中华现代护理杂志2024,Vol.30Issue(4) :433-439.DOI:10.3760/cma.j.cn115682-20230404-01319

择期PCI术后患者Ⅰ期心脏康复护理质量评价指标体系的构建

Construction of a nursing quality evaluation index system for phase Ⅰ cardiac rehabilitation of patients undergoing selective PCI

徐廷廷 赵春艳
中华现代护理杂志2024,Vol.30Issue(4) :433-439.DOI:10.3760/cma.j.cn115682-20230404-01319

择期PCI术后患者Ⅰ期心脏康复护理质量评价指标体系的构建

Construction of a nursing quality evaluation index system for phase Ⅰ cardiac rehabilitation of patients undergoing selective PCI

徐廷廷 1赵春艳2
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作者信息

  • 1. 同济大学医学院,上海 200092;同济大学附属东方医院心血管内科,上海 200120
  • 2. 同济大学附属东方医院护理部,上海 200120
  • 折叠

摘要

目的 构建择期PCI术后患者Ⅰ期心脏康复护理质量评价指标体系,为评价心脏康复护理质量提供依据.方法 以"要素-环节-终末"三维质量结构模式为理论框架,通过文献分析拟订择期PCI术后患者Ⅰ期心脏康复护理质量评价指标体系初稿,于2022年6-8月选取16名专家进行2轮专家函询,确定指标内容.结果 2轮专家函询问卷有效回收率均为100.00%;专家权威系数分别为0.87、0.88;肯德尔和谐系数分别为0.162、0.211(P<0.01).最终构建的择期PCI术后Ⅰ期心脏康复护理质量评价指标包括一级指标3项、二级指标7项和三级指标41项.结论 本研究构建的择期PCI术后患者Ⅰ期心脏康复护理质量评价指标体系具有科学性和可靠性,为评价心脏康复护理质量提供依据.

Abstract

Objective To construct a nursing quality evaluation index system for phase Ⅰ cardiac rehabilitation of patients undergoing selective percutaneous coronary intervention(PCI),providing a basis for evaluating the nursing quality of cardiac rehabilitation.Methods Based on the theoretical framework of the three-dimensional quality structure model of"structure,process and outcome",a preliminary draft of the nursing quality evaluation index system for phase Ⅰ cardiac rehabilitation of patients undergoing selective PCI was developed through literature review.From June to August 2022,16 experts were selected for two rounds of expert consultations to determine the content of the indicators.Results In two rounds of expert consultations,the effective response rate of the questionnaire was 100.00%.The expert authority coefficients were 0.87 and 0.88,respectively.The Kendall harmony coefficients were 0.162 and 0.211(P<0.01),respectively.The final nursing quality evaluation index system for phase Ⅰ cardiac rehabilitation of patients undergoing selective PCI included three first-level indicators,seven second-level indicators,and 41 third-level indicators.Conclusions The nursing quality evaluation index system for phase Ⅰ cardiac rehabilitation of patients undergoing selective PCI constructed is scientific and reliable,which can provide a basis for evaluating the nursing quality of cardiac rehabilitation.

关键词

血管成形术,经腔,经皮冠状动脉/Ⅰ期心脏康复/护理质量/指标体系/德尔菲法

Key words

Angioplasty,balloon,coronary/Phase Ⅰ cardiac rehabilitation/Nursing quality/Index system/Delphi technique

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基金项目

上海市东方医院(同济大学附属东方医院)领航人才培养计划(2019hllhrcjh)

上海市东方医院天使计划暨青年护士成长计划(DFTS-2231)

出版年

2024
中华现代护理杂志
中华医学会

中华现代护理杂志

CSTPCD
影响因子:1.14
ISSN:1674-2907
参考文献量26
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