基于循证的膝关节骨性关节炎护理质量评价指标体系的初步构建  

Preliminary construction of nursing quality evaluation index system for patients with knee osteoarthritis based on evidence

作　　者：杨琳 马怡婷 孟繁洁 Yang Lin;Ma Yiting;Meng Fanjie(Health College of Zhoushan Archipelago New Area,Zhejiang Province,Zhoushan 316100,China;Graduate School,Tianjin University of Traditional Chinese Medicine,Tianjin 300193,China)

机构地区：[1]浙江省舟山群岛新区旅游与健康职业学院,舟山316100 [2]天津中医药大学研究生院,天津300193

出　　处：《中国实用护理杂志》2022年第1期32-39,共8页Chinese Journal of Practical Nursing

摘　　要：目的基于循证医学理论, 对国内外膝关节骨性关节炎(KOA)相关文献进行全面检索, 收集高质量证据, 构建一套科学、合理的KOA护理质量评价指标体系, 供临床护理应用和参考。方法系统、全面地检索中英文数据库以及相关指南网站, 收集KOA相关指南、护理标准、推荐建议、护理质量评价指标, 中文数据库检索时限为建库至2018年, 英文数据库检索时限为2001—2018年。根据JBI证据预分级及证据推荐级别系统进行严格的证据质量评价, 整理和收集最佳证据, 以三维质量结构模式理论为框架, 采用德尔菲法对指标体系进行专家函询, 确立KOA护理质量评价指标体系。结果通过系统的循证检索, 整理出KOA相关指标137个。最终构建的指标体系包括要素质量、环节质量和终末质量3个维度, 其中一级指标11个, 二级指标31个, 三级指标64个。结论本研究构建的KOA护理质量评价指标体系, 可为我国医疗机构KOA护理质量的评价提供理论依据, 并为其他领域质量评价指标体系的建立提供参考和借鉴。Objective To build a set of evidence-based quality of care indicators for patients with knee osteoarthritis(KOA)through a comprehensive literature search to collect high quality evidence.And provide theoretical reference for KOA clinical nursing.Methods Systematically and comprehensively searched the Chinese English databases and relevant guide websites to collect KOA related guidelines,standards of care,recommendations and quality indicators.The databases search time of Chinese was from construction to 2018,and English was from 2001 to 2018.According to JBI levels of evidence classification and recommend system to evaluate the quality of evidence.Then established the quality indicators draft guided by the theory of structure-process-outcome quality pattern.Finally,implemented 2 rounds of experts consultation using Delphi method to confirm the quality indicators set for KOA.Results A total of 137 KOA quality indicators were included after the comprehensive retrieval.The final indicator system consisted of three factors:quality of structure,quality of process and outcome quality,including 11 first-level indicators,31 second-level indicators and 64 third-level indicators.Conclusions In this study,the quality indicators set of KOA could supply the theoretical basis for the evaluation of KOA nursing institutions and provide reference for the establishment of quality evaluation in other fields.

关 键 词：膝关节骨性关节炎 循证医学 德尔菲 护理质量评价 指标体系 

分 类 号：R473.6[医药卫生—护理学]