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