心脏植入式电子装置患者的围手术期护理敏感质量指标构建  

Development of a nursing-sensitive quality indicators system for perioperative patients with cardiac implantable electronic devices

作　　者：蔡闵敏 张春[1] 张洁琼 张银雪[1] 马玉彤 王凤娟 曹钰 CAI Minmin;ZHANG Chun;ZHANG Jieqiong;ZHANG Yinxue;MA Yutong;WANG Fengjuan;CAO Yu(Cardiovascular Department,Lanzhou University Second Hospital,Lanzhou,730000,China)

机构地区：[1]兰州大学第二医院心内科,兰州市730000 [2]兰州大学护理学院

出　　处：《中国护理管理》2023年第7期1090-1095,共6页Chinese Nursing Management

基　　金：2021年度萃英科技创新计划临床护理研究项目(CY2021-HL-08);甘肃省卫生健康行业科研项目(GSWSHL2022-06)。

摘　　要：目的:构建心脏植入式电子装置围手术期患者的护理敏感质量指标体系,为监测该类患者围手术期护理质量提供科学、实用、可测量的依据。方法:以“结构-过程-结果”三维模型为理论基础,采用文献回顾法与小组讨论法相结合的方法初步拟定相关指标及其计算公式与资料收集方法,再通过两轮专家函询及个别专家面谈的方式最终确立心脏植入式电子装置患者的围手术期护理敏感质量指标体系。结果:最终构建了包含3项一级指标、8项二级指标和20项三级指标的心脏植入式电子装置患者的围手术期护理敏感质量指标体系,两轮函询专家权威系数分别为0.916与0.921,肯德尔和谐系数在0.190~0.223之间。结论:心脏植入式电子装置患者的围手术期护理敏感质量指标体系专科特色强,各项指标围绕围手术期护理展开,具有科学性及实用性,有利于心脏植入式电子装置患者的围手术期护理质量的提升。Objective:To develop a nursing-sensitive quality indicators system for perioperative patients with cardiac implantable electronic devices.Methods:Based on the Donabedian's three-dimensional model of"structure-process-result",the relevant indicators,their calculation formulas and data collection methods were preliminarily developed by literature review and group discussion.Then the nursing-sensitive quality indicators system of perioperative patients with cardiac implantable electronic devices was finally established through two rounds of expert consultation and expert interviews.Results:A nursing-sensitive quality indicators system of perioperative patients with cardiac implantable electronic device was established,including 3 first level indicators,8 second level indicators and 20 third level indicators.The expert authority coefficients of the two rounds of correspondence were 0.916 and 0.921 respectively,and the Kendall harmony coefficients were from 0.190 to 0.223.Conclusion:The nursing-sensitive quality indicators system of perioperative patients with cardiac implantable electronic devices has strong specialty characteristics.Each indicator is scientific and practical,which is conducive to the improvement of perioperative nursing quality of patients with cardiac implantable electronic devices.

关 键 词：心脏植入式电子装置 护理敏感质量指标 护理质量 德尔菲法 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]