Construction of risk assessment index system for CVC dysfunction in CRRT patients
10.3760/cma.j.cn115682-20231206-02450
- VernacularTitle:CRRT患者CVC导管功能障碍的风险评估指标体系的构建
- Author:
Yihui FENG
1
;
Yun LIU
;
Caihong WANG
;
Qi WANG
;
Hongbing CUI
;
Ke SUN
Author Information
1. 山东大学齐鲁医院（青岛）血液透析室，青岛 266000
- Keywords:
Continuous renal replacement therapy;
Central venous catheters;
Catheter function;
Risk assessment;
Delphi technique
- From:
Chinese Journal of Modern Nursing
2024;30(30):4152-4156
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct a comprehensive and targeted risk assessment index system for central venous catheter (CVC) dysfunction in patients undergoing continuous renal replacement therapy (CRRT) .Methods:The risk assessment indicators for CVC dysfunction in CRRT patients were determined based on literature review and Delphi expert consultation. From July to September 2023, 19 experts in hemodialysis were selected for expert consultation. Based on expert opinions and screening criteria, corresponding indicators were added, deleted, or modified. After the second round of consultation, the expert opinions tended to be consistent.Results:A total of 17 experts completed two rounds of consultation. In the two rounds of consultation, the effective response rates of the questionnaires were 89.5% (17/19) and 100.0% (19/19), respectively, and the expert authority coefficients were 0.87 and 0.88, respectively. The Kendall harmony coefficients were 0.131 and 0.138 ( P<0.05). The final risk assessment index system included seven primary indicators and 44 secondary indicators. Conclusions:The risk assessment index system for CVC dysfunction in CRRT patients constructed is scientific, reliable, and practical, which can provide reference for clinical medical and nursing staff to improve catheter risk management in CRRT patients.
