首页|COPD患者医院-家庭过渡期健康促进护理敏感指标体系的构建

COPD患者医院-家庭过渡期健康促进护理敏感指标体系的构建

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目的 基于德尔菲法构建慢性阻塞性肺疾病(COPD)患者医院-家庭过渡期健康促进护理敏感指标体系,旨在为促进COPD患者康复提供参考.方法 2021年1-5月,以三维质量结构模型"要素-环节-终末"为理论框架,基于文献检索形成函询问卷,采用德尔菲法开展2轮专家函询并构建指标体系,使用层次分析法确定指标权重.结果 选择30名专家进行2轮函询,问卷有效回收率分别为93.33%和96.00%,专家权威系数分别为0.846和0.859,专家意见的肯德尔和谐系数为0.209和0.291(P<0.001).最终构建了包括3个一级指标、11个二级指标及48个三级指标的COPD患者医院-家庭过渡期健康促进护理敏感指标体系.结论 该指标体系具有较好的科学性和系统性,可为临床COPD患者出院过渡期康复护理方案的制订提供参考.
Construction of a Sensitive Health Promotion Nursing Indicator System for COPD Patients During Hospital-to-Home Transition
Objective To construct a sensitive health promotion nursing indicator system for patients with chronic obstructive pulmonary disease(COPD)during the hospital-to-home transition by the Delphi method,aiming to provide a reference for accelerating their rehabilitation.Methods From January to May 2021,the three-dimensional quality(element quality-link quality-final quality)model was selected as the theoretical framework;an expert inquiry questionnaire was developed based on literature retrieval;two rounds of expert consultation were conducted by the Delphi method;an indicator system was finally constructed and the weight of each indicator was determined through analytic hierarchy process.Results For the 2 rounds of consultation involving 30 experts,the effective recovery rates of questionnaires were 93.33%and 96.00%,the authoritative coefficients were 0.846 and 0.859,and Kendall's coefficients of concordance for expert opinions were 0.209 and 0.291,respectively(P<0.001).Finally,a sensitive health promotion nursing indicator system was constructed for COPD patients during the hospital-to-home transition,including 3 first-level indicators,11 second-level indicators and 48 third-level indicators.Conclusion The indicator system is scientific and systematic,offering valuable insights for developing rehabilitation nursing plans for COPD patients during the hospital-to-home transition in clinical practice.

Pulmonary disease,chronic obstruc-tiveHospital-home transitional careSensitive nursing indicatorDelphi method

祝紫微、王楠、首婷婷

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鹰潭市人民医院,江西 鹰潭 335000

肺疾病,慢性阻塞性 医院-家庭过渡期护理 护理敏感指标 德尔菲技术

2024

上海护理
上海市护理学会

上海护理

影响因子:1.097
ISSN:1009-8399
年,卷(期):2024.24(10)