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乔安花.基于德尔菲法构建急诊危重症患者护理风险预警预控指标的研究[J].上海护理,2020,20(10):
基于德尔菲法构建急诊危重症患者护理风险预警预控指标的研究
Delphi method for the establishment of risk early warning and precontrol index for patients with emergency critical illness//Ou Yi, Peng Fei,Qiao Anhua//Shang Hai ChangZheng Hospital
DOI：
中文关键词:  护理风险  急诊危重症患者  预警预控  德尔菲法。
英文关键词:Nursing  risk, Emergency, Early  warning, Delphi  method.
基金项目:；上海市卫计委课题面上项目(201540220)
作者单位E-mail
乔安花* 第二军医大学附属长征医院 qiaoxiang1_1@163.com 
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中文摘要:
      目的 构建适合我国国情的急诊危重症患者急救护理风险预警预控指标,为进一步建立相应的急救护理模式提供参考。方法 在文献分析和专家小组讨论的基础上应用德尔菲法对15名专家进行2轮专家函询问卷,对指标重要性及可行性进行评价以确立急诊危重症患者护理风险预警预控指标。结果 两轮专家函询结束后,问卷的有效回收率分别为93%和100%；专家的权威系数分别为0.86和0.88；一、二、三级指标的重要性赋值均数分别为4.36-4.71、4.57-4.93、4.00-4.86,3项指标变异系数分别为0.12-0.19、0.10-0.19、0.08-0.19,各专家协调程度高,最终构建急诊危重症患者护理风险预警预控指标的一级指标3项,二级指标7项,三级指标41项。结论 构建指标的结果可靠,代表性好,能够为建立相应的急救护理模式提供参考。
英文摘要:
      Objective The precontrol index of the emergency care risk of critical illness patients is constructed, which can provide reference for the further establishment of the corresponding model of emergency care. Methods: On the basis of literature analysis and expert group discussion, the Delphi method was used to conduct two rounds of expert letter questionnaire for 15 experts, and the importance and feasibility of indicators were evaluated to establish nursing risk early warning and control indicators for patients with emergency critical illness. Results: After two rounds of expert correspondence, the effective response rate of the questionnaire was 93% and 100% respectively. The authoritative coefficient of experts is 0.86 and 0.88 respectively. The mean values of significance assignment of the first, second and third indicators were 4.36-4.71, 4.57-4.93, and 4.00-4.86 respectively. The variation coefficients of the three indicators were 0.12-0.19, 0.10-0.19, and 0.08-0.19 respectively. Conclusion: The results of the construction indicators are reliable and representative, which can provide references for the establishment of the corresponding model of emergency care.
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