经皮肝穿刺胆道引流术患者出院准备度评估指标的构建  

Construction of discharge readiness assessment index for patients with percutaneous transhepatic biliary drainage

作　　者：闫静 陈香凤[1] 谭丽萍[1] 赵晓芸[1] 赵建琴[1] 郑力[1] 宋莉莉 YAN Jing;CHEN Xiangfeng;TAN Liping;ZHAO Xiaoyun;ZHAO Jianqin;ZHENG Li;SONG Lili(The Second Affiliated Hospital of Soochow University,Suzhou,Jiangsu Province 215000,China)

机构地区：[1]苏州大学附属第二医院,江苏苏州215000

出　　处：《介入放射学杂志》2024年第7期790-795,共6页Journal of Interventional Radiology

基　　金：江苏省苏州市护理学会科研项目(SZHL-B-202208);苏大附二院预研基金课题(SDFEYHL2252)。

摘　　要：目的构建经皮肝穿刺胆道引流术PTBD患者出院准备度评估指标。方法以Meleis等的转移理论为基础,通过查阅文献、半结构式访谈及小组讨论,初步形成PTBD患者出院准备度评估指标,并采用德尔菲法进行2轮专家函询,通过层次分析法确定各指标权重。结果2轮函询问卷的有效回收率均为100%,专家权威系数为0.964和0.972,肯德尔和谐系数为0.240和0.228(P<0.001),最终形成的PTBD患者出院准备度评估指标,包含4个一级指标、35个二级指标。结论构建的PTBD患者出院准备度评估指标具有较好的科学性和可靠性,可作为判断PTBD患者出院准备程度的评估工具。Objective To construction of discharge readiness assessment index for patients with percutaneous transhepatic biliary drainage.Methods Based on the framework of the Meleis's transitions theory,the relevant literature was consulted,the semi-structured interview and group discussion were implemented,and the framework of the assessment index system for discharge readiness of patients with percutaneous transhepatic biliary drainage was initially constructed.Then,two rounds of Delphi expert consultations were conducted.The weight of each indicator was set by Analytic Hierarchy Process.Results The effective recovery of 2 rounds of expert consultations were both 100%.The authority coefficients were 0.964 and 0.972,The Kendall harmony coefficients were 0.240 and 0.228(P<0.001).The final discharge readiness assessment index system for patients with percutaneous transhepatic biliary drainage was established,including 4 first-level indicators and 35 second-level indicators.Conclusion The discharge readiness assessment index system for patients with percutaneous transhepatic biliary drainage was scientific and reliable,which can provide references for the evaluation of discharge readiness for patients with percutaneous transhepatic biliary drainage.

关 键 词：经皮肝穿刺胆道引流术 出院准备度 指标 德尔菲法 

分 类 号：R473.73[医药卫生—护理学]