基于循证构建围手术期肺功能康复护理质量敏感指标体系  

Construction of nursing-sensitive quality indicators system of perioperative pulmonary rehabilitation on the basis of evidence-based approach

作　　者：褚秀美[1] 周海清 马若云[1] 张明华 刘蕾[1] 杜鹃[1] 王明雪[1] Chu Xiumei;Zhou Haiqing;Ma Ruoyun;Zhang Minghua;Liu Lei;Du Juan;Wang Mingxue(Thoracic Surgery Department of the Affiliated Hospital of Qingdao University,266000,China)

机构地区：[1]青岛大学附属医院胸外科,266000

出　　处：《中国实用护理杂志》2020年第29期2268-2274,共7页Chinese Journal of Practical Nursing

摘　　要：目的基于循证构建胸外科患者围手术期肺功能康复护理质量敏感指标体系,为监测肺康复干预护理质量提供科学依据。方法以加速康复外科为理论依据,运用约翰霍普金斯循证护理方法进行证据综合,为构建胸外科患者围手术期肺功能康复护理质量敏感指标奠定基础;结合医院近2年质量控制数据分析结果,采取小组讨论法拟定肺康复干预敏感指标及计算公式初稿,应用德尔菲法进行2轮函询,确定各指标内容及权重。结果经过2轮专家函询确定胸外科患者围手术期肺功能康复护理质量评价指标体系,包括3项一级指标、6项二级指标及31项三级指标;2轮函询专家积极系数均为100%,权威系数为0.827与0.861,协调系数为0.309和0.372。结论构建的围手术期肺功能康复护理质量敏感指标体系具有科学性、实用性和可操作性,能有效规范护士的行为,评价肺康复干预护理质量。Objective To construct nursing-sensitive indicators system of perioperative pulmonary rehabilitation for patients in thoracicsurgery,so as to provide scientific monitoring standards for nursing quality of pulmonary rehabilitation.Methods Based on the theory of enhanced recovery after surgery(ERAS),evidence synthesis was conducted based on Johns Hopkins evidence-based nursing method for laying the foundation for nursing-sensitive quality indicators system of perioperative pulmonary rehabilitation.Based on the analysis results of the quality of nursing in the past two years,and though group discussion,appropriate indicators feasible to application were determined,and nursing-sensitive quality indicators,calculation formulas were preliminarily decided.Through two rounds of experts consultation,the nursing-sensitive quality indicators system of pulmonary rehabilitation was improved and established.Results After two rounds of expert consultations,the constructed nursing-sensitive quality indicators system of pulmonary rehabilitation included 3 first-class indicators,6 second-class indicators,and 31 third-class indicators.Positive coefficients of two rounds of expert consultation were both 100%,authority coefficients were 0.827 and 0.861,respectively,and the coordination coefficients were 0.309 and 0.372.Conclusion The nursing-sensitive quality indicators system was scientific and practical and it was beneficial to regulate the behavior of nurses and improve the nursing quality of pulmonary rehabilitation.

关 键 词：肺康复 护理质量 敏感指标 循证护理 

分 类 号：R473.6[医药卫生—护理学]