急性呼吸窘迫综合征患者俯卧位通气护理质量评价指标的构建  

Construction of the evaluation index of prone position ventilation nursing quality for patients with acute respiratory distress syndrome

作　　者：于奕 李暘[1] 李姗姗[1] 张凤[1] 韩文兰[1] 刘会会[1] 单信芝[2] YU Yi;LI Yang;LI Shanshan;ZHANG Feng;HAN Wenlan;LIU Huihui;SHAN Xinzhi

机构地区：[1]青岛大学附属医院神经外科监护室,青岛市266000 [2]青岛大学附属医院护理部

出　　处：《中华护理杂志》2021年第7期977-982,共6页Chinese Journal of Nursing

基　　金：2018年度首届“青岛市护理学会自主创新科研项目”。

摘　　要：目的构建急性呼吸窘迫综合征(acute respiratory distress syndrome,ARDS)患者俯卧位通气护理质量评价指标,为评价ARDS患者俯卧位通气护理质量提供依据。方法基于三维质量结构模型,通过文献分析、半结构式访谈初步拟订ARDS患者俯卧位通气护理质量评价指标,于2020年9月—11月采用德尔菲法对35名专家进行2轮咨询确立ARDS患者俯卧位通气护理质量评价指标。结果2轮咨询问卷回收率均为100%,专家权威系数为0.85、0.89,肯德尔和谐系数为0.155、0.122。最终形成的ARDS患者俯卧位通气护理质量评价指标包含3项一级指标、8项二级指标、41项三级指标。结论构建的ARDS患者俯卧位通气护理质量评价指标具有较高可靠性和科学性,可作为评价ARDS患者俯卧位通气护理质量的依据。Objective The establishment of an evaluation index for the quality of prone ventilation care for patients with acute respiratory distress syndrome(ARDS)is to provide a basis for evaluating the quality of prone ventilation care for patients with ARDS.Methods Based on the three-dimensional quality structure model,through literature analysis and semi-structured interviews,a preliminary drafting of an ARDS patient prone position ventilation nursing quality evaluation index was established.From September to November 2020,the Delphi method was used to conduct 2 rounds of consultation inquiries to 35 experts to establish the evaluation index of the ARDS patient’s prone position ventilation nursing quality.Results The recovery rates of the 2 rounds of questionnaires were 100%;the expert authority coefficients were 0.85 and 0.89;the Kendall harmony coefficients were 0.155 and 0.122,respectively.The final evaluation index of prone ventilation nursing quality for ARDS patients includes 3 first-level indicators,8 second-level indicators,and 41 third-level indicators.Conclusion The constructed evaluation index of prone ventilation nursing quality for ARDS patients is highly reliable and practical,and can be used as a basis for evaluating the prone ventilation nursing quality of ARDS patients.

关 键 词：急性呼吸窘迫综合征 俯卧位 机械通气 质量指标 卫生保健 德尔菲法 护理管理研究 

分 类 号：R473.5[医药卫生—护理学]