AIM:This research sought to explore the potential mediating function of career calling in the association between career capital and work engagement among intensive care unit (ICU) nurses, using the Job Demands-Resources (JD-R) framework. BACKGROUND:The work engagement of ICU nurses is considered important for nursing quality and patient recovery outcomes. Although previous studies have indicated close relationships among career capital, career calling, and work engagement, the underlying mechanisms remain obscure. The present research seeks to provide insights into this area. DESIGN:A cross-sectional design. METHODS:The STROBE reporting guidelines were utilized. A total of 269 ICU nurses were recruited from a tertiary general hospital using convenience sampling. Data were collected using the Career Capital Scale, Calling Scale-12 (CS-12), and Utrecht Work Engagement Scale (UWES). Confirmatory factor analysis and common method bias assessment were conducted using SPSS AMOS 24.0. Descriptive statistics, Pearson correlation analysis, and multiple linear regression analysis were performed using SPSS 23.0. The significance of the mediating effect was tested using the PROCESS macro 4.1 plugin. RESULTS:Both career capital and career calling were included in the regression model, accounting for 66.1% of the variance in work engagement. Career capital showed significant direct and indirect effects on work engagement, suggesting a partial mediating role of career calling in the relationship between career capital and work engagement. CONCLUSION:Higher levels of career capital among ICU nurses were associated with stronger intrinsic motivation, a greater sense of professional meaning and work value, and higher career calling. This pathway may be important for understanding work engagement. IMPLICATIONS FOR NURSING MANAGEMENT:Policymakers and managers may consider implementing ICU-specific training (e.g., ACLS and ECMO), structured debriefings, peer support, and mentorship as potential strategies to support clinical competence, psychological safety, and career calling. These measures might be related to work engagement and nursing care quality, though causal inferences cannot be drawn from this cross-sectional study.

Objectives This study aimed to map and characterize the evidence on alarm management through evidence mapping. It is hoped that future guidance will be provided for alarm management research. Methods A systematic search was conducted using electronic databases between January 2014 and December 2024. The Risk of Bias 2 and the ROBINS-I tools were applied to assess the methodological quality of the included studies. EndNote X9 and Excel were used for data extraction and analysis. The data were presented using bubble charts. Results This analysis incorporates 18 articles meeting predefined eligibility criteria. These studies consist of randomized control trials (n = 2, 11.1%) and quasi-experimental trials (n = 16, 88.9%). A total of 18 intervention studies include 7 intervention strategies and 3 primary outcomes. The results of this study indicate that training and customizing alarms are the most effective strategies for decreasing alarm burden. However, all studies are judged to be at moderate-to-high risk of bias. Conclusions Alarm management shows a positive effect on alarm burden, nurses, and patient safety. However, higher-quality research is needed in the future to improve alarm management. Implications for clinical practice This study can serve as a reference for healthcare workers to formulate clinical alarm management intervention measures, thereby reducing the alarm fatigue of clinical nurses and lowering the occurrence of adverse events.

BACKGROUND:Post-intensive care syndrome (PICS) is a prevalent condition among critically ill patients, significantly impacting their recuperation and overall quality of life. AIM:To evaluate the potential of virtual reality (VR) technology in mitigating PICS symptoms, with the aim of informing clinical practice and nursing care. STUDY DESIGN:This systematic review and meta-analysis searched PubMed, Embase, Web of Science, CINAHL, the Cochrane Library, CNKI, WanFang and Weepu databases through 5 April 2024. This study included randomized controlled trials (RCTs) examining the impact of VR on PICS. The risk of bias in included RCTs was assessed using the Cochrane risk of bias tool. Meta-analysis was performed using RevMan 5.4 software. RESULTS:A total of seven RCTs involving 538 critically ill patients met the inclusion criteria. VR intervention significantly reduced anxiety levels (I2 = 14%, SMD = -0.19, 95% CI: -0.38 to -0.01, p = .04), depression levels (I2 = 49%, SMD = -0.39, 95% CI: -0.69 to -0.08, p = .01), and the incidence of post-traumatic stress disorder (PTSD) (I2 = 1%, SMD = -0.39, 95% CI: -0.69 to -0.09, p = .01). There was no significant effect on quality of life (I2 = 1%, SMD = 0.18, 95% CI: -0.16 to 0.52, p = .31). No evidence of publication bias was identified (all p > .05). VR technology demonstrates potential in mitigating the symptomatology associated with PICS in critically ill patients. CONCLUSIONS:The integration of VR technology within the critical care nursing toolkit holds promise as an innovative adjunct in the comprehensive care paradigm for critically ill patients. RELEVANCE TO CLINICAL PRACTICE:By leveraging the immersive and interactive capabilities of VR, it may be possible to mitigate the symptoms and sequelae associated with PICS.

