脑血管畸形围术期护理质量评价指标的构建  

Development of nursing quality indicators for preoperative patients with brain arteriovenous malformations

作　　者：马瑞英 袁巧玲[2] 吴瑛[3] 

机构地区：[1]首都医科大学护理学院护理人文学学系,北京100069 [2]首都医科大学附属北京天坛医院神经外科5病区,100050 [3]首都医科大学护理学院成人护理学系,北京100069

出　　处：《中华现代护理杂志》2017年第33期4224-4228,共5页Chinese Journal of Modern Nursing

摘　　要：的 构建脑血管畸形围术期护理质量评价指标,为单病种护理质量评价提供参考.方法 2017年5-9月以Donabedian的＂结构-过程-结局＂质量理论为依据,采用文献研究、访谈法、文本分析法和Delphi专家咨询法确定脑血管畸形围术期护理质量评价指标.结果 2轮专家咨询专家积极系数均为100.00%,专家权威系数为0.89.最终构建了包含3个一级指标、8个二级指标和28个三级指标的脑血管畸形围术期护理质量评价指标体系;≥4分的指标占比94.87%,变异系数均小于0.2,71.79%的指标满分率超过50%.结论 本研究构建的护理质量评价指标具有一定的实用性和权威性,可用于评价脑血管畸形围术期护理质量.Objective To develop nursing quality indicators for preoperative patients with brain arteriovenous malformations. Methods On the basis of Donabedian＇s ＂structure-process-outcome＂ quality theory, from May to September 2017, we adopted literature research, interviewing method, text analysis and Delphi method to determine the nursing quality indicators. Results After two rounds expert advisory, the effective response rates were both 100.00%;the Cr coefficient was 0.89. The nursing quality indicator system consisted of 3 first-level indicators, 8 second-level indicators, and 28 third-level indicators. 94.87% of the index score was greater than or equal to 4 points, the variation coefficients were all less than 0.2, and 71.79% of the index had the full rate of more than 50%. Conclusions The nursing quality indicators for preoperative patients with brain arteriovenous malformations are scientific and practical.

关 键 词：脑血管畸形 围手术期护理 护理质量 评价指标 

分 类 号：R473.6[医药卫生—护理学]