Construction of a nursing management program for early fluid resuscitation in patients with acute pancreatitis: A Delphi study in China

Abstract

Abstract Aim and Objectives: To construct a set of scientific and feasible nursing management protocols for early fluid resuscitation in acute pancreatitis patients who can be used to guide clinical practice and enhance the treatment efficacy in these patients. Background Fluid resuscitation is a key means of early treatment for AP patients and has become a clinical consensus. Nurses are important practitioners of fluid resuscitation, and there is a lack of specific enforceable nursing management programs. Methods Through literature research, on-site research, semi-structured interviews, and other preliminary preparations of the first draft of the nursing management program for early fluid resuscitation in acute pancreatitis, the Delphi method was used to conduct two rounds of correspondence with medical and nursing experts, and then statistically analyzed. Results Fifteen and 14 questionnaires were distributed in two rounds, respectively, and 15 and 14 questionnaires were recovered, respectively. The positive coefficient of experts was 100%, the authority coefficient was 0.970 and 0.975, respectively; the importance assignment was x ± s; the coefficient of variation coefficient was 0.05–0.21 and 0.00–0.20, respectively; and Kendall’s harmony coefficient was 0.05, with a test level of α = 0.05. A total of 5 primary indicators, 11 secondary indicators, and 36 tertiary indicators were used to construct the Nursing Management Program for Early Fluid Resuscitation in Acute Pancreatitis. Conclusions The constructed nursing management plan for early fluid resuscitation in acute pancreatitis patients puts forward clear requirements and standards for nursing care in the early stage of AP treatment. This plan is in line with the principles of science and operability, has good clinical application and promotion value, and can promote standardized management of early fluid resuscitation in patients with acute pancreatitis.