| Citation: |
ZHANG Wenhua, LI Li, ZHU Liqun, ZHOU Yingfeng, BU Hongbing, SUN Guofu, ZHANG Wei, RUAN Yuan. Construction of early fluid resuscitation management evaluation system for acute pancreatitis[J]. Journal of Clinical Medicine in Practice, 2023, 27(14): 104-108, 114. DOI: 10.7619/jcmp.20231216
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To establish an early fluid resuscitation evaluation system for patients with acute pancreatitis (AP), in order to standardize clinical fluid resuscitation behavior and promote the best outcome of patients.
Based on the "structure-process-result" three-dimensional quality evaluation model, combined with literature analysis, expert conference method, Delphi method and analytic hierarchy process, the AP early liquid recovery evaluation system was established and the weights of each index were determined.
The effective recovery rate of the two rounds of questionnaire was 100%, the expert authority coefficient was 0.84 and 0.89, and the Kendall harmony coefficient was 0.239 and 0.261. Finally, the index evaluation system of AP early liquid resuscitation included 3 primary indexes, 9 secondary indexes and 25 tertiary indexes.
The established AP early fluid resuscitation management evaluation system is scientific and practical, which can effectively evaluate the execution quality of AP early fluid resuscitation in hospitals, and can promote the continuous optimization of clinical nursing quality.
| [1] |
IANNUZZI J P, KING J A, LEONG J H, et al. Global incidence of acute pancreatitis is increasing over time: a systematic review and meta-analysis[J]. Gastroenterology, 2022, 162(1): 122-134. doi: 10.1053/j.gastro.2021.09.043
|
| [2] |
尼亚孜艾力·萨伊提, 张敏, 李倩. 急性胰腺炎液体复苏的临床研究进展[J]. 锦州医科大学学报, 2022, 43(3): 109-112. https://www.cnki.com.cn/Article/CJFDTOTAL-JZYX202203024.htm
|
| [3] |
吴东, 钱家鸣. 急性胰腺炎的液体治疗: 复苏时机、液体种类及监测方法[J]. 临床肝胆病杂志, 2017, 33(1): 12-16. https://www.cnki.com.cn/Article/CJFDTOTAL-LCGD201701004.htm
|
| [4] |
金雨舟, 马娜. 尿素氮联合肥胖相关状态模型评估急性胰腺炎预后的价值[J]. 实用临床医药杂志, 2020, 24(23): 102-105. doi: 10.7619/jcmp.202023031
|
| [5] |
中华医学会外科学分会胰腺外科学组. 中国急性胰腺炎诊治指南(2021)[J]. 中华外科杂志, 2021, 59(7): 578-587. doi: 10.3760/cma.j.cn112139-20210416-00172
|
| [6] |
CROCKETT S D, WANI S, GARDNER T B, et al. American gastroenterological association institute guideline on initial management of acute pancreatitis[J]. Gastroenterology, 2018, 154(4): 1096-1101. doi: 10.1053/j.gastro.2018.01.032
|
| [7] |
WORKING GROUP IAP/APA ACUTE PANCREATITIS GUIDELINES. IAP/APA evidence-based guidelines for the management of acute pancreatitis[J]. Pancreatology, 2013, 13(4 Suppl 2): e1-e15.
|
| [8] |
卢芳燕, 张婉莹, 宋运莲, 等. 小肠移植围手术期护理质量评价指标体系的构建[J]. 中国护理管理, 2022, 22(10): 1513-1518. https://www.cnki.com.cn/Article/CJFDTOTAL-GLHL202210016.htm
|
| [9] |
郑桃, 宁松毅, 朱颖. 糖尿病视网膜病变护理质量评价体系的构建[J]. 实用临床医药杂志, 2021, 25(24): 116-119, 123. doi: 10.7619/jcmp.20213425
|
| [10] |
薛友儒, 郭丙秀, 邵慧慧, 等. ICU机械通气患者早期活动护理质量敏感指标的构建[J]. 中华护理杂志, 2020, 55(1): 16-21. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHL202001005.htm
|
| [11] |
王静, 黄站梅. PCI术后延续护理质量指标的构建[J]. 护理学杂志, 2020, 35(16): 104-106. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202016037.htm
|
| [12] |
陆黎珍, 陶惠芳. 分层培训对基层医院消化科护士综合素养及核心能力的影响[J]. 现代实用医学, 2022, 34(4): 533-534. https://www.cnki.com.cn/Article/CJFDTOTAL-NBYX202204048.htm
|
| [13] |
中华医学会急诊分会, 京津冀急诊急救联盟, 北京医学会急诊分会, 等. 急性胰腺炎急诊诊断及治疗专家共识[J]. 临床肝胆病杂志, 2021, 37(5): 1034-1041. https://www.cnki.com.cn/Article/CJFDTOTAL-LCGD202105013.htm
|
| [14] |
金从慈, 戴一扬. 急性胰腺炎早期液体复苏治疗的研究进展[J]. 中外医学研究, 2023, 21(4): 169-173. https://www.cnki.com.cn/Article/CJFDTOTAL-YJZY202304042.htm
|
| [15] |
姚小琴, 林敏英, 喻逢春. 早期液体复苏、肠道去污联合循证护理在重症急性胰腺炎患者中的应用[J]. 齐鲁护理杂志, 2022, 28(10): 124-127. https://www.cnki.com.cn/Article/CJFDTOTAL-QLHL202210043.htm
|
| [16] |
喻逢春, 王虹涛, 姚小琴, 等. 早期液体复苏不同补液速率对重症急性胰腺炎患者预后的影响[J]. 医学理论与实践, 2022, 35(15): 2578-2581. https://www.cnki.com.cn/Article/CJFDTOTAL-YXLL202215022.htm
|
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