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脓毒症患者ICU获得性衰弱风险因素评估表的构建

许金玲 刘艺 姜金霞 刘树炀 孙晓 王冶金 夏天娇 李仲蕖

临床与病理杂志2025,Vol.45Issue(1):38-45,8.
临床与病理杂志2025,Vol.45Issue(1):38-45,8.DOI:10.11817/j.issn.2095-6959.2025.240526

脓毒症患者ICU获得性衰弱风险因素评估表的构建

Construction of a risk factor assessment scale for ICU-acquired weakness in sepsis patients

许金玲 1刘艺 2姜金霞 3刘树炀 3孙晓 4王冶金 3夏天娇 3李仲蕖3

作者信息

  • 1. 同济大学医学院,上海 200092||同济大学附属第十人民医院护理部,上海 200072
  • 2. 同济大学附属第十人民医院康复科,上海 200072
  • 3. 同济大学附属第十人民医院护理部,上海 200072
  • 4. 同济大学附属上海市第四人民医院护理部,上海 200434
  • 折叠

摘要

Abstract

Objective:Currently,there is a lack of systematic evaluation of risk factors for Intensive Care Unit(ICU)-acquired weakness in sepsis patients in clinical practice.This study aims to construct a risk factor assessment scale for ICU-acquired weakness in sepsis patients to provide a basis for early evaluation. Methods:A research group was established to extract risk factors of ICU-acquired weakness in sepsis patients through literature review.After group discussion,a preliminary risk factor assessment scale was drafted.The Delphi method and analytic hierarchy process were then used to finalize the assessment scale and determine the weight of each indicator. Results:Two rounds of expert consultations were conducted,with a 100%positive response rate in both rounds and an authority coefficient of 0.90.The Kendall's W values were 0.379 and 0.416,respectively,both with statistically significant(P<0.01).The final assessment scale included 5 dimensions comprising a total of 33 items. Conclusion:The constructed risk factor assessment scale for ICU-acquired weakness in sepsis patients is scientifically sound and provides a reference for the risk evaluation of ICU-acquired weakness in this population.

关键词

脓毒症/重症监护病房获得性衰弱/风险评估/护理/层次分析法

Key words

sepsis/Intensive Care Unit-acquired weakness/risk assessment/nursing/analytic hierarchy process

引用本文复制引用

许金玲,刘艺,姜金霞,刘树炀,孙晓,王冶金,夏天娇,李仲蕖..脓毒症患者ICU获得性衰弱风险因素评估表的构建[J].临床与病理杂志,2025,45(1):38-45,8.

基金项目

国家自然科学基金(72104181) (72104181)

上海申康医院发展中心医企融合创新支撑技能培训专项基金(SHDC2023CRS002).This work was supported by National Natural Science Foundation(72104181)and Special Fund for Medical Enterprise Integration and Innovation Support Skills Training of Shanghai Shenkang Hospital Development Center(SHDC2023CRS002),China. (SHDC2023CRS002)

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