基于循證的ICU機械通氣病人目標導(dǎo)向早期活動方案的構(gòu)建

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Construction of evidence?based goal?directed early mobilization program for patients with mechanical ventilation in ICU

CHEN Hao， LUO Xuan， YU Peilin， YU Mengting， LI Shijie， ZHANG Wanzhu， MI Jie

The First Affiliated Hospital of Chongqing Medical University， Chongqing 400016 China

Corresponding Author  MI Jie， E?mail： [email protected]

Abstract  Objective：To construct evidence-based goal-directed early mobilization program for patients with mechanical ventilation in intensive care unit（ICU）.Methods：Based on evidence?based methods and with goal?directed as the theoretical foundation，the preliminary evidence-based goal-directed early mobilization program for patients with mechanical ventilation in ICU was formed.Then the preliminary was revised by Delphi method，and evidence?based goal?directed early mobilization program for patients with mechanical ventilation in ICU was formed.Results：Evidence?based goal?directed early mobilization program for patients with mechanical ventilation in ICU was formed，which included 6 first?level indicators，namely，early activity principles，early activity preparation，early activity evaluation，early activity implementation，early activity safety standards，and early activity effectiveness evaluation.The response rates of the 2 rounds of expert inquiry questionnaires were 95.0% and 100.0%，respectively.The expert authority coefficients were 0.94 and 0.96，respectively.And the coefficient of variation were both ranged from 0.00 to 0.11.The Kendall coefficient of concordance tests for the importance and operability of the indicators were all P<0.001.Conclusions：The evidence?based goal?directed early mobilization program for patients with mechanical ventilation in ICU constructed in this study has good scientificity and operability，and can provide reference for medical personnel to carry out early mobilization for patients with mechanical ventilation in ICU.

Keywords    evidence?based nursing； intensive care unit， ICU； mechanical ventilation； goal?directed； early mobilization； Delphi method

摘要  目的：構(gòu)建基于循證的重癥監(jiān)護室（ICU）機械通氣病人目標導(dǎo)向早期活動方案。（剩余14888字）