论文摘要
Objective: Postpartum hemorrhage（PPH） is a leading cause of maternal death. Although guidelines have been updated, those with detailed protocols are limited for nursing practice. This study aims at establishing an early assessment and intervention protocol as a toolkit for PPH for midwives and obstetrical nurses.Methods: Employing the evidence-based method, a systematic Internet search of guidelines was conducted and appraisal of literatures was conducted with AGREE system and Oxman-Guyatt Overview Quality Assessment Questionnaire（OQAQ）, according to which a protocol draft was therefore developed. Then, a two-round modified Delphi method was utilized to reach a consensus of the protocol built on best practices. Selection criteria for each intervention measure included consensus level with a threshold of 70%, mean of importance（M） >3.5, and coefficient of variation（CV） <0.25. Reliability of experts’ opinion was calculated by positive coefficient and authoritative coefficient. Items without consistency were enlisted in the second-round consult. When all items met the selection criteria, the protocol would be finally formulated.Results: A 122-measure protocol was established, including prevention, assessment, and intervention of PPH. With a panel of 14 experts participated in the consult, the positivity coefficient was 0.93 and 1.00 for two rounds, respectively, and the authority coefficient was 0.88. After a two-round consult and revision of the draft, the final program was formulated, containing 5 first-level indexes and 14 second-level indexes with a total item of 120.Conclusions: The PPH protocol, based on high-quality evidences, was formulated with a two-round Delphi method, which can provide insight for midwives and obstetrical nurses to effectively deal with PPH.
论文目录
文章来源
类型: 期刊论文
作者: Ying Liu,Ya-Jing Fan,Wei Zhuang,Qun Huang
来源: Frontiers of Nursing 2019年04期
年度: 2019
分类: 医药卫生科技
专业: 临床医学
单位: Nursing Department, The International Peace Maternity & Child Health Hospital, Shanghai Jiaotong University School of Medicine,Nursing Department, Shanghai 6th People's Hospital Affiliated to Shanghai Jiaotong University School of Medicine,Hospital Administration Department, Shanghai First Maternity and Infant Hospital
基金: supported by Nursing Research Program of Shanghai Nursing Association(No.2016SD-B03)
分类号: R473.71
页码: 285-291
总页数: 7
文件大小: 309K
下载量: 19
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