基于安全-支持-合作过渡期护理模式的早产儿护理方案构建研究

doi:10.3969/j.issn.1006-9143.2023.02.013

天津护理 ›› 2023, Vol. 31 ›› Issue (2): 185-190.DOI: 10.3969/j.issn.1006-9143.2023.02.013

基于安全-支持-合作过渡期护理模式的早产儿护理方案构建研究

王晓燕 ¹ 孙彩霞 ¹姚彦蓉 ¹赵宝银¹ 杨娟 ¹ 米光丽¹ 刘艳红 ²

（1.宁夏医科大学总医院，宁夏银川 750004；2.银川市第一人民医院）

出版日期:2023-04-28 发布日期:2023-04-28
基金资助:
宁夏护理学会科研课题(NXHL22-15)；宁夏医科大学校级科研项目（XM2022056）；宁夏医科大学总医院新入职硕士培养项目(020008004037)

Constructing the nursing scheme for preterm infants based on the secure-support-collaborate transitional nursing model

WANG Xiaoyan¹ , SUN Caixia¹ , YAO Yanrong¹ , ZHAO Baoyin¹ , YANG Juan¹, MI Guangli ¹ ，LIU Yanhong²

(1.General Hospital of Ningxia Medical University, Yinchuan Ningxia 750004; 2.The First People’s Hospital of Yinchuan)

Online:2023-04-28 Published:2023-04-28

摘要/Abstract

摘要：

目的：基于“安全-支持-合作”（secure-encourage-collaborate,SEC）过渡期护理模式构建早产儿护理方案，旨在为临床护士实施更有针对性护理干预措施提供参考。方法：以“过渡期护理模式”为理论指导确定一级条目为转出前、转出中、转出后；基于“SEC 理论”，确定二级条目为安全、支持、合作，通过文献回顾法初步拟定基于安全-支持-合作过渡期护理模式的早产儿护理方案，采用专家函询对早产儿护理方案的相关内容进行函询。结果：两轮专家咨询函有效回收率均为 100%(15/15)，专家权威系数分别为 0.870、0.890。第 2 轮专家函询中 29 个条目重要性评分的算术均数在 4.46~5.00 分之间，标准差在 0.00~0.81 之间，满分比为 0.25~1.00。两轮函询专家意见的肯德尔协调系数分别为 0.224、0.165(P<0.01)。最终确定早产儿护理方案为一级条目 3 个、二级条目 9 个、三级条目 29 个。结论：基于安全-支持-合作过渡期护理模式构建的早产儿护理方案具有较高的科学性、可靠性，可用于规范早产儿过渡期护理实践。

关键词: 早产儿, 安全-支持-合作过渡期护理, 护理方案

Abstract: Objective: To construct a nursing program for premature infants based on the "secure-support-collaborate" transitional nursing model, aiming to provide reference for clinical nurses to implement more targeted nursing interventions, so as to improve the quality of transitional nursing for premature infants. Methods: The "transitional nursing model" was used as the theoretical guidance to determine the first-level items including before transfer out, transfer out of the department and after transfer out. The "SEC theory" was used to determine the second-level items including secure, support and collaborate. A nursing plan for premature infants based on the secure-support-collaborate transitional nursing model was preliminarily formulated by consulting literature, and relevant content of the nursing plan for premature infants was consulted through expert consultation. Results: The effective recovery rates of two rounds of expert consultation were 100% (15/15), respectively, and the authority coefficients were 0.870 and 0.890, respectively. The mean of the importance scores of the 29 items in the second round of expert consultation was 4.46~5.00 points with the standard deviation ranging 0.00~0.81, and the full score ratio was 0.25~1.00. The Kendall coordination coefficients of the two rounds of consultation of experts were 0.224 and 0.165, respectively (P<0.01). The final care plan for premature infants contains 3 first-level items including 9 second-level items, and 29 third-level items.Conclusion: The nursing plan for premature infants based on the secure-support-collaborate transitional nursing model is highly scientific and reliable. It can be used to standardize the transitional nursing practice of premature infants in the NICU, and can provide objective indicators for the transition of premature infants and provide clinical support.

Key words: Premature infants, Secure-support-collaborate transitional nursing, Expert consultation, Nursing program

王晓燕孙彩霞姚彦蓉赵宝银杨娟米光丽刘艳红 . 基于安全-支持-合作过渡期护理模式的早产儿护理方案构建研究[J]. 天津护理, 2023, 31(2): 185-190.

WANG Xiaoyan , SUN Caixia , YAO Yanrong , ZHAO Baoyin , YANG Juan , MI Guangli , LIU Yanhong. Constructing the nursing scheme for preterm infants based on the secure-support-collaborate transitional nursing model [J]. Tianjin Journal of Nursing, 2023, 31(2): 185-190.

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基于安全-支持-合作过渡期护理模式的早产儿护理方案构建研究

Constructing the nursing scheme for preterm infants based on the secure-support-collaborate transitional nursing model

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