基于三维质量评价模式构建脑卒中住院患者护理质量指标体系  

Construction of nursing quality index system for stroke inpatients basedon three-dimensional quality evaluation model

作　　者：郑蕾[1] 王贺[2] 宋科[2] 何思思 朱可可 赵玉洁[1] 司晓娜 李瑞婧 杨柳[1] ZHENG Lei;WANG He;SONG Ke;HE Sisi;ZHU Keke;ZHAO Yujie;SI Xiaona;LI Ruijing;YANG Liu(Department of Neurology,Zhengzhou People′s Hospital,Zhengzhou,Henan 450000,China;Department of Nursing,Zhengzhou People′s Hospital,Zhengzhou,Henan 450000,China)

机构地区：[1]郑州人民医院神经内科,河南郑州450000 [2]郑州人民医院护理部,河南郑州450000

出　　处：《现代医药卫生》2023年第6期907-912,共6页Journal of Modern Medicine & Health

基　　金：河南省医学科技攻关联合共建项目(LHGJ20200684)。

摘　　要：目的构建脑卒中住院患者护理质量指标体系,为评价护理质量提供依据。方法以“结构-过程-结果”三维质量评价模式为理论框架,结合相关文献,初步拟定指标池,采用德尔菲法对15名专家进行2轮函询,确定脑卒中住院患者护理质量指标体系。结果构建了包含3项一级指标、13项二级指标及76项三级指标的脑卒中住院患者护理质量指标体系。2轮函询的专家积极系数均为100%,专家权威系数分别为0.870、0.897。第2轮各级指标肯德尔和谐系数较第1轮有所增加,差异有统计学意义(P<0.05)。结论基于德尔菲法构建的脑卒中住院患者护理质量指标体系具有一定的敏感性及科学性,有利于提升脑卒中患者专科护理质量的管理效率。Objective To construct the index system of nursing quality for inpatients with stroke to provide basis for evaluating nursing quality.Methods Based on the“structure-process-result”three-dimensional quality evaluation model as the theoretical framework,combined with relevant literature,the index pool was preliminarily developed,and 15 experts were consulted by Delphi method for two rounds to determine the nursing quality index system for stroke inpatients.Results The nursing quality index system of stroke inpatients including 3 first-level indexes,13 second-level indexes and 76 third-level indexes was constructed.The positive coefficients of experts in the two rounds of correspondence were 100%,and the authoritative coefficients of experts were 0.870 and 0.897 respectively.The Kendall′s coefficients of concordance of indexes at all levels in the second round increased compared with those in the first round,and the differences were statistically significant(P<0.05).Conclusion The nursing quality index system for stroke inpatients based on the Delphi method is sensitive and scientific,which is conducive to improving the management efficiency of the quality of specialized nursing for stroke patients.

关 键 词：脑卒中住院患者 护理质量指标体系 德尔菲法 三维质量评价模式 

分 类 号：R473.5[医药卫生—护理学]