Construction of risk evaluation indicators for the occurrence of diaphragm dysfunction in ICU patients
10.3761/j.issn.0254-1769.2024.11.008
- VernacularTitle:ICU患者膈肌功能障碍发生风险评价指标的构建
- Author:
Yunfeng BAI
1
;
Tianchao CHEN
;
Xinyi LIU
;
Yueying FENG
;
Hongbo LUO
;
Zunzhu LI
;
Jianhua SUN
;
Jing CAO
;
Haibo DENG
;
Xinjuan WU
Author Information
1. 100010 北京市 中国医学科学院北京协和医院护理部
- Keywords:
Intensive Care Unit;
Diaphragmatic Dysfunction;
Risk Assessment;
Indicator;
Delphi Technique;
Nursing Care
- From:
Chinese Journal of Nursing
2024;59(11):1339-1345
- CountryChina
- Language:Chinese
-
Abstract:
Objective The risk evaluation indicators for the occurrence of diaphragm dysfunction in ICU patients was constructed to provide a reference for the establishment of the disease risk evaluation tools for diaphragm dysfunction.Methods The literature related to diaphragm dysfunction from CNKI,Wanfang Data,PubMed,Embase and Web of Science from the establishment of databases to November 11 th,2022 was systematically searched.After the first draft was determined through the literature review method,the first draft of the indicators was revised by brainstorming,with the opinions of 10 medical and nursing experts from May to June 2023.From June to July 2023,the content and weight of risk evaluation indicators of diaphragmatic dysfunction in ICU patients were determined through expert letter inquiry and hierarchical analysis.Results 35 experts completed the first round of letter inquiry,and 34 experts completed the second round of letter inquiry.The recovery rates of the valid questionnaires in the 2 rounds of expert correspondence were 92.1％and 97.1％,respectively,and the expert authority coefficients were 0.884 and 0.904,respectively,and the Kendall harmony coefficients of all indicators were 0.356～0.570 and 0.369～0.604,respectively(all P＜0.001).The final constructed risk evaluation indicators of diaphragm dysfunction in ICU patients includes 7 first-level indicators,34 secondary indicators and 34 tertiary indicators.Conclusion The risk evaluation index of diaphragm dysfunction in ICU patients constructed in this study is comprehensive,specific,scientific and applicable,which can guide medical staff to conduct early risk evaluation of diaphragm function in ICU patients,and provide references for the establishment of disease risk assessment tools for diaphragm function.
