目的 构建ICU护士实施患者早期活动能力培训方案,为临床培训提供参考。方法 以知信行理论为基础,通过文献回顾及问卷调查,采用德尔菲法对21名专家进行2轮函询,形成ICU护士实施患者早期活动能力培训方案。结果 2轮专家函询问卷的有效回收率分别为91.35%（21/23）、100%（21/21）;2轮的专家权威系数分别为0.921、0.912,肯德尔协调系数分别为0.217、0.319。最终构建的ICU护士实施患者早期活动能力培训方案包括培训目标、培训内容、培训方式、培训师资、培训评价5个方面,其中培训内容包括3项一级指标、11项二级指标、67项三级指标。结论 该研究构建的ICU护士实施患者早期活动能力培训方案具有科学性、系统性和针对性,可为ICU护士实施患者早期活动的培训提供借鉴。
Objective To construct a training program for ICU nurses to implement early patient mobility to provide a reference for clinical training. Methods Based on the theory of Knowledge,Attitude and Practice,a Delphi method was used to conduct 2 rounds of correspondence with 21 experts to form a training program for ICU nurses to implement early patient mobility. Results The response rate of the two rounds of experts letter questionnaire was 91.35%（21/23） and 100%（21/21） respectively. The expert authority of the two rounds were 0.921 and 0.912 respectively. The Kendall coordination coefficients of the two rounds were 0.217 and 0.319 respectively. The final constructed training program for ICU nurses to implement early patient mobility included five aspects：training objective,training content,training method,training teachers,and training evaluation,among which the training content included 3 first-level indicators,11 second-level indicators,and 67 third-level indicators. Conclusion This study constructed a scientific,systematic and targeted training program for ICU nurses to implement early patient mobility,which can provide reference for training of ICU nurses to implement early patient mobility.
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