急性呼吸窘迫综合征病人标准化肺康复方案的构建OACSTPCD
Construction of standardized lung rehabilitation plan of patients with acute respiratory distress syndrome
目的:建立急性呼吸窘迫综合征(ARDS)病人标准化肺康复方案,为ARDS病人肺功能康复提供指导.方法:通过系统文献回顾,基于循证理念,提取最佳证据,制定ARDS病人标准化肺康复方案初稿.经过2轮专家函询,整合专家意见,对纳入条目进行修订和完善,最终建立ARDS病人标准化肺康复方案.结果:2轮函询问卷回收率均为100%,专家权威系数分别为0.853和0.872,肯德尔和谐系数分别为0.286和0.313(均P<0.001).最终形成的ARDS病人标准化肺康复方案包括肺康复前评估、肺康复期间定期评估、分阶段实施肺康复和肺康复相关问题4个方面,共57个条目.结论:形成的ARDS病人标准化肺康复方案内容系统、全面、科学、可靠,肺康复方案具体、可行.
Objective:To establish the standardized lung rehabilitation plan of patients with acute respiratory distress syndrome(ARDS),and to provide guidance for lung function rehabilitation in ARDS patients.Methods:A preliminary draft of the standardized lung rehabilitation plan of ARDS patients was developed based on evidence-based concepts,extracted the best evidence through systematic literature review.After 2 rounds of expert correspondence consultation,integrating expert opinions,the included items were revised and improved.Finally,the standardized pulmonary rehabilitation program of ARDS patients was established.Results:The recovery rates of the two rounds of correspondence questionnaires were 100%,expert authority coefficients were 0.853 and 0.872,and Kendall's W were 0.286 and 0.313(all P<0.001).The standardized lung rehabilitation plan of ARDS patients included 4 aspects with pre-rehabilitation assessment,periodic assessment,phased implementation and rehabilitation related issues,involving 57 items.Conclusion:The standardized lung rehabilitation plan of ARDS patients was systematic,comprehensive,scientific and reliable,and the lung rehabilitation plans was specific and feasible.
周俊;郭华
新乡市中心医院(新乡医学院第四临床学院),河南 453000
急性呼吸窘迫综合征肺康复标准方案护理
acute respiratory distress syndromelung rehabilitationstandard plannursing
《护理研究》 2024 (004)
590-596 / 7
2020年度河南省医学科技攻关计划联合共建项目,编号:LHGJ20200938
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