基于渥太華決策支持框架的危重癥病人初級(jí)安寧療護(hù)咨詢方案的構(gòu)建

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Development of primary palliative care consultation program for criticallyill patients based on

theOttawadecisionsupportframework

DENG Cunqing'，HAO Yanping1，HUANG Yufei'，LIN Haiyang'，ZHANG Junjie2，PENG Meifang2

1.School of Nursing，Guangzhou Medical University，Guangdong 511436 China;2.Afiliated Cancer Hospital

and Institute of Guangzhou Medical University

*Corresponding Author HAO Yanping，E-mail： haoyp2oo9@126.com

AbstractObjeciveTevelopriarypallatiecareconsultatonprogamfoitallillpatintsasedoneOttadecsoot framework（ODF）Metods：Tedraftofprimarypallativecareconsultationprogamforriticallillpatietsasconstructeduderte guidancefODSFeoyasedlrauvisdliarysurvsults.fialersionofpriaryplitivearesain programforcricallyillpatientswasdevelopedthrough2roundsofexpertconsultatios.Results：Questionairerecoeryratenhefist round of expert consultations was 100‰ ，with 57.1% of experts providing feedback.Questionnaire recovery rate in the second round of expert consultations was 92.9% ，with 15.4% of experts providing feedback.The expert authority coeficients for the 2 rounds were 0.905 and0.89spielyoffpeoddls 0.149（ P=0.001 ）.The coefficientof variation for feasibilityscores ranged from O.OO to O.19，and the Kendall's Wwas 0.220 P<0.001 ） Finallfrslles and4thid-leidoiallaeoallllpts primarypalagallilltitstiflbltalndb.Ila was progresive，andtheoutcomewas evidence-based.Itcould providereferenceforintegratingcriticalcareandpallativecare.

KeywordsOttawa decision support framework; critical illness; palliative care; expert consultation

處于生命終末期的危重癥病人常需接受氣管插管、呼吸機(jī)支持、心肺復(fù)蘇等治療以延續(xù)生命，可能會(huì)增加病人痛苦，使病人難以實(shí)現(xiàn)優(yōu)逝[1-2]。（剩余9853字）