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Construction and application of emergency critical care patient care plan based on Delphi method

Year: 2025

Type: article

Abstract: This study evaluates the efficacy of a Delphi-method-based nursing plan for critically ill emergency patients. A total of 80 critically ill patients admitted to the emergency department between January 2021 and January 2023 were included in the study, divided into 2 groups: the control group (n = 40) receiving routine emergency care, and the observation group (n = 40) receiving a nursing plan based on the Delphi method. The Delphi process involved the formation of an expert panel, followed by multiple rounds of anonymous feedback. After reviewing and refining the initial nursing criteria, the experts reached a consensus on key care indicators and interventions. The final plan emphasized personalized care, risk assessment during transport, in-hospital care, and psychological support. The observation group received care based on this plan. The transfer time, rescue success rate, rescue time, and hospitalization duration were compared, along with the incidence of complications, self-rating anxiety scale and self-rating depression scale scores, and nursing satisfaction. The transfer time, rescue time, and hospitalization duration were significantly shorter in the observation group compared to the control group (P < .05). The rescue success rate was significantly higher in the observation group (P < .05). The incidence of complications was 7.5% in the observation group, significantly lower than the 32.5% observed in the control group (P < .05). After nursing care, both groups showed significant reductions in self-rating anxiety scale and self-rating depression scale scores; however, the post-intervention scores in the observation group were significantly lower than those in the control group (P < .05). Nursing satisfaction in the observation group was 95%, significantly higher than the 80% in the control group (P < .05). The nursing plan for emergency critically ill patients constructed based on the Delphi method can help improve the success rate of rescue, reduce the risk of complications, enhance patients' psychological well-being and satisfaction with care, demonstrating significant clinical implications.

Source: Medicine

DOI: 10.1097/md.0000000000042752