关键词: 急性呼吸窘迫综合征, 俯卧位, 机械通气, 质量指标, 卫生保健, 德尔菲法, 护理管理研究

Abstract:

Objective The establishment of an evaluation index for the quality of prone ventilation care for patients with acute respiratory distress syndrome （ARDS） is to provide a basis for evaluating the quality of prone ventilation care for patients with ARDS. Methods Based on the three-dimensional quality structure model,through literature analysis and semi-structured interviews,a preliminary drafting of an ARDS patient prone position ventilation nursing quality evaluation index was established. From September to November 2020,the Delphi method was used to conduct 2 rounds of consultation inquiries to 35 experts to establish the evaluation index of the ARDS patient’s prone position ventilation nursing quality. Results The recovery rates of the 2 rounds of questionnaires were 100%;the expert authority coefficients were 0.85 and 0.89;the Kendall harmony coefficients were 0.155 and 0.122,respectively. The final evaluation index of prone ventilation nursing quality for ARDS patients includes 3 first-level indicators,8 second-level indicators,and 41 third-level indicators. Conclusion The constructed evaluation index of prone ventilation nursing quality for ARDS patients is highly reliable and practical,and can be used as a basis for evaluating the prone ventilation nursing quality of ARDS patients.

Key words: Acute Respiratory Distress Syndrome, Prone Position, Mechanical Ventilation, Quality Indicators, Health Care, Delphi Method, Nursing Administration Research