首页|基于Donabedian理论的儿童肝移植全周期护理质量指标体系构建

基于Donabedian理论的儿童肝移植全周期护理质量指标体系构建

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

liver transplantation in childrenwhole coursequality of nursingindexDelphi methodhierarchical analysis

唐诗、黄明珠、陆晔峰、刘文卓、王贝贝、王艳

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上海交通大学医学院附属仁济医院护理部, 上海 200127

儿童肝移植 全周期 护理质量 指标 德尔菲法 层次分析

上海市科技创新行动计划软科学研究项目上海交通大学医学院护理科研面上项目

23692108400Jyh2217

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

CSTPCD北大核心
影响因子:1.496
ISSN:1000-503X
年,卷(期):2024.46(1)
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