Objective: To evaluate the efficacy and safety of low-intensity pulsed ultrasound (LIPUS) for the treatment of Peyronie's disease (PD). Methods: To analyze the treatment effect of 106 PD patients, 56 patients treated with LIPUS as therapy group and 50 patients with oral L-carnitine and vitamin E as control group. 56 patients were treated with LIPUS three times per week for four consecutive weeks (12 times totally). Penile erectile pain, erectile function, the size of penile plaques, and penile curvature were assessed for all of these 106 PD patients before treatment and at 4- and 24-week follow-ups to evaluate the treatment effect. Erectile pain was assessed by visual analog scale (VAS), while erectile function using the International Index of Erectile Function scale (IIEF-5), and penile plaque size was measured by ultrasound. After alprostadil was injected into the penile body to induce a full erection, the penis was measured with a protractor at the maximum bending degree. Results: After 4-weeks follow-up, the VAS scores of the LIPUS group were significantly lower than the baseline (P<0.01), while no significant differences were found in the control group (P>0.05). After 24-weeks follow-up, the VAS scores of the control group reduced significantly but also were significantly higher than the LIPUS group (P<0.01). The IIEF-5 scores of the LIPUS group were significantly higher than the baseline (P<0.01). While the IIEF-5 scores of the control group showed no significant differences both after 4- and 24-weeks follow-up (P>0.05). The penile plaque size showed no significant differences after 4- and 24-weeks follow-up both in the LIPUS group and the control group (P>0.05). The penile curvature degrees showed a significant reduction after 4-weeks follow-up in LIPUS group (P<0.01). While the penile curvature degrees of the control group showed no significant differences both after 4- and 24-weeks follow-up (P>0.05). No complications, such as penile pain, hematoma, or skin ecchymosis, were observed during the entire process of LIPUS treatment, nor did they appear during follow-up. Conclusions: In patients with acute PD, LIPUS could relieve erectile pain and improve erectile dysfunction. Moreover, it appears not to reduce plaque size and not to have a clinically significant effect on penile curvature. Furthermore, LIPUS also shows a good safety profile during the management of PD and should be recommended for the clinical management of PD.

Objective:The occurrence of some public health events inevitably endangers medical personnel,and medical personnel,as a special group,have to resume work on time to treat patients.This coronavirus disease-2019(COVID-19)infection is a good example,and what intensive care unit(ICU)nurses experience as the primary caregivers of critically ill patients after COVID-19 infection is our focus.To explore the work experience of ICU nurses after recovery from COVID-19,and to provide a theoretical basis for the intervention to improve the physical and mental health level and work experience of special workers in public health emergencies. Methods:We conducted an explorative descriptive study using an inductive thematic analysis.Using the maximum differential sampling method,a semi-structured interview was conducted among 13 ICU nurses suffered from COVID-19 in a tertiary grade A hospital in Qingdao,Shandong Province.This study carried on the theme analysis according to the inductive content analysis method and used MAXQDA 2020 Analytics Pro(VERBI Software GmbH,Berlin,Germany)to manage and summarize the interview data. Results:After being infected by the virus,SARS-Coronavirus-2(SARS-CoV-2),the pathogen of COVID-19,the work experience of ICU nurses was extracted from the following 5 themes:(1)Stress and challenge caused by the change of work focus;(2)downsizing,overtime,taking up work with illness,and physical discomfort;(3)dedication and family debt;(4)unknown fear and helplessness;and(5)professional responsibility and sense of benefit. Conclusions:Under the pressure of COVID-19,ICU nurses face multiple pressures and challenges,and their emotions are complex.We suggest that nursing managers should take corresponding measures to alleviate nurses'physical and psychological pressure and improve their work experience.

