经皮冠状动脉介入治疗患者延续护理质量评价指标体系的构建

doi:10.3761/j.issn.0254-1769.2021.01.012

摘要/Abstract

摘要：

目的构建一套科学、系统的经皮冠状动脉介入治疗患者延续护理质量的评价指标体系,为护理管理者及临床护理人员客观评价经皮冠状动脉介入治疗患者医院-社区联动延续护理质量提供参考。方法 2019年11月—2020年4月以“结构-过程-结果”三维质量模型为基础,采用文献回顾、半结构式访谈、专家咨询及层次分析法,确定经皮冠状动脉介入治疗患者延续护理质量评价指标体系的内容及各指标权重。结果 2轮专家咨询问卷有效回收率分别为95%、100%,专家权威系数分别为0.933、0.937,肯德尔和谐系数分别为0.201、0.226,差异有统计学意义（P<0.001）。最终形成的评价指标体系包括3个一级指标、14个二级指标、62个三级指标,其中结构质量包括4个二级指标及16个三级指标;过程质量包括3个二级指标及18个三级指标;结果质量包括7个二级指标及28个三级指标。结论构建的经皮冠状动脉介入治疗患者延续护理质量评价指标体系具有较高的科学性与可靠性,可为经皮冠状动脉介入治疗患者延续护理的评价与持续改进提供依据。

关键词: 质量指标, 经皮冠状动脉介入治疗, 德尔菲技术, 医院-社区联动, 延续护理, 质量指标, 德尔菲技术

Abstract:

Objective To build a scientific and systematic evaluation index system of hospital-community continuous nursing quality after percutaneous coronary intervention（PCI） to provide a reference for nursing managers and clinical nurses to objectively evaluate the quality of hospital-community continuous nursing after PCI. Methods This study was conducted from November 2019 to April 2020 based on the three-dimensional quality structure model of“structure-process-result”,using literature review,semi-structured interviews,expert consultations and analytic hierarchy process to determine the content of the hospital-community linkage continuous nursing quality after PCI evaluation index system and the weight of each index. Results The effective recovery rates of the 2 rounds of expert consultations were 95% and 100% respectively;the expert authority coefficients were 0.933 and 0.937 res-pectively;the Kendall harmony coefficients were 0.201 and 0.226 respectively（P<0.001）. The final evaluation index system includes 3 first-level indicators,14 second-level indicators and 62 third-level indicators,among which the structural quality includes 4 second-level indicators and 16 third-level indicators;the process quality includes 3 second-level indicators and 18 third-level indicators;the result quality includes 7 second-level indicators and 28 third-level indicators. Conclusion The hospital-community continuous nursing quality evaluation index system constructed after PCI is scientific and reliable,which can provide a basis for continuous nursing quality evaluation and continuous improvement.

Key words: Percutaneous Coronary Interventions, Hospital-Community Linkage, Continuity Care, Quality Indicators, Percutaneous Coronary Interventions, Delphi Technique, Hospital-Community Linkage, Continuity Care, Quality Indicators, Delphi Technique

卢学萍,黄霞,贾培培,王斌,吴莹玉,郎晗旭,高冬. 经皮冠状动脉介入治疗患者延续护理质量评价指标体系的构建[J]. 中华护理杂志, 2021, 56(1): 73-79.

LU Xueping,HUANG Xia,JIA Peipei,WANG Bin,WU Yingyu,LANG Hanxu,GAO Dong. Construction of an evaluation index system for hospital-community linkage continued nursing quality after percutaneous coronary intervention[J]. Chinese Journal of Nursing, 2021, 56(1): 73-79.

图/表 2

表1 经皮冠状动脉介入治疗患者延续护理质量评价指标体系一、二级指标咨询结果

Tab.1 Consultation results of the first and second level indicators of the evaluation index system of hospi-tal- community linkage continued nursing quality after coronary intervention

表2 经皮冠状动脉介入治疗患者延续护理质量评价指标体系三级指标咨询结果

Consultation results of the third level indicators of the evaluation index system of hospital-community linkage continued nursing quality after coronary intervention

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