基于奥马哈系统构建PTBD术后带管出院患者护理敏感性结局指标  

Construction of Omaha system-based nursing sensitivity outcome index system for the discharged patients carrying a PTBD tube

作　　者：李玉莲[1] 莫伟[1] 李琴 刘欢欢 LI Yulian;MO Wei;LI Qin;LIU Huanhuan(Hunan Provincial People's Hospital(First Affiliated Hospital of Hunan Normal University),Changsha,Hunan Province 410002,China)

机构地区：[1]湖南省人民医院(湖南师范大学附属第一医院),湖南长沙410002

出　　处：《介入放射学杂志》2023年第7期687-691,共5页Journal of Interventional Radiology

基　　金：湖南省卫生健康委资助课题(202214052638)。

摘　　要：目的 构建PTBD术后带管出院患者护理敏感性结局指标体系,为改善患者护理结局提供新策略。方法 基于奥马哈问题分类与护理结局系统,应用德尔菲法对19名专家进行2轮函询,确定出三级指标体系。结果 第1轮函询问卷有效回收16/19份,第2轮有效回收16/16份。专家咨询的判断系数为0.93,熟悉程度为0.89,权威系数为0.91,一、二、三级指标的肯德尔系数Kendall’s w分别为0.262、0.231、0.199,差异有统计学意义(均P<0.05)。最终确定了PTBD术后带管出院患者护理敏感性结局指标体系,涵盖4大领域共包括一(15个)、二(24个)、三(49个)级指标条目。结论 构建的PTBD术后带管出院患者的护理敏感性结局指标体系结果可靠,可信度较高。Objective To construct a nursing sensitivity outcome index system for the discharged patients carrying a percutaneous transhepatic biliary drainage(PTBD)tube,which can provide a new strategy for improving the nursing outcome of patients.Methods Based on Omaha problem classi-fication and nursing outcome system,Delphi method was used to conduct two rounds of letter consultation among 19 experts,and a threelevel index system was determined.Results In the first round of letter inquiry,16 out of 19 questionnaires were effectively recovered,and in the second round,all 16 questionnaires were effectively recovered.The judgment coefficient of expert consultation was 0.93,the degree of familiarity was 0.89,and the authority coefficient was 0.91.The Kendall's w of the first,second and third indexes were 0.262 and 0.231 and 0.199 respectively,and the differences were statistically significant(all P<0.05).Finally,the nursing sensitivity outcome index system for the discharged patients carrying a PTBD tube was established,which covered 4 major fields,including 15 items of levelⅠindex entry,24 items of levelⅡindex entry,and 49 items of levelⅢindex entry.Conclusion The constructed nursing sensitivity outcome index system for the discharged patients carrying a PTBD tube has reliable results and high confidence.(J Intervent Radiol,2023,32:687-691)

关 键 词：PTBD 奥马哈系统 护理结局分类系统 敏感性结局指标 德尔菲法 

分 类 号：R47[医药卫生—护理学]