基于Donabedian理论构建整复外科专科手术护理质量评价指标体系  

Constructing a quality evaluation index system based on Donabedian theory for surgical care in plastic and reconstructive surgery specialties

作　　者：钱付雯 杨悦来 朱勇敢 QIAN Fuwen;YANG Yuelai;ZHU Yonggan(Department of Nursing,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China)

机构地区：[1]上海交通大学医学院附属第九人民医院护理部,上海市200011

出　　处：《组织工程与重建外科》2024年第4期447-452,459,共7页Journal of Tissue Engineering and Reconstructive Surgery

基　　金：上海交通大学医学院附属第九人民医院护理课题基金(JYHL2022MS03)。

摘　　要：目的基于Donabedian理论构建整复外科专科手术护理质量评价指标体系。方法选取国内三甲医院的整复外科专家35人为函询对象,通过文献研究、质性访谈等方法,初步构建整复外科专科手术护理质量评价指标体系雏形,采用德尔菲法进行两轮专家函询,确立整复外科专科手术护理质量评价指标体系。结果两轮函询专家人员组成一致,得到专家权威系数(Cr)为0.7771。本研究中,二级和三级指标的变异系数为0.107~0.129,变异系数≤0.15,可以认为函询条目可信,专家协调程度良好。经过两轮函询,专家对各项评价指标意见趋于集中,最终确立了整复外科专科手术护理质量评价指标,包括3项一级指标、10项二级指标、47项三级指标。结论本研究构建出较为科学、严谨、全面的整复外科专科手术护理质量评价指标体系,为优化整复外科手术护理质量、提高医护患三方满意度提供理论基础。Objective To establish the evaluation index system of nursing quality of plastic and reconstructive surgery specialties based on Donabedian theory.Methods Thirty five experts from Three-A hospitals in China in plastic and reconstructive surgery were consulted through email from April to June in 2023.The primary nursing quality evaluation index system of plastic and reconstructive surgery specialties was drawn up through literature research and qualitative interview methods.Two rounds of expert consultation were conducted by Delphi method to establish the nursing quality evaluation index system of plastic and reconstructive surgery specialties.Results The composition of experts in the two rounds of consultation was consistent,and the Cr of the experts was 0.7771.In this study,the coefficient of variation of the secondary and tertiary indexes was 0.107-0.129,and the coefficient of variation was below 0.15,indicating that the two round consultations were credible and the coordination of the experts was good.Eventually,experts were consistant with each other in regard to all the indexes,the evaluation indexes of nursing quality in plastic and reconstructive surgery including 3 primary indexes,10 secondary indexes and 47 tertiary indexes were determined through two round consultations by email.Conclusion This study established a relatively scientific,rigorous and comprehensive evaluation index system for the quality of surgical care in plastic and reconstructive surgery,providing a theoretical basis for optimizing the quality of nursing care in plastic and reconstructive surgery and improving the satisfaction of patients and doctors.

关 键 词：Donabedian理论 整复外科手术 护理质量评价指标 

分 类 号：R248.2[医药卫生—中医临床基础]