Construction of stratified nursing and prevention strategies for delirium in ICU patients
10.3760/cma.j.cn115682-20210714-03127
- VernacularTitle:ICU患者谵妄分层护理预防策略的构建
- Author:
Xianfang ZUO
1
;
Aiqin ZHANG
;
Lingchen ZHANG
Author Information
1. 南京大学医学院附属金陵医院（东部战区总医院）重症医学科，南京 210002
- Keywords:
Intensive Care Unit;
Delirium;
Prevention;
Stratified nursing;
Delphi method
- From:
Chinese Journal of Modern Nursing
2022;28(4):485-489
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct a stratified nursing prevention strategy for delirium in ICU patients to provide reference for the prevention of delirium in ICU patients.Methods:Preliminary items were screened based on evidence-based medicine method. After discussion by the research group, the first draft of stratified nursing prevention strategy for ICU patients with delirium was formed. Using the Delphi method, a total of two rounds of correspondence with 15 experts were conducted. Combined with expert opinions, a stratified nursing prevention strategy for delirium in ICU patients was constructed.Results:The effective recovery rates of the two rounds of questionnaires were 93.75% and 100.00%, respectively. The expert authority coefficients were respectively 0.893 and 0.897, and the Kendall's harmony coefficients of indicators at all levels were 0.203-0.213 ( P<0.01) . Finally, a delirium stratified nursing prevention strategy for ICU patients was formed, including 5 first-level indicators, 12 secondary indicators and 28 tertiary indicators. Conclusions:The stratified nursing prevention strategy constructed in this study is based on evidence-based and Delphi method, which is scientific, reliable, practical and targeted. It can provide reference for the prevention of delirium in ICU patients.
