摘要
目的:构建下肢动脉栓塞切开取栓术后护理敏感性质量指标体系,以提供评估下肢动脉栓塞切开取栓术后护理质量的评估依据。方法:2022年1~8月,根据三维质量模型的“结构—过程—结果”结构为理论研究框架,通过文献检索了解国内外下肢动脉栓塞切开取栓术后护理敏感性质量指标现状以初步筛选并确定护理敏感性指标体系,然后采用德尔菲法由20名专家对初步建立的“下肢动脉栓塞切开取出术后护理敏感性质量指标体系”的实施2轮函询,确定下肢动脉栓塞切开取栓术后护理敏感性质量指标体系中各指标的重要性并获得最终护理敏感性质量指标体系。结果:第1轮函询问卷回收有效率为95.0%,第2轮函询问卷回收有效率为100.00%,两轮函询均获得较高的积极性(回收率>70%)。第1轮、第2轮专家权威系数(Cr)分别为0.884、0.913,具有较高的权威程度(Cr>0.800);专家函询的肯德尔和谐系数(Kendall′s W)分别为第0.117~0.149、0.091~0.115(P<0.05~P<0.01)。最终形成本研究下肢动脉栓塞切开取栓术后护理敏感性质量指标体系中一级指标3项、二级指标12项、三级指标52项。结论:本研究构建的下肢动脉栓塞切开取栓术后护理敏感性质量指标体系科学性及可靠性较高,可用于评估下肢动脉栓塞切开取栓术后护理质量并促进护理质量的完善改进。
Objective:To establish a quality index system of nursing sensitivity after lower extremity arterial embolization and thrombectomy,so as to provide a basis for evaluating the quality of nursing after lower extremity arterial embolization and thrombectomy.Methods:From January to August 2022,according to the"structure-process-result"structure of the three-dimensional quality model as the theoretical research framework and through literature search,the status quo of nursing sensitivity quality indicators after lower extremity artery embolization and embolectomy at home and abroad was understood,and the nursing sensitivity index system was initially screened and determined.Then,20 experts adopted the Delphi method to carry out 2 rounds of correspondence on the"Nursing sensitivity quality index system after lower extremity artery embolization and embolization".The importance of each index in the nursing sensitivity quality index system after embolization and embolectomy of lower extremity artery was determined,and the final nursing sensitivity quality index system was obtained.Results:The effective rate of the first round of inquiry questionnaire collection was 95.0%,and the effective rate of the second round of inquiry questionnaire collection was 100.00%.Both rounds of inquiry received high enthusiasm.The expert authority coefficient(Cr)of the first and second rounds were 0.884 and 0.913 respectively,and the Kendal′s W of expert correspondence were 0.117-0.149 and 0.091-0.115(P<0.05-P<0.01).Finally,there were 3 first-level indexes,12 second-level indexes and 52 third-level indexes in the nursing sensitivity quality index system after lower extremity arterial embolization and thrombectomy.Conclusions:The nursing sensitivity quality index system established in this study is scientific and reliable,which can be used to evaluate the nursing quality after lower limb artery embolization and embolectomy,and promote the improvement of nursing quality.
作者
陈叶文
姜海英
章希炜
CHEN Yewen;JIANG Haiying;ZHANG Xiwei(Department of General Vascular Surgery,Jiangsu Provincial People′s Hospital(The First Affiliated Hospital of Nanjing Medical University),Nanjing Jiangsu 210003,China)
出处
《蚌埠医学院学报》
CAS
2024年第11期1527-1531,共5页
Journal of Bengbu Medical College
基金
江苏省卫生健康委员会医学科研项目面上项目(2021-166)。
关键词
下肢动脉栓塞
切开取栓术
敏感性指标
护理质量
三维质量模型
lower limb artery embolization
embolectomy
sensitive index
nursing quality
three-dimensional quality structure model
