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

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