肝移植围手术期护理质量敏感性指标的构建  

Construction of sensitive index for perioperative nursing quality in liver transplantation

作　　者：郑彩霞[1] 冯志仙 Zheng Caixia;Feng Zhixian(Department of Nursing,Zhefiang Shulan（Hangzhou）Hospital,Hangzhou 310004,China)

机构地区：[1]浙江省衢州市人民医院胆肝外科,324000 [2]浙江树兰(杭州)医院护理部,310004

出　　处：《中国实用护理杂志》2018年第27期2120-2126,共7页Chinese Journal of Practical Nursing

摘　　要：目的建立敏感、科学、实用的肝移植围手术期护理质量评价指标，为医院肝移植围手术期护理质量评价与监测提供依据。方法以“结构一过程一结果”三维质量评价模式为理论框架，采用文献回顾法、循证分析法，总结出肝移植围手术期护理质量敏感性指标集中各指标的名称、内涵、计算公式及资料收集方法，运用Delphi法对检索的结果进行论证与校正。结果构建了包含免疫抑制剂正确使用率、肝移植术后精神异常症状评估落实率、移植肝功能监测方法合格率等在内的19项肝移植围手术期护理质量敏感性指标。2轮专家函询积极系数分别为88．89％和91．67％，权威系数分别为0．88和0．89，变异系数为0．06～0．28。结论肝移植围手术期护理质量敏感性指标的构建过程科学，设置合理。Objective To build a scientific, practical and sensitive index for liver transplantation perioperative nursing quality, and to provide reference for liver transplantation perioperative nursing evaluation and monitoring. Methods Based on the ＂structure-process-result＂ three dimensional quality evaluation model, the methods of literature review and evidence based analysis were adopted to summarize the sensitive index for perioperative nursing quality in liver transplantation, including name, connotation, calculation formula and data collection methods. The indicators were discussed and adjusted using Delphi method. Results Nineteen liver transplantation perioperative nursing quality sensitivity indexes were established, including the correct use of immunosuppressive agents, the qualified rate of transplanted liver function monitoring method, nutritional risk screening ration, incidence of low body temperature, etc. For the two rounds of questionnaire, the valid rate was 88.89% and 91.67%, the authority score was 0.88 and 0.89, coefficient of variation of the importance of index was 0.06-0.25. Conclusion The liver transplantation perioperative nursing quality sensitivity indexes based on Delphi method are scientific and practical,which could be applied to clinical utilization.

关 键 词：德尔菲法 肝移植 围手术期护理 质量指标 卫生保健 

分 类 号：R473.6[医药卫生—护理学]