手术室护理操作难度系数评价指标体系的构建  

Construction of Evaluation Index System of Operating Room Nursing Difficulty Coefficient

作　　者：熊永乐[1] 方茜[1] 陈捷[1] 刘婧[1] 陈幼琼[1] 郑芸 XIONG Yong-le;FANG Qian;CHEN Jie;LIU Jing;CHEN You-qiong;ZHENG Yun(Guizhou Provincial Peopled Hospital,Guiyang,Guizhou,550002,China;Guizhou University of Traditional Chinese Medicine,Guiyang,Guizhou,550002,China)

机构地区：[1]贵州省人民医院,贵州贵阳550002 [2]贵州中医药大学研究生院,贵州贵阳550002

出　　处：《贵州中医药大学学报》2021年第4期73-78,共6页Journal of Guizhou University of Traditional Chinese Medicine

基　　金：2016年度贵阳市科技计划项目,项目编号:筑科合同[20161001]32号。

摘　　要：目的:筛选适合难度评价的手术室护理操作项目指标,确定评价维度及权重,构建手术室护理操作难度系数评价指标体系。方法:2018年11月—2019年11月间,采用文献共词聚类分析法筛选适于难度评测的手术室护理操作项目;采用半结构访谈法结合Saaty权重法拟定难度评测维度;采用两轮德尔菲专家函询界定操作难度系数。结果:筛选出60项手术室护理操作项目进行评价;用于评价的维度权重值分别为"操作步骤复杂度"0.5728、"操作者资质要求"0.4199、"操作环境"0.5758、"劳动时长"0.6260、"职业风险"0.6198;60项手术室护理操作中,据表7,难度系数最低的是穿无菌手术衣及无接触式戴无菌手套(基准项),为1.000,"器官移植手术的配合"难度系数最高,为8.8547。结论:本研究得出的手术室护理操作项目涵盖了相对全面,评价维度较为合理,专家函询结果可靠,60个项目的难度系数评定具有一定的客观性,可为手术室护理管理提供参考。To single out item indexes of operating room nursing operations and construct an index system,the co-word clustering,half-structure interview,Satty’s weight and two rounds of Delphi methods were used.60 operating room nursing items were singled out for evaluation,including"use of shadowless lamp"was the least difficult(1.2547),and"cooperate with organ transplantation operations"was the most difficult(8.8547).The 60 nursing operation items will provide reference for management of operating room nursing.

关 键 词：手术室 护理操作 难度 德尔菲法 

分 类 号：R472.3[医药卫生—护理学]