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