基于循证和德尔菲法构建ICU患者睡眠管理方案
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女, 硕士在读,护师

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上海市闵行区自然科学研究课题(2018MHZ076);复旦大学附属上海市第五人民医院曙光人才培养计划(2017WYRCSG06)


Development of a sleep management protocol for ICU patients based on evidencebased medicine and Delphi technique
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    摘要:

    目的 提高ICU 患者的睡眠质量。方法 采用循证方法筛选最佳证据,经研究小组讨论构建ICU 睡眠管理初步方案;采用德 尔菲法向20名危重症领域医疗护理专家进行2轮函询。结果 纳入12项高质量证据,构建包括失眠诊断、睡眠质量评估、睡眠危 险因素评估、睡眠危险因素干预、其他提高睡眠质量措施的5个方面共11项内容的睡眠管理方案;专家积极性为100% ,权威系 数0.84,变异系数0.17~0.21,W 值0.196、0.249,均P<0.01。结论 本ICU 患者睡眠管理方案构建过程严谨,结果可靠,可用 于临床ICU 患者的睡眠管理,以验证该管理方案的适用性。

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    Objective To enhance sleep quality of intensive care patients. Methods Best evidence were identified through the evidencebased nursing approach to develop sleep management protocol, then 20 experts in critical care medicine and nursing were invited to participate in a tworound of consultation using the Delphi method. Results Twelve highquality evidence were included, and the sleep management protocol was composed of five dimensions of insomnia diagnosis, sleep quality assessment, risk factors assessment, risk factors intervention and other measures to improve sleep quality, totaling to 11 items. The response rate of experts was 100%, the coefficient of authority of the experts was 0.84, the coefficients of variation ranged from 0.17 to 0.21, and the Kendall′s coefficient of concordance was 0.196 and 0.249 in the two rounds respectively (P<0.01 for both). Conclusion The sleep management protocol is meticulously developed with high reliability for ICU patients, so it can be used to assess sleep quality of ICU patients after validation.

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周丹,杨青敏,顾艳荭,龚晨,王光鹏,乔建歌.基于循证和德尔菲法构建ICU患者睡眠管理方案[J].护理学杂志,2019,34(12):54-57

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  • 收稿日期:2018-12-04
  • 最后修改日期:2019-02-15
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  • 在线发布日期: 2022-08-08