儿童血液肿瘤护理质量指标体系的构建  

Preliminary establishment of quality indicator system for pediatric hematology and oncology nursing

作　　者：何梦雪 陆红[2] 沈南平[2] 吴心怡 沈国妹[4] 周雪贞[5] 莫霖[6] 沈闵[7] HE Mengxue;LU Hong;SHEN Nanping;WU Xinyi;SHEN Guomei;ZHOU Xuezhen;MO Lin;SHEN Min

机构地区：[1]上海交通大学医学院附属上海儿童医学中心血液肿瘤科,上海市200127 [2]上海交通大学医学院附属上海儿童医学中心护理部,上海市200127 [3]首都医科大学附属北京儿童医院血液肿瘤中心 [4]复旦大学附属儿科医院门急诊管理办公室 [5]中山大学孙逸仙纪念医院护理部 [6]重庆医科大学附属儿童医院门诊部 [7]苏州大学附属儿童医院护理部

出　　处：《中华护理杂志》2018年第8期950-955,共6页Chinese Journal of Nursing

基　　金：上海市卫生和计划生育委员会科研课题(201640328)

摘　　要：目的构建儿童血液肿瘤护理质量指标体系。方法在中国抗癌协会小儿肿瘤专业委员会及其护理学组的支持下,以Donabedian质量管理模式为依据,采用文献分析、半结构式访谈、Delphi法和层次分析法,确定儿童血液肿瘤护理质量指标及各指标权重。结果 3轮函询问卷的有效回收率分别为100%、93.3%和100%,专家权威系数Cr值分别为0.93、0.93、0.96,协调系数W值分别为0.209、0.166和0.332,卡方检验均P<0.01。最终形成的指标体系包括一级指标3项,二级指标8项,三级指标29项,并确定了各指标权重。结论儿童血液肿瘤护理质量指标体系设置科学、合理,专科特色突出,有利于专科持续发展。Objective To develop a quality indicator system for pediatric hematology and oncology nursing. Methods Based on Donabedian＇s structure-process-outcome theory,literature review,semi-structured interview,Delphi method and analytic hierarchy process method were adopted to determine the nursing quality indicator system and indicators＇ weight,with the support of Chinese Anti-Cancer Association and the Nursing Group. Results After three rounds of expert consultation,the effective response rates were 100% ,93.3% and 100% ;authority coefficients were 0.93,0.93,and 0.96;coefficients of concordance were 0.209,0.166,and 0.332,and P values were less than 0.01. The indicator system consisted of 3 first level indicators,8 second level indicators,and 29 third level indicators. Analytic hierarchy process was used to establish weight. Conclusion The constructed indicator system for pediatric hematology and oncology nursing is scientific and reasonable,and emphasizes characteristics of the specialty,which could facilitate sustainable development of pediatric hematology and oncology.

关 键 词：德尔菲技术 儿童血液肿瘤 质量指标 卫生保健 

分 类 号：R473.73[医药卫生—护理学]