Abstract:

Objective To develop an expert consensus on critical nursing care for targeted temperature management（TTM） after cardiac arrest（hereinafter referred to as the “consensus”），aiming to standardize clinical nursing practices related to TTM after cardiac arrest and provide standardized guidance for high-quality TTM nursing.Methods The Consensus Development Group first systematically searched Chinese and English databases at home and abroad（retrieval period spanning from the establishment of each database to February 1，2025）. Evidence-based methodology was adopted to evaluate evidence levels and extract core contents. After the first draft of the consensus was developed through expert discussions，2 rounds of expert consultations were carried out using the Delphi method from February to August 2025. Recommended opinions were revised based on expert feedback，and recommendation grades were determined according to expert scores. Finally，the final draft of the “consensus” was formulated.Results A total of 48 experts in the medical and nursing fields participated in the 2 rounds of consultations，with an effective questionnaire recovery rate of 100% for both rounds. The expert judgment basis coefficient was 0.942；the familiarity coefficient was 0.872；the authority coefficient was 0.907；all values far exceed the general threshold for high authority，fully demonstrating that the participating experts have high professional authority and ensuring the reliability of the consultation results. In the 2 rounds of expert consultations，the Kendall’s harmony coefficients were 0.504 and 0.316 respectively，with both P values<0.001，indicating that the experts’ opinions on the consensus contents showed good coordination and the consistency of their judgments was statistically significant. Additionally，the coefficient of variation for each item was <0.25，which further proved that the degree of dispersion in experts’ opinions on individual items was low and the overall consistency was excellent. The final consensus covers 3 core modules：implementation of TTM，key nursing points for each phase of TTM，and nursing points.Conclusion By integrating existing evidence-based evidence，practical clinical needs，and the experience of experts in the medical and nursing fields，this “consensus” clarifies the key links and operational standards for TTM nursing after cardiac arrest，and provides evidence-based guidance for the clinical practice of high-quality TTM nursing in patients after cardiac arrest.

Key words: Cardiac Arrest, Targeted Temperature Management, Expert Consensus, Nursing Care

摘要：

目的 制订心脏骤停后目标温度管理护理专家共识（以下简称“共识”），旨在规范心脏骤停后目标温度管理相关临床护理实践，为开展高质量目标温度管理护理提供标准化指导。方法 系统检索国内外中英文数据库中有关心脏骤停后目标温度管理治疗和护理的相关指南、专家共识、系统评价、原始研究等，检索时限为建库至2025年2月1日，采用循证方法学评定证据等级、提取核心内容；经专家研讨形成“共识”初稿后，于2025年2—8月，采用德尔菲法开展2轮专家函询，结合专家反馈修订推荐意见，并依据专家评分确定推荐级别，形成“共识”终稿。结果 共48名医疗护理领域专家参与2轮函询，有效问卷回收率均为100%，专家判断依据系数为0.942，熟悉程度系数为0.872，权威程度系数为0.907，表明专家具有较高的权威性，函询结果可靠性高。2轮专家函询中肯德尔和谐系数分别为0.504、0.316（均P<0.001），各条目变异系数均<0.25，提示专家意见权威性高、协调性良好。“共识”内容涵盖3大核心模块：目标温度管理的实施、目标温度管理各阶段的护理要点、目标温度管理期间的临床护理重点。结论 该“共识”整合现有循证证据、临床实际需求及医疗护理领域专家经验，明确了心脏骤停后目标温度管理护理的关键环节与操作标准，为临床开展心脏骤停后高质量目标温度管理护理实践提供了循证指导依据。

关键词: 心脏骤停, 目标温度管理, 专家共识, 护理