癫痫发作期护理评估内容的构建

doi:10.3761/j.issn.0254-1769.2022.14.007

摘要/Abstract

摘要：

目的构建癫痫发作期护理评估内容条目池并对其进行筛选,为制订有效的护理策略提供依据,评估结果为临床癫痫专科医师、脑电图师提供诊断依据。方法通过文献研究和小组讨论,运用德尔菲法进行2轮专家咨询,确定癫痫发作期护理评估内容,建立条目池。结果共纳入30名专家,2轮咨询问卷有效回收率均为100%,专家权威系数分别为0.90、0.93,2轮咨询各级指标的肯德尔和谐系数分别为0.282~0.662和0.211~0.272（P<0.001）。最终形成的癫痫发作期护理评估内容包括10项一级指标（生命体征、神经系统、皮肤黏膜、发作之前的感觉、语言改变、自动症、离床、视觉改变、精神性发作、运动症状）,33项二级条目、28项三级条目和1项补充条目。结论癫痫发作期护理评估内容具有科学性和可靠性,方便护士对患者进行精准的护理评估,为制订有效的护理策略提供依据,评估结果能为临床癫痫专科医师、脑电图师提供诊断依据。

关键词: 癫痫, 护理评估, 条目池, 神经内科

Abstract:

Objective The aim of this study was to develop an item pool for nursing assessment in epilepsy,and to provide bases for making effective nursing strategies,and to provide diagnostic bases for clinical epilepsy specialists and electroencephalogists. Methods Initial indexes were generated through the literature review and group discussion,and 2 rounds of expert consultations were conducted to establish the item pool for nursing assessment in epilepsy. Results A total of 30 experts were included in the study. The response rates of 2 rounds were both 100%,and the authority coefficients of the experts were 0.90 and 0.93. The Kendall’s coefficients of concordance for the 2 rounds of consultations were 0.282~0.662 and 0.211~0.272. Finally,the item pool for nursing assessment in epilepsy was formed,consisting of 10 first-level indexes,33 second-level indexes and 28 third-level indexes. Conclusion The item pool for nursing assessment in epilepsy is scientific and reliable,which can provide theoretical references for the clinical nurses to conduct accurate nursing assessments and to develop effective nursing strategies. It can also provide reliable diagnostic bases for clinical epilepsy specialists and electroencephalogists.

Key words: Epilepsy, Nursing Assessment, Item Pool, Neurology Department

俞群, 林吒吒, 王爽, 明文杰, 吴方. 癫痫发作期护理评估内容的构建[J]. 中华护理杂志, 2022, 57(14): 1709-1716.

YU Qun, LIN Zhazha, WANG Shuang, MING Wenjie, WU Fang. Development of an item pool for nursing assessment in epilepsy[J]. Chinese Journal of Nursing, 2022, 57(14): 1709-1716.

图/表 5

表1 咨询专家的一般资料（n=30）

Table 1 General information of experts（n=30）

表2 专家意见的协调程度

Table 2 Coordination degree of expert opinion

表3 癫痫发作期护理评估内容一、二级指标专家咨询结果（第2轮）

Table 3 Consultation results of the first-level and second-level evaluation indicators for the item pool for assessment of nursing care during seizures（the second round）

表4 癫痫发作期护理评估内容三级指标专家咨询结果（第2轮）

Table 4 Consultation results of the third-level evaluation indicators for the item pool for assessment of nursing care during seizures（the second round）

图1 癫痫发作期护理评估内容注：CSS为意识水平评估量表,用于定量评估意识障碍改变程度。

Figure 1 The item pool for nursing assessment in epilepsy

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