关键词:

机械通气, 胃肠功能障碍, 德尔菲法, 循证护理, 方案构建

Abstract:

Objective　To construct a nursing management plan for gastrointestinal dysfunction in patients receiving mechanical ventilation. Methods　The relevant literatures on nursing management for gastrointestinal dysfunction in patients receiving mechanical ventilation were systematically searched in major Chinese and English databases from the establishment of the databases to September 2022. The evidences were screened and extracted, and the nursing management plan for gastrointestinal dysfunction in patients receiving mechanical ventilation was initially drawn up. From January to March 2023, the Delphi method was used to conduct two rounds of correspondence with 15 experts, then the experts' opinions were integrated, the contents of the plan were revised, and the final draft of nursing management plan for gastrointestinal dysfunction in patients receiving mechanical ventilation was formed. Results　The positive coefficients of the two rounds of expert correspondence were both 100%, the expert authority coefficients were 0.863 and 0.860, respectively, and the Kendall coordination coefficients were 0.546 and 0.477, respectively (both P<0.001). The final nursing management plan for gastrointestinal dysfunction in patients receiving mechanical ventilation included 3 first-level indicators, 9 second-level indicators, and 25 third-level indicators. Conclusions　The construction of nursing management plan for gastrointestinal dysfunction in patients receiving mechanical ventilation is scientific and reliable, which can provide reference for the clinical management of gastrointestinal dysfunction in patients receiving mechanical ventilation.

Key words:

Mechanical ventilation,  , Gastrointestinal dysfunction,  , Delphi method,  , Evidence-based nursing, Program construction