中华护理杂志 ›› 2022, Vol. 57 ›› Issue (22): 2707-2713.DOI: 10.3761/j.issn.0254-1769.2022.22.003

• 新生儿护理专题 • 上一篇    下一篇

新生儿安宁疗护服务体系的构建

陈晓飞(), 陈朔晖(), 李梦婷, 沈倩倩, 罗飞翔, 程晓英   

  1. 310052 杭州市 国家儿童健康与疾病临床医学研究中心/浙江大学医学院附属儿童医院消化内科(陈晓飞,沈倩倩),感染管理科(陈朔晖),新生儿重症监护室(罗飞翔),质量管理办公室(程晓英);广东省佛山市三水区社会保险基金管理局医疗工伤保险科(李梦婷)
  • 收稿日期:2022-06-21 出版日期:2022-11-20 发布日期:2022-11-21
  • 通讯作者: 陈朔晖,E-mail:chcsh2@zju.edu.cn
  • 作者简介:陈晓飞:女,硕士,副主任护师,护士长,E-mail:hzxiao0914@163.com
  • 基金资助:
    浙江省医药卫生科技计划面上项目(2020KY170)

Construction of neonatal hospice care service system

CHEN Xiaofei(), CHEN Shuohui(), LI Mengting, SHEN Qianqian, LUO Feixiang, CHENG Xiaoying   

  • Received:2022-06-21 Online:2022-11-20 Published:2022-11-21

摘要:

目的 构建新生儿安宁疗护服务体系,以指导临床实践。方法 以人性化护理理论、舒适护理理论为基础,在文献回顾、质性研究的基础上拟订新生儿安宁疗护服务体系。2020年9月—11月,对来自7个省(市)的25名专家进行2轮专家函询,确定具体内容。结果 2轮函询的有效问卷回收率均为100%,专家的权威系数为0.852,肯德尔和谐系数分别为0.124~0.212、0.111~0.204(均P<0.001),条目重要性评分的变异系数分别为0~0.34、0.07~0.24,可行性评分的变异系数分别为0~0.39、0.08~0.24。形成的新生儿安宁疗护服务体系包括组建安宁疗护团队以及安宁疗护的介入时机、服务对象、服务内容4个一级条目,12个二级条目,38个三级条目。结论 新生儿安宁疗护服务体系具有较好的科学性、可行性,可为临床护理实践提供参考。

关键词: 危重病, 安宁疗护, 德尔菲技术, 新生儿护理

Abstract:

Objective To construct the hospice care service system for neonates for clinical practice guidance. Methods Based on humanistic nursing theory and comfortable nursing theory,a consultation questionnaire was developed via literature review and qualitative research during September to November 2020,and was distributed to 25 experts from 7 provinces and cities for Delphi expert consultation and neonatal hospice care service system construction. Results The questionnaire recovery rates of the 2 rounds of expert consultations were 100%;the expert authority coefficient was 0.852;Kendall’s concordance coefficients were 0.124~0.212 and 0.111~0.204 respectively (all P<0.001);the variation coefficients of the 2 rounds of item importance score were 0~0.34,0.07~0.24,and the variation coefficients of feasibility score were 0~0.39,0.08~0.24,respectively. The neonatal hospice care service system was formed with 4 first-level items,12 second-level items,and 38 third-level items,including multidisciplinary team cooperation,intervention timing,service recipients,service content. Conclusion The neonatal hospice care service system is scientific and feasible,which can provide certain guidance for the clinical practice of neonatal hospice care.

Key words: Critical Illness, Hospice Care, Delphi Technique, Neonatal Nursing