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Journal of Nursing ›› 2021, Vol. 28 ›› Issue (3): 15-19.doi: 10.16460/j.issn1008-9969.2021.03.015

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Development of Nursing Rounds Checklist for Patients with Severe Abdominal Trauma

ZHEN Yong-qi1, YE Xiang-hong2, WANG Ling-ling2   

  1. 1. School of Graduate, Bengbu Medical College, Bengbu 233000, China;
    2. General Hospital of Eastern Theater Command of PLA, Nanjing 210000, China
  • Received:2020-12-09 Published:2021-03-12

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Abstract: Objective To develop a checklist of nursing rounds for patients with severe abdominal trauma, and provide guidelines for clinically structured nursing rounds. Methods Through literature review, semi-structured interview and expert meeting, a preliminary pool of items in the nursing rounds checklist was constructed. With Delphi method, two rounds of expert correspondence to the checklist among 18 experts were conducted, and finally the nursing rounds checklist for patients with severe abdominal trauma was developed. Results The final checklist consisted of 3 first-level, 11 second-level and 42 third-level indicators. The effective recovery rate of the two rounds of expert inquiry was 90% and 100%, respectively; expert authority coefficient 0.918 and 0.916, respectively and Kendall's W coefficient 0.356 and 0.358 respectively (P<0.001). The importance value of each item ranged from 0 to 0.189 and the coefficient of variation from 0 to 0.192. Conclusion In this study, a checklist of nursing rounds for patients with severe abdominal trauma is constructed after expert consultation and the experts are active, authoritative, and coordinated. Being reliable, the checklist provides reference for clinically structured nursing rounds for patients with severe abdominal trauma.

Key words: severe abdominal trauma, nursing rounds, checklist, Delphi method

CLC Number: 

  • R473.6
[1] 何海燕,张方征,曾登芬.腹部创伤护理[J].创伤外科杂志,2015,17(4):382-385.
[2] 陈香萍,梁寅,庄一渝,等.ICU多学科床边查房信息化清单的设计及临床应用[J].中国实用护理杂志,2018,34(9):672-676.DOI:10.3760/cma.j.issn.1672-7088.2018.09.008.
[3] 乔莉,沈志莹,郑凤,等.标准化随访清单在慢性病患者中应用的研究进展[J].中国护理管理,2019,19(8):1248-1252.DOI:10.3969/j.issn.1672-1756.2019.08.028.
[4] Ramsay G, Haynes AB, Lipsitz SR, et al.Reducing Surgical Mortality in Scotland by Use of the WHO Surgical Safety Checklist[J]. Br J Surg, 2019,106(8):1005-1011. DOI:10.1002/bjs.11151.
[5] 宁晓梅,刘肖霞.眼科术前核对项目清单的设计及临床应用效果观察[J].全科护理,2020, 18(33):4599-4601.DOI:10.12104/j.issn.1674-4748.2020.33.016.
[6] Hardiman KM, Reames CD, McLeod MC, et al. Patient Autonomy-centered Self-care Checklist Reduces Hospital Readmissions after Ileostomy Creation[J]. Surgery,2016,160(5):1302-1308.DOI:10.1016/j.surg.2016.05.007.Epub 2016 Jun 16. PMID:27320065; PMCID: PMC5086284.
[7] Cavalcanti AB, Bozza FA, Machado FR, et al.Effect of a Quality Improvement Intervention with Daily Round Checklists, Goal Setting, and Clinician Prompting on Mortality of Critically Ill Patients: A Randomized Clinical Trial[J]. JAMA, 2016,315(14):1480-1490.DOI:10.1001/jama.2016.3463. PMID:27115264.
[8] 范骁钦,王锦权,童飞,等.CERTAIN电子清单查房对机械通气患者临床指导价值的研究[J].中国急救医学,2018,38(9):806-809.DOI:10.3969/j.issn.1002-1949.2018.09.014.
[9] 侯晨姝,廖雪莲,康焰.查房清单引导查房对重症患者预后的影响[J].中华内科杂志,2019(11):829-831.DOI:10.3760/cma.j.issn.0578-1426.2019.11.010.
[10] 闻雪松,邵敏,Kianoush B 等.程序化清单查房系统在ICU的应用效果:一项前瞻性观察性研究[J].中华危重病急救医学,2018,30(12):1119-1122.DOI:10.3760/Cma.j.issn.2095-2018,30(12):1119-1122.
[11] 韦秀霞,庄一渝,张秀伟,等.重症监护室过渡期护理服务清单的构建研究[J].现代临床护理,2019,18(12):1-7.DOI:10.3969/j.issn.1671-8283.2019.12.001.
[12] 韦秀霞,张亚军,李青荷,等.心脏外科手术患者ICU过渡期护理清单的设计及应用[J].中华护理杂志,2019,54(8):1170-1175.DOI:10.3761/j.issn.0254-1769.2019.08.010.
[13] 冯翔,田俊,王斌全,等.护士主导的喉癌术后患者随访清单的制订[J].中华护理杂志, 2018, 53(8):956-961.DOI:10.3761/j.issn.0254-1769.2018.08.011.
[14] 玄令美. 预防性回肠造口患者随访清单的构建[D].湖州:湖州师范学院,2020.
[15] 杜婧,王斌全.基于德尔菲法构建突发性耳聋病人健康教育清单[J].护理研究, 2020, 34(10):1739-1744.DOI:10.12102/j.issn.1009-6493.2020.10.011.
[16] 王曼维,李岩,鱼锋,等.基于ISS评估急诊科多发创伤患者滞留时间与其转归分析[J].中华急诊医学杂志,2020(4):578-581.DOI:10.3760/cma.j.issn.1671-0281.2020022.014.
[17] 赵泽华. 急诊创伤后患者低体温管理方案的构建[D].南京:南京大学,2018.
[18] 刘峰. 严重腹部创伤患者损伤控制复苏护理方案的构建[D].蚌埠:蚌埠医学院, 2020. DOI:10.26925/d.cnki.gbbyc.2020.000280.
[19] 张连阳,李阳.战伤失血性休克救治的启示[J].实用休克杂志(中英文),2018,2(2):75-77.
[20] 涂加园,李琳,刘云,等.创伤后患者低体温的评估工具及影响因素研究进展[J].护理学报,2018,25(13):37-41.DOI:10.16460/j.issn1008-9969.2018.13.037.
[21] 李雯,蒋娟,段晶晶,等.急诊创伤后发生自发性低体温的影响因素及其相关性[J].国际护理学杂志, 2020(4):599-602.DOI:10.3760/cma.j.issn.1673-4351.2020.04.008.
[22] 李旭照. 腹腔开放引流治疗肠瘘并复杂腹腔感染的相关性研究[D].北京:中国人民解放军空军军医大学,2018.
[23] Beckman M, Paul J, Neideen T, et al.Role of the Open Abdomen in Critically Ill Patients[J]. Crit Care Clin, 2016, 32(2):255-264. DOI:10.1016/j.ccc.2015.12.003.PMID: 27016166.
[24] 薛阳阳,施天奇,吴翠丽,等.1例严重腹部外伤致肠空气瘘患者行二次腹壁植皮术的护理[J].中华护理杂志,2017,52(1):80-83.DOI:10.3761/j.issn.0254-1769.2017.01.017.
[25] 马云丽,罗娟,叶向红.腹腔开放患者肠内营养支持的研究进展[J].护士进修杂志,2020,35(9):789-792.DOI:10.16821/j.cnki.hsjx.2020.09.006.
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