糖尿病视网膜病变患者围术期护理质量评价指标体系的构建  

Construction of a perioperative three-dimensional nursing quality evaluation index system for patients with diabetic retinopathy

作　　者：杨扬[1] 王淑慧[1] Yang Yang;Wang Shuhui(Department of Ophthalmology,the Affiliated People's Hospital of Ningbo University,Ningbo 315100,China)

机构地区：[1]宁波大学附属人民医院眼科,宁波315100

出　　处：《中华现代护理杂志》2024年第16期2119-2123,共5页Chinese Journal of Modern Nursing

基　　金：宁波市2025重大科技项目(2021Z054);宁波市眼科临床医学研究中心和宁波市医学重点学科建设项目资助(2016-S05)。

摘　　要：目的构建糖尿病视网膜病变(DR)围术期护理质量评价指标体系。方法以结构-过程-结果三维质量评估模型为理论框架,通过文献分析、半结构式访谈法初步构建DR患者围术期护理质量评价指标体系;于2022年10—12月选取专家进行2轮专家函询,对各级指标进行筛选、修改与完善,确立DR患者围术期护理质量评价指标体系。专家积极程度以问卷有效回收率表示,专家权威程度以专家权威系数表示,专家意见协调程度以肯德尔和谐系数表示。结果第1轮专家函询发放问卷30份,回收有效问卷28份,问卷有效回收率为93.33%;第2轮专家函询发放问卷28份,回收有效问卷25份,问卷有效回收率89.29%;2轮专家函询的权威系数分别为0.88、0.91,肯德尔和谐系数分别为0.202、0.212(P<0.01)。最终构建DR患者围术期护理质量评价指标体系包括一级指标3项,二级指标7项,三级指标20项。结论本研究构建的DR患者围术期护理质量评价指标体系具有科学性和可靠性,可为DR患者围术期护理质量评价、开展持续的质量改进工作参考。Objective To establish the perioperative nursing quality evaluation index system for diabetic retinopathy(DR).Methods Based on the structure-process-result three-dimensional quality assessment model as the theoretical framework,a preliminary evaluation index system of perioperative nursing quality for DR patients was established through literature analysis and semi-structured interviews.From October to December 2022,experts were selected for two rounds of expert letter consultation,all indicators were screened,modified,and improved,and the evaluation index system of perioperative nursing quality for DR patients was established.The level of expert enthusiasm was expressed by the effective response rate of the questionnaire,the expert authority coefficient expressed the level of expert authority,and Kendall's harmony coefficient expressed the degree of expert opinion coordination.Results In the first round of expert correspondence,30 questionnaires were sent out,and 28 valid questionnaires were recovered,with an effective recovery rate of 93.33%.In the second round of expert correspondence,28 questionnaires were sent out,and 25 valid questionnaires were recovered,with an effective recovery rate of 89.29%.The authority coefficients of the two rounds of expert correspondence were 0.88 and 0.91,and the Kendall's harmony coefficients were 0.202 and 0.212(P<0.01).Finally,the perioperative three-dimensional nursing quality evaluation system for DR patients was established,including three primary indexes,seven secondary indexes,and 20 tertiary indexes.Conclusions The nursing quality evaluation index system for DR patients constructed in this study is scientific and reliable,which can serve as a reference for evaluating the perioperative nursing quality of DR patients and conducting continuous quality improvement work.

关 键 词：糖尿病视网膜病变 围手术期护理 护理质量 评价体系 专家函询 

分 类 号：R473.77[医药卫生—护理学]