摘要
目的:构建神经内镜下经鼻蝶窦入路垂体瘤切除术围手术期加速康复的护理方案指标。方法:基于循证医学,进行系统性文献回顾,结合专家访谈,形成神经内镜下经鼻蝶窦入路垂体瘤切除术围手术期加速康复的护理方案的初稿,通过德尔菲法对22名神经外科临床医师和护理专家进行两轮专家函询,对初稿方案的结构和条目进行修改,最终形成一套围手术期加速康复护理方案。结果:两轮专家咨询问卷的回收率均为100%,提示专家对此研究的积极性很高。两轮专家的权威程度系数为0.891,协调系数Kendall's W分别为0.19和0.24。神经内镜下经鼻蝶窦入路垂体瘤切除术围手术期加速康复护理包括3项一级条目、27个二级条目。结论:专家的积极性和权威程度高,意见协调程度好,为下一步开展神经内镜下经鼻蝶窦入路垂体瘤切除术围手术期加速康复护理实践提供依据。
Objective:To construct the nursing program index of perioperative rapid rehabilitation of neuroendoscopic transsphenoidal pituitary adenoma resection.Methods:Based on evidence-based medicine,systematic literature review and expert interviews were conducted to form the first draft of perioperative rapid rehabilitation nursing plan for transsphenoidal pituitary adenoma resection under neuroendoscope.The total of 22 neurosurgical medical and nursing experts were consulted for 2 rounds by Delphi method,and the structure and entries of the first draft were modified to form a set of perioperative rapid rehabilitation nursing plan.Results:The recovery rate of the two rounds of expert consultation questionnaires was 100%,indicating that the experts were very active in this research.The authority coefficients of the two rounds of experts were 0.891,and the coordination coefficients Kendall’s W were 0.19 and 0.24 respectively.The perioperative rapid rehabilitation nursing of transsphenoidal pituitary adenoma resection under neuroendoscope included 3 first-class items and 27 second-class items.Conclusions:The degree of enthusiasm and authority of the experts is high,the degree of coordination of opinions is good,which provides a basis for the perioperative rapid rehabilitation nursing practice of transsphenoidal pituitary adenoma resection under neuroendoscope.
作者
赖海燕
卢桂花
曾国艳
梁自贞
韦颖
叶夏兰
Lai Haiyan;Lu Guihua;Zeng Guoyan;Liang Zizhen;Wei Ying;Ye Xialan(Department of Neurosurgery,the First Affiliated Hospital of Guangxi Medical University,Nanning 530021,Guangxi,China;Nursing Department,the First Affiliated Hospital of Guangxi Medical University,Nanning 530021,Guangxi,China)
出处
《加速康复外科杂志》
2021年第1期9-12,共4页
JOURNAL OF ENHANCED RECOVERY AFTER SURGERY
基金
广西医疗卫生适宜技术开发与推广应用项目(S2020029)
广西壮族自治区卫生和计划生育委员会自筹经费科研课题(Z20170618)。
关键词
神经内镜
垂体瘤切除术
围手术期
加速康复外科
护理方案
Neuroendoscope
Pituitary adenoma resection
Perioperative period
Enhanced recovery after surgery
Nursing plan
