摘要
目的构建≤3岁烧伤患儿照护者居家护理质量评价指标体系。方法采用定性研究和定量研究相结合的方法,遵循指标体系构建的基本原则。2022年1—2月,通过分析文献,对宁夏医科大学总医院烧伤整形美容科6名31~51岁工作10年以上的女护士和15名(女11名、男4名)28~54岁接受过护理人员的专业性培训的住院烧伤患儿照护者进行半结构式访谈,以马斯洛需要层次论为理论指导,初步拟定≤3岁烧伤患儿照护者居家护理质量评价指标体系。2022年3—6月,运用德尔菲法对符合入选标准的在宁夏回族自治区内的综合医院、专科医院和高校就职的15名相关领域专家开展函询(统计其一般资料),确立评价指标体系并采用层次分析法确定各级指标权重。计算函询表有效回收比,判断专家积极程度;计算所有指标的权威系数均值,判断专家权威程度;计算所有指标的重要性赋值均值与满分比均值,判断专家意见集中程度;计算所有指标的肯德尔和谐系数均值和变异系数均值,判断专家意见协调程度。对各轮函询中一级指标和总二级指标及总三级指标的肯德尔和谐系数行χ^(2)检验。结果初步拟定的≤3岁烧伤患儿照护者居家护理质量评价指标体系包含5个一级指标、13个二级指标、55个三级指标。15名专家以女性居多,年龄32~56岁,全部为本科及以上学历、中级及以上职称,工作年限14~31年。第1、2轮函询表有效回收比分别为1(15/15)、0.93(14/15)。第1、2轮函询所有指标的权威系数均值分别为0.87、0.90。所有指标重要性赋值均值、满分比均值在第1轮函询中分别为4.25、0.68,在第2轮函询中分别为4.39、0.70。第1、2轮函询中所有指标的肯德尔和谐系数均值分别为0.50和0.62,所有指标的变异系数均值分别为0.15和0.14。第1、2轮函询中5个一级指标(生理需要、安全需要、爱与归属的需要、尊重的需要、自我
Objective To establish an evaluation index system of home care quality for caregivers of children aged≤3 years with burns.Methods The combined approach of qualitative and quantitative research was used,and the fundamental principles of constructing an index system was followed.From January to February 2022,through literature analysis,conducting a semi-structured interview on 6 female nurses aged 31 to 51 years who worked for more than 10 years in the Department of Burns,Plastic Surgery,and Aesthetic Medicine of General Hospital of Ningxia Medical University,as well as 15 caregivers(11 females and 4 males)of hospitalized children with burns aged 28 to 54 years who received professional training from nursing staff,a preliminary evaluation index system of home care quality for caregivers of children≤3 years old with burns was established using Maslow's hierarchy of needs as theoretical guidance.From March to June 2022,the Delphi method was applied to conduct inquiry by correspondence with 15 experts in relevant fields who met the inclusion criteria and were employed in general hospitals,specialized hospitals,and universities in the Ningxia Hui Autonomous Region(with their general information being recorded),and the evaluation index system was established and the weights of indicators at all levels were determined by the analytic hierarchy process.The effective recovery ratio of the inquiry form was calculated to determine the level of enthusiasm of experts,the average authority coefficient of all indicators was calculated to determine the level of expert authority,the average importance assignment and full score ratio of all indicators were calculated to determine the concentration of expert opinions,and the average Kendall's harmony coefficients and mean coefficient of variation for all indicators were calculated to determine the degree of coordination of expert opinions.The Kendall's harmony coefficients for the first level indicators,the total second level indicators,and the total third level indicators in ea
作者
张娟
刘晓慧
柴雪珺
马月兰
李海芬
马惠珍
Zhang Juan;Liu Xiaohui;Chai Xuejun;Ma Yuelan;Li Haifen;Ma Huizhen(Department of Burns,Plastic Surgery,and Aesthetic Medicine,General Hospital of Ningxia Medical University,Yinchuan 750004,China;School of Nursing,Ningxia Medical University,Yinchuan 750004,China)
出处
《中华烧伤与创面修复杂志》
CAS
CSCD
北大核心
2023年第11期1021-1029,共9页
Chinese Journal of Burns And Wounds
基金
2021年宁夏回族自治区重点研发计划项目(2021BEG03052)
2022年宁夏回族自治区重点研发计划项目(2022BEG03094)。