摘要
目的基于奥马哈护理结局分类系统,构建ICU急性肾损伤患者随访指标体系,为提高临床护理质量与开展ICU患者出院后的随访工作提供参考。方法以奥马哈护理结局分类系统为基础,采用德尔菲法确立ICU急性肾损伤患者随访指标体系的内容,运用层次分析法确定各级指标的权重。结果2轮函询问卷有效回收率分别为95.00%、100.00%;专家权威系数分别为0.861、0.892,具有统计学意义(均P<0.01);2轮专家咨询Kendall协调系数分别在0.296~0.667、0.240~0.804,经检验差异有统计学意义(χ^(2)值为60.77~288.17,均P<0.01)。最终确立指标体系包括4项一级指标、16项二级指标、52项三级指标;运用层次分析法确定了各级指标权重系数,并通过一致性检验(一致性比率<0.1)。结论构建ICU急性肾损伤患者随访指标体系,为临床护理质量与开展ICU患者出院后随访工作提供参考,为ICU后随访模式提供理论依据。
Objective To construct follow-up index system of ICU patients with acute kidney injury based on the Omaha nursing outcome classification system,and to provide a reference for the clinical care quality and the follow-up work of ICU patients after discharge.Methods Based on the Omaha nursing outcome classification system,the Delphi method was used to establish the content of the follow-up index system for ICU patients with acute kidney injury,and determine the weight of all levels of indicators.Results After two rounds of expert consultation,questionnaire response rates were 95.00%and 100.00%,expert authority coefficients were 0.861 and 0.892(both P<0.01),coordination coefficients ranged from 0.296 to 0.667 and 0.240 to 0.804,the difference were statistically significant(χ^(2)values were 60.77-288.17,and P<0.01).The final index system consisted of 4 first-level indicators,16 second-level indicators,and 52 third-level indicators.The analytic hierarchy process was used to determine the weights of all indexes,and the consistency test(consistency ratio<0.1)was performed.Conclusions The follow-up index system of ICU patients with acute kidney injury was constructed to provide a reference for the clinical care quality and the follow-up work of ICU patients after discharge,and to provide a theoretical basis for the follow-up mode after ICU.
作者
于婷婷
李妍
覃湘君
杨霞
黎江
卢慕荣
Yu Tingting;Li Yan;Qin Xiangjun;Yang Xia;Li Jiang;Lu Murong(Department of Intensive Care Unit of the Second Affiliated Hospital of Guangzhou Medical University,Guangzhou 510260,China)
出处
《中国实用护理杂志》
2023年第34期2649-2654,共6页
Chinese Journal of Practical Nursing
基金
广州市卫生健康科技项目(20211A010063)。
关键词
重症监护病房
急性肾损伤
随访
奥马哈护理结局
指标体系
Intensive care units
Acute kidney injury
Following-up
Omaha nursing outcome
Index system
