目的 构建肝移植患者围手术期护理服务需求指标体系,为肝移植患者围手术期护理需求提供借鉴和参考。方法 在专题小组讨论、文献研究法和临床实践的基础上构建肝移植患者围手术期护理服务需求指标的草案,再经过肝胆外科、消化内科等相关领域的18名专家两轮的专家函询,在专家函询的基础上对指标进行修订并采用取优序图法计算指标权重。结果 构建的肝移植患者围手术期护理服务需求指标包括术前护理、术中护理和术后护理3项一级指标、13项二级指标,45项三级指标。两轮函询专家的积极系数都为100%,专家权威系数分别0.880和0.868,专家协调系数为0.252和0.261。本研究构建的指标体系包括术前护理评估、术前教育、心理支持、术中麻醉监测和协助、术后监测、感染预防和疼痛管理等各个环节,为肝移植患者围手术期护理服务需求提供了科学依据。结论 构建的肝移植患者围手术期护理服务需求指标体系科学可靠,可以为肝移植患者围手术期护理提供参考。
Abstract
Objective To construct an indicator system for perioperative nursing service needs of liver transplantation patients, providing a reference for the perioperative nursing needs of liver transplantation patients. Methods Based on the thematic panel discussion, literature review, and clinical practice, a draft of indicators for perioperative nursing service needs of liver transplantation patients was developed. This draft underwent two rounds of expert consultations involving 18 experts from relevant fields such as Hepatobiliary Surgery and Gastroenterology. The indicators were revised based on expert consultations, and the weights of the indicators were calculated using the Analytic Hierarchy Process (AHP). Results The constructed indicator system for perioperative nursing service needs of liver transplantation patients includes three primary indicators (preoperative nursing, intraoperative nursing, and postoperative nursing), 13 secondary indicators, and 45 tertiary indicators. The positive coefficient of the two rounds of expert consultations was 100%, and the expert authority coefficients were 0.880 and 0.868, while the expert coordination coefficients were 0.252 and 0.261. This indicator system covers various aspects including preoperative nursing assessment, preoperative education, psychological support, intraoperative anesthesia monitoring and assistance, postoperative monitoring, infection prevention, and pain management, providing a scientific basis for the perioperative nursing service needs of liver transplantation patients. Conclusion The constructed indicator system for perioperative nursing service needs of liver transplantation patients is scientifically reliable and can serve as a reference for the perioperative nursing care of liver transplantation patients.
关键词
肝移植 /
围手术期护理 /
指标构建 /
护理服务需求
Key words
liver transplantation /
perioperative nursing /
indicator construction /
nursing service needs
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参考文献
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基金
“肝实质解剖优先法在腹腔镜解剖性肝叶切除中的应用价值研究”编（202104010072）,“肝细胞癌中EphA2表达及其与MVI发生相关机制研究”（2021JJ31132）
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