Chinese Journal of Nursing ›› 2020, Vol. 55 ›› Issue (12): 1770-1776.DOI: 10.3761/j.issn.0254-1769.2020.12.002

• Research Paper • Previous Articles     Next Articles

Construction of nursing of damage control resuscitation for patients with severe abdominal trauma:a Delphi study

LIU Feng(),YE Xianghong,DING Weiwei,HUANG Ping,LIU Baochen,HAN Xiaoqin,WU Cuili,SUN Lin()   

  1. Bengbu Medical College,School of Nursing,Bengbu,233030,China
  • Received:2020-02-23 Online:2020-12-15 Published:2020-12-08
  • Contact: Lin SUN

严重腹部创伤患者损伤控制复苏护理方案的构建

刘峰(),叶向红,丁威威,黄萍,刘宝晨,韩小琴,吴翠丽,孙琳()   

  1. 233030安徽省蚌埠市蚌埠医 学院研究生院(刘峰);东部战区总医院全军普通外科研究所(叶向红,丁威威,刘宝晨,吴翠丽),急救医学科(韩小琴),军队伤病员管理科(孙琳);南京大学医学院附属鼓楼医院急诊科(黄萍)
  • 通讯作者: 孙琳
  • 作者简介:刘峰:女,硕士,护士, E-mail:liufeng10229901@163.com
  • 基金资助:
    全军医学科技青年培育计划护理项目(19QNP077)

Abstract:

Objective To construct a nursing plan for damage control resuscitation in patients with severe abdominal trauma based on the concept of damage control resuscitation. Methods Based on literature reviews,clinical structure observation and expert meetings,the guidelines and literature related to abdominal trauma were integrated,and the first draft of the nursing plan was formulated. After Delphi expert consultations,the practice plan of damage control resuscitation for patients with severe abdominal trauma was determined. Results In the 2 rounds of expert consultations,the expert positive coefficients were 88.89% and 100%,and the expert authority coefficients were 0.88. The coordination coefficients of items in 2 rounds of inquiry were 0.29 and 0.32,respectively. The final practice plan includes 2 first-level items,15 second-level items,and 50 third-level items. Conclusion The nursing plan constructed in this study is scientific,reliable and practical,and provides guidance for clinical trauma care.

Key words: Abdominal Injuries, Damage Control Resuscitation, Trauma Care, Nursing Practice

摘要:

目的 基于损伤控制复苏理念,构建严重腹部创伤患者损伤控制复苏护理方案。方法 通过文献回顾、临床观察及头脑风暴等方法,整合腹部创伤相关指南和文献,制订护理方案初稿,经德尔菲法专家函询,确定严重腹部创伤患者损伤控制复苏护理方案。结果 2轮专家函询中,专家积极系数分别为88.89%、100%,专家权威系数均为0.88,2轮函询条目的肯德尔和谐系数分别为0.29、0.32,最终形成的护理方案包括2项一级条目,15项二级条目,50项三级条目。 结论 本研究构建的护理方案具有科学性、可靠性及适用性,可为临床创伤护理提供指导。

关键词: 腹部损伤, 损伤控制复苏, 创伤护理, 护理实践