摘要
目的构建肝性脑病护理质量敏感指标。方法通过检索文献,证据分级,遴选指标,2轮专家咨询,数据分析,最终确定肝性脑病护理质量敏感指标。结果构建了包括驾驶风险告知比例,肝性脑病分期记录比例,营养定期评估比例等在内的18项肝性脑病护理质量敏感性指标。2轮专家咨询积极系数分别为78.95%和93.33%,权威系数分别为0.930和0.945,变异系数为0.00~0.29。结论基于循证与Delphi法构建的肝性脑病护理质量敏感指标,其构建过程科学合理,指标可信度高,可作为量化肝性脑病护理服务的评价工具。
Objective To build scientific and sensitive nursing quality indicators on hepatic encephalopathy,so as to provide and promote the improvement of nursing quality.Methods The hepatic encephalopathy nursing-sensitive quality indicators was eventually built through literature reviews, evidence classification、indicators selected、experts consultations,data analysis.Results Eighteen hepatic encephalopathy nursing sensitive quality indicators,such as percentage of driving risk disclosure, percentage of nutritional assessment regularly were identified.The positive coefficients in the two rounds of expert consultation were 78.95% and 93.33%.And the authoritative coefficients were 0.930and 0.945. The coefficients of variation ranged from 0.00 to 0.29.Conclusions The hepatic encephalopathy nursing-sensitive quality indicators are scientific and practical ,which can be applied to clinical utilization.
作者
过丽珍
卢根娣
田君
沈国娣
Guo Lizhen;Lu Gendi;Tian Jun;Shen Guodi(Department of Nursing,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)
出处
《中国实用护理杂志》
2018年第35期2780-2784,共5页
Chinese Journal of Practical Nursing
基金
上海市卫生计生系统重要薄弱学科建设项目(2015ZB0306).
关键词
肝性脑病
护理质量
评价指标
Hepatic encephalopathy
Nursing quality
Quality indicators