基于Donabedian三维质量模型的炎症性肠病患者延续护理质量评价指标构建  

Construction of a Continuous Nursing Quality Evaluation Indicator System for Inflammatory Bowel Disease Patients Based on Donabedian’s Three-Dimensional Quality Structure

作　　者：马改荣 赵新鲜[1] 奚慧琴[1] 鞠莹[1] 阮春凤[1] 许美[1] 王晶晶 MA Gairong;ZHAO Xinxian;XI Huiqin;JU Ying;RUAN Chunfeng;XU Mei;WANG Jingjing(Department of Nursing,Ren Ji Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200127,China)

机构地区：[1]上海交通大学医学院附属仁济医院护理部,上海200127

出　　处：《中国医学科学院学报》2024年第5期692-699,共8页Acta Academiae Medicinae Sinicae

摘　　要：目的构建炎症性肠病患者延续护理质量评价指标体系,为临床炎症性肠病患者的护理质量评估提供参考依据。方法以Donabedian“结构-过程-结果”三维质量管理模型为理论基础,采用文献回顾、质性访谈、德尔菲专家咨询及层次分析法,构建炎症性肠病患者延续护理质量评价指标的内容,并计算指标权重。结果15名专家2轮函询的问卷回收率均为100%,专家权威系数分别为0.930、0.919,肯德尔和谐系数分别为0.149和0.177(P均<0.001)。最终构建质量评价指标包括3项一级指标、10项二级指标、39项三级指标。结论构建的炎症性肠病患者延续护理质量评价指标科学、可靠、实用,可为炎症性肠病患者延续护理质量评价提供参考依据。Objective To construct a continuous nursing quality evaluation indicator system for inflammatory bowel disease patients and provide a basis for the evaluation of continuous nursing quality.Methods On the basis of Donabedian’s three-dimensional(structure,process,and outcome)quality structure,we employed literature review,qualitative interview,Delphi method,and hierarchical analysis to determine the content and weights of indicators of continuous nursing quality for the patients with inflammatory bowel disease.Results A total of 15 experts completed 2 rounds of consultation,which had the questionnaire recovery rates of 100%,the expert authority coefficients of 0.930 and 0.919,and the Kendall harmony coefficients of 0.149 and 0.177(both P<0.001),respectively.The established nursing quality evaluation indicator system included 3 first-level indicators,10 second-level indicators,and 39 third-level indicators.Conclusion The continuous nursing quality evaluation indicator system for the patients with inflammatory bowel disease that was constructed in this study was reasonable,reliable,and practical,providing reference for evaluating the continuous nursing quality for the patients with inflammatory bowel disease.

关 键 词：炎症性肠病 延续护理 德尔菲法 护理质量 指标 层次分析 

分 类 号：R473.5[医药卫生—护理学]