Zhang Yunzhi, Zhang Han, Luo Ling, Liu Zhen, Liu Anlin, Shi Lin, Liang Luwen, Zhao Jing, Chen Pu, Yang Yanli
Department of Infectious Diseases, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Department of Nephrology, Children's Hospital of Chongqing Medical University, Chongqing, China.
Front Med (Lausanne). 2025 Jan 7;11:1459428. doi: 10.3389/fmed.2024.1459428. eCollection 2024.
To identify key technologies within non-bioartificial liver (NBAL, an extracorporeal support system that temporarily replaces some of the liver's functions) nursing to offer guidance for clinical practice. In the context of NBAL nursing, key technologies are crucial for successful implementation of artificial liver treatment, ensuring patient safety, and enhancing nursing quality. A review of both domestic and foreign literature revealed that studies on NBAL nursing technology are lacking and that the key technologies for NBAL nursing have not been clearly identified.
Using empirical research methods to collect and analyze data. First, the on-site survey method and literature research method were used to create a preliminary screening list of key technologies for NBAL care. Next, the focus group discussion method was used to establish the screening principles and evaluation indicators for these key technologies. Then, a two-round Delphi study via e-mail correspondence was used to screen and determine the key technologies for NBAL care. Finally, the analytic hierarchy process (AHP) and the technique for order preference by similarity to ideal solution (TOPSIS) comprehensive evaluation method were applied to evaluate these key technologies for NBAL care.
Seventeen key technologies for NBAL care were identified. These include three basic nursing technologies, seven operating techniques, three items for treatment process monitoring technology, two items for health education, and two items for complication prevention and treatment technology.
This study identified key NBAL nursing technologies, offering a systematic guide to enhance clinical practice. These technologies improve treatment safety, efficacy, and nursing standards, laying a foundation for NBAL care advancement.
识别非生物人工肝（NBAL，一种临时替代部分肝脏功能的体外支持系统）护理中的关键技术，为临床实践提供指导。在NBAL护理背景下，关键技术对于人工肝治疗的成功实施、确保患者安全以及提高护理质量至关重要。对国内外文献的回顾显示，关于NBAL护理技术的研究较少，且NBAL护理的关键技术尚未明确界定。
采用实证研究方法收集和分析数据。首先，运用现场调查法和文献研究法创建NBAL护理关键技术的初步筛选清单。其次，采用焦点小组讨论法确定这些关键技术的筛选原则和评估指标。然后，通过两轮电子邮件形式的德尔菲研究筛选并确定NBAL护理的关键技术。最后，应用层次分析法（AHP）和逼近理想解排序法（TOPSIS）综合评价方法对NBAL护理的这些关键技术进行评估。
确定了17项NBAL护理关键技术。其中包括3项基础护理技术、7项操作技术、3项治疗过程监测技术项目、2项健康教育项目以及2项并发症防治技术项目。
本研究确定了NBAL护理的关键技术，为加强临床实践提供了系统指导。这些技术提高了治疗安全性、有效性和护理标准，为NBAL护理的进步奠定了基础。
