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Journal of Nursing ›› 2019, Vol. 26 ›› Issue (22): 11-15.doi: 10.16460/j.issn1008-9969.2019.22.011

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Construction of ICU Nursing Monitoring and Evaluation Scale for Multiple Trauma Patients Based on Delphi-AHP Method

ZHANG Fan1, ZHANG Jing-ping1,2   

  1. 1. School of Nursing, Guizhou Medical University, Guiyang 550025,China;
    2. Affiliated Hospital of Guizhou Medical University, Guiyang 550025,China
  • Received:2019-05-10 Published:2020-07-27

Abstract: Objective To develop an evaluation scale suitable for patients with severe multiple injuries in ICU and to provide reference for ICU nurses to evaluate these patients. Methods After literature review and semi-structured interview, the initial scale item pool was formed. Delphi method was used for 2 rounds of consultation, and the weight of items was determined by analytic hierarchy process method. Results Positive coefficient of two rounds of enquiry for 15 experts was 93.75% and 100% respectively and authority coefficient 0.835 and 0.872 respectively. Coordination degree of expert opinion was 0.217(χ2=118.645, P<0.01) and 0.314(χ2=155.670,P<0.01); mean value of item importance and coefficient of variation were 4.478,0.102 and 4.859,0.017. The final version of the scale consisted of 5 dimensions including damage assessment (0.199), and related physiological score (0.207), age (0.198), treatment measures (0.197) and prior chronic diseases (0.199) and 29 items. Conclusion ICU nursing monitoring and evaluation scale for patients with multiple trauma based on Delphi-AHP method is scientific and provides reference for ICU nurses to evaluate the changes of patients with severe multiple trauma, but further clinical empirical research is needed.

Key words: Dephi method, AHP method, patient with multiple trauma, ICU, nursing monitoring

CLC Number: 

  • R473
[1] 张利远,李政,张鹏.336例多发伤救治中死亡病例特点分析[J].中华灾害救援医学,2014, 2(12):675-677.DOI:10.13919/j.issn.2095-6274.2014.12.004.
[2] 汪正光,张牧城,谢立德,等.潜在危重病预警评分在多发性创伤患者病情变化中的预测价值[J].实用医学杂志,2014,30(6):928-930.DOI:10.3969/j.issn.1006-5725.2014.06.030.
[3] 王庚壮,潘昭宇,潘立峰.急诊多发伤患者死亡的影响因素分析[J].天津医药, 2017, 45(8):885-888.DOI:10.11958/20170171.
[4] 王雄明. 急诊多发伤患者危险因素及急救措施研究[J].中外医学研究,2016, 14(36):119-120.DOI:10.14033/j.cnki.cfmr.2016.36.063.
[5] Sina J, Peyman J, Mahnaz Y, et al.Potential Risk Factors of Death in Multiple Trauma Patients[J].Emergency,2014,2(4):170-173.DOI:10.22037/emergency.v2i4.6845.
[6] 邓强宇,唐碧菡,张鹭鹭.损伤严重程度评分应用现状[J].解放军医院管理杂志, 2014, 21(7):623-627.DOI:10.16770/j.cnki.1008-9985.2014.07.022.
[7] 崔念奇. ICU患者身体约束评估量表的构建及信效度检测[D].重庆:重庆医科大学,2018.
[8] 吴巧媚,张利娟,郑静霞.基于Delphi法ICU患者误吸风险评估体系的构建[J].护理学报,2018, 25(2):1-6.DOI:10.16460/j.issn.1008-9969.2018.02.001.
[9] 程书肖. 教育评价方法技术[M]北京:北京师范大学出版社.2004:47-59.
[10] 楚尧娟,尹钊,梁艳,等.利用Delphi法和层次分析法构建医院药师核心能力的指标体系[J].中国医院药学杂志,2019,39(11):1198-1202.DOI:10.13286/j.cnki.chinhosppharmacyj.2019.11.19.
[11] 闫茜. 层次分析法对抗抑郁药物进行风险效益评价[D].太原:山西医科大学,2017.
[12] Mead D, Moseley L.The Use of the Delphi as a Research Approach[J].Nurse Res,2001,8(4):4-23.DOI:10.7748/nr2001.07.8.4.4.c6162.
[13] Improta G, Perrone A, Russo M A, et al.Health Technology Assessment (HTA) of Optoelectronic Biosensors for Oncology by Analytic Hierarchy Process(AHP) and Likert Scale[J].BMC Med Res Methodol,2019,19(1):140-148.DOI:10.1186/s12874-019-0775-z.
[14] 顾航,李红玉.突发事件护理人员救援能力评价指标体系构建[J].中国职业医学,2018, 45(2):206-209.DOI:10.11763/j.issn.2095-2619.2018.02.015.
[15] 吴明隆. 问卷统计分析实务:SPSS操作与应用[M].重庆:重庆大学出版社,2010:225.
[16] 刘向莉,何艳君.基于Delphi法的医学生人文社会素养评价指标体系研究[J].黑龙江高教研究, 2018(7):65-68.DOI:10.3969/j.issn.1003-2614.2018.07.014.
[17] 艾蓉,王桔红,梁洁.基于德尔菲法和层次分析法的门诊护理风险评价指标体系构建[J].护理学报,2018,25(17):35-40.DOI:10.16460/j.issn.1008-9969.2018.17.035.
[18] 江琳,崔屹,张雅萍,等.ICU危重症患者病情评估指标体系的研究[J].护理学报,2017,24(21):1-3.DOI:10.16460/j.issn.1008-9969.2017.21.001.
[19] 中国医师协会急诊分会,中国人民解放军急救医学专业委员会,中国人民解放军重症医学专业委员会,等.创伤失血性休克诊治中国急诊专家共识[J]. 中华急诊医学杂志, 2017,26(12):1358-1365.DOI:10.13201/j.issn.1009-5918.2017.12.001.
[20] 尹其翔,梁亚鹏,刘志帧.多发伤急诊死亡危险因素及死因分析[J].临床急诊杂志,2015,16(8):591-593.DOI:10.13201/j.issn.1009-5918.2015.08.007.
[21] 张旗,李海山,左爽. 多发伤患者死亡的危险因素分析[J].临床急诊杂志,2019, 20(7):517-520.DOI:10.13201/j.issn.1009-5918.2019.07.004.
[22] 苗振军,蔡华忠,魏法星,等.多发伤患者院内死亡危险因素分析[J].中国急救医学,2018,38(5):410-413.DOI:10.3969/j.issn.1002-1949.2018.05.009.
[23] 汤可,周敬安,赵亚群,等.AIS-ISS和GCS评分预测颅脑外伤合并多发伤预后比较研究[J].中国急救复苏与灾害医学杂志,2013,8(7):599-602.DOI:10.3969/j.issn.1673-6966.2013.07.006.
[24] 吴传芹,朱艳萍,李国宏.ICU患者谵妄的发生率及危险因素分析[J].第三军医大学学报,2018,40(11):1038-1043.DOI:10.16016/j.1000-5404.201801018.
[25] 王明伟. 急诊治疗中多发伤患者的危险因素以及进行急救措施的分析[J].中国实用医药,2018,13(18):87-89.DOI:10.14163/j.cnki.11-5547/r.2018.18.050.
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