显微外科VSD治疗护理技术操作规范及其质量评分标准的制定  

Construction of nursing practice standards for mcrosurgical vacuum sealing drainage(VSD) therapy and quality rating standard

作　　者：张华[1] 杨峰[1] 杏玲芝[1] 焦耿军[1] 

机构地区：[1]兰州军区兰州总医院安宁分院护理部,甘肃兰州730070

出　　处：《护理学杂志》2014年第14期26-29,共4页

摘　　要：目的制定显微外科VSD治疗护理技术操作规范及VSD治疗护理技术操作质量评分标准,以规范VSD治疗护理技术操作流程及评分标准。方法采用理论研究结合临床实践的方法初步拟订显微外科VSD治疗护理技术操作规范及VSD治疗护理技术操作质量评分标准;应用德尔菲(Delphi)专家咨询法,对17名专家进行2轮问卷咨询,定量分析各指标的权重。结果显微外科VSD治疗护理技术操作规范流程包含评估、核对、检查,更换、观察及整理6个I级指标,28个Ⅱ级指标;VSD治疗护理技术操作质量评分标准包含准备、评估、操作程序、评价4个I级指标,33个Ⅱ级指标。2轮征询专家权威系数(Cr)为0.807、0.838,I级、Ⅱ级指标的专家协调系数(W)为0.501、0.416。结论用Delphi法制定显微外科VSD治疗护理技术操作规范流程及VSD治疗护理技术操作质量评分标准,具有合理性、实用性,可用于临床。Objective To develop ＂Nursing Practice Standards for Microsurgical Vaccum Sealing Drainage （VSD） Therapy＂（NPS） and ＂Quality Rating Standards for Nursing Practice after VSD Therapy＂（QRS）,in order to standardize the nursing practice for microsurgical VSD treatment and scoring system.Methods The draft of NPS and QRS were complete based on theoretical research and clinical practice,and 2 round expert consultations were conducted among 17 experts according to the Delphi method to analyze the weight of indexes.Results The NPS had 2 levels with 6 indexes of evaluation,verification,checking,renewal,observation and clearing up in level Ⅰ and 28 indexes in level Ⅱ][,while QRS consisted of 2 levels with 4 indexes of preparation,evaluation,operational procedure and appraisal in level Ⅰ and 33 indexes in level Ⅱ.Besides,the experts＇ coefficient of the two-round consultation was 0.807 and 0.838 respectively,while experts＇ coordination coefficient of level Ⅰ and level-Ⅱ indexes was 0.501 and 0.416 re spectively.Conclusion NPS and QRS constructed through the Delphi method are rational and practical,which can be used in clinical practice.

关 键 词：显微外科 感染创面 封闭式负压引流 护理技术 操作规范 评分标准 

分 类 号：R473.6[医药卫生—护理学]