抗nmda受体自身免疫性脑炎患儿的临床护理路径设计

Qian Zhao, Yiwen Zhang, Jin-song Zhou
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引用次数: 0

摘要

目的构建以项目时间为框架的抗nmda受体自身免疫性脑炎患儿临床护理路径设计。方法通过查阅国内外文献,筛选循证证据,回顾性分析病例,设计抗nmda受体自身免疫性脑炎CNP草案。采用德尔菲法对CNP草案进行两轮专家咨询,确定CNP。结果共访谈12名专家,专家权威系数为0.91。第一轮谘询共有50项,同意率由66.67%至100%不等。第二轮咨询共有49项,其中2项的同意率为85.71%,其余均为100%。抗nmda受体自身免疫性脑炎患儿的CNP有49项。结论基于德尔菲法的CNP文本是一种高效实用的方法,但需要根据不同情况不断更新。关键词:脑炎;抗nmda受体自身免疫性脑炎;临床护理路径;设计研究;德尔菲法
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Clinical nursing pathway design for children with anti-NMDA receptor autoimmune encephalitis
Objective To construct the clinical nursing pathway (CNP) design for children with anti-NMDA receptor autoimmune encephalitis taking project time as frame. Methods The CNP draft for anti-NMDA receptor autoimmune encephalitis draft was designed by consulting literatures at home and abroad, screening evidence-based evidences, retrospective case analysis. Delphi method was used to two rounds of expert consultation of CNP draft to determine the CNP. Results A total of 12 experts were interviewed with 0.91 for the expert authority coefficient. There were 50 items in the first round of consultation, and the consent rates ranged from 66.67% to 100%. There were 49 items in the second round of consultation, the consent rates of two items were 85.71% and others were all 100%. The CNP for children with anti-NMDA receptor autoimmune encephalitis had 49 items. Conclusions Delphi method-based CNP text is highly efficient and practical, but it needs to be continually updated according to the variation. Key words: Encephalitis; Anti-NMDA receptor autoimmune encephalitis; Clinical nursing pathway; Design research; Delphi method
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