医联体县级医院静脉输液治疗专科护理帮扶体系的构建  

Construction of intravenous infusion therapy specialty nursing support system for county-level hospitals of medical alliance

作　　者：吕守英[1] 柴秀平[1] 闫春林[1] 庄广云[1] 刘桂云[1] LYU Shouying;CHAI Xiuping;YAN Chunlin;ZHUANG Guangyun;LIU Guiyun(The Second People′s Hospital of Liaocheng,Liaocheng Shandong 252600)

机构地区：[1]聊城市第二人民医院,山东聊城252600

出　　处：《天津护理》2024年第4期389-394,共6页Tianjin Journal of Nursing

摘　　要：目的:构建医联体县级医院静脉输液治疗专科护理帮扶体系,为医联体县级医院静脉输液治疗专科护理帮扶提供依据。方法:以“结构-过程-结果”三维质量结构理论为理论基础,运用文献回顾、问卷调查、半结构式访谈初步拟定县级医院静脉输液治疗专科护理帮扶体系初稿,采用德尔菲专家咨询法构建医联体县级医院静脉输液治疗专科护理帮扶体系终稿。结果:3轮专家咨询问卷有效回收率分别为91.3%、100.0%、100.0%,专家权威系数均为0.931,肯德尔协调系数分别为0.239、0.244、0.312,经χ2检验,差异均有统计学意义(P<0.001)。最终形成的医联体县级医院静脉输液治疗专科护理帮扶体系包括结构、过程、结果3项一级指标、11项二级指标和54项三级指标。结论:医联体县级医院静脉输液治疗专科护理帮扶体系具有科学性、可靠性和临床适用性,符合静脉输液治疗专科护理临床实践与护理管理特点,能促进静脉输液治疗专科护理优质资源有效、有序地下沉到县级医院。Objective:Establish a specialized nursing support system for intravenous infusion therapy in county-level hospitals of the medical alliance to provide a basis for the specialized nursing assistance of intra-medical hospitals in county-level hospitals of the medical alliance.Methods:Based on the three-dimensional mass structure theory of"structure-process-result",the first draft of the county-level hospitals nursing assistance system for intravenous infusion therapy was preliminarily formulated by using literature review,questionnaire survey and semi-structured interview,and the final draft was constructed by using the Delphi expert consultation method.Results:The effective recovery rate of the three rounds of expert consultation questionnaires was 91.3%,100%and 100%,respectively.The expert authority coefficient was 0.931,and the Kendall coordination coefficient was 0.239,0.244 and 0.312,respectively(P<0.001).The final intravenous infusion therapy specialty nursing support system for county-level hospitals of medical alliance includes 3 first-level indicators,11 second-level indicators and 54 third-level indicators in structure,process and results.Conclusion:The intravenous infusion therapy specialty nursing support system for county-level hospitals of medical alliance has strong scientificity,reliability and clinical applicability,which conforms to the characteristics of intravenous infusion therapy specialty,and can promote the effective and orderly sinking of high-quality resources of intravenous infusion therapy specialty to county-level hospitals.

关 键 词：医联体 静脉输液治疗 县级医院 护理帮扶 三维质量结构 德尔菲法 

分 类 号：R472[医药卫生—护理学]