Background: Humanistic care involves caring, concern, paying attention to people's individuality, meeting their needs and respecting their rights, which is the core concept and central task of nursing. Effective care can enhance patients' ability to deal with stress and promote patient recovery. Implementing humanistic care in the intensive care unit (ICU) is particularly important for health care providers.Aims and objectives: This study aims to develop a framework of the humanistic care in the ICU.Design: The qualitative research followed Strauss' procedural grounded theory approach.Methods: Purposive sampling and theoretical sampling were used to select 12 nurses in the Department of Critical Medicine, 16 patients, and eight family members for semi-structured interviews from October 2020 to April 2021. Results were summarized and analysed through three-level coding based on grounded principles.Results: Sixteen subcategories and six main categories were extracted after three-level coding, and the final ICU humanistic care framework was formed with home, activity, visit, environment, nursing and safety ( "HAVENS ") as the core.Conclusion: This study provides an explanatory theory of humanistic care in the ICU that can guide nurses' practice in ICU clinical work.Relevance to clinical practice: This theory provides guidance for nurses to implement humanistic care in critical care practice to improve the ICU stay experience of critically ill patients.

Introduction: In China, due to the large population base, shortage of medical staff, aging population and other reasons, Intensive Care Unit (ICU) nurses are required to work high intensity and long hours, coupled with constant incorrect posture, resulting in a particularly high prevalence of low back pain (LBP). Aim: The aim of this study was to further explore the impact of LBP on the work and life of ICU nurses through a qualitative research method. Methods: This study uses an interpretive phenomenological approach. Fifteen ICU nurses with LBP symptoms from a tertiary hospital in Qingdao, China, were recruited as study subjects. From January to April 2024, data was collected through in-depth interviews in the form of online one-on-one audio, which was then converted into text. Colaizzi's phenomenological approach was used for data analysis. Results: The impact of LBP on ICU nurse work includes 4 themes:1)impaired efficiency and motivation of work, 2)negative emotions: anxiety, fear, and feelings of guilt, 3)turnover intention, 4)presenteeism. The impact of LBP on ICU nurse life includes 3 themes: 1)limitations to daily life, 2)imiting exercise, social and leisure pursuits, 3)roles and problems of family caregivers. Conclusions: The high prevalence of LBP can lead to the loss of ICU nurses, and cause great trouble to their work and life. Effective measures should be taken to improve this phenomenon in the future. Implications for Clinical Practice: This study explored the impact of LBP on ICU nurses in China through qualitative interviews. It also pointed out the potential mechanism of the negative effects of low back pain on ICU nurses, which provided help for researchers to understand the phenomena of nurse turnover and presenteeism. Finally, this study hopes to arouse the attention of society and hospitals to the LBP of ICU nurses, so as to develop effective solutions.

AIMS:Based on the conservation of resources theory, this study explored the intermediary role of intensive care unit (ICU) nurses' recovery experience and humanistic care ability between leisure crafting and work engagement. BACKGROUND:As the ICU is an important life-saving department, the level of work engagement of nurses directly affect the quality of life and health outcomes of patients. Actively seeking countermeasures to improve the work engagement level of ICU nurses is of great significance to enhancing the nursing quality of the ICU. According to the theory of resource conservation, the resources owned by individuals are limited and must be replenished promptly and effectively to maintain relatively stable physical, mental, and working states. Therefore, determining ways for ICU nurses to supplement the consumed resources effectively and efficiently in a limited time to maintain a high level of work engagement is the main concern of this study. METHODS:In this cross-sectional study from January 2023 to March 2023, 478 ICU nurses were recruited by convenience sampling. The survey tools included the Leisure Crafting Scale, the Utrecht Work Engagement Scale-9, the Caring Ability Inventory, and the Recovery Experience Questionnaire. Descriptive data and Pearson correlation coefficients were analyzed via SPSS 26.0 (IBM Corp.). PROCESS v4.0 (by Andrew F. Hayes) Macro Model 6 was applied to analyze the serial multiple mediator models. We used the STROBE checklist to report the results. RESULTS:First, the results showed that leisure crafting, humanistic care ability, and recovery experience were positively correlated with work engagement. Second, recovery experience and humanistic care ability played a partially mediating role between leisure crafting and work engagement, respectively. Third, recovery experience and humanistic care ability also had a serial mediation effect between leisure crafting and work engagement. CONCLUSION:The findings of the study indicated that improving nurses' active control of leisure time may have particularly positive effects on ICU nurses' work engagement through increasing recovery experience and humanistic care ability. IMPLICATIONS FOR NURSING AND NURSING POLICY:Administrators can formulate intervention measures to improve the leisure crafting level of ICU nurses, promote work-life balance, which enhances recovery and supports engagement with patient-focused humanistic care, and have a positive impact on the work engagement of ICU nurses.

