脑积水性脑室-腹腔分流术后护理质量评价指标体系的构建及应用  

Construction of index system of postoperative nursing quality evaluation and its application hydrocephalus ventricular-abdominal shunt

作　　者：张咏倩 马颖君 尹庆 ZHANG Yongqian;MA Yingjun;YIN Qing(The Affiliated Wuxi People′s Hospital of Nanjing Medical University,Jiangsu 214000 China)

机构地区：[1]南京医科大学附属无锡人民医院,江苏214000

出　　处：《循证护理》2024年第11期1964-1969,共6页Chinese Evidence-Based Nursing

摘　　要：目的:构建脑积水性脑室-腹腔分流术后护理质量评价指标体系,并经临床应用研究其临床效果。方法:通过德尔菲法专家函询法筛选、修订,最终构建完整的脑积水性脑室-腹腔分流术后护理质量评价指标体系。采用便利抽签法选取我院2021年1月—12月和2022年1月—12月收治的脑积水性脑室-腹腔分流术病人,采用随机数字表法分为对照组和观察组,各55例。从2022年1月1日开始应用该方案,在此之前采用常规护理模式。比较两组在康复指标(活动能力、神经功能)、术后并发症及生活质量方面的差异。结果:本研究专家两轮函询问卷有效回收率均为100%;专家权威系数为0.881和0.909。肯德尔和谐系数(Kendall′s W)为0.357(P<0.001),第2轮Kendall′s W值为0.427(P<0.001),专家意见趋于一致。本研究构建的脑积水性脑室-腹腔分流术后护理质量评价指标体系包括3个一级指标、7个二级指标、23个三级指标。指标变异系数为0.05~0.13,可靠性较高。应用研究结果显示,观察组病人活动能力、神经功能指标优于对照组(均P<0.05),观察组术后并发症发生率低于对照组,差异有统计学意义(均P<0.05),且观察组生活质量评分优于对照组,差异有统计学意义(均P<0.05)。结论:脑积水性脑室-腹腔分流术后护理质量评价指标体系的构建和应用有效规范病人围术期护理流程,促进病人术后康复,降低术后并发症,提高病人生活质量。Objective:To construct a quality evaluation index system for postoperative care of hydrocephalus ventricle-abdominal shunt,and to study its clinical effects through clinical application.Methods:This study used the Delphi method and expert inquiry method to screen and revise,and ultimately constructed a complete postoperative nursing quality evaluation index system for hydrocephalus ventricle-abdominal shunt.Convenient drawing method was used to select patients with hydrocephalus ventricle-abdominal shunt admitted to our hospital from January 1 to December 31,2021 and January 1 to December 31,2022.They were randomly divided into a control group and an observation group,with 55 cases in each group,using a random number table method.Starting from January 1,2022,this plan will be applied,and prior to this,conventional nursing mode will be adopted.Compare the differences between the two groups in rehabilitation indicators(activity,neurological function),postoperative complications,and quality of life.Results:The effective response rates of the two rounds of expert inquiry questionnaires in this study were 100%,with expert authority coefficients of 0.881 and 0.909.The Kendall′s harmony coefficient in the first round was 0.357(P<0.001),and the Kendall′s W value in the second round was 0.427(P<0.001),indicating a consensus among experts.The quality evaluation index system for postoperative care of hydrocephalus ventricle-abdominal shunt constructed in this study includes 3 primary indicators,7 secondary indicators,and 23 tertiary indicators.The coefficient of variation of the indicator is between 0.05 and 0.13.The application research results showed that the activity ability and neurological function indicators of the observation group were better than those of the control group(P<0.05).The incidence of postoperative complications in the observation group was lower than that of the control group(P<0.05),and the quality of life score in the observation group was better than that of the control group,with statistical s

关 键 词：脑积水性脑室-腹腔分流术 护理质量 评价指标体系 术后康复 生活质量 

分 类 号：R47[医药卫生—护理学]