基于Siebens领域管理模式的脑卒中患者照护服务指标体系的构建  

Construction of stroke patient care service index system based on Siebens domain management model

作　　者：郭静[1] 刘婷婷[1] 张天竹 Guo Jing;Liu Tingting;Zhang Tianzhu(Ward 7 of Neurology Department,the First Affiliated Hospital of Harbin Medical University,Harbin 150000,China)

机构地区：[1]哈尔滨医科大学附属第一医院神经内科七病房,150000

出　　处：《中国实用护理杂志》2020年第23期1795-1800,共6页Chinese Journal of Practical Nursing

摘　　要：目的基于Siebens领域管理模式构建脑卒中患者照护服务指标体系,用于指导护理实践。方法以Siebens领域管理模式为研究框架,应用约翰霍普金斯循证护理方法进行证据综合,通过2轮专家函询确定脑卒中患者照护服务指标体系。结果 2轮专家函询的积极系数均为100%,专家权威程度系数分别为0.808和0.865,专家意见的协调系数为0.428和0.409。最终构建的脑卒中患者照护服务指标体系包括一级指标4个、二级指标11个、三级指标60个。结论构建的脑卒中患者照护服务指标体系是一套科学、可靠、可信度较高的评价体系,能够为制定针对脑卒中患者照护服务的干预措施提供理论依据。Objective To construct a care system for stroke patients based on the management mode of the Siebens domain to guide nursing practice.Methods Taking the Siebens field management model as the research framework,applying Johns Hopkins′evidence-based nursing method to synthesize the evidence,and determining the care system for stroke patients through two rounds of expert consultation.Results The positive coefficients of the two rounds of expert consultation were 100%,the coefficients of expert authority were 0.808 and 0.865,and the coordination coefficients of expert opinions were 0.428 and 0.409.The finally constructed index system for the care of stroke patients includes 4 primary indicators,11 secondary indicators,and 60 tertiary indicators.Conclusion The constructed index system for the care of stroke patients is a scientific,reliable and credible evaluation system,which can provide a theoretical basis for the development of intervention measures for the care of stroke patients.

关 键 词：脑卒中 Siebens领域管理模式 德尔菲法 指标体系 

分 类 号：R473.74[医药卫生—护理学]