中华护理杂志 ›› 2021, Vol. 56 ›› Issue (4): 611-617.DOI: 10.3761/j.issn.0254-1769.2021.04.023
乐霄(),汪晖,王颖(),王冰花,柯键,江雅倩,黄海珊,胡凯利
收稿日期:
2020-04-25
出版日期:
2021-04-15
发布日期:
2021-04-14
通讯作者:
王颖
作者简介:
乐霄:女,硕士,主管护师,E-mail: 基金资助:
YUE Xiao(),WANG Hui,WANG Ying(),WANG Binghua,KE Jian,JIANG Yaqian,HUANG Haishan,HU Kaili
Received:
2020-04-25
Online:
2021-04-15
Published:
2021-04-14
Contact:
Ying WANG
摘要:
目的 对出院计划相关文献进行范围审查,以明确国内外出院计划实施质量评价指标、评价时机,及指标对应的评价工具,探索国内外出院计划实施质量评价指标的差异性。方法 聚焦出院计划评价指标,系统检索中英文数据库和相关指南、政府网站,提取汇总内容包括:研究主题、研究类型、作者/机构、年份、国家、评价指标、适用对象、评价时机、指标收集方法和指标对应的评价工具。检索时间为2020年2月24日,检索近10年文献。 结果 以利益相关者为分类依据,将出院计划实施质量评价指标分为患者相关、医疗机构相关、照护者相关3大类,共纳入167篇文献,共计26项指标。其中患者相关评价指标12项,出现频率最高的前5项为再入院率、满意度、生活质量、自我照护能力、病死率;医疗机构相关评价指标9项,出现频率最高的前3项为住院时长、门/急诊就诊次数、医疗服务费用;照护者相关评价指标5项,最常见的指标为照护者满意度。国内外出院计划实施质量排名前10的指标中再入院率、生活质量、自我照护能力、门/急诊就诊次数、日常生活活动能力5项指标在国内外文献中出现的频次差异具有统计学意义(P<0.05)。 结论 建议医疗卫生机构在监测患者结局指标的基础上,兼顾医疗机构及照护者相关指标的监测,同时统一核心评价指标及对应测量工具,遴选敏感性评价指标,逐步开发可依靠信息系统自动提取的评价指标。
乐霄,汪晖,王颖,王冰花,柯键,江雅倩,黄海珊,胡凯利. 出院计划实施质量评价指标的范围综述[J]. 中华护理杂志, 2021, 56(4): 611-617.
YUE Xiao,WANG Hui,WANG Ying,WANG Binghua,KE Jian,JIANG Yaqian,HUANG Haishan,HU Kaili. The quality evaluation indicators for discharge planning:a scoping review[J]. Chinese Journal of Nursing, 2021, 56(4): 611-617.
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