临床护理人员对慢性阻塞性肺疾病急性加重期护理质量评价的质性研究  

A qualitative research on clinical nursing staff's evaluation towards nursing quality of chronic obstructive pulmonary disease patients with acute exacerbation

作　　者：周红艳 程云 陈徐 沈蓝君 Zhou Hongyan;Cheng Yun;Chen Xu;Shen Lanjun(School of Nursing,Fudan University,Shanghai 200032,China;Nursing Department of Huadong Hospital Affiliated to Fudan University,Shanghai 200040,China;RICU of Huadong Hospital Affiliated to Fudan University,Shanghai 200040,China)

机构地区：[1]复旦大学护理学院,上海200032 [2]复旦大学附属华东医院护理部,上海200040 [3]复旦大学附属华东医院呼吸重症监护室,上海200040

出　　处：《中国实用护理杂志》2021年第23期1779-1784,共6页Chinese Journal of Practical Nursing

基　　金：上海市护理质量控制中心护理质量改进指令性项目(2017ZL009)。

摘　　要：目的了解呼吸科护理人员对慢性阻塞性肺疾病急性加重期(AECOPD)护理质量评价的看法,初步筛选关键指标,为科学构建AECOPD护理质量评价指标体系提供参考。方法2019年4—7月采用目的抽样法选取上海市3所三级甲等医院经验丰富的18名呼吸科护理人员,进行焦点团体访谈,运用Colaizzi内容分析法分析资料。结果共提炼出3个主题:现行护理质量指标缺乏疾病护理特异性和敏感性;对AECOPD护理质量指标设置的意见和建议;AECOPD护理质量关键指标的设置。获得关键指标25个,其中4个结构指标,16个过程指标和5个结果指标。结论科学构建AECOPD护理质量评价指标体系具有一定的必要性和重要性,建议在构建过程中,兼顾结构质量、过程质量和结果质量,本研究初步筛选的25个关键指标,可为下一步构建科学的AECOPD护理质量评价指标体系提供参考。Objective To understand the views of respiratory nurses on the status quo of nursing quality evaluation in acute exacerbation of chronic obstructive pulmonary disease(AECOPD),and to preliminarily screen the key indexes,so as to provide reference for scientifically constructing the evaluation index system of nursing quality during AECOPD.Methods Eighteen clinical nurses and nursing managers with rich experience and working in respiratory department from three general tertiary hospitals in Shanghai were selected by means of purpose sampling to conduct focus group interviews,and analyze the collected materials by means of Colaizzi content analysis.Results Three themes were extracted,namely,lack of specificity and sensitivity of disease care in current nursing quality index,opinions and suggestions on the setting of AECOPD nursing quality index and the setting of key index of AECOPD nursing quality.Besides,twenty-five key indexes were obtained,inclusive of four structural indexes,sixteen process indexes and five result indexes.Conclusions It is necessary and important to establish AECOPD nursing quality evaluation index system in a scientific manner and it is advised that the qualities of structure,process and result should all be taken into consideration in the course of establishment.The twenty-five key indexes picked out at this stage can serve as reference for further establishment of a scientific AECOPD nursing quality evaluation index system.

关 键 词：护理人员 肺疾病 慢性阻塞性 急性加重期 护理质量 指标体系 定性研究 

分 类 号：R473.5[医药卫生—护理学]