泌尿外科病人压力性损伤评估护理敏感指标体系的形成与验证  

Formation and verification of nursing sensitive index system for evaluation of pressure injury in urology patients

作　　者：崔海卫 张飞 王海婷 CUI Haiwei;ZHANG Fei;WANG Haiting(Jianhu People′s Hospital in Jiangsu Province,Jiangsu 224700 China)

机构地区：[1]江苏省建湖县人民医院,江苏224700

出　　处：《循证护理》2024年第11期1945-1950,共6页Chinese Evidence-Based Nursing

摘　　要：目的:构建泌尿外科病人压力性损伤评估护理敏感指标体系,并经临床应用验证。方法:通过文献检索分析、半结构式访谈形成泌尿外科病人压力性损伤评估护理敏感指标体系初稿,再经德尔菲法专家函询对泌尿外科病人压力性损伤评估护理敏感指标进行评价,综合专家意见实施修订,最终得到泌尿外科病人压力性损伤评估护理敏感指标体系。选取建湖县人民医院泌尿外科2021年12月1日—2023年1月31日收治的手术病人共100例,按随机数字表法分为对照组和观察组,各50例。对照组采取常规护理,观察组在对照组基础上应用泌尿外科病人压力性损伤评估护理敏感指标体系,比较两组病人压力性损伤发生率及护理满意度。结果:第1轮、第2轮函询有效问卷回收率均为100%,提示专家函询中表现积极;函询专家权威系数为0.892,提示专家具有较强权威性,函询意见肯德尔和谐系数W分别为0.328(χ^(2)=28.493,P<0.001)、0.448(χ^(2)=35.087,P<0.001),提示专家意见较为一致;最终形成的基于德尔菲法的泌尿外科病人压力性损伤评估护理敏感指标体系包含一级指标3个、二级指标9个、三级指标32个,指标变异系数为0.06~0.14。应用结果显示,观察组病人压力性损伤发生率(4.00%)低于对照组(18.00%),差异有统计学意义(P<0.05);观察组病人护理满意度问卷各维度评分均大于对照组,差异有统计学意义(P<0.05)。结论:泌尿外科病人压力性损伤评估护理敏感指标体系内容全面、可靠性较强,据此开展护理管理能实现对压力性损伤评估护理质量的持续、全面评价,有助于降低压力性损伤风险,提升护理满意度。Objective:To establish a nursing sensitive index system for evaluation of pressure injury in urology patients and verify it by clinical application.Methods:Through literature retrieval and semi-structured interviews,the first draft of nursing sensitive index system for evaluation of pressure injury in urological patients was formed,and then the nursing sensitive index system for evaluation of pressure injury in urological patients was evaluated by Delphi method,and revised by comprehensive expert opinions,and finally the nursing sensitive index system for evaluation of pressure injury in urological patients was obtained.A total of 100 patients admitted to the Department of Urology,Jianhu People′s Hospital from December 1,2021 to January 31,2023 were randomly divided into control group and observation group,with 50 patients in each group.The control group was given routine nursing,while the observation group was given nursing sensitivity index system based on the control group.The incidence of pressure injury and nursing satisfaction of the two groups were compared.Results:The effective questionnaire recovery rate of the first and second rounds of correspondence was 100%,indicating that the experts were positive in the correspondence.The authority coefficient of the expert was 0.892,indicating that the expert had strong authority.The Kendall harmony coefficient W of the opinion was 0.328(χ^(2)=28.493,P<0.001)and 0.448(χ^(2)=35.087,P<0.001),respectively,indicating that the expert opinions were consistent.The final nursing sensitive index system based on Delphi method for evaluation of stress injury in urology patients included 3 primary indexes,9 secondary indexes and 32 tertiary indexes,with coefficient of variation ranging from 0.06 to 0.14.The results of system application showed that the incidence of stress injury in observation group was 4.00%,which was lower than that in control group(18.00%),and the difference was statistically significant(P<0.05).The scores of nursing satisfaction questionnaire in the o

关 键 词：德尔菲法 泌尿外科 压力性损伤 预防护理 评价体系 循证护理 

分 类 号：R47[医药卫生—护理学]