| 王瑞芳,李春玲.基于德尔菲法的腹腔镜下胰体尾切除术围手术期临床护理路径表的构建[J].上海护理,2019,19(5): |
| 基于德尔菲法的腹腔镜下胰体尾切除术围手术期临床护理路径表的构建 |
| Construction of perioperative clinical nursing pathway table based on Delphi method for laparoscopic distal pancreatectomy |
| DOI： |
| 中文关键词: 腹腔镜 胰体尾切除术 围手术期 临床护理路径表 德尔菲法 |
| 英文关键词:Laparoscopic Distal pancreatectomy Perioperative Clinical nursing pathway table Delphi method |
| 基金项目:复旦大学护理科研基金资助项目（课题编号：FNF201530） |
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| 中文摘要: |
| 目的 构建适用于腹腔镜下胰体尾切除术围手术期的临床护理路径表。方法 成立临床护理路径研究小组，通过查阅病历资料及文献回顾，对腹腔镜下胰体尾切除术围手术期护理流程进行分析和分解，拟定临床护理路径草表，选取该领域的临床医学教授、临床护理管理专家、资深医师共11名专家进行两轮德尔菲法咨询。结果 两轮专家咨询问卷回收率均为100%，权威系数为0.87，变异系数0.07～O.18，协调系数为0.32～O.67，协调程度的显著性检验显示差异有统计学意义（P＜0.05）；内容效度分别为0.889、0.935，信度分析用克朗巴哈α系数分别为0.941、0.987。两轮咨询后，专家意见趋于集中，经过3例临床预实验，形成腹腔镜下胰体尾切除术围手术期临床护理路径表。结论 两轮专家咨询具有很高的积极性、较高的权威性和协调程度，结果可靠，所构建的腹腔镜下胰体尾切除术围手术期的临床护理路径表具有一定的科学性。 |
| 英文摘要: |
| Objective To establish a clinical nursing pathway table suitable for laparoscopic distal pancreatectomy. Methods Set up the clinical nursing path research group. Through consulting the medical records and literature review, analyse and decompose the perioperative nursing process, and drawn up the clinical nursing path grass table. 11 experts in clinical medicine, clinical nursing management and senior doctors were selected to conduct two rounds of Delphy's consultation. Results The recovery rate of the two rounds of expert consultation questionnaires were 100%, the authority coefficient was 0.87, the coefficient of variation was 0.07 ~ 0.18, the coordination coefficient was 0.32 ~ 0.67. The significant test of coordination degree showed that the difference was statistically significant (P < 0.05); the content validity was 0.889 and 0.935 respectively. The reliability analysis with Kron Baja alpha coefficient was 0.941 and 0.987, respectively. After two rounds of consultation, the experts' opinions tended to be centralized. After 3 clinical pre experiments, a clinical nursing pathway table was formed during the perioperative period of laparoscopic pancreatectomy. Conclusion The two rounds of expert consultation has a high degree of enthusiasm, high authority and coordination, and the result is reliable. The clinical nursing path table in the perioperative period of the laparoscopic pancreatectomy is scientific. |
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