通讯作者: 李国宏, njligh@126.com

DOI：10.12201/bmr.202412.00074

Construction of a prevention strategy for agitation in patients undergoing general anesthesia surgery during orthopedic surgery

• 摘要：目的 构建骨科全麻手术患者苏醒期躁动预防策略，为临床护理实践提供参考。方法通过文献查阅、专家函询，形成骨科全麻手术患者苏醒期躁动预防策略。结果 共进行2轮专家函询，2轮函询问卷有效回收率分别为91.3%、95.2%，专家权威系数分别为0.94、0.919，肯德尔和谐系数分别为0.153（P<0.001）、0.163（P<0.001）。在第2轮专家函询中，各级指标重要性均值为4.00～4.944、变异系数0.046～0.213，最终确定了一级指标3项、二级指标15项、三级指标42项。结论 该研究构建的预防策略涵盖骨科全麻手术围手术期整个过程，具有良好的科学性、可靠性以及广泛的临床应用价值。

  关键词： 骨科手术；苏醒期躁动；全身麻醉；预防；德尔菲法；

   

  Abstract: Objective To construct the prevention strategy of agitation in patients under general anesthesia, it provides reference for clinical nursing practice.Methods Through literature review and expert correspondence, a strategy to prevent agitation during the awakening period in patients undergoing orthopedic general anesthesia surgery was developed. Results A total of 2 rounds of expert correspondence were conducted. The effective recovery rates of the 2 rounds of correspondence questionnaires were 91.3% and 95.2% respectively. The expert authority coefficients were 0.94 and 0.919 respectively. The Kendall harmony coefficients were 0.153 (P<0.001) and 0.163 (P< 0.001). In the second round of expert correspondence, the average importance of indicators at all levels ranged from 4.00 to 4.944, and the coefficient of variation ranged from 0.046 to 0.213. Finally, 3 first-level indicators, 15 second-level indicators, and 42 third-level indicators were determined. Conclusion The preventive strategy constructed in this study covers the entire perioperative process and has good scientific validity, reliability and clinical application value.

  Key words: Orthopedic surgery；Emergence Agitation；General anesthesia；prevention；Delphi method

  提交时间：2024-12-29

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2024-12-05	bmr.202412.00074V1	下载

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