Wang Hui, Ma Jing, Li Xiaoqin, Yan Meijing, Zhang Panpan, Sun Jianping, Liang Lianchun
Infection General Fever Clinic, Bejing Youan Hospital, Capital Medical University, Beijing, China.
Biomedical Information Center, Bejing Youan Hospital, Capital Medical University, Beijing, China.
Medicine (Baltimore). 2025 Aug 15;104(33):e42752. doi: 10.1097/MD.0000000000042752.
This study evaluates the efficacy of a Delphi-method-based nursing plan for critically ill emergency patients. A total of 80 critically ill patients admitted to the emergency department between January 2021 and January 2023 were included in the study, divided into 2 groups: the control group (n = 40) receiving routine emergency care, and the observation group (n = 40) receiving a nursing plan based on the Delphi method. The Delphi process involved the formation of an expert panel, followed by multiple rounds of anonymous feedback. After reviewing and refining the initial nursing criteria, the experts reached a consensus on key care indicators and interventions. The final plan emphasized personalized care, risk assessment during transport, in-hospital care, and psychological support. The observation group received care based on this plan. The transfer time, rescue success rate, rescue time, and hospitalization duration were compared, along with the incidence of complications, self-rating anxiety scale and self-rating depression scale scores, and nursing satisfaction. The transfer time, rescue time, and hospitalization duration were significantly shorter in the observation group compared to the control group (P < .05). The rescue success rate was significantly higher in the observation group (P < .05). The incidence of complications was 7.5% in the observation group, significantly lower than the 32.5% observed in the control group (P < .05). After nursing care, both groups showed significant reductions in self-rating anxiety scale and self-rating depression scale scores; however, the post-intervention scores in the observation group were significantly lower than those in the control group (P < .05). Nursing satisfaction in the observation group was 95%, significantly higher than the 80% in the control group (P < .05). The nursing plan for emergency critically ill patients constructed based on the Delphi method can help improve the success rate of rescue, reduce the risk of complications, enhance patients' psychological well-being and satisfaction with care, demonstrating significant clinical implications.
本研究评估了基于德尔菲法的危重症急诊患者护理计划的效果。2021年1月至2023年1月期间，共有80例入住急诊科的危重症患者纳入本研究，分为两组：对照组（n = 40）接受常规急诊护理，观察组（n = 40）接受基于德尔菲法的护理计划。德尔菲法过程包括组建专家小组，随后进行多轮匿名反馈。在对初始护理标准进行审查和完善后，专家们就关键护理指标和干预措施达成了共识。最终计划强调个性化护理、转运期间的风险评估、院内护理和心理支持。观察组接受基于该计划的护理。比较了两组的转运时间、抢救成功率、抢救时间、住院时间，以及并发症发生率、自评焦虑量表和自评抑郁量表评分、护理满意度。与对照组相比，观察组的转运时间、抢救时间和住院时间显著缩短（P < 0.05）。观察组的抢救成功率显著更高（P < 0.05）。观察组并发症发生率为7.5%，显著低于对照组的32.5%（P < 0.05）。护理后，两组的自评焦虑量表和自评抑郁量表评分均显著降低；然而，观察组干预后的评分显著低于对照组（P < 0.05）。观察组护理满意度为95%，显著高于对照组的80%（P < 0.05）。基于德尔菲法构建的急诊危重症患者护理计划有助于提高抢救成功率，降低并发症风险，增强患者的心理健康和护理满意度，具有显著的临床意义。
