术中低体温护理质量指标体系的构建  

Construction of evidence-based index system of Intraoperative Hypothermia nursing quality

作　　者：周羽 朱琳[2] 柳露[2] 荣蓉 卢秀英[2] ZHOU Yu;ZHU Lin;LIU Lu;RONG Rong;LU Xiuying(Chengdu Medical University,Chengdu,610500,China)

机构地区：[1]成都医学院,成都市610500 [2]四川省肿瘤临床医学研究中心,四川省肿瘤医院研究所,四川省癌症防治中心,电子科技大学附属医院手术麻醉科

出　　处：《中国护理管理》2024年第4期571-576,共6页Chinese Nursing Management

基　　金：四川省干部保健科研项目(川干研2022-801)。

摘　　要：目的:构建科学、可靠、具有可操作性的术中低体温护理质量指标体系,为护理管理者进行术中低体温护理质量评价提供参考。方法:基于“结构-过程-结果”三维质量结构模型,通过循证文献分析与小组讨论初步构建术中低体温护理质量指标,采用德尔菲法对26名专家进行函询,采用优序图法确定各层级指标权重。结果:术中低体温护理质量指标体系包括3项一级指标、4项二级指标、12项三级指标;两轮函询专家积极系数分别为100.0%、96.3%,专家权威系数分别为0.92、0.93,肯德尔和谐系数为0.12~0.23(P<0.05)。结论:本研究构建的术中低体温护理质量指标具有专科特色,且指标体系具有科学性及可靠性,对量化临床术中低体温护理质量具有一定的指导意义。Objective:To construct a scientific,reliable and operable set of Intraoperative Hypothermia(IH)nursing quality index system,in order to provide a reference for nursing managers to evaluate the IH nursing quality.Methods:Donabedian's"structure-process-outcome"three-dimensional quality structure model was used to preliminarily construct IH nursing quality indicators through evidence-based literature analysis and group discussion,and 26 experts were consulted by Delphi method,and the index weights at each level were determined by the preferential sequence diagram method.Results:There were 3 first-level indicators,4 second-level indicators and 12 third-level indicators of the index system.The positive coefficients of experts in the two rounds consultation were 100.0%and 96.3%,the coefficients of expert authority were 0.92 and 0.93 respectively,and the Kendall harmony coefficients were from 0.12 to 0.23(P<0.05).Conclusion:The IH nursing quality index constructed in this study has specialized characteristics,and the research results are scientific and reliable,which has certain guiding significance for quantifying the clinical IH nursing quality.

关 键 词：术中低体温 质量指标 护理质量 三维质量结构模型 循证护理 德尔菲法 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]