基于症状管理理论的延时现场救护创伤性疼痛管理方案的构建OA

Objective To develop a traumatic pain management program for prolonged field care and provide theoretical references for improving medical treatment and nursing care.Methods Guided by Symptom Management Theory(SMT),Chinese and foreign liter-ature was retrieved with evidence-based methods and literature quality evaluation was subsequently conducted.A preliminary program for the management of traumatic pain in prolonged field care was initially formulated.From October to November 2024,the Delphi method was applied to conduct two rounds of correspondence inquiries with 13 experts in the fields of medicine and nursing to establish the final program.Results The effective recovery rates of the two rounds of inquiries were 87%and 100%,and the expert authority coefficients were 0.841 and 0.860,respectively.The Kendall's W test results were statistically significant(P<0.05).In the second round of consultation,the importance and feasibility scores of items at all levels were greater than 3.50,and the coefficient of variation was less than 0.25.The final traumatic pain management program for prolonged field care consisted of 3 first-level,11 secondary-level,and 39 third-level items.Conclusion SMT-based pain management program for traumatic pain for prolonged field care constructed in this study is reliable,practical and innovative.It can be applied in practice and needs to be continuously improved to enhance medi-cal treatment and nursing care in prolonged field care.