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乳腺癌根治术单病种护理质量评价的研究 被引量:22

Study on DRG quality evaluation guided by human-centered thinking in patients with radical mastectomy
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摘要 目的探讨完善目前的护理质量评价。方法以人本主义为指导,在临床调研、查阅文献等基础上建立新指标,通过专家咨询确定指标评价项目和考评点;实践病种护理质量评价思路,以一种疾病为例建立考评标准,并临床应用30例检验指标的信效度。结果形成两项新指标:病情观察和健康教育,指标信、效度较好,克朗巴哈(Cronbach)α信度分别为0.72和0.88。新指标的建立和应用得到了护士的较高评价。结论新指标的评价内容将临床工作导向病情观察与健康教育,更有利于体现护士的实际工作、提高护理内涵质量。 Objective To explore effective methods of nursing quality evaluation. Methods Guided by human-centered thinking,the new DRG quality indicators were formulated based on clinical investigation,literature review and expert consultation. Then,the standards of the new indicators for radical mastectomy were identified by Delphi method and the reliability and validity were tested in 30 patients with radical mastectomy. Results The two new quality indicators were illness observation and health education. The Cronbach' α was 0.82 and 0.88 respectively. The results of expert consultation showed high content validity. Moreover,the new quality indicators got high commend by involved nurses. Conclusion The new quality indicators will lead nursing work to illness observation and health education,which will more benefit to reflect the true work of nurses and improve the internal quality of nursing.
出处 《中华护理杂志》 CSCD 北大核心 2009年第8期688-690,共3页 Chinese Journal of Nursing
关键词 乳腺肿瘤 护理质量审核 以病人为中心医护 Breast Neoplasms Nursing Audit Patient-Centered Care
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