急性主动脉夹层患者急救护理质量敏感指标的构建  

Construction of sensitive indicators of quality of emergency nursing in patients with acute aortic dissection

作　　者：程梅 李黎明 白向威 袁梦洋 袁方方 CHENG Mei;LI Liming;BAI Xiangwei;YUAN Mengyang;YUAN Fangfang(Department of Nursing,Zhengzhou University People′s Hospital,Henan,Zhengzhou,453003;Department of Emergency,Fuwai Central China Cardiovascular Hospital,Heart Center of Henan Provincial People′s Hospital,Zhengzhou,Henan,451464)

机构地区：[1]郑州大学人民医院护理部,河南郑州453003 [2]阜外华中心血管病医院/河南省人民医院心脏中心急诊科,河南郑州451464

出　　处：《实用临床医药杂志》2024年第6期124-128,共5页Journal of Clinical Medicine in Practice

基　　金：河南省医学科技攻关计划项目(LHGJ20200106)。

摘　　要：目的构建适用于急性主动脉夹层患者急救护理质量评价的敏感指标。方法基于“结构-过程-结果”三维质量理论模型,采用循证护理方法进行证据综合,开展2轮专家函询,确定急性主动脉夹层患者急救护理质量的敏感指标。结果2轮专家函询问卷的有效回收率分别为100.00%、94.12%;参与2轮函询专家的判断依据系数(Ca)分别为0.893、0.914,熟悉程度系数(Cs)分别为0.902、0.921,权威系数(Cr)分别为0.898、0.918;第1轮函询专家对一、二、三级指标的肯德尔系数分别为0.212、0.247、0.327,第2轮函询专家对一、二、三级指标的肯德尔系数分别为0.225、0.349、0.257。最终构建的AAD患者急救护理质量敏感指标包含3个一级指标、8个二级指标、29个三级指标。结论本研究构建的急性主动脉夹层患者急救护理质量敏感指标,可作为评价急性主动脉夹层患者急救护理质量的依据。Objective To establish sensitive indicators for the evaluation of emergency nursing quality in patients with acute aortic dissection.Methods Based on the three-dimensional quality theory model of"structure-process-outcome",evidence-based nursing methods were used to synthesize evidence and conduct two rounds of expert consultation to determine sensitive indicators for the quality of emergency nursing in patients with acute aortic dissection.Results The effective recovery rates of the two rounds of expert consultation questionnaires were 100.00%and 94.12%,respectively.The judgment basis coefficients(Ca)of the experts who participated in the two rounds of consultation were 0.893 and 0.914,respectively,and the familiarity coefficients(Cs)were 0.902 and 0.921,respectively,and the authority coefficients(Cr)were 0.898 and 0.918,respectively.The Kendall coefficients of the first round of consultation experts for the first,second,and third-level indicators were 0.212,0.247,and 0.327,respectively,and were 0.225,0.349,and 0.257,respectively in the second round of consultation experts.Finally,the sensitive indicators for the quality of emergency nursing of AAD patients were constructed,including 3 first-level indicators,8 second-level indicators,and 29 third-level indicators.Conclusion The sensitive indicators for the quality of emergency nursing of AAD patients constructed in this study can be used as a basis for evaluating the quality of emergency nursing in patients with acute aortic dissection.

关 键 词：急性主动脉夹层 急救护理 敏感指标 德尔菲法 循证护理 三维质量结构模型 

分 类 号：R541[医药卫生—心血管疾病] R472.2[医药卫生—内科学] R319[医药卫生—临床医学]