Background Nurses play an important role in palliative care, and high-quality assessment tools can help standardize palliative-related nursing behaviors, but there are no such tools in China.Objective This study aimed to revise, cross-culturally adapt, and validate the Palliative Nursing Care Quality Scale (PNCQS) to provide an effective tool that can help nurses in mainland China assess the quality of palliative care.Methods This study involved a 2-steps process. First, the PNCQS was translated, back-translated, and cross-cultural adapted using Brislin's translation model. Second, a cross-sectional study was used to evaluate the reliability and validity of the revised scale. From January to February 2023, 367 nurses engaged in palliative care-related nursing from 3 tertiary A general hospitals were surveyed with the revised scale. The evaluation methods used in this study included item analysis, test-retest reliability, internal consistency, criterion-related validity, content validity, and construct validity.Results The PNCQS-Chinese included 20 items. In this study, the item-total correlation coefficients ranged from 0.67 to 0.83 (P < .01), and the critical ratio value of the items was 12.10 to 23.34 (P < .01). The scale-level content validity index was 0.98, and the item-level content validity ranged from 0.86 to 1.00. The total Cronbach's alpha and test-retest reliability of the scale were 0.96 and 0.79, respectively. Factor analysis of 20 items extracted 1 factor, and the contribution rate of cumulative variance was 60.03%.Conclusions PNCQS-Chinese shows acceptable validity and reliability for assessing the quality of palliative care-related nursing in mainland China.

OBJECTIVES:To assess the efficacy of early rehabilitation program for VV-ECMO patients and observe the influence on the respiratory and skeletal muscles. DESIGN:A cohort study. SETTING:The study was conducted with VVECMO patients in a comprehensive ICU with 32 beds. MAIN OUTCOME MEASURES:Ultrasound measurements were performed on each patients on day 1, 4, 7, 10, and 14, including diaphragmatic excursion (DE), diaphragmatic thickening fraction (DTF), intercostal muscle thickening fraction (ICMTF), thickness of the rectus femoris (RF), thickness of vastus intermedius (VI), and rectus femoris cross-sectional area (RF-CSA). Data on basic characteristics, results of ultrasound measurements, patients outcomes and adverse events were collected. RESULTS:22 patients received usual rehabilitation measures were set as the control group and 23 patients underwent early rehabilitation program were set as the study group. There were no differences in diaphragmatic excursion, diaphragmatic thickening fraction, intercostal muscle thickening fraction, thickness of rectus femoris, thickness of vastus intermedius, rectus femoris cross-sectional area between two groups on day 1 after VV-ECMO treatment (P > 0.05). The variation of diaphragmatic thickening fraction and intercostal muscle thickening fraction decreased on the day 7 and 14 after treatment (P < 0.05). The variation of vastus intermedius thickness and rectus femoris cross-sectional area in the study group was less compared with those in the control group on day 4, 7, 10 and 14. The ECMO duration in the study group was shorter than that in the control group (12.00 [10.00-16.25] days vs. 8.00 [6.00-12.25] days, P = 0.002), but there was no difference in the duration of mechanical ventilation. CONCLUSION:Early rehabilitation program can ameliorate muscle atrophy. We recommend implementation of our rehabilitation program in VV-ECMO patients. This program can improve skeletal muscle atrophy and dysfunction in patients with VV-ECMO effectively and perhaps improve quality of life for patients in the future. IMPLICATIONS FOR CLINICAL PRACTICE:Early rehabilitation program put higher demands bedside nurses. It requires them to observe conditions of VVECMO patients closely, assess the feasibility of rehabilitation promptly, and monitor for any adverse reactions. Ultrasound measurement is a noninvasive and useful tool to assess muscle atrophy in ICU patients. Early rehabilitation program can improve skeletal muscle atrophy and dysfunction in patients with VV-ECMO effectively.

目的:探讨ICU床旁交接班清单在重症医学科(ICU)低年资护士交接班中的应用效果，提高低年资护士床旁交接班质量。方法:2019年7~8月成立清单研究小组，建立ICU交接班清单，抽取青岛大学附属医院ICU 89名低年资护士，分别对其使用ICU床旁交接班清单前后护士执行手卫生人数、留置针堵管例数、人工气道气囊压达标例数、床头抬高达标例数等指标进行比较。结果:采用ICU床旁交接班清单进行交接班后，床旁交接班时护士执行手卫生人数、床头抬高达标例数和人工气道气囊压达标例数明显多于使用前，留置针堵管例数、深静脉导管堵塞例数明显少于使用前，差异有统计学意义(均 P<0.05)；低年资护士对交接班效果评价明显优于使用前，差异有统计学意义( P<0.05)。 结论:ICU床旁交接班清单提高了低年资护士的交接班质量，提升了低年资护士对患者的病情知晓率和不安全因素的预见能力，降低了护理风险。

