ICU腹腔感染患者腹腔冲洗护理质量评价指标体系的构建
Establishment of quality evaluation index system for peritoneal irrigation nursing in patients with ICU abdominal infection
陆秀红 1覃双文 1李玲 1黄德斌1
作者信息
- 1. 广西医科大学第一附属医院重症医学科二病区,广西南宁市 530021
- 折叠
摘要
目的 构建ICU腹腔感染患者腹腔冲洗护理质量评价指标体系.方法 以Donabedian三维质量结构模型(结构-过程-结果)为基础理论框架,采用文献分析、小组讨论等方法制订ICU腹腔感染患者腹腔冲洗护理质量评价指标体系初稿.采用专家函询法确定ICU腹腔感染患者腹腔冲洗护理质量评价指标体系,最后使用层次分析法分别计算出各项指标的权重.结果 本研究共进行两轮专家函询,第一轮、第二轮函询专家的积极系数均为100%,权威系数分别为0.878和0.892;层次分析法的一致性检验结果显示各层级指标的一致性比率均<0.1.最终确定的体系包含3个一级指标、12个二级指标和41个三级指标.结论 构建的ICU腹腔感染患者腹腔冲洗护理质量评价指标体系全面、规范、科学、可靠,可为提升此类患者的腹腔冲洗护理质量提供参考.
Abstract
Objective To establish the quality evaluation index system for peritoneal irrigation nursing in patients with ICU abdominal infection.Methods Taking the Donabedian three-dimensional quality structure model(structure-process-result)as basic theoretical framework,the first draft of quality evaluation index system for peritoneal irrigation nursing in patients with ICU abdominal infection was formulated by employing the methods of literature analysis and group discussion,etc.The expert letter consultation method was used to determine quality evaluation index system for peritoneal irrigation nursing in patients with ICU abdominal infection;finally,the weight of various indices was calculated separately using the analytic hierarchy process.Results Two rounds of expert letter consultation were conducted in this study,and the positive coefficient of expert letter consultation on the first and second rounds was both 100%,whereas the authority coefficient was 0.878 and 0.892,respectively.The consistency test results of analytic hierarchy process revealed that the consistency ratio of all-level indices was less than 0.1.The final determined system included 3 first-level indices,12 second-level indices,and 41 third-level indices.Conclusion Establishing quality evaluation index system for peritoneal irrigation nursing in patients with ICU abdominal infection is comprehensive,standardized,scientific,and reliable,which can provide references for improving the quality of peritoneal irrigation nursing of these patients.
关键词
腹腔感染/腹腔冲洗/护理质量/评价体系/Donabedian三维质量结构模型/德尔菲法Key words
Abdominal infection/Peritoneal irrigation/Nursing quality/Evaluation system/The Donabedian three-dimensional quality structure model/The Delphi method引用本文复制引用
基金项目
广西高校中青年教师科研基础能力提升项目(2023KY0131)
出版年
2024
国家科技期刊平台
NSTL
万方数据