急诊COPD急性加重护理质量评价指标体系的构建  

Construction of an evaluation index system for nursing quality of acute exacerbation of COPD in Emergency Department

作　　者：胡志洁[1] 代月光 王雷[1] 沈霞[1] 陈伟[1] 刘霞[1] Hu Zhijie;Dai Yueguang;Wang Lei;Shen Xia;Chen Wei;Liu Xia(Emergency Department,the Affiliated Hospital of Qingdao University,Qingdao 266000,China)

机构地区：[1]青岛大学附属医院急诊科,青岛266000

出　　处：《中华现代护理杂志》2020年第31期4329-4334,共6页Chinese Journal of Modern Nursing

摘　　要：目的基于Donabedian结构-过程-结果模型评估护理质量,构建急诊COPD急性加重(AECOPD)护理质量评价指标体系。方法在文献回顾、半结构式访谈基础上,通过德尔菲法和层次分析法,确定急诊AECOPD护理质量评价指标体系及各指标的权重。结果2轮专家咨询问卷的有效回收率分别为92.31%和100.00%,专家权威系数分别为0.843和0.887,肯德尔协调系数为0.220~0.420(均P<0.001),最终形成的急诊AECOPD护理质量评价指标体系内容包括一级指标3个,二级指标12个,三级指标37个。结论构建的急诊AECOPD护理质量评价指标体系具有一定的科学性、可靠性和实用性,为临床评价AECOPD护理质量提供参考依据。Objective To construct an evaluation index system for nursing quality of acute exacerbation of chronic obstructive pulmonary disease(AECOPD)in emergency department based on the Donabedian's structure-process-outcome model to evaluate the nursing quality.Methods On the basis of literature review and semi-structured interviews,the Delphi method and the analytic hierarchy process are combined to determine the evaluation index system for nursing quality of AECOPD in emergency department and the weight of each index.Results In two rounds of expert consultation questionnaires,the valid recovery rates were 92.31%and 100.00%,and the expert authority coefficients were 0.843 and 0.887,and the Kendall's coordination coefficients were from 0.220 to 0.420(all P<0.001).The final evaluation index system for nursing quality of AECOPD in emergency department included 3 first-level indicators,12 second-level indicators and 37 third-level indicators.Conclusions The constructed evaluation index system for nursing quality of AECOPD in emergency department is scientific,reliable and practical,which provides a reference for clinical evaluation of AECOPD nursing quality.

关 键 词：急诊处理 慢性阻塞性肺疾病急性加重期 德尔菲法 质量指标 

分 类 号：R473.5[医药卫生—护理学]