Objective: To develop a humanistic care program for ICU patients based on HAVENS model. Methods:Based on the HAVENS humanistic care framework constructed in the previous study, we developed the initial humanistic care program for ICU patients by literature review. A total of twenty-one experts were invited to participate in a two-round consultation to finalize the program. Results: The humanistic care program consisted of 6 first-level items（family, activities,visits, environment, nursing and safety）, 16 second-level items and 48 third-level items. The expert authority scores of two rounds were 0.791 and 0.813, respectively. The expert coordination coefficients in importance of two rounds were 0.279 and 0.311（P＜0.05）. The expert coordination coefficient in operability of two rounds were 0.331 and 0.354（P＜0.05）. Conclusion:The humanistic care program is developed with high reliability for ICU patients. It can be used to improve the medical experience of patients and their families.

目的:编制体外膜肺氧合专科护士核心能力量表，并检验其信效度。方法:在文献回顾、半结构化访谈基础上结合德尔菲专家函询法编制体外膜肺氧合专科护士核心能力量表。采用便利抽样法，选取312名山东省接受过体外膜肺氧合护理培训且独立实施过体外膜肺氧合技术的临床护士进行调查，检验量表的信效度。结果:最终形成的体外膜肺氧合专科护士核心能力量表包含临床专业知识、临床实践技能、批判思维能力、专业发展能力、沟通协调能力、管理能力和个人特质7个维度。量表整体的Cronbach’s α系数为0.929，重测信度为0.881。量表总体内容效度指数为0.955，条目水平的内容效度指数为0.833～1.000。探索性因子分析提取出7个公因子，累计方差贡献率为72.051%。结论:编制的体外膜肺氧合专科护士核心能力量表信效度良好，可作为体外膜肺氧合专科护士核心能力的有效评价工具。

目的 调查我国重症监护室护士体外膜肺氧合培训现状及需求.方法 采用分层抽样方法选取 2022 年 5-6 月山东、广东、河南等 12 个省市,共计 584 名ICU护士为调查对象.采用自行设计的ICU护士ECMO培训现状及需求调查问卷进行横断面调查.结果 584 名ICU护士中 285 名(48.80%)曾参加ECMO培训,390 名(66.78%)存在ECMO培训需求;96.40%的ICU护士认为有必要构建科学、完整的ECMO护理人员培训体系,然而在ECMO培训现状与需求中,培训内容及形式存在差异.多因素非条件Logistic回归分析结果显示,性别、ICU工作年限、所在科室是否开展ECMO技术,医院/领导重视程度是影响ICU护士接受ECMO培训的因素.结论 大部分ICU护士都需要参加科学、完整的ECMO护理人员培训,但ECMO培训覆盖率不高,ECMO培训现状与护士需求存在差异;男性、ICU工作年限长、所在科室开展过ECMO技术及医院/领导重视的护士接受培训的机会增加.

OBJECTIVE:To evaluate and summarize the relevant evidence of anticoagulation and bleeding risk management in patients with extracorporeal membrane oxygenation (ECMO), and provide the evidence-based basis for the management of anticoagulation and bleeding during ECMO treatment.METHODS:According to the evidence "6S" pyramid model, all evidence on ECMO anticoagulation management and bleeding risk was searched in relevant databases, organizations and guideline websites at home and abroad. Evidence types included guidelines, expert consensus, systematic evaluation, Meta-analysis and original study. The search time limit was from May 31, 2012 to May 31, 2022. Two researchers with evidence-based research background conducted independent literature quality evaluation of the retrieved evidence, and the evidence that met the quality standards was extracted and summarized based on the opinions of industry experts.RESULTS:A total of 315 articles were retrieved, and 13 articles were included, including 3 guidelines, 6 expert consensus, and 4 Meta-analysis. A total of 27 best evidences were summarized from 7 aspects, including the selection of ECMO anticoagulation, anticoagulation in priming, anticoagulation in operation, anticoagulation monitoring, bleeding and treatment, thrombosis and treatment, and prevention and management of terminal limb ischemia.CONCLUSIONS:This study provides evidence-based basis for bleeding prevention and anticoagulant management in ECMO patients. It is recommended to selectively apply the best evidence after evaluating the clinical environmental conditions of medical institutions, so as to improve the prognosis of ECMO patients.

