护理学报2018，Vol.25Issue(2)：1-6,6.DOI:10.16460/j.issn1008-9969.2018.02.001
基于Delphi法ICU患者误吸风险评估体系的构建
Development of Indicator System of Aspiration Risk Evaluation in ICU with Delphi Method
摘要
Abstract
Objective To develop a scientific and feasible indicator system to evaluate aspiration risk in ICU. Methods The indicator system was developed after literature review, group discussion and two-round expert consultations conducted among 20 experts in related fields. Results In two rounds of surveys,response rates of the questionnaire were 91% and 100% respectively and the authoritative coefficients were 0.887 and 0.893 respectively. The indicator system consisted of 4 first-level and 20 second-level indictors. The mean value of importance scoring of first-level indicators ranged from 4.25 to 4.95; the full score ratio from 0.90 to 1.00, variation coefficient from 0.05 to 0.15. While, the mean value of importance scoring of second-level indicators ranged from 3.85 to 5.00;the full score ratio from 0.70 to 1.00;variation coefficient from 0.03 to 0.18 and Kendall's W was 0.285(P<0.001). The fitness scores of risk appendages of grade items under the two-level index ranged from 4.05 to 4.90,the full score ratio from 0.80 to 0.95, variation coefficient from 0.10 to 0.17, and Kendall's W was 0.161 (P<0.001). Conclusion The developed indicator system for aspiration risk evaluation in ICU, consisting of 4 first-level indictors and 20 second-level indictors, which cover personal factors, dietary management, airway management and medication usage, is reliable and valid and it provides the basis for the development of further scales or instruments.关键词
重症监护病房/误吸/Delphi法/风险评估/指标体系Key words
intensive care unit/aspiration risk/Delphi method/risk assessment/indicator system分类
医药卫生引用本文复制引用
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):1-6,6.基金项目
广东省科技厅科技计划项目(2016KT1171) （2016KT1171）
