Chinese Journal of Nursing ›› 2021, Vol. 56 ›› Issue (7): 977-982.DOI: 10.3761/j.issn.0254-1769.2021.07.003

• Special Planning--Respiratory Disease Nursing • Previous Articles     Next Articles

Construction of the evaluation index of prone position ventilation nursing quality for patients with acute respiratory distress syndrome

YU Yi(),LI Yang,LI Shanshan,ZHANG Feng,HAN Wenlan,LIU Huihui,SHAN Xinzhi()   

  • Received:2021-02-02 Online:2021-07-15 Published:2021-06-29
  • Contact: Xinzhi SHAN

急性呼吸窘迫综合征患者俯卧位通气护理质量评价指标的构建

于奕(),李暘,李姗姗,张凤,韩文兰,刘会会,单信芝()   

  1. 266000 青岛市 青岛大学附属医院神经外科监护室(于奕,李暘,李姗姗,张凤,韩文兰,刘会会),护理部(单信芝)
  • 通讯作者: 单信芝
  • 作者简介:于奕:女,本科(硕士在读),主管护师,E-mail: 644467916@qq.com
  • 基金资助:
    2018年度首届“青岛市护理学会自主创新科研项目”

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

摘要:

目的 构建急性呼吸窘迫综合征(acute respiratory distress syndrome,ARDS)患者俯卧位通气护理质量评价指标,为评价ARDS患者俯卧位通气护理质量提供依据。 方法 基于三维质量结构模型,通过文献分析、半结构式访谈初步拟订ARDS患者俯卧位通气护理质量评价指标,于2020年9月—11月采用德尔菲法对35名专家进行2轮咨询确立ARDS患者俯卧位通气护理质量评价指标。 结果 2轮咨询问卷回收率均为100%,专家权威系数为0.85、0.89,肯德尔和谐系数为0.155、0.122。最终形成的ARDS患者俯卧位通气护理质量评价指标包含3项一级指标、8项二级指标、41项三级指标。 结论 构建的ARDS患者俯卧位通气护理质量评价指标具有较高可靠性和科学性,可作为评价ARDS患者俯卧位通气护理质量的依据。

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