尿路结石腔内碎石患者围手术期并发尿脓毒症护理专家共识

doi:10.3761/j.issn.0254-1769.2022.08.003

中华护理杂志 ›› 2022, Vol. 57 ›› Issue (8): 914-917.DOI: 10.3761/j.issn.0254-1769.2022.08.003

尿路结石腔内碎石患者围手术期并发尿脓毒症护理专家共识

广东省医学会泌尿外科学分会, （执笔：孙红玲(), 刘丽欢, 刘春香, 马啸吟, 张敏, 张苏迎, 黄敬烨, 钟文, 刘永达, 曾国华）()

510230 广州市广州医科大学附属第一医院海印院区手术室（孙红玲,张敏）,泌尿外科（刘丽欢,刘春香,马啸吟,张苏迎,钟文,刘永达,曾国华）,重症监护室（黄敬烨）

收稿日期:2021-09-03 出版日期:2022-04-20 发布日期:2022-04-06
通讯作者: 曾国华,E-mail：gzgyzgh@vip.sina.com
作者简介:孙红玲：女,本科,副主任护师,护士长,E-mail：haiyinshoushushi@sina.cn
基金资助:
2020年国家自然科学基金(82070721)

Expert consensus on perioperative urosepsis nursing of patients with intracavitary surgery for urinary tract calculi

Urology Branch of Guangdong Medical Association, （Writing Committee：SUN Hongling(), LIU Lihuan, LIU Chunxiang, MA Xiaoyin, ZHANG Min, ZHANG Suying, HUANG Jingye, ZHONG Wen, LIU Yongda, ZENG Guohua()

Received:2021-09-03 Online:2022-04-20 Published:2022-04-06

摘要/Abstract

摘要：

目的制订尿路结石腔内碎石患者围手术期并发尿脓毒症的护理专家共识。方法成立共识构建小组,在进行大量文献回顾和整理、线上专家咨询和小组讨论后形成《尿路结石腔内碎石患者围手术期并发尿脓毒症护理专家共识》（以下简称《共识》）初版,邀请国内泌尿外科、微创手术室和重症监护室的医护专家对《共识》进行2轮专家咨询和修订,再进行同行评议,形成《共识》终版。结果终版《共识》围绕术前、术中和术后3个阶段,涉及尿脓毒症的危险因素、预防、识别、病情监测和护理干预5个主题。2轮咨询的专家积极系数均为100%,专家判断系数为0.975,熟悉程度为0.960,权威系数为0.968,专家对各条目的重要性赋值均数分别为（4.847±0.304）分和（4.888±0.212）分,肯德尔和谐系数分别为0.232和0.287。结论《共识》综合了多学科专家的建议,具有一定的实用性、代表性和科学性,可为尿路结石腔内碎石患者围手术期并发尿脓毒症的临床护理实践提供指导。

关键词: 尿路结石, 腔内手术, 围术期, 尿脓毒症, 护理, 专家共识

Abstract:

Objective To establish a consensus on perioperative urospesis nursing of patients with intracavitary surgery for urinary tract calculi. Methods A consensus developing group was established,and the first edition of the "Expert consensus on perioperative urosepsis nursing of patients with intracavitary surgery for urinary tract calculi"（hereinafter referred to as the "consensus"） was formed after a large amount of literature review and collation,online expert consultation and group discussion. Domestic medical experts from urology,minimally invasive operating rooms and intensive care units were invited to discuss and revise the "consensus" for 2 rounds,and then peer review was conducted,and finally the "consensus" was completed. Results The final version of the "consensus" comprises 3 major sections,namely the preoperative,intraoperative and postoperative,which covers high-risk factors,prevention,identification,condition monitoring and nursing intervention,with a total of 21 items. The positive coefficients for the 2 rounds of consultations were 100%. The coefficients of judgment,familiarity and authority in the 2 rounds of consultations were 0.975,0.960 and 0.968,respectively. In the 2 rounds of expert consultations,the importance assignments of each items were（4.847±0.304） and（4.888±0.212）,and the overall Kendall’s coefficients were 0.232 and 0.287,respectively. Conclusion The "consensus" integrates the suggestions of multidisciplinary experts with a certain degree of practicality,representativeness and scientificity. It can provide guidance for clinical nursing practice of patients with perioperative urosepsis of intracavitary surgery for urinary tract calculi.

Key words: Urolithiasis, Intracavitary Surgery, Perioperative Period, Urospesis, Nursing Care, Expert Consensus

广东省医学会泌尿外科学分会, （执笔：孙红玲, 刘丽欢, 刘春香, 马啸吟, 张敏, 张苏迎, 黄敬烨, 钟文, 刘永达, 曾国华）. 尿路结石腔内碎石患者围手术期并发尿脓毒症护理专家共识[J]. 中华护理杂志, 2022, 57(8): 914-917.

Urology Branch of Guangdong Medical Association, （Writing Committee：SUN Hongling, LIU Lihuan, LIU Chunxiang, MA Xiaoyin, ZHANG Min, ZHANG Suying, HUANG Jingye, ZHONG Wen, LIU Yongda, ZENG Guohua. Expert consensus on perioperative urosepsis nursing of patients with intracavitary surgery for urinary tract calculi[J]. Chinese Journal of Nursing, 2022, 57(8): 914-917.

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尿路结石腔内碎石患者围手术期并发尿脓毒症护理专家共识

Expert consensus on perioperative urosepsis nursing of patients with intracavitary surgery for urinary tract calculi

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