重症血液净化护理质量评价指标体系的构建  

Construction of quality evaluation index system for blood purification nursing care in ICU

作　　者：薛秀娟[1] 代贝贝 毕建伟[1] 王晓博 张燕[1] 乔建红[1] Xue Xiujuan;Dai Beibei;Bi Jianwei;Wang Xiaobo;Zhang Yan;Qiao Jianhong(The Second Department of ICU,Shandong Provincial Qianfoshan Hospital,Jinan 250014,China)

机构地区：[1]山东省千佛山医院重症医学科二科,济南250014

出　　处：《中国实用护理杂志》2020年第7期538-543,共6页Chinese Journal of Practical Nursing

摘　　要：目的构建我国重症血液净化护理质量评价指标体系,为提高ICU护士血液净化护理质量水平,规范ICU血液净化护理操作,降低并发症提供全面、系统、可量化的参考依据。方法通过查阅文献、课题组讨论以及2轮德尔菲专家咨询法确定重症血液净化护理质量评价指标体系的内容。结果2轮专家咨询应答率均为100%,2轮专家权威系数分别为0.908、0.965,第2轮咨询结果各级指标的协调系数为0.210~0.292,P<0.05或<0.01。重症血液净化护理质量评价指标体系包括3个一级指标、16个二级指标、56个三级指标。结论咨询专家的积极性、权威性、意见集中程度、意见协调程度均较高,构建的重症血液净化护理质量评价指标体系对ICU血液净化的实施、培训、质量控制、实施规范等具有借鉴作用。Objective To construct a comprehensive,systematic and quantifiable quality evaluation index system for blood purification care in ICU.Methods The contents of the evaluation index system for blood purification care in ICU were determined by reviewing the literature,discussion of the research group and two rounds of Delphi expert consultation.Results The response rate of the two rounds of experts was 100%.The authoritative coefficients of the two rounds of experts were 0.908 and 0.965 respectively.The coordination coefficient of the indicators of the second round of consultation results was 0.210-0.292,P<0.05 or 0.01.The quality evaluation index system for blood purification care included 3 first-class indicators,16 second-class indicators,and 56 third-class indicators.Conclusions The enthusiasm,authority,concentration of opinions and degree of coordination of the consulting experts are relatively high.The constructed evaluation system for the quality of blood purification care indicators can be used for reference in the implementation,training and quality control.

关 键 词：重症监护病房 血液净化 连续肾脏替代疗法 护理质量 德尔菲技术 

分 类 号：R473[医药卫生—护理学]