基于三维质量结构理论构建心脏移植手术护理质量评价指标体系  

Construction of a Nursing Quality Evaluation Index System for Heart Transplantation Surgery Based on the Three-Dimensional Quality Structure Theory

作　　者：张莹[1] 孙立群[1] 赵海运[1] 金子 王宇[1] 郝璀璨 魏薇[1] 张增梅[1] ZHANG Ying;SUN Liqun;ZHAO Haiyun;JIN Zi;WANG Yu;HAO Cuican;WEI Wei;ZHANG Zengmei(Department of Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院手术部,河南郑州450052

出　　处：《河南医学研究》2024年第17期3088-3093,共6页Henan Medical Research

基　　金：河南省高等学校重点科研项目计划(24A320081)。

摘　　要：目的构建心脏移植手术患者护理质量评价指标体系,为护理质量的监测及管理提供参考依据。方法基于三维质量结构理论,通过文献检索、质性访谈、组内会议、德尔菲专家咨询等方法制定评价指标体系。结果最终形成的心脏移植手术护理质量评价指标体系中包含3项一级指标及12项二级指标、82项三级指标。两轮函询问卷有效回收率分别为90.48%、100.00%,权威系数分别为0.887、0.895,肯德尔和谐系数分别为0.206、0.245。结论该评价指标体系科学、合理、客观、完整,可以为心脏移植围手术期护理质量评价提供参考依据。Objective To establish a nursing quality evaluation index system for heart transplant patients,and to provide reference for monitoring and management of nursing quality.Methods Based on the theory of three-dimensional quality structure,the evaluation index system was developed by means of literature search,qualitative interview,intra-group meeting and Delphi expert consultation.Results There were 3 primary indexes,12 secondary indexes and 82 tertiary indexes in the nursing quality evaluation index system of heart transplant surgery.The effective recovery rates of the two rounds of correspondence questionnaires were 90.48%and 100.00%,the authority coefficients were 0.887 and 0.895,and the Kendall harmony coefficients were 0.206 and 0.245.Conclusion The evaluation index system is scientific,reasonable,objective and complete,which can provide reference for perioperative nursing quality evaluation of heart transplantation.

关 键 词：器官移植 围手术期护理 护理评价研究 德尔菲法 

分 类 号：R473.6[医药卫生—护理学]