|
|
急性胰腺炎护理质量评价指标体系的构建
|
Abstract:
目的：以“三维质量结构”模式为理论依据，构建急性胰腺炎护理质量评价指标体系，为临床评价急性胰腺炎的护理质量提供参考。方法：通过文献回顾、专家咨询和层次分析法对22名专家完成有效函询，获得专家一致性意见，确定急性胰腺炎护理质量评价指标体系的内容及各指标的权重。结果：2轮函询中，问卷回收率分别为95.65%、100%，权威系数分别为0.86、0.88，协调系数为0.406、0.391、0.325，具有统计学意义。最终形成包括3个一级指标、11个二级指标、28个三级指标的急性胰腺炎护理质量评价指标体系。结论：构建的急性胰腺炎护理质量评价指标体系具有较高的科学性和可靠性，为急性胰腺炎护理质量的评价提供依据。
Objective: Develop nursing quality evaluation indicator system for acute pancreatitis based on the theory of Donabedian’s structure-process-outcome quality model, in order to provide a reference for the clinical evaluation of the quality of care for acute pancreatitis. Methods: Through literature review, expert consultation, and analytic hierarchy process, 22 experts were effectively surveyed and their consensus opinions were obtained to determine the content and weight of the quality evaluation index system for acute pancreatitis nursing. Results: After two rounds of expert consultation, the questionnaire recovery rates were 95.65% and 100% respectively, the authoritative coefficients of experts were 0.86 and 0.88 respectively, and Kendall coordination coefficients were 0.406, 0.391, and 0.325. The final indicator system consisted of 3 first-level indicators, 11 second-level indicators, and 28 third-level indicators. Conclusion: The nursing quality evaluation indicator system for acute pancreatitis was scientific and reliable, which can provide scientific references for evaluating nursing quality for acute pancreatitis.
| [1] | 中华医学会消化病学分会胰腺疾病学组, 中华胰腺病杂志编辑委员会, 中华消化杂志编辑委员会. 中国急性胰腺炎诊治指南(2019年, 沈阳) [J]. 中华消化杂志, 2019, 39(11): 721-730. |
| [2] | 李少冬. 论“优质护理服务示范工程”可持续发展战略[J]. 中国护理管理, 2011, 11(12): 28-31. |
| [3] | 周静, 张业玲, 徐丽妃, 等. 鼻咽癌放疗患者专病护理质量评价指标体系的构建[J]. 护理学杂志, 2020, 35(7): 31-33. |
| [4] | 张海燕, 陈杰, 简伟研. 护理质量评价关键环节解析及案例分析[J]. 中国护理管理, 2014, 14(5): 456-458. |
| [5] | 胡经文, 肖娟, 白婷, 等. 介入手术室专科护理质量敏感指标体系的构建[J]. 中华现代护理杂志, 2022, 28(1): 46-51. |
| [6] | 罗丹华, 王彩芳, 谭琼英, 等. 质量管理系统在ICU护理敏感质量过程指标中的应用[J]. 护理学报, 2019, 26(12): 15-19. |
| [7] | Heijnen-Kohl, S.M.J., Hitzert, B., Schmidt, R., et al. (2022) Features and Needs of Autistic Older Adults: A Delphi Study of Clinical Experiences. Clinical Gerontologist, 1-11. https://doi.org/10.1080/07317115.2022.2060157 |
| [8] | 卢芳燕, 董丽, 刘元, 等. 儿童肝移植围手术期护理质量评价指标体系的构建[J]. 中华护理杂志, 2022, 57(6): 666-673. |
| [9] | Chang, A.M., Gardner, G.E., Duffield, C., et al. (2010) A Delphi Study to Validate an Advanced Practice Nursing Tool. Journal of Advanced Nursing, 66, 2320-2330. https://doi.org/10.1111/j.1365-2648.2010.05367.x |
| [10] | 景城阳, 刘瑞雪, 褚红玲, 等. 医学研究领域德尔菲法实施和报告标准(CREDES)解读[J]. 中国循证医学杂志, 2023, 23(2): 233-239. |
| [11] | 曾慧慧, 蒋荣猛, 马旭东. 我国单病种质量管理历史沿革及思考[J]. 中国卫生质量管理, 2021, 28(10): 21-23. |
| [12] | 李霞, 邱俊霖. 急性胰腺炎临床流行病学调查[J]. 世界最新医学信息文摘, 2021(6): 274-275, 280. |
| [13] | Yadav, D. and Whitcomb, D.C. (2010) The Role of Alcohol and Smoking in Pancreatitis. Nature Reviews Gastroenterology & Hepatology, 7, 131-145. https://doi.org/10.1038/nrgastro.2010.6 |
| [14] | 王艳艳, 刘娟, 张俊, 等. 基于德尔菲专家咨询法和层次分析法对儿科门诊护理质量评价体系的构建的应用[J]. 护士进修杂志, 2019, 34(22): 2036-2040. |
| [15] | 邢双双, 顾则娟, 蒋秀美, 等. 急性白血病临床护理质量评价标准的构建[J]. 中华护理杂志, 2018, 53(3): 324-329. |
| [16] | 杨富, 方芳, 彭文, 等. 重症急性胰腺炎护理质量评价指标体系的构建[J]. 护理研究, 2019, 33(18): 3118-3122. |
| [17] | Jones, T.L. (2016) Outcome Measurement in Nursing: Imperatives, Ideals, History, and Challenges. The Online Journal of Issues in Nursing, 21, 1-20. https://doi.org/10.3912/OJIN.Vol21No02Man01 |
| [18] | Stalpers, D., Van der Linden, D., Kaljouw, M.J., et al. (2016) Using Publicly Reported Nursing-Sensitive Screening Indicators to Measure Hospital Performance: The Netherlands Experience in 2011. Nursing Research, 65, 362-370. https://doi.org/10.1097/NNR.0000000000000170 |
| [19] | 林菊英. 医院管理学: 护理管理分册[M]. 北京: 人民卫生出版社, 2003: 146-148. |
| [20] | Li, Z.X., Wang, C.J., Zhao, X.Q., et al. (2016) Substantial Progress Yet Significant Opportunity for Improvement in Stroke Care in China. Stroke, 47, 2843-2849. https://doi.org/10.1161/STROKEAHA.116.014143 |
