急性胰腺炎早期液体复苏管理评价体系的构建  

Construction of early fluid resuscitation management evaluation system for acute pancreatitis

作　　者：张文华[1] 厉丽 朱丽群[2] 周英凤[3] 步红兵[1] 孙国付[4] 张炜[1] 阮园[1] ZHANG Wenhua;LI Li;ZHU Liqun;ZHOU Yingfeng;BU Hongbing;SUN Guofu;ZHANG Wei;RUAN Yuan(Department of Gastroenterology,the Affiliated Hospital of Jiangsu University,Zhenjiang,Jiangsu,212001;Department of Nursing,the Affiliated Hospital of Jiangsu University,Zhenjiang,Jiangsu,212001;Evidence-Based Nursing Center of Fudan University,Shanghai,200001;Department of Emergency,the Affiliated Hospital of Jiangsu University,Zhenjiang,Jiangsu,212001)

机构地区：[1]江苏大学附属医院消化科,江苏镇江212001 [2]江苏大学附属医院护理部,江苏镇江212001 [3]复旦大学循证护理中心,上海200001 [4]江苏大学附属医院急诊科,江苏镇江212001

出　　处：《实用临床医药杂志》2023年第14期104-108,114,共6页Journal of Clinical Medicine in Practice

基　　金：国家卫生健康委医院管理研究所课题(YLZLXZ22G033)。

摘　　要：目的构建急性胰腺炎(AP)患者早期液体复苏评价体系,以规范临床液体复苏实施行为,促进患者最佳结局。方法基于“结构-过程-结果”三维质量评价模型,结合文献分析、专家会议法、德尔菲法及层次分析法,构建AP早期液体复苏评价体系及确定各指标权重。结果2轮问卷有效回收率均为100%,专家权威系数为0.84和0.89,肯德尔和谐系数为0.239和0.261。最终AP早期液体复苏的指标评价体系包括一级指标共3项,二级指标共9项,三级指标共25项。结论构建的AP早期液体复苏管理评价体系具有科学性和实用性,能有效评估医院AP早期液体复苏执行质量,可推动临床护理质量持续优化。Objective To establish an early fluid resuscitation evaluation system for patients with acute pancreatitis(AP),in order to standardize clinical fluid resuscitation behavior and promote the best outcome of patients.Methods Based on the"structure-process-result"three-dimensional quality evaluation model,combined with literature analysis,expert conference method,Delphi method and analytic hierarchy process,the AP early liquid recovery evaluation system was established and the weights of each index were determined.Results The effective recovery rate of the two rounds of questionnaire was 100%,the expert authority coefficient was 0.84 and 0.89,and the Kendall harmony coefficient was 0.239 and 0.261.Finally,the index evaluation system of AP early liquid resuscitation included 3 primary indexes,9 secondary indexes and 25 tertiary indexes.Conclusion The established AP early fluid resuscitation management evaluation system is scientific and practical,which can effectively evaluate the execution quality of AP early fluid resuscitation in hospitals,and can promote the continuous optimization of clinical nursing quality.

关 键 词：急性胰腺炎 早期液体复苏 评价指标 护理质量 循证护理 

分 类 号：R472[医药卫生—护理学] R576[医药卫生—临床医学]