基于循证的儿童床旁超声护理专家共识(2023版)

中华现代护理杂志2023年1月16日第29卷第2期Chin J Mod Nurs,January16.2023,Vol.29.No.2141·专家共识·基于循证的儿童床旁超声护理专家共识中国研究型医院学会危重医学专业委员会金歌和王丹对本文有同等贡献通信作者：娄小平，Email:louxiaoping@163.com;孙同文，Email:Email:suntongwen(@l63.com【摘要】目的制定儿童床旁超声护理专家共识（以下简称《共识》），使儿科重症专科护士能够正确、规范地掌握床旁超声技术，从而实现目标导向性的精细化护理服务，促进患儿的康复。方法成立共识撰写小组，以循证护理为依据，在查阅、整理国内外相关文献的基础上，结合临床护理专家的工作经验，形成《共识》初稿。遴选国内儿科及重症相关领域的护理专家、医学专家、超声专家、循证护理学者共34名，通过2轮德尔菲专家函询和1轮专家论证会，对各条目进行修改、完善后形成《共识》终稿。结果《共识》终版主要涉及危重症患儿的超声引导下动静脉置管、肺部超声评估、膈肌超声评估及超声引导下营养管置入4个方面的内容。2轮函询专家积极系数均为100%，专家权威系数均为0.921；2轮函询肯德尔和谐系数分别为0.155、0.225，专家意见趋于一致。结论《共识》汇总了多学科专家的建议，具有一定的科学性、实用性，可为儿科重症专科护士开展床旁护理超声提供实践指导。【关键词】儿童；护理；重症监护；床旁超声；专家共识基金项目：国家卫生健康委科学研究基金-河南省医学科技攻关计划省部共建项目(SBGJ202102082)D0L:10.3760emaj.cm115682-20220526-02530Nursing expert consensus of bedside ultrasonic for children based on evidenceChinese Research Hospital Association of Critical Care MedicineJin Ge and Wang Dan contributed equally to this articleCorresponding author:Lou Xiaoping,Email:louxiaoping@163.com Sun Tongwen,Email:suntongwen@163.comAbstract Objective To establish the nursing expert consensus of bedside ultrasound for children(hereinafter referred to as the Consensus),so that pediatric intensive care nurses can correctly and normativelymaster bedside ultrasound technology,so as to achieve goal-directed fine nursing services and promote therehabilitation of children.Methods A consensus writing group was established to form the first draft of theConsensus based on evidence-based nursing,based on consulting and sorting out relevant literature at home andabroad,combined with the working experience of clinical nursing experts.A total of 34 nursing experts,medicalexperts,ultrasound experts and evidence-based nursing scholars in the field of pediatrics and critical care inChina were selected.Through two rounds of Delphi expert correspondence and one round of expert demonstrationmeeting,each item was modified and improved to form the final draft of the consensus.Results The finaledition of Consensus mainly involved four aspects:Ultrasound-guided arteriovenous catheterization,lungultrasound evaluation,diaphragm ultrasound evaluation and ultrasound-guided nutrient tube placement incritically ill children.The positive coefficient of experts in the two rounds of correspondence is 100%,theauthority coefficient of experts is 0.921,and the Kendall harmony coefficient of the two rounds of correspondenceis 0.155 and 0.225,respectively,and the expert opinions tend to be consistent.Conclusions The consensussummarizes the suggestions of multidisciplinary experts,which is scientific and practical,and can providepractical guidance for pediatric intensive care nurses to carry out bedside nursing ultrasound.Key words Child;Nursing care;Intensive care;Bedside ultrasound;Expert consensusFund program:Scientific Research Fund of the National Health Commission-Joint Provincial andMinisterial Project of Henan Medical Science and Technology Research Plan(SBGJ202102082)D0:10.3760/cma.i.cn115682-20220526-02530收稿日期2022.