备
朱亚男
朱磊
高燕
梁应凤
郭姗姗
LIU Liu;HOU Bei;ZHU Yanan;ZHU Lei;GAO Yan;LIANG Yingfeng;GUO Shanshan(General Practice Department,Rocket Force of Characteristic Medical Center,Beijing 100088,China;Department of Urology,Rocket Force of Characteristic Medical Center,Beijing 100088,China)
出处
《中国辐射卫生》
2025年第4期595-601,共7页
Chinese Journal of Radiological Health
基金
军队科研项目(41C424J、51C424U)。
关键词
核辐射
辐射损伤
院内护理
关键技术
Nuclear radiation
Radiation injury
In-hospital nursing
Key technology
