中国医学科学院学报2024,Vol.46Issue(1) :55-61.DOI:10.3881/j.issn.1000-503X.15888

基于Donabedian理论的儿童肝移植全周期护理质量指标体系构建

A Whole-Course Nursing Quality Evaluation System for Liver Transplantation in Children Based on Donabedian Theory

唐诗 黄明珠 陆晔峰 刘文卓 王贝贝 王艳
中国医学科学院学报2024,Vol.46Issue(1) :55-61.DOI:10.3881/j.issn.1000-503X.15888

基于Donabedian理论的儿童肝移植全周期护理质量指标体系构建

A Whole-Course Nursing Quality Evaluation System for Liver Transplantation in Children Based on Donabedian Theory

唐诗 1黄明珠 1陆晔峰 1刘文卓 1王贝贝 1王艳1
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作者信息

  • 1. 上海交通大学医学院附属仁济医院护理部, 上海 200127
  • 折叠

摘要

目的 初步构建儿童肝移植全周期护理质量指标体系,以期为护理质量监测及管理提供依据.方法 以Donabedian"结构-过程-结果"三维质量评价模型为理论框架,采用文献分析、德尔菲法及层次分析法,构建儿童肝移植全周期护理质量指标体系的内容及指标权重.结果 3 轮函询问卷的有效回收率均为100%,专家权威系数分别为0.95、0.96、0.98,肯德尔和谐系数分别为0.165、0.209、0.220(P均<0.001).最终构建的质量指标体系包括一级指标3 项、二级指标15 项、三级指标67 项.结论 初步构建儿童肝移植全周期护理质量指标体系,可为儿童肝移植护理质量评价提供参考依据.

Abstract

Objective To build a whole-course nursing quality evaluation system for liver transplanta-tion in children,so as to provide a basis for nursing quality evaluation and management.Methods With Donabedian's"structure-process-outcome"model as the theoretical framework,we employed literature analysis,Delphi method,and hierarchical analysis to determine the contents and weights of indexes in the whole-course nursing quality evaluation system for liver transplantation in children.Results The three rounds of survey based on questionnaires showed the questionnaire recovery rate of 100% ,the expert authority coefficients of 0.95,0.96,and 0.98,and the Kendall's coefficients of concordance of 0.165,0.209,and 0.220,respectively(all P<0.001).The established nursing quality evaluation system included 3 first-level indexes,15 second-level inde-xes,and 67 third-level indexes.Conclusion The whole-course nursing quality evaluation system for liver trans-plantation in children that was built in this study can provide a basis for the evaluation of the nursing quality.

关键词

儿童肝移植/全周期/护理质量/指标/德尔菲法/层次分析

Key words

liver transplantation in children/whole course/quality of nursing/index/Delphi method/hierarchical analysis

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基金项目

上海市科技创新行动计划软科学研究项目(23692108400)

上海交通大学医学院护理科研面上项目(Jyh2217)

出版年

2024
中国医学科学院学报
中国医学科学院,北京协和医学院

中国医学科学院学报

CSTPCDCSCD北大核心
影响因子:1.496
ISSN:1000-503X
参考文献量18
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