住院患者肠造口护理质量敏感性指标体系的构建
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女,本科,主任护师,护理部副主任

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湖北省卫生健康委2021~2022年度科研项目(WJ2021M242);华中科技大学同济医学院护理学院2021年度自主创新基金项目(20210308)


Establishing nursing-sensitive quality indicators for enterostomy care
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    目的 构建住院患者肠造口护理质量敏感性指标体系,为住院患者肠造口护理管理提供监测依据。方法 基于循证和小组讨论法,拟订肠造口护理质量敏感性指标初级条目池;通过2轮专家函询,修订并确立住院患者肠造口护理质量敏感性指标体系。结果 2轮函询专家积极系数均为100%,权威系数为0.898与0.908,协调系数为0.189~0.239与0.215~0.258(均P<0.05)。构建的住院患者肠造口护理质量敏感性指标体系包含3项一级指标、6项二级指标、22项三级指标。结论 构建的住院患者肠造口护理质量敏感性指标体系严谨、全面,可用于住院患者肠造口护理质量管理。

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    Objective To develop nursing-sensitive quality indicators for enterostomy care and to provide reference for evaluating and monitoring enterostomy care quality. Methods Literature search for relevant evidence-based studies was performed, followed by literature review and group discussion by the research team. Two successive rounds of Delphi surveys were conducted to reach consensus and define nursing-sensitive quality indicators for enterostomy care. Results Two rounds of Delphi surveys each had 100% questionnaire response rate. The expert′s authority coefficient values were 0.898 and 0.908, respectively, and the Kendall W coordination coefficients ranged from 0.189 to 0.239 in round 1 of expert evaluation and were between 0.215-0.258 in round 2 (all P<0.05). After round 2, an indicator set was established, including 3 primary indicators, 6 secondary indicators and 22 tertiary indicators. Conclusion The quality indicators developed in this study were scientific and comprehensive, which could be used in quality control of enterostomy care.

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喻姣花,赵诗雨,刘云访,汪颖越,马玉,王崴崴.住院患者肠造口护理质量敏感性指标体系的构建[J].护理学杂志,2023,28(4):57-61

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  • 收稿日期:2022-09-12
  • 最后修改日期:2022-11-05
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  • 在线发布日期: 2023-12-29