连续性肾脏替代治疗护理敏感质量指标体系的构建  

Construction of nursing quality-sensitive indicator system for continuous renal replacement therapy

作　　者：邹兆华 卿伟[1] 朱茂才[1] 张继权 易子涵 胡秀[1] ZOU Zhao-hua;QINGN Wei;ZHU Mao-cai;ZHANG Ji-quan;YI Zi-han;HU Xiu(Dept.of Nephrology,People’s Hospital of Deyang City,Deyang 618000,China)

机构地区：[1]德阳市人民医院肾内科,四川德阳618000

出　　处：《护理学报》2024年第2期70-74,共5页Journal of Nursing（China）

基　　金：四川省卫生健康委员会2021年医学科技项目(21PJ173);成都中医药大学2022年度“杏林学者”学科人才科研提升计划医院专项(YYZX2022060)。

摘　　要：目的构建连续性肾脏替代治疗护理敏感质量指标,为连续性肾脏替代治疗护理质量评价及管理提供参考依据。方法以“结构—过程—结果”模型为理论框架,通过研究小组讨论筛选指标,初步拟订连续性肾脏替代治疗护理敏感质量指标,采用德尔菲法进行2轮专家函询确定连续性肾脏替代治疗护理敏感质量指标,采用层次分析法计算指标权重。结果2轮函询专家积极系数分别为94%、100%,权威系数分别为0.856、0.870,协调系数分别为0.247、0.269。最终构建的连续性肾脏替代治疗护理敏感质量指标体系包括3项一级指标、7项二级指标、19项三级指标。结论本研究构建的连续性肾脏替代治疗护理敏感质量指标体系具有科学性和实用性,权重分配合理,可以为客观评价连续性肾脏替代治疗的护理质量提供参考依据。Objective To construct a nursing quality-sensitive indicator system for continuous renal replacement therapy(CRRT),and to provide reference for the evaluation and management of nursing quality of CRRT.Methods Taking structure-process-outcome model as the theoretical framework,using evidence-based method,we discussed and selected the indicators,and developed the draft of the nursing quality-sensitive indicator system.Delphi method was used for 2 rounds of expert consultation to determine the indicators and hierarchical analysis to calculate the weight of each indicator.Results Effective recovery rate of the two rounds of Delphi expert consultation was 94%and 100%,the authority coefficient 0.856 and 0.870,and the coordination coefficient 0.247 and 0.269,respectively.The final nursing quality-sensitive indicator system for CRRT consisted of 3 first-level,7 second-level and 19 third-level indicators.Conclusion The constructed nursing quality-sensitive indicator system for CRRT is scientific and practical,with reasonable weight of each indicator,and it can provide reference for the objective evaluation of CRRT nursing quality.

关 键 词：连续性肾脏替代治疗 护理质量 敏感指标 德尔菲法 

分 类 号：R473.5[医药卫生—护理学]