广西医学2024，Vol.46Issue(5)：637-644,8.DOI:10.11675/j.issn.0253-4304.2024.05.05
早期心脏手术相关急性肾损伤患者连续性肾脏替代治疗系统化护理方案的构建
Establishment of systematic nursing regimen for continuous renal replacement therapy in patients with early cardiac surgery-associated acute kidney injury
王仕芳 1吕红 1陈玉红 1冯萍 1张浩 1柏健2
作者信息
- 1. 南京医科大学附属南京医院、南京市第一医院重症医学科,江苏省南京市 210006
- 2. 南京医科大学附属老年医院护理部,江苏省南京市 210029
- 折叠
摘要
Abstract
Objective To establish the systematic nursing regimen for continuous renal replacement therapy(CRRT)in patients with early cardiac surgery-associated acute kidney injury(CSA-AKI).Methods The CRRT systematic nursing regimen of early CSA-AKI patients was preliminary established by using the methods of literature analysis and group discussion,etc.Based on the Delphi method,items of regimen were determined through the expert letter consultation,and the weight of items was determine by using the analytic hierarchy process.Results The effective rate of questionnaire recycling in two-round expert letter consultation was all 100%,and the authority coefficient of the first and second rounds of expert letter consultation was 0.888 and 0.909,respectively.The mean importance scores of various third-level items ranged from 3.84 to 4.84,and 4.10 to 5.00,respectively,and the standard deviation ranges were 0.43-1.20 and 0-0.61,respectively,whereas the Kendall coordination coefficient was 0.124 and 0.158,respectively(P<0.05).Eventually,the determined systematic nursing regimen contained 4 first-level items,15 second-level items,and 41 third-level items,and the consistency ratio of all-level items was less than 0.1.Conclusion CRRT systematic nursing regimen established for patients with early CSA-AKI patients can provide the reference basis for clinical practice.关键词
心脏手术相关急性肾损伤/连续性肾脏替代/系统化护理/方案构建/德尔菲法Key words
Cardiac surgery-associated acute kidney injury/Continuous renal replacement therapy/Systematic nursing/Regimen establishment/The Delphi method分类
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王仕芳,吕红,陈玉红,冯萍,张浩,柏健..早期心脏手术相关急性肾损伤患者连续性肾脏替代治疗系统化护理方案的构建[J].广西医学,2024,46(5):637-644,8.
