风湿免疫专科护理质量敏感指标的构建  

Construction of sensitive index of nursing quality in rheumatic immunology special department

作　　者：李欣[1] 张乐[1] 石燕杰 王小琴 Li Xin;Zhang Le;Shi Yanjie;Wang Xiaoqin(Department of Rheumatic Immunology,the First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,China;Department of Nursing,Xi'an Jiaotong University Health Science Center,Xi'an 710061,China)

机构地区：[1]西安交通大学第一附属医院风湿免疫科,西安710061 [2]西安交通大学医学部护理学系,西安710061

出　　处：《中华现代护理杂志》2022年第2期195-199,共5页Chinese Journal of Modern Nursing

摘　　要：目的构建风湿免疫专科护理质量敏感指标体系,为风湿免疫专科护理质量评价与监测提供依据。方法2020年6月—2021年2月,在文献检索和内部咨询的基础上,基于Donabedian"结构-过程-结果"理论,初步形成风湿免疫专科护理质量敏感指标,运用德尔菲法进行2轮专家函询后确立风湿免疫专科护理质量敏感指标体系内容。结果2轮专家函询的专家权威系数分别为0.851和0.910,各指标重要性赋值均数为4.61~5.00分,变异系数为0~0.13,认同程度为88.30%~100.00%,最终形成17项风湿免疫专科护理质量敏感指标。结论构建的风湿免疫专科护理质量敏感指标涵盖了专科疾病护理的关键内容,临床实用性和可操作性强,能指导临床护理质量控制和评价。Objective To construct a sensitive index system for nursing quality of rheumatic immunology to provide a basis for the evaluation and monitoring of nursing quality in department of rheumatic immunology.Methods From June 2020 to February 2021,on the basis of literature search and internal consultation,based on Donabedian's"structure-process-result"theory,the sensitive indicators for nursing quality in rheumatic immunology was preliminarily formed.The Delphi method was used to conduct 2 rounds of letter inquiries from experts to establish the content of the sensitive index system for nursing quality in rheumatic immunology.Results The expert authority coefficients of 2 rounds of expert inquiries were 0.851 and 0.910,respectively.The average value of the importance of each index was 4.61 to 5.00,the coefficient of variation was 0 to 0.13,and the degree of agreement was 88.30%to 100.00%.Finally,17 sensitive indicators for nursing quality in rheumatic immunology were formed.Conclusions The constructed sensitive index of nursing quality of rheumatism and immunology covers the key content of specialist disease care,which has strong clinical practicability and operability and can guide clinical nursing quality control and evaluation.

关 键 词：风湿免疫 结构-过程-结果 护理质量 敏感指标 

分 类 号：R473.5[医药卫生—护理学]