重庆医学2024,Vol.53Issue(6) :888-895.DOI:10.3969/j.issn.1671-8348.2024.06.016

慢性肾脏病管理质量评价指标体系的构建

Construction of a quality evaluation index system of chronic kidney disease management

王玉婷 杨琴 鄢春艳 徐小松 谌清玲 王牡丹 夏菁 陈海燕
重庆医学2024,Vol.53Issue(6) :888-895.DOI:10.3969/j.issn.1671-8348.2024.06.016

慢性肾脏病管理质量评价指标体系的构建

Construction of a quality evaluation index system of chronic kidney disease management

王玉婷 1杨琴 1鄢春艳 1徐小松 1谌清玲 1王牡丹 1夏菁 1陈海燕1
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作者信息

  • 1. 陆军军医大学第一附属医院肾脏内科,重庆 400038
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摘要

目的 构建慢性肾脏病(CKD)管理质量评价指标体系,用于指导临床实践以提升CKD管理水平.方法 采用"结构-过程-结果"三维质量结构模型为理论参考,通过文献回顾、半结构式访谈的方法初步拟定指标体系并编制专家函询问卷,以德尔菲专家函询法对18名专家进行两轮函询,运用层次分析法确定各指标权重.结果 两轮专家函询问卷有效回收率均为100%;专家权威系数分别为0.926、0.961;第2轮函询二、三级指标的肯德尔和谐系数分别为0.220、0.214(P<0.001);各指标权重的一致性测试结果表明,一致性比率<0.1.最终构建的CKD管理质量评价指标体系包含3项一级指标、22项二级指标、81项三级指标.结论 构建的CKD管理质量评价指标体系内容全面、结构完整、科学可靠,对评价CKD管理质量具有指导意义.

Abstract

Objective To construct a chronic kidney disease (CKD) management quality evaluation in-dex system to guide clinical practice and improve the management quality of chronic kidney disease.Methods The 'structure-process-result ' three-dimensional quality structure model was used as the theoretical refer-ence.Through literature review and semi-structured interview,the index system was preliminarily formulated, and the expert consultation questionnaire was compiled.The Delphi method was used to conduct two rounds of consultation with 18 experts,and the weight of each index was determined by analytic hierarchy process.Re-sults The effective recovery rate of the two rounds of expert consultation questionnaires was 100%.The ex-pert authority coefficients were 0.926 and 0.961,respectively.In the second round of consultation,Kendall's coefficient of concordance W of the second-level and third-level indicators were 0.220 and 0.214,respectively (P<0.001).The consistency test results of each index weight indicated that the consistency ratio was <0.1. The final CKD management quality evaluation index system included 3 first-level indicators,22 second-level indicators,and 81 third-level indicators.Conclusion The constructed CKD management quality evaluation in-dex system is comprehensive,structurally complete,scientific and reliable,and has guiding significance for e-valuating the quality of CKD management.

关键词

慢性肾脏病/评价指标/慢病管理/德尔菲法

Key words

chronic kidney disease/evaluation index/chronic disease management/Delphi method

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基金项目

重庆市科卫联合医学科研项目(2021MSXM201)

重庆市科卫联合医学科研项目(2021MSXM082)

西南医院护理人员创新能力提升培养项目(SWH2019HLQN-05)

出版年

2024
重庆医学
重庆市卫生信息中心,重庆市医学会

重庆医学

CSTPCD
影响因子:1.797
ISSN:1671-8348
参考文献量24
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