髋、膝关节置换术患者医联体向下转诊护理交接指标的设置
Development of the nursing handover index for patients undergoing hip/knee arthroplasty with downward referral
程悦 1杨旭 2吴欣娟 3徐园 4李芳芳 5黄莉 6孙湘雨 3曹晶4
作者信息
- 1. 中国医学科学院北京协和医院神经科,100730 北京市
- 2. 中国医学科学院北京协和医院骨科,100730 北京市
- 3. 中国医学科学院北京协和医院护理部,100730 北京市
- 4. 中国医学科学院北京协和医院保健医疗部,100730 北京市
- 5. 中国医学科学院北京协和医院内分泌科,100730 北京市
- 6. 北京协和医学院护理学院
- 折叠
摘要
目的:设置髋、膝关节置换术患者医联体向下转诊护理交接指标,确保医联体转诊护理交接内容的全面性和科学性,优化护理转诊交接流程.方法:以身份、背景、现状、评估和建议沟通模式为指导,通过文献研究法、德尔菲法及层次分析法,确定髋、膝关节置换术患者医联体向下转诊护理交接指标体系及各指标权重.结果:2 轮专家函询的有效问卷回收率分别为 96.7%、92.3%,专家判断系数为 0.98,专家熟悉程度为 0.86,专家权威程度为 0.92,构建的髋、膝关节置换术患者医联体向下转诊护理交接指标体系包括 5 个一级指标、17个二级指标和 59 个三级指标.结论:本研究构建的髋、膝关节置换术患者医联体向下转诊护理交接指标体系可为临床护理人员提供科学、全面的向下转诊护理交接指标,为构建医联体护理转诊平台提供理论依据.
Abstract
Objective:To develop the nursing handover index for patients undergoing hip/knee arthroplasty with downward referral in order to ensure the comprehensive and scientific contents of the handover,and to optimize the referral process.Methods:Guided by the ISBAR communication model,the index system and the weight of each index were determined by literature review,Delphi method and analytic hierarchy process.Results:The recovery rates for the first and second rounds of the study were 96.7%and 92.3%,respectively.The expert judgment coefficient was 0.98,the expert familiarity was 0.86,and the expert authority was 0.92,respectively.Finally,the index system for downward referral of hip/knee replacement patients included 5 first-level indicators,17 second-level indicators and 59 third-level indicators.Conclusion:The nursing handover index of downward referral for hip/knee arthroplasty patients established in this study can provide scientific and comprehensive downward referral reference for clinical nurses,and provide theoretical basis for the construction of a referral platform for outpatients.
关键词
髋关节置换术/膝关节置换术/医联体/向下转诊/护理交接/指标Key words
hip replacement/knee replacement/medical union/downward referral/nursing handover/index引用本文复制引用
基金项目
中国医学科学院临床与转化医学研究基金(2020-I2M-C&T-B-024)
出版年
2024
NETL
NSTL
万方数据