Abstract:

Objective To construct a safe and comfortable nursing plan for patients with prone position ventilation to provide guidance for prone position nursing practice. Methods After the review of the relevant literature and the summary of the existing research evidence，a safety and comfortable nursing plan for prone ventilation patients was preliminarily established. 2 rounds of Delphi expert inquiry were adopted，and the program items were modified according to the expert opinions. Results A total of 14 articles were included in the literature review. In the first round，17 experts were consulted，and the effective recovery rate was 94.12%. In the second round，16 experts were consulted，and the effective recovery rate was 93.75%. The 2 rounds of expert authority coefficients were 0.91 and 0.92；the Kendall harmony coefficients were 0.294（P<0.001） and 0.199（P<0.001）；the coefficient of variation of each item was 0 to 0.17；the mean value of importance assignment was 4.40 to 5.00 points. Finally，a safe and comfortable nursing plan for patients with prone ventilation was formed，including 3 first-level indicators，11 second-level indicators and 40 third-level indicators. Conclusion The safe and comfortable nursing plan for patients with prone position ventilation constructed in this study is scientific，feasible and of strong clinical practical value，and can provide guidance for clinical nursing practice.

Key words: Acute Respiratory Distress Syndrome, Prone Position Ventilation, Patient Comfort, Nursing Care, Delphi Technique

摘要：

目的 构建俯卧位通气患者安全和舒适护理方案，为俯卧位护理实践提供指导。 方法 通过查阅相关文献，总结现有研究证据，初步构建俯卧位通气患者安全和舒适护理方案。采用2轮德尔菲专家函询法，根据专家意见对方案条目进行修改。 结果 第1轮函询了17名专家，有效问卷回收率为94.12%；第2轮函询了16名专家，有效回收率为93.75%。2轮专家权威系数分别为0.91、0.92，肯德尔和谐系数分别为0.294、0.199（均P<0.001）。第2轮函询，各条目变异系数为0~0.17，重要性评分为4.40~5.00分，最终形成俯卧位通气患者安全和舒适护理方案，包括3个一级指标、11个二级指标、40个三级指标。 结论 该研究构建的俯卧位通气患者安全和舒适护理方案具有科学性、可行性和较强的临床实用价值，能够为临床护理实践提供指导。

关键词: 急性呼吸窘迫综合征, 俯卧位通气, 患者舒适度, 护理, 德尔菲技术