成人肝移植术后护理质量评价指标体系的构建  

Construction of a Nursing Quality Evaluation Indicator System for Adults after Liver Transplantation

作　　者：张丙良 李春艳[2] 孙文娟[3] 王静远[4] 魏丽丽[5] 

机构地区：[1]青岛大学附属医院肝脏移植科,山东 青岛 [2]青岛大学附属医院急诊门诊,山东 青岛 [3]青岛大学附属医院肝脏外科,山东 青岛 [4]青岛大学附属医院呼吸内科,山东 青岛 [5]青岛大学附属医院护理部,山东 青岛

出　　处：《临床医学进展》2022年第3期1916-1924,共9页Advances in Clinical Medicine

摘　　要：目的:构建成人肝移植术后护理质量评价指标体系,为评价成人肝移植术后护理质量提供科学依据。方法:基于“结构–过程–结果”理论模型,通过文献分析、半结构式访谈、Delphi法及层次分析法确定成人肝移植术后护理质量指标体系及指标权重。结果:两轮问卷回收率分别为95.24%、100%,权威系数分别为0.853,0.879,协调系数分别为0.108、0.184,差异具有统计学意义(P 【0.01)。最终形成的指标体系包含3个一级指标、9个二级指标、46个三级指标。结论:本研究构建的成人肝移植术后护理质量评价指标体系的具有较好的科学性和可靠性,可作为评价成人肝移植术后护理质量的工具。Objective: To construct a nursing quality evaluation indicator system for adults after liver transplantation, in order to provide a basis for quality evaluation of adults after liver transplantation. Methods: Based on the theory of Donabedian’s structure-process-outcome quality model, literature analysis, semi-structured interview, Delphi method and AHP method were adopted to determine the nursing quality evaluation indicator system and indicators’ weight in adults after liver transplantation. Results: After two rounds expert advisory, the effective response rates were 95.24%, 100%;Cr coefficients were 0.853, 0.879;W coefficients were 0.108, 0.184, and the difference was statistically significant (P <0.01). The finally constructed nursing quality evaluation indicator system for adults after liver transplantation included 3 first-level indicators, 9 second-level indicators, and 46 third-level indicators. Conclusion: The constructed quality evaluation index system is scientific and reliable, and it can be used for adults after liver transplantation quality management.

关 键 词：肝移植 护理质量 评价指标 德尔菲法 

分 类 号：R657.3[医药卫生—外科学]