Construction of evidence-based pneumonia prevention and nursing plan for acute stroke patients
10.3760/cma.j.cn115682-20230227-00724
- VernacularTitle:基于循证的急性期脑卒中患者肺炎预防护理方案的构建
- Author:
Yuxian GUAN
1
;
Hongbo YAN
;
Pingjing SUN
;
Yonghua TUO
;
Yinhua SONG
;
Ping ZHANG
Author Information
1. 南方医科大学护理学院，广州 510515
- Keywords:
Stroke;
Pneumonia;
Prevention;
Delphi technique
- From:
Chinese Journal of Modern Nursing
2023;29(24):3254-3262
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct a scientifically standardized and promotable pneumonia prevention and nursing plan for acute stroke patients to guide clinical nursing practice.Methods:According to the evidence-based retrieval strategy, we systematically searched the domestic and foreign clinical decision support system, guideline networks, professional association websites and relevant databases. All databases were searched from January 2012 to November 2022. A preliminary pneumonia prevention and nursing plan for acute stroke patients was formulated after literature quality evaluation, evidence extraction, evidence integration and evaluation. The plan was further revised and improved through three rounds of Delphi expert consultation.Results:In the three rounds of expert consultation, the enthusiasm of experts was 100.0%, 100.0%, 83.3%, the authority coefficient of experts were 0.967, 0.967, 0.937, the coefficient of variation were 0.048 to 0.363, 0 to 0.177, 0 to 0.144, and the Kendal harmony coefficient were 0.221, 0.139, 0.339 ( P<0.001) . The final nursing plan included 8 modules, including pneumonia risk prediction, general nursing, swallowing and dietary management, airway management, oral management, position and exercise, condition observation, and health education, with a total of 30 items. Conclusions:The evidence and Delphi method based pneumonia prevention and nursing plan for acute stroke patients is scientific, reliable and applicable, which can provide a basis for nursing practice.
