摘要
目的构建气道造口患者护理质量敏感指标体系,为护理质量评价提供标准化工具。方法2024年3-8月,以Donabedian“结构-过程-结果”三维质量结构模式为理论依据,检索、评价并汇总国内外关于气道造口患者护理质量敏感指标的最佳证据,基于循证分析和半结构化访谈制订函询问卷,通过德尔菲法建立指标体系,采用层次分析法确定各指标权重。结果2轮专家函询问卷有效回收率分别为94.4%、100.0%,专家权威系数分别为0.854、0.833,肯德尔协调系数分别为0.125、0.142(均P<0.05),最终形成包含3项一级指标、11项二级指标和28项三级指标的气道造口患者护理质量敏感指标体系。结论构建的气道造口患者护理质量敏感指标体系具有较强的科学性、可靠性和临床适用性,符合气道造口患者护理临床实践与护理管理特点,可为客观评价气道造口患者护理质量提供参考依据。
Objective To construct the sensitive indicators of the nursing quality for patients receiving airway ostomy,so as to provide a standardized tool for the evaluation of nursing quality.Methods From March to August 2024,according to the Donabedian"structure-process-result"three-dimensional quality structure model,the best evidence on the sensitive indicators of the nursing quality for patients receiving airway ostomy in China and overseas were searched,evaluated and summarized,then a questionnaire was deve-loped based on evidence-based analysis and semi-structured interview,and the index system was established after Delphi expert consultation,finally the weight of each indicator was determined by analytic hierarchy process.Results In the two rounds expert consultation,the response rates were 94.4%and 100%,the expert authority coefficients were 0.854 and 0.833,and the Kendall coordination coefficients were 0.125 and 0.142(all P<0.05),respectively.Finally,a sensitive index system of the nursing quality for patients receiving airway ostomy was formed,which included 3 primary indicators,11 secondary indicators and 28 ter-tiary indicators.Conclusion The index system has strong scientificity,reliability and clinical applicability,which is in line with the characteristics of clinical practice and nursing management of patients receiving airway ostomy,therefore it provides a reference for objectively evaluating the quality of nursing for patients receiving airway ostomy.
作者
林燕平
陈慧卿
罗云琪
林宁
Lin Yanping;Chen Huiqing;Luo Yunqi;Lin Ning(Department of Otolaryngology Head and Neck Surgery/Sleep Medicine Center,National Regional Medical Center,Binhai Campus of the First Affiliated Hospital,Fujian Medical University,Fuzhou 350200,China)
出处
《护理学杂志》
北大核心
2025年第19期68-71,共4页
Journal of Nursing Science
