ICU患者谵妄预防护理质量评价指标体系的构建  

Construction of a nursing quality evaluation index system for delirium prevention in ICU patients

作　　者：武彩红 张颖惠 王彩玲 张丽玉 乔晓霞[1] 唐玉萍 许慧娟 宋丽芳[1] WU Caihong;ZHANG Yinghui;WANG Cailing;ZHANG Liyu;QIAO Xiaoxia;TANG Yuping;XU Huijuan;SONG Lifang(Shanxi Medical University,Shanxi 030001 China;Second Hospital of Shanxi Medical University)

机构地区：[1]山西医科大学,山西030001 [2]山西医科大学第二医院

出　　处：《护理研究》2025年第4期571-577,共7页Chinese Nursing Research

摘　　要：目的:构建ICU患者谵妄预防护理质量评价指标体系,为评价和改善ICU患者谵妄预防的护理质量提供依据。方法:在文献回顾基础上,以“结构-过程-结果”三维质量结构模式为理论框架形成ICU患者谵妄预防护理质量评价指标条目池。经专题小组讨论确定函询内容,采用德尔菲法和层次分析法确定指标内容及权重。结果:共进行了2轮专家函询,问卷有效回收率分别为88%和100%,专家权威系数分别为0.864,0.877,肯德尔和谐系数分别为0.205,0.292(均P<0.001)。最终确定ICU患者谵妄预防护理质量评价指标体系包括3个一级指标、9个二级指标和41个三级指标。结论:ICU患者谵妄预防护理质量评价指标体系形成过程科学、严谨,实用性较好,可为评价ICU患者谵妄预防护理质量提供参考。Objective:To establish the nursing quality evaluation index system for delirium prevention in ICU patients,and to provide the basis for evaluating and improving the nursing quality for the delirium prevention in ICU patients.Methods:After conducting the literature review,a pool of articles on nursing quality evaluation index for delirium prevention in ICU patients was formed based on"structure-process-outcome"three-dimensional quality structure model.The contents of the correspondence were determined through the discussion of the thematic group,and the contents and weights of the indicators were determined by Delphi method and analytic hierarchy process.Results:Two rounds of expert correspondence were conducted.The effective questionnaire recovery rates were 88%and 100%.The expert authority coefficients were 0.864 and 0.877,and the Kendall concordant coefficients were 0.205 and 0.292(both P<0.001).Finally,the nursing quality evaluation index system for delirium prevention in ICU patients was determined to include 3 first-level index,9 second-level index and 41 third-level index.Conclusions:The nursing quality evaluation index system for delirium prevention in ICU patients was scientific and rigorous,and had good practicability,which could provide reference for evaluating the quality of delirium prevention and nursing of ICU patients.

关 键 词：重症监护病房 谵妄 预防 护理质量 评价指标 

分 类 号：R473[医药卫生—护理学]