ISSN 2097-6046（网络）
ISSN 2096-7446（印刷）
CN 10-1655/R
主管：中国科学技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 ›› 2026, Vol. 7 ›› Issue (8): 993-999.doi: 10.3761/j.issn.2096-7446.2026.08.018

• 质量与安全 • 上一篇    下一篇

ICU成人患者体外膜肺氧合护理核查单的编制及适用性分析

孙少洋1(), 李恩翰2,*(), 李圆章1, 袁耀文1, 黄小茜1, 李梦婷3, 孙倩倩4, 魏中秋5   

  1. 1 华中科技大学同济医学院附属协和医院重症医学科 武汉市 430033
    2 华中科技大学同济医学院附属协和医院急诊内科 武汉市 430033
    3 华中科技大学同济医学院附属协和医院泌尿外科（肾移植） 武汉市 430033
    4 湖北省第三人民医院内分泌代谢病科 武汉市 430022
    5 华中科技大学协和江北医院耳鼻喉科 武汉市 430100
  • 收稿日期:2025-09-03 出版日期:2026-08-10 发布日期:2026-08-04
  • 通讯作者: *李恩翰，E-mail：137994539@qq.com
  • 作者简介:孙少洋：男，本科，主管护师，E-mail：1129779082@qq.com
    作者贡献声明

    孙少洋：论文撰写；李恩翰：研究指导、经费支持；李圆章、黄小茜：数据收集；袁耀文、魏中秋：文献检索、论文修改；李梦婷、孙倩倩：统计学分析

Development and validation analysis of a checklist for extracorporeal membrane oxygenation nursing for adult ICU patients

SUN Shaoyang1(), LI Enhan2,*(), LI Yuanzhang1, YUAN Yaowen1, HUANG Xiaoxi1, LI Mengt-ing3, SUN Qianqian4, WEI Zhongqiu5   

  1. 1 Department of Critical Care Medicine， Union Hospital，Tongji Medical College，Huazhong University of Science and Technology， Wuhan 430033， China
    2 Department of Emergency Internal Medicine， Union Hospital，Tongji Medical College，Huazhong University of Science and Technology， Wuhan 430033， China
    3 Department of Urology（Renal Transplantation， Union Hospital，Tongji Medical College，Huazhong University of Science and Technology， Wuhan 430033， China）
    4 Department of Endocrinology and Metabolic Diseases， the Third People’s Hospital of Hubei Province， Wuhan 430022， China
    5 Department of Otolaryngology， Union Jiangbei Hospital，Tongji Medical College，Huazhong University of Science and Technology， Wuhan 430100， China
  • Received:2025-09-03 Online:2026-08-10 Published:2026-08-04
  • Contact: *LI Enhan，E-mail:137994539@qq.com

RichHTML

PDF下载

摘要：

目的 编制ICU成人患者体外膜肺氧合（extracorporeal membrane oxygenation，ECMO）护理核查单，并分析其临床适用性，为临床ECMO安全管理提供参考。 方法 在文献回顾及临床现状调查的基础上初步形成核查单初稿，通过2轮德尔菲专家咨询修订完善核查单，最终通过预试验确定核查单终稿。 结果 2轮专家函询有效问卷回收率分别为100%、94.74%，专家权威系数分别为0.831 6、0.898 7，肯德尔和谐系数分别为0.334、0.356（均P<0.001），变异系数为0.032 6~0.225 1、0.033 5~0.225 9，专家意见趋于一致。最终编制的ICU成人患者ECMO护理核查单包含交接班核查单及日常运行核查单两个部分，交接班核查单由13个一级指标和53个二级指标构成；日常运行核查单由8个一级指标和30个二级指标构成。 结论 该研究编制的核查单科学全面，临床实用性强，可规范ECMO管理，提升护理质量与诊疗的安全性，为临床ECMO安全管理提供参考工具。

关键词: 重症监护病房, 体外膜肺氧合, 护理, 核查单, 德尔菲法

Abstract:

Objective To develop a nursing checklist for extracorporeal membrane oxygenation （ECMO） in adult ICU patients and evaluate its clinical applicability，thereby providing a reference for clinical ECMO safety management. Methods Based on a literature review and an investigation of current clinical practices，an initial draft of the checklist was formulated. The checklist was subsequently revised and refined through two rounds of the Delphi expert consultation method，and the final version was established through a pilot study. Results The effective questionnaire recovery rates for the two rounds of expert consultation were 100% and 94.74%，respectively；the authority coefficients were 0.831 6 and 0.898 7；the Kendall’s coefficients of concordance were 0.334 and 0.356 （all P<0.001）；and the coefficients of variation ranged from 0.032 6 to 0.225 1 and 0.033 5 to 0.225 9，indicating a convergence of expert opinions. The final ECMO nursing checklist for adult ICU patients comprised two parts：a shift handover checklist and a daily operation checklist. The shift handover checklist consisted of 13 first-level indicators and 52 second-level indicators；the daily operation checklist consisted of 8 first-level indicators and 29 second-level indicators. Conclusion The checklist developed in this study is scientific，comprehensive，and highly clinically applicable. It can standardize ECMO management，improve nursing quality and the safety of diagnosis and treatment，and serve as a reference tool for clinical ECMO safety management.

Key words: Intensive Care Unit, Extracorporeal Membrane Oxygenation, Nursing Care, Checklist, Delphi Method