急性主动脉夹层手术护理质量评价指标体系的构建  

Construction of nursing quality evaluation index system for acute aortic dissection surgery

作　　者：郑昕[1] 付军桦[1] 赵蕊蕊[1] 王丽[1] Zheng Xin;Fu Junhua;Zhao Ruirui;Wang Li(Operating Room,the Affiliated Hospital of Qingdao University,Qingdao 266003,China)

机构地区：[1]青岛大学附属医院手术室,青岛266003

出　　处：《中华现代护理杂志》2020年第18期2479-2484,共6页Chinese Journal of Modern Nursing

摘　　要：目的基于三维质量结构模型构建急性主动脉夹层手术护理配合质量评价指标体系,为急诊夹层手术配合护理人员提供参考标准及评价标准,提高手术的配合质量。方法2019年3—11月以“结构-过程-结果”质量结构模型为理论依据,通过文献检索初拟急性主动脉夹层手术护理配合质量评价体系,并采用德尔菲法对36名专家进行函询,确定指标体系并进行重要性赋值。结果2轮专家咨询的问卷回收率分别为97.2%(35/36)、100.0%(35/35),专家权威系数(Cr)分别为0.838、0.867,肯德尔协调系数(W)为0.210、0.128(P<0.01)。最终形成的评价标准包含一级指标3个,二级指标10个,三级指标30个(结构指标6个、过程指标19个、结果指标5个)。问卷指标满分率均>50%,重要性赋值均≥(4.29±0.71)分,变异系数均<0.2。结论参加咨询的专家具有较好的积极性、权威性及评价意见的协调性。急性主动脉夹层手术护理质量评价指标体系内容客观、合理、有效,可以作为护理人员主动脉夹层手术护理配合的参考标准及质量评价标准,为提高手术配合质量、保证围手术期患者安全奠定了基础。Objective To construct evaluation index system of nursing cooperation quality in acute aortic dissection surgery based on three-dimensional quality structure model and to provide reference standards and evaluation standards for nursing staff who cooperate with emergency dissection surgery so as to improve the quality of operation cooperation.Methods From March to November 2019,based on the"structure-processresult"quality structure model as the theoretical basis,the evaluation index system of nursing cooperation quality in acute aortic dissection surgery was initially established by literature retrieval.Then Delphi method was used to consultation 36 experts so as to determine the index system and assign the importance.Results The questionnaire recovery rates of the two rounds of expert consultation were respectively 97.2%(35/36)and 100.0%(35/35),the expert authority coefficients(Cr)were respectively 0.838 and 0.867 and the Kendall coordination coefficients(W)were respectively 0.210 and 0.128(P<0.01).The final evaluation standard included 3 firstlevel indexes,10 second-level indexes and 30 third-level indexes(6 structure indexes,19 process indexes,and 5 result indexes).The full score rates of the questionnaire indexes were all over 50%,the significance values were all greater than or equal to(4.29±0.71)and the coefficients of variation were all less than 0.2.Conclusions The experts participating in the consultation have good enthusiasm,authority and coordination of evaluation opinions.The content of nursing quality evaluation index system for acute aortic dissection surgery is objective,reasonable and effective.It can be used as a reference standard and quality evaluation standard for nursing cooperation with aortic dissection surgery in nursing staff,which lays a foundation for improving the quality of surgical cooperation and ensuring the safety of patients during perioperative period.

关 键 词：主动脉疾病 主动脉夹层 德尔菲法 护理质量 质量评价 指标体系 

分 类 号：R473.6[医药卫生—护理学]