Construction of standard nursing path index for enhanced recovery in patients during perioperative period undergoing thoracoscopic lobectomy
10.3760/cma.j.issn.1674-2907.2019.31.014
- VernacularTitle:胸腔镜肺叶切除术患者围手术期快速康复标准护理路径指标的构建
- Author:
Xiaoxiao WU
1
;
Hongting LIU
;
Yanjun MAO
;
Xiaoxia YAN
Author Information
1. 上海市肺科医院胸外科 200433
- Keywords:
Perioperative period;
Thoracoscopy;
Lobectomy;
Enhanced recovery;
Nursing path
- From:
Chinese Journal of Modern Nursing
2019;25(31):4063-4067
- CountryChina
- Language:Chinese
-
Abstract:
Objective To construct the standard nursing path index for perioperative enhanced recovery of patients after thoracoscopic lobectomy, and to provide theoretical basis for providing high quality nursing services for patients after thoracoscopic lobectomy. Methods Based on evidence-based medicine, systematic literature review and expert group meetings were organized to form the first draft of standard nursing pathway index for perioperative enhanced recovery of thoracoscopic lobectomy. Through Delphi method, 55 thoracic surgery medical and nursing experts were consulted for two rounds, and the structure and entries of the first draft were revised. Finally, a set of perioperative enhanced recovery standard nursing path index was formed. Results The recovery rate of the two rounds of expert consultation questionnaire were both 100%. The authoritative coefficients of experts in the two rounds were 0.855 and 0.874, and the coordination coefficients Kendall's W were 0.35 and 0.44, respectively. The standard nursing path index of perioperative enhanced recovery after thoracoscopic lobectomy included 4 dimensions (preoperative baseline assessment, preoperative preparation, intraoperative nursing intervention, postoperative nursing intervention), 25 items. Conclusions In this study, experts' enthusiasm and authority are high, opinions are well coordinated, the results are reliable, and the indexes can better meet the actual needs of patients, which can provide a basis for the next step to carry out perioperative enhanced recovery nursing practice for patients undergoing thoracoscopic lobectomy.
