基于德尔菲法构建肘关节连续被动活动护理质量评价指标  

Construction of nursing quality evaluation indicators for continuous passive movement of elbow joint based on Delphi method

作　　者：朱琳怡 熊飞 黄玲颖 张惠娜 张思淼 糜菁熠 ZHU Lin-yi;XIONG Fei;HUANG Ling-ying;ZHANG Hui-na;ZHANG Si-miao;MI Jin-yi(Dept.of Sports Medicine,Wuxi No.9 people’s Hospital,Wuxi 214062,China)

机构地区：[1]无锡市第九人民医院运动医学科,江苏无锡214062

出　　处：《护理学报》2024年第13期40-44,共5页Journal of Nursing（China）

基　　金：江苏省双创博士(JSSCBS20211590);无锡市卫健委青年科研项目(Q202125)。

摘　　要：目的构建肘关节连续被动活动护理质量评价指标,统一质量标准,规范护理操作,保证康复效果。方法通过文献检索、半结构式访谈及临床资料分析,初步形成肘关节连续被动活动护理质量评价指标,应用德尔菲法对相关领域30名专家进行2轮咨询,最终构建科学合理的评价指标。结果2轮函询专家的积极系数分别为100%、97%,权威系数分别为0.91、0.92,专家协调程度分别为0.411、0.358(均P<0.05)。最终构建的评价指标以医疗质量三级结构为框架依据,包括结构质量、环节质量、终末质量3个一级指标,11个二级指标,39个三级指标。结论肘关节连续被动活动护理质量评价指标构建方法科学、内容简明实用,有利于规范护理操作,改善操作过程中护理服务质量,保证康复效果,促进肢体功能恢复,从而提高患者满意度。Objective To construct nursing quality evaluation indicators for continuous passive movement of elbow joints,and to unify quality standards,standardize nursing operations,and ensure rehabilitation outcomes.Methods Through literature review,semi-structured interviews,and clinical data analysis,preliminary evaluation indicators for nursing quality of continuous passive movement of elbow joint were identified.Delphi method was applied in 30 experts in related fields for two rounds of consultation,and then scientific and reasonable evaluation indexes were ultimately identified.Results The positivity coefficient of the two rounds of inquiry was 100%and 97%,and the authority coefficient 0.91 and 0.92 respectively.The coordination degree was 0.411 and 0.358,respectively(both P<0.05).The final evaluation indicators were based on a three-level framework of medical quality,including three first-level indicators:structural quality,process quality and outcome quality.There were 11 secondary-level,and 39 third-level indicators.Conclusion The construction method is scientific,concise and practical,which is conducive to standardizing nursing operations,improving the quality of nursing services during the operation,ensuring rehabilitation effects,promoting limb function recovery,and improving patient satisfaction.

关 键 词：肘关节镜 连续被动活动 护理质量 评价指标 德尔菲法 

分 类 号：R47[医药卫生—护理学] C931.3[医药卫生—临床医学]