3D胸腔镜肺段切除围术期护理敏感指标体系的构建  

Construction of perioperative nursing sensitivity index system for 3D thoracoscopic pulmonary segmentectomy

作　　者：任定珺[1] 丁密[1] REN Dingjun;DING Mi(Henan Provincial Chest Hospital,Chest Hospital of Zhengzhou University,Henan 450000 China)

机构地区：[1]河南省胸科医院,郑州大学附属胸科医院,河南450000

出　　处：《护理研究》2023年第18期3314-3319,共6页Chinese Nursing Research

摘　　要：目的:构建3D胸腔镜肺段切除围术期护理敏感指标体系。方法:以Donabedian的“结构-过程-结果”三维质量评价模式为基础框架,通过文献检索、半结构化访谈、院内专家会议、德尔菲专家函询法,构建3D胸腔镜肺段切除围术期护理敏感指标体系。结果:2轮函询问卷回收率均为100%,函询专家权威系数为0.884,2轮函询的一级指标、二级指标、三级指标专家意见肯德尔协调系数均有统计学意义(P<0.001)。经过2轮专家函询,最终构建的3D胸腔镜肺段切除围术期护理敏感指标体系包括3个一级指标、6个二级指标、29个三级指标,其中,过程指标的权重值最大(0.575),所有指标的变异系数均<0.25。结论:构建的3D胸腔镜肺段切除围术期护理敏感指标体系具有一定的科学性、可靠性,其涉及内容较全面,可为3D胸腔镜肺段切除术的专科护理质量评价提供参考。Objective:To construct perioperative nursing sensitivity index system for 3D thoracoscopic pulmonary segmentectomy.Methods:Based on Donabedian's three-dimensional quality evaluation model of"structure process result",the perioperative nursing sensitivity index system for 3D thoracoscopic pulmonary segmentectomy was formed through literature search,semi-structured interviews,in hospital expert meetings,and Delphi expert consultation method.Results:The recovery rate of the 2 rounds of correspondence questionnaires both were 100%.The authority coefficient of correspondence experts was 0.884.The Kendall coordination coefficients of expert opinions on the first level,second level,and third level indicators in two rounds of correspondence were all statistically significant(P<0.001).After two rounds of expert consultation,the final constructed perioperative nursing sensitivity index system for 3D thoracoscopic pulmonary segmentectomy includes 3 primary indicators,6 secondary indicators,and 29 tertiary indicators.Among them,the weight value of the process indicator was the highest(0.575),and the coefficient of variation of all indicators were<0.25.Conclusions:Perioperative nursing sensitivity index system for 3D thoracoscopic pulmonary segmentectomy has a certain degree of scientific and reliable content,which is comprehensive and can provide reference for the quality evaluation of specialized nursing in 3D thoracoscopic pulmonary segmentectomy.

关 键 词：3D胸腔镜肺段切除术 围术期护理 护理质量 德尔菲法 敏感性指标 

分 类 号：R473.6[医药卫生—护理学]