高原成人低氧血症患者氧气吸入疗法护理专家共识

doi:10.3761/j.issn.0254-1769.2026.15.008

中华护理杂志 ›› 2026, Vol. 61 ›› Issue (15): 2069-2075.DOI: 10.3761/j.issn.0254-1769.2026.15.008

高原成人低氧血症患者氧气吸入疗法护理专家共识

重庆市护理学会西藏护理学会（执笔任：洪艳¹(), 潘龙芳², 唐萍³^,^*(), 冯家瑶³, 林玲³, 梁毅⁴, 嘎多⁵, 色吉那⁵, 格桑罗布）⁶

¹ 重庆医科大学附属第一医院护理部重庆市 400016
² 重庆医科大学附属第一医院呼吸与危重症科重庆市 400016
³ 重庆医科大学附属第一医院心血管内科重庆市 400016
⁴ 新疆生产建设兵团第一师医院呼吸与危重症医学科新疆维吾尔自治区阿克苏市 843000
⁵ 西藏自治区人民医院护理部拉萨市 850000
⁶ 西藏自治区人民医院西藏高原医学研究所拉萨市 850000

收稿日期:2025-12-26 出版日期:2026-08-10 发布日期:2026-08-04
*通讯作者: 唐萍，E-mail：1078355187@qq.com
作者简介:任洪艳：女，博士，主任护师，E-mail：754743870@qq.com
基金资助:
西藏自治区自然科学基金组团式援藏医学项目(XZ2024ZR?ZY098（Z）)

Expert consensus on nursing practice of oxygen therapy in adults with hypoxemia at high altitude

Chongqing Nursing Association，Xizang Nursing Association (Writing Committee: REN Hongyan¹(), PAN Longfang², TANG Ping³^,^*(), FENG Jiayao³, LIN Ling³, LIANG Yi⁴, GA Duo⁵, SE Jina⁵, GESANG Luobu)⁶

¹ Department of Nursing， the First Affiliated Hospital of Chongqing Medical University， Chongqing 400016， China
² Department of Respiratory and Critical Care Medicine， the First Affiliated Hospital of Chongqing Medical University， Chongqing 400016， China
³ Department of Cardiology， the First Affiliated Hospital of Chongqing Medical University， Chongqing 400016， China
⁴ Department of Respiratory and Critical Care Medicine， the First Division Hospital of Xinjiang Production and Construction Corps，Aksu， Xinjiang Uygur Autonomous Region 843000， China
⁵ Department of Nursing， the People’s Hospital of Xizang Autonomous Region， Lhasa 850000， China
⁶ High Altitude Medical Research Institute of Xizang， the People’s Hospital of Xizang Autonomous Region， Lhasa 850000， China

Received:2025-12-26 Online:2026-08-10 Published:2026-08-04
Funding program:
Xizang Autonomous Region Natural Science Foundation Group Medical Assistance Program for Xizang(XZ2024ZR?ZY098（Z）)

1. “高原成人低氧血症患者氧气吸入疗法护理专家共识”全文.pdf(1139KB)

摘要/Abstract

摘要：

目的编制高原成人低氧血症患者氧气吸入疗法护理专家共识（以下简称“共识”），以指导高原地区护士规范相关护理行为。方法运用循证方法，系统检索、评价和整合相关证据，划分证据等级，形成“共识”初稿。2025年3—11月，邀请6个省市21名医疗或护理专家进行2轮专家函询、8名专家进行2次专家论证，形成“共识”终稿。结果 2轮专家函询的有效问卷回收率均为100%；专家的判断依据系数为0.90，熟悉程度系数为0.73，权威系数为0.82；各条目的重要性评分均数为3.80~4.80分，变异系数为0.11~0.24，肯德尔和谐系数分别为0.125和0.123（P<0.001）。“共识”包括护理评估、氧疗设备及方式的选择、氧疗实施、安全管理4个方面的内容。结论该“共识”具有科学性、临床适用性，可为高原地区护士规范实施氧气吸入疗法提供指导。

关键词: 高原, 低氧血症, 成人, 氧气吸入疗法, 专家共识, 护理

Abstract:

Objective To develop an expert consensus on nursing care for oxygen therapy in adult patients with hypoxemia in high-altitude regions（hereinafter referred to as the “Consensus”），aiming to guide nurses in high-altitude regions in standardizing relevant nursing practices. Methods Using an evidence-based approach，we systematically searched for，evaluated，and synthesized relevant evidence，classified the evidence levels，and drafted the initial version of the “Consensus”. From March to November 2025，21 medical or nursing experts from 6 provinces and municipalities were invited to participate in 2 rounds of expert consultation via mail，and 8 experts conducted 2 rounds of expert panel discussions to finalize the “Consensus”. Results The response rate for valid questionnaires in both rounds of expert consultation was 100%. The experts’ agreement coefficient was 0.90；the familiarity coefficient was 0.73；the authority coefficient was 0.82. The mean importance scores for each item ranged from 3.80 to 4.80 points；the coefficients of variation ranged from 0.11 to 0.24；the Kendall’s coefficients of concordance were 0.125 and 0.123，respectively（P<0.001）. The “Consensus” covers 4 aspects：nursing assessment，selection of oxygen therapy equipment and methods，nursing implementation，and safety management. Conclusion This “Consensus” is scientifically sound and clinically applicable，and can provide guidance for nurses in high-altitude regions to standardize the implementation of oxygen inhalation therapy.

Key words: High Altitude, Hypoxemia, Adult, Oxygen Therapy, Expert Consensus, Nursing Care

重庆市护理学会西藏护理学会（执笔任：洪艳, 潘龙芳, 唐萍, 冯家瑶, 林玲, 梁毅, 嘎多, 色吉那, 格桑罗布）. 高原成人低氧血症患者氧气吸入疗法护理专家共识[J]. 中华护理杂志, 2026, 61(15): 2069-2075.

Chongqing Nursing Association，Xizang Nursing Association (Writing Committee: REN Hongyan, PAN Longfang, TANG Ping, FENG Jiayao, LIN Ling, LIANG Yi, GA Duo, SE Jina, GESANG Luobu). Expert consensus on nursing practice of oxygen therapy in adults with hypoxemia at high altitude[J]. Chinese Journal of Nursing, 2026, 61(15): 2069-2075.

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高原成人低氧血症患者氧气吸入疗法护理专家共识

Expert consensus on nursing practice of oxygen therapy in adults with hypoxemia at high altitude

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