Establishment of comfortable management program for nasal high flow oxygen inhalation in elderly patients with respiratory failure
10.3760/cma.j.cn211501-20240227-00431
- VernacularTitle:老年呼吸衰竭患者经鼻高流量吸氧舒适管理方案的建立
- Author:
Lisha CHENG
1
;
Qian WANG
1
Author Information
1. 三六三医院重症医学科，成都 610097
- Publication Type:Journal Article
- Keywords:
Delphi technique;
Respiratory failure;
High-flow nasal cannula oxygen;
Comfort degree;
Management program
- From:
Chinese Journal of Practical Nursing
2025;41(4):305-309
- CountryChina
- Language:Chinese
-
Abstract:
Objective:Based on Delphi method, a comfort management program for elderly patients with respiratory failure with high-flow nasal cannula oxygen (HFNC) was established and its reliability, and to provide reference for improving HFNC comfort of elderly patients with respiratory failure.Methods:From September to December 2022, the index framework of HFNC comfort management program for elderly patients with respiratory failure was preliminatively developed by means of literature retrieval, semi-structured interview and group meeting. The Delphi method was used to conduct two rounds of expert correspondence with 20 experts engaged in respiratory diseases. The HFNC comfortable management program for elderly patients with respiratory failure was finally formed.Results:Among the 20 experts, there were 7 males and 13 females, aged 37-58(46.72 ± 7.26) years. The positive coefficients of the two rounds of expert correspondence were 19/20 and 19/19, respectively, the authority coefficients were 0.840 and 0.862 respectively, and the Kendall coordination coefficients were 0.132-0.199 and 0.142-0.359, respectively. The HFNC comfortable management program for elderly patients with respiratory failure consisted of 6 primary indicators and 25 secondary indicators. The importance scores of indicators were 4.13-5.00 points, and the coefficients of variation were 0.000-0.188.Conclusions:The HFNC comfortable management program for elderly patients with respiratory failure is scientific and reliable, which can provide reference for improving the HFNC comfort of elderly respiratory failure patients.
