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重症脑卒中介入治疗围术期患者保护性约束的专家共识

广东省护理学会介入护理专业委员会 广东省医师学会介入医师分会护理学组 韩晓玲 何金爱 耿冰冰 王雪梅 冯英璞 叶俏 冯建宇

护理学报2024,Vol.31Issue(10):37-42,6.
护理学报2024,Vol.31Issue(10):37-42,6.DOI:10.16460/j.issn1008-9969.2024.10.037

重症脑卒中介入治疗围术期患者保护性约束的专家共识

Expert consensus on perioperative protective restraint in interventional therapy for severe stroke patients

广东省护理学会介入护理专业委员会 1广东省医师学会介入医师分会护理学组 1韩晓玲 2何金爱 3耿冰冰 2王雪梅 4冯英璞 5叶俏 2冯建宇6

作者信息

  • 2. 珠海市人民医院(暨南大学珠海临床医学院) 护理部,广东 珠海 519000
  • 3. 暨南大学附属第一医院 护理部,广东 广州 510000
  • 4. 江苏省人民医院 介入放射科,江苏 南京 210029
  • 5. 河南省人民医院 河南省护理医学重点实验室,河南 郑州 450003
  • 6. 南方医科大学南方医院 血管与介入科,广东 广州 510000
  • 折叠

摘要

Abstract

Objective To form a written document of"Expert consensus on perioperative protective restraint in interventional therapy for severe stroke patients",to provide clinical guidance for the implementation and removal of perioperative protective restraints in interventional therapy for severe stroke patients.Methods By conducting literature review and interviews,we extracted recommendations and research findings on the implementation and removal of protective restraints for patients undergoing interventional therapy in the perioperative period of severe ischemic stroke to form a consensus draft.Following two rounds of expert consultation,we created the final consensus after adjusting,modifying,and refining the draft in accordance with expert opinions.Results The effective recovery rate of the two-round questionnaire was 96%and 91%,respectively.The authority coefficient of the two rounds of correspondence consulting was 0.896 and 0.933,respectively.The mean value of importance assignment of each indicator was>3.5,and the coefficient of variation was<0.25.The Kendall harmony coefficient of experts was 0.160 and 0.299 respectively.The final consensus consisted of five parts,namely,the key point of restraint implementation evaluation,restraint prevention and alternative measures,the selection of restraint tools and their duration,the key point of restraint implementation,and the key point of restraint removal.Conclusion This consensus provides guidance for and standardize the implementation and removal of protective restraints in severe stroke patients undergoing interventional therapy.

关键词

保护性约束/重症脑卒中/介入治疗/围术期/专家共识

Key words

protective restraint/severe stroke/interventional therapy/perioperative period/expert consensus

分类

医药卫生

引用本文复制引用

广东省护理学会介入护理专业委员会,广东省医师学会介入医师分会护理学组,韩晓玲,何金爱,耿冰冰,王雪梅,冯英璞,叶俏,冯建宇..重症脑卒中介入治疗围术期患者保护性约束的专家共识[J].护理学报,2024,31(10):37-42,6.

基金项目

广州市科技计划项目(2024A03J0450) (2024A03J0450)

护理学报

OACSTPCD

2097-6569

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