目的 基于虚拟现实技术(virtual reality,VR)研发简便实用的ICU患者康复系统,以提高患者康复依从性和安全性.方法 通过跨学科合作及文献研究法,应用3DMax、Maya建模,利用Unity 3D游戏引擎进行交互,开发ICU患者VR康复训练系统.选取2023年4月—6月在山东省某三级甲等医院ICU住院治疗的3例清醒患者,对其进行VR康复系统干预,并从不良事件发生情况、系统可用性、受试者应用感受等方面进行VR康复系统适用性评价.结果 该研究所设计的康复系统包括上肢、下肢、认知功能及力量训练,系统操作简便,易于理解且趣味性强,受试者干预期间均未发生不良事件.结论 基于VR的危重患者康复训练系统可在一定程度上促进ICU患者康复,且该系统成本较低、实施过程较为安全,但未来仍需大样本量及多中心研究进一步验证其临床有效性.

Background. Cervical squamous cell carcinoma (Cervical SCC) is a malignant gynecological tumor, which greatly endangers the health of global women. Cancer susceptibility candidate 9 (CASC9) has been identified as an oncogene in multiple cancers. However, the role of CASC9-1 (one transcript of CASC9) in cervical SCC remains covered.Methods. We analyzed gene expression in cervical SCC cells via RT-qPCR and western blot assays. The impact of CASC9-1 on cervical SCC cell and tumor growth was assessed via in vitro functional assays and in vivo assays. Moreover, the regulatory mechanism of CASC9-1 was explored by mechanism assays.Results. CASC9-1 was up-regulated in cervical SCC cells. CASC9-1 knockdown repressed cervical SCC cell proliferation, migration and invasion while elevating apoptosis. Via in-vivo experiments, CASC9-1 down-regulation was proved to restrict cervical SCC tumor growth. In terms of mechanism, CASC9-1 directly targeted miR-383-5p, and MAPKAP1 was the target gene of miR-383-5p in cervical SCC cells. CASC9-1 could exacerbate malignant behaviors of cervical SCC cells via binding to miR-383-5p and regulating MAPKAP1.Conclusions. CASC9-1 exerted influences on various biological behaviors of cervical SCC cells via targeting miR-383-5p to up-regulate MAPKAP1. All these results mirrored that CASC9-1 might be a potential target for cervical SCC treatment. (c) 2021 Instituto Mexicano del Seguro Social (IMSS). Published by Elsevier Inc. All rights reserved.

目的:构建基于ADDIE模型的体外膜肺氧合(ECMO)护理教学培训体系.方法:成立ECMO护理教学培训研究小组,依照ADDIE模型的5个阶段[分析(Assess/analyze)、设计(Design)、开发(Develop)、实施(Implement)、评价(Evaluate)]构建ECMO护理教学培训体系.在实施阶段采用方便抽样法选取2021年1月—2022年1月进行ECMO护理培训的4批学员共40人作为研究对象,按照入院顺序将前后各2批学员分为观察组和对照组各20人.观察并比较两组学员考核成绩和ECMO专科护士核心能力.结果:基于ADDIE模型的ECMO护理教学培训体系应用后学员考核成绩总分高于应用前,其中随堂作业、操作技能考核和临床综合能力考核成绩均高于应用前,差异均有统计学意义(P<0.05);学员ECMO专科护士核心能力自评总分高于应用前,其中随堂作业、操作技能考核和临床综合能力考核成绩均高于应用前,差异均有统计学意义(P<0.05).结论:基于ADDIE模型构建了ECMO护理教学培训体系,并对体系实施效果进行分析、修改后最终完善并确定了ECMO护理教学培训体系.

目的 基于循证理念构建静脉-静脉体外膜肺氧合(venovenous extracorporeal membrane oxygenation,VV-ECMO)患者早期康复方案.方法 采用文献回顾法构建VV-ECMO患者早期康复初步方案.2022年1月—2月,运用德尔菲法对15名专家进行2轮函询,形成VV-ECMO患者早期康复最终方案.结果 2轮专家函询问卷回收率均为100％,权威系数为0.840,2轮专家函询各条目变异系数分别为0～0.353和0～0.237,肯德尔和谐系数分别为0.137(χ2=164.538,P<0.001)和0.123(χ2=147.066,P<0.001).最终形成包括4项一级指标、16项二级指标、45项三级指标的VV-ECMO患者早期康复方案.结论 VV-ECMO患者早期康复方案具有一定的科学性与可行性,可为静脉-静脉体外膜肺氧合患者早期康复提供临床实践理论指导.