重症监护病房新冠患者出院标准清单的制定

Development of a Discharge Criteria Checklist for COVID-19 Patients From the Intensive Care Unit.

作者信息

Mahran Ghada S K, Gadallah Marzoka A, Ahmed Awatef E, Abouzied Warda R, Obiedallah Ahmed A, Sayed Magdy M M, Abbas Mostafa S, Mohamed Sherif A A

机构信息

Departments of Critical Care and Emergency Nursing (Dr Mahran) and Pediatric Nursing (Drs Gadallah and Ahmed), Faculty of Nursing, Assiut University, Assiut, Egypt; Department of Critical and Emergency Care Nursing, Faculty of Nursing, South Valley University, Qena, Egypt (Dr Abouzied); and Departments of Internal Medicine, Cardiology and Critical Care Medicine Unit (Dr Obiedallah), Anesthesia and Intensive Care (Drs Sayed and Abbas), and Chest Diseases and Tuberculosis (Dr Mohamed), Faculty of Medicine, Assiut University, Assiut, Egypt.

出版信息

Crit Care Nurs Q. 2023;46(2):227-238. doi: 10.1097/CNQ.0000000000000455.

DOI:10.1097/CNQ.0000000000000455

PMID:36823749

Abstract

This study aims to develop and validate a checklist of discharge readiness criteria for COVID-19 patients from the intensive care unit (ICU). We conducted a Delphi design study. The degree of agreement among 7 experts had been evaluated using the content validity index (CVI) through a 4-point Likert scale. The instrument was validated with 17 items. All the experts rated all items as very relevant which scored the item-CVI 1, which validates all checklist items. Using the mean of all items, the scale-CVI was calculated, and it was 1. This meant validation of the checklist as a whole. With regard to the overall checklist evaluation, the mean expert proportion of the instrument was 1, and the S-CVI/UA was 1. This discharge criteria checklist improves transition of care for COVID-19 patients and can help nurses, doctors, and academics to discharge COVID-19 patients from the ICU safely.

摘要

本研究旨在制定并验证一份针对重症监护病房（ICU）中新型冠状病毒肺炎（COVID-19）患者出院准备标准的清单。我们进行了一项德尔菲设计研究。通过四分制李克特量表，使用内容效度指数（CVI）评估了7位专家之间的一致程度。该工具通过17个项目进行了验证。所有专家将所有项目评为非常相关，项目内容效度指数（item-CVI）得分为1，这验证了所有清单项目。使用所有项目的平均值计算量表内容效度指数（scale-CVI），结果为1。这意味着整个清单得到了验证。关于清单的总体评估，该工具的专家平均比例为1，且量表CVI/UA为1。这份出院标准清单改善了COVID-19患者的护理过渡，有助于护士、医生和学者安全地将COVID-19患者从ICU转出。