脉搏指示连续心排血量监测护理质量评价指标体系的构建  

Establishment of a nursing quality evaluation indicator system for pulse indicator continuous cardiac output monitoring

作　　者：朱祎容[1] 王丽竹[1] 李茜[1] 何俊峰 路晓丹 向艳 兰美娟[1] Zhu Yirong;Wang Lizhu;Li Qian;He Junfeng;Lu Xiaodan;Xiang Yan;Lan Meijuan(Department of Nursing,The Second Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou 310009,China)

机构地区：[1]浙江大学医学院附属第二医院护理部,杭州310009

出　　处：《中国实用护理杂志》2025年第4期267-274,共8页Chinese Journal of Practical Nursing

摘　　要：目的构建脉搏指示连续心排血量(PiCCO)监测护理质量评价指标体系,为评价PiCCO监测护理质量提供依据。方法2023年5—8月以"结构-过程-结果"三维质量评价模型为理论框架,通过文献检索、德尔菲专家函询、层次分析法确立PiCCO监测护理质量评价指标体系。结果22名专家中男6名,女16名;年龄为(46.59±4.34)岁。2轮专家函询的问卷回收率均为100%,专家权威系数均为0.945,Kendall协调系数分别为0.045~0.186(χ^(2)值为2.00~221.46,均P<0.05)、0.045~0.132(χ^(2)值为2.00~82.16,均P<0.05)。最终形成的PiCCO监测护理质量评价指标体系包括一级指标3项、二级指标7项、三级指标36项。结论PiCCO监测护理质量评价指标体系具有较高的实用性和科学性,可为PiCCO监测护理质量评价提供参考。ObjectiveTo construct a nursing quality evaluation indicator system for pulse indicator continuous cardiac output(PiCCO)monitoring and provide a basis for evaluating the nursing quality of PiCCO monitoring.MethodsUsing Donabedian′s"structure-process-result"three-dimensional quality evaluation model as the theoretical framework,the nursing quality evaluation indicator system for PiCCO was established through literature search,Delphi expert correspondence,and hierarchical analysis during the period May to August 2023.ResultsOf the 22 experts,6 were male and 16 were female,aged(46.59±4.34)years.The return rates of the questionnaires of the 2 rounds of expert correspondence were both 100%,the coefficients of expert authority were both 0.945,and the Kendall coordination coefficients were 0.045-0.186(χ^(2) values were 2.00-221.46,all P<0.05)and 0.045-0.132(χ^(2) values were 2.00-82.16,all P<0.05),respectively.The finalized nursing quality evaluation indicator system for PiCCO included 3 primary indicators,7 secondary indicators,and 36 tertiary indicators.ConclusionsThe nursing quality evaluation indicator system for PiCCO is practical and scientific,which can provide reference for PiCCO monitoring nursing quality evaluation.

关 键 词：护理 德尔菲技术 脉搏指示连续心排血量 质量评价 结构-过程-结果 

分 类 号：R47[医药卫生—护理学]