基于渥太华决策支持框架的危重症病人初级安宁疗护咨询方案的构建

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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

处于生命终末期的危重症病人常需接受气管插管、呼吸机支持、心肺复苏等治疗以延续生命，可能会增加病人痛苦，使病人难以实现优逝[1-2]。（剩余9853字）