应用Delphi法对助产士特定情况下处方权内容的初步探讨

摘要

[目的]探讨中国助产士在特定情况下的处方权内容及处方形式.[方法]采用Delphi法对从事助产专业的18名护理专家及18名医疗专家进行第一轮的问卷咨询.[结果]有3名医疗专家不同意授予助产士处方权.其余同意的专家对子宫收缩乏力、子宫收缩过强、产后出血、胎膜早破、正常分娩这五种情况可以给予助产士处方权的赞同度较高,对引产、产时高热、妊娠期高血压疾病和羊水栓塞的赞同度较低,对哌替啶及芬太尼的认同率较低,根据专家意见对特定情况及具体条目进行调整,制成第二轮专家咨询问卷.[结论]参与咨询的专家大多支持授予助产士处方权,专家权威程度高,对特定情况的赞同度协调性较好,结果可信.%Objective:To probe into the content and form of Chinese midwives prescription right in particular situations.Methods: By using Delphi methods,we carried out the first round of expert consultation aiming at 18 midwives and 18 obstetricians.Results:3 obstetricians didn't agree with prescription right for midwives.Other experts who agreed with prescription right for midwives had high approval rate on uterine atony,metrypercinesia,postpartum hemorrhage,premature rupture of membranes,normal labor but low approval rate on induced labour,intrapartum high fever,hypertensive disorder complicating pregnancy,amniotic fluid embolism.Regarding prescription right for drugs,experts had low approval rate on pethidine and fentanyl.The second round of expert consultation questionnaire had been formed by adjusting the first round of expert consultation questionnaire based on expert opinions.Conclusion:The majority of experts who participated in the consultation agreed with prescription right for midwives.The authoritativeness of the experts was high and the experts'advice on particular situations was in harmony,and the results were credible.