麻醉护理质量评价体系的构建  

Establishment of anesthesia nursing quality evaluation system

作　　者：王玉华[1] 晁毓菡[2] 陈松兰[1] Wang Yuhua;Chao Yuhan;Chen Songlan(Education Department,Affiliated Hospital of Taishan Medical University,Tai'an 271000,China;School of Nursing,Taishan Medical University,Tai'an 271016,China)

机构地区：[1]泰山医学院附属医院教育科,泰安271000 [2]泰山医学院护理学院,泰安271016

出　　处：《中华现代护理杂志》2018年第36期4346-4350,共5页Chinese Journal of Modern Nursing

基　　金：国家社会科学基金"十二五"规划课题(BJA140058);山东省医药卫生体制改革研究课题(YG201515).

摘　　要：目的构建一套实用、科学的麻醉护理质量评价体系。方法2015年1-6月,回顾某医院2014年麻醉护理质量评价的内容和重要的观察指标,依据2013国际麻醉领域指南,采用文献回顾、半结构访谈,以Donabedian理论基础,形成函询问卷。拟选7个不同省、市的22个三级甲等综合性医院和5所高校的专家进行研究,以德尔菲专家函询法确定评价体系条目及内容,形成初步评价体系。结果纳入27名专家函询,第1轮问卷回收率为90.0%,第2轮为100.0%。第1、2轮专家权威系数分别为0.874、0.879,一、二级指标协调系数分别为0.810、0.862,协调系数比较具有统计学意义(P<0.05),变异系数0.090~0.130。最终形成了包括8个一级指标、20个二级指标的麻醉护理质量评价体系。结论本研究构建的指标体系对围术期麻醉护理质量评价有一定的参考意义,但还存在着一些局限性,仍需进一步进行信效度的检验。Objective To construct a practical and scientific evaluation system for the quality of anesthesia nursing. Methods From January to June 2015, the contents and important observation indicators of anesthesia nursing quality evaluation was reviewed in a hospital in the 2014. Based on the 2013 International Guidelines for Anesthesia, a questionnaire based on Donabedian's theory was formed by literature review and semi-structured interviews. Experts from 22 ClassⅢ Grade A hospitals and 5 universities in 7 different provinces and cities were selected for research. Delphi expert inquiry method was used to determine the items and contents of the evaluation system. Then, a preliminary evaluation system was formed. Results A total of 27 experts were included in the questionnaire consultation. The recovery rate of the first round of questionnaire was 90.0% and that of the second round was 100.0%. The first and second rounds of expert authority coefficients was 0.874 and 0.879 respectively, and the coordination coefficients of the first and second indicators were 0.810 and 0.862 respectively. The differences in coordination coefficients were statistical significant (P<0.05), and the coefficient of variation was 0.090-0.130. Finally, an evaluation system of anesthesia nursing quality was formed, including 8 first-level indicators and 20 second-level indicators. Conclusions The index system constructed in this study has certain reference significance for perioperative anesthesia nursing quality evaluation, but there are still some limitations, which still need to be further tested for reliability and validity.

关 键 词：麻醉护理 质量评价 德尔菲法 体系构建 

分 类 号：R47[医药卫生—护理学]