封闭式负压引流治疗护理技术操作规范的 标准化制定研究.PDFVIP

论 著 Research Paper 封闭式负压引流治疗护理技术操作规范的 标准化制定研究 张华 杏玲芝 陆皓 焦耿军 [ 摘 要] 目的：制定封闭式负压引流（VSD) 治疗护理技术操作规范，规范 VSD 治疗护理技术操作规范流程及评分标准。 方法：采用理论研究结合临床实践的方法初步拟订 VSD 治疗护理技术操作规范；应用德尔菲（Delphi) 专家咨询法，对17名 专家进行3 轮问卷咨询，定量分析各指标的权重。结果：制定出的VSD 治疗护理技术操作规范流程包含操作前用物准备、核对、 检查，操作中更换、观察及操作后用物的整理 6 部分，其中I 级指标 6 个、Ⅱ级指标 28 个；《VSD 治疗护理技术操作质量 评分标准》包含操作前用物准备、患者的评估、操作程序、整体评价 4 部分，其中一级指标 4 个、二级指标 33 个。结论：用 Delphi法制定《VSD 治疗护理技术操作规范流程》及《VSD 治疗护理技术操作质量评分标准》具有较高的科学性、客观性和 全面性，使专科技术操作的全过程、重点环节，以流程的方式进行规定，杜绝护理人员在操作过程中的随意性，确保 VSD 治 疗护理技术操作质量与效率。 [ 关键词 ] VSD治疗；显微外科感染创面；护理技术操作规范；质量标准 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2014.10.009 The study of developing the standardization of VSD treatment and nursing technical specifications / ZHANG Hua, XING Lingzhi, LU Hao, et al. // Nursing Department, Gansu Peaceful Branch, General Hospital of Lanzhou Military Region, Lanzhou, 730070 China /// Chinese Nursing Management-2014,14(10): 1029-1032 [ ] Abstract Objective: To develop “VSD treatment and nursing technical specifications”, to regulate the VSD treatment and nursing technical operations process and evaluation criteria. Methods: “VSD treatment and nursing technical specifications” was initially developed by combining theoretical research with clinical practice methods; and then Delphi expert consultation method (Delphi) was adopted by three rounds of questionnaires consulting on 17 experts and quantitative analyzing the weight of each index. Results: the “VSD treatment and nursing technical specifications” contained six parts: materials preparation, verification, inspection before operation, replacement and observation in operation, and materials manipulation after operation, which targeted 6 class I index and 28 class