基于“三维质量模型”构建床旁血液净化护理质量评价指标体系  

Constructing a quality evaluation index system for bedside blood purification nursingquality based on the “three-dimensional quality model”

作　　者：杨仁梅 赵艳 谈帮元 白莎莎 费利燕 YANG Renmei;ZHAO Yan;TAN Bangyuan;BAI Shasha;FEI Liyan(Department of Nephrology,PLA Navy Characteristic Medical Center,Shanghai 200052,China)

机构地区：[1]中国人民解放军海军特色医学中心肾脏科,上海200052

出　　处：《现代医药卫生》2024年第21期3685-3690,共6页Journal of Modern Medicine & Health

基　　金：海军特色医学中心首届护理科研专项基金项目(22M3201);海军特色医学中心卓越人才项目(21TPQN3203)。

摘　　要：目的以三维质量结构模型为框架,应用Delphi法构建床旁血液净化(BBP)护理质量评价指标体系。方法检索2011年1月1日至2021年12月31在中国知网、万方、维普、PubMed等数据库发表的7篇文献,以三维质量结构模型为框架,初步形成指标条目池。选取来自北京、上海、江苏、安徽、湖北、山东6个省市18名相关领域专家完成2轮Delphi专家函询,形成指标体系。结果2轮专家函询问卷有效回应率均为100.0%,专家权威程度系数分别为0.909和0.940,肯德尔和谐系数分别为0.274和0.298。最终确立的评价指标体系包括3个一级指标、15个二级指标、53个三级指标。一、二、三级指标的肯德尔和谐系数比较,差异有统计学意义(P<0.01)。结论基于“三维质量模型”构建的BBP护理质量评价指标体系具有科学性和严谨性,可为BBP护理质量持续改进提供依据。Objective To construct a bedside blood purification(BBP)nursing quality evaluation indicator system using a three-dimensional quality structure model and the Delphi method.Methods A total of Seven articles published from January 1,2011,to December 31,2021,in databases such as CNKI,Wanfang,VIP,and PubMed were reviewed.A preliminary indicator pool was formed based on the three-dimensional quality structure model.A total of 18 experts from Beijing,Shanghai,Jiangsu,Anhui,Hubei,and Shandong participated in two rounds of Delphi consultations to establish the indicator system.Results The effective response rate of the expert consultation questionnaires in both rounds was 100.0%,with the expert authority coefficients being 0.909 and 0.940,respectively.The Kendall′s coefficient of concordance were 0.274 and 0.298,respectively.The final evaluation indicator system included three primary indicators,15 secondary indicators,and 53 tertiary indicators.There were statistically significant differences in the Kendall′s coefficients of concordance among the primary,secondary,and tertiary indicators(P<0.01).Conclusion The BBP nursing quality evaluation indicator system,constructed based on the“three-dimensional quality model,”is scientific and rigorous,and it can provide a basis for continuous improvement in BBP nursing quality.

关 键 词：床旁血液净化 评价指标 护理质量 

分 类 号：R457[医药卫生—治疗学]