肢体血循环监测护理敏感指标体系的构建  

Construction of nursing sensitive index system for limb blood circulation monitoring

作　　者：何永琴 易德坤 李玉 赖淋雨 张玉梅 HE Yongqin;YI Dekun;LI Yu;LAI Linyu;ZHANG Yumei(Department of Orthopedics,Second Affiliated Hospital,Army Medical University(Third Military Medical University),Chongqing 400037,P.R.China)

机构地区：[1]陆军军医大学(第三军医大学)第二附属医院骨科,重庆400037

出　　处：《华西医学》2024年第10期1606-1610,共5页West China Medical Journal

摘　　要：目的构建肢体血循环监测护理敏感指标体系,用于指导临床护理实践,为肢体血循环监测护理质量的评价和管理提供科学依据。方法检索中国知网、万方、维普、PubMed、Web of Science等中英文数据库,检索时间为建库至2024年4月1日。采用结构-过程-结果三维质量体系模型作为理论依据,并通过半结构式访谈,编制包含3个一级指标、9个二级指标和30个三级指标的专家函询问卷。通过2轮专家函询确定最终的肢体血循环监测护理敏感指标体系。结果共25名专家参与问卷调查。2轮专家函询的积极系数分别96%(24/25)、100%(24/24),2轮函询专家权威系数均为0.906。最终形成的护理敏感指标包括3个一级指标、6个二级指标和21个三级指标。所有指标均与肢体血循环监测密切相关,从结构指标、过程指标及结局指标3个维度综合提高肢体血循环监测专科护理工作质量。结论肢体血循环监测护理敏感指标体系专科特色强,不仅明确了肢体血循环监测护理工作的具体内容,还系统地构建了血循环监测质量管理层面的要求和标准,具有一定的科学性及实用性。Objective To construct a nursing sensitive index system for limb blood circulation monitoring,to guide clinical nursing practice,and provide a scientific basis for the evaluation and management of limb blood circulation monitoring nursing quality.Methods The Chinese and English databases such as China National Knowledge Infrastructure,Wanfang,VIP,PubMed,and Web of Science were searched from the establishment of the database to April 1st,2024.Using the structure-process-outcome three-dimensional quality system model as the theoretical basis,and through semi-structured interviews,an expert letter consultation questionnaire containing 3 first-level indicators,9 second-level indicators and 30 third-level indicators was developed.The final nursing sensitive index system of limb blood circulation monitoring were determined through two rounds of expert consultation.Results A total of 25 experts participated in the questionnaire survey.The positive coefficients of the two rounds of expert consultation were 96%(24/25)and 100%(24/24),respectively,the expert authority coefficient was 0.906.The final nursing sensitive index system included 3 first-level indicators,6 second-level indicators and 21 third-level indicators.All the indicators were closely related to limb blood circulation monitoring,and the quality of specialized nursing work of limb blood circulation monitoring was comprehensively improved from the three dimensions of structural indicators,process indicators,and outcome indicators.Conclusion The nursing sensitive index system of limb blood circulation monitoring has strong specialty,it not only clarifies the specific content of limb blood circulation monitoring and nursing work,but also systematically constructs the requirements and standards of the quality management level of blood circulation monitoring,which is scientific and practical.

关 键 词：肢体 血液循环 德尔菲技术 质量指标 

分 类 号：R473.6[医药卫生—护理学]