首页|心力衰竭患者容量管理护理质量评价指标体系的构建

心力衰竭患者容量管理护理质量评价指标体系的构建

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目的:构建慢性心力衰竭(CHF)患者容量管理护理质量评价指标体系,为客观评价CHF患者容量管理护理质量提供参考依据。方法:根据文献检索、半结构式访谈、小组讨论拟定CHF患者容量管理护理质量评价指标体系,经过两轮德尔菲专家咨询,对指标的重要性、权重进行评价。结果:根据指标筛选标准,结合小组讨论最终删除15项,修改17项,增加2项指标。两轮专家咨询问卷回收率分别为100%(25/25)及95.65%(24/25);2轮专家咨询的专家权威系数分别为0.822及0.834;两轮肯德尔和谐系数分别为0.234及0.166。最终构建的指标体系包含3个一级指标、9个二级指标、61个三级指标。结论:本研究构建的CHF患者容量管理护理质量评价指标体系具有较高的科学性和可靠性,可以为评价CHF患者容量管理护理质量提供依据。
Construction of nursing quality evaluation index system of volume management in patients with heart failure
Objective:To construct a nursing quality evaluation index system of volume management in patients with chronic heart failure (CHF), and to provide references for evaluating the quality of system volume management in patients with CHF objectively.Methods:A pool of nursing quality indicators was established by integrating results of literature inquiry, semi-structured interviews and group discussion. The importance and weight of the indicators were evaluated after 2 rounds of Delphi expert consultation.Results:According to the index screening criteria, 15 items were finally deleted, 17 items were modified, and 2 indicators were added. The recovery rate of 2 rounds of expert consultation questionnaire was 100% (25/25) and 95.65% (24/25)respectively. The expert authority coefficient of two rounds of expert consultation was 0.822 and 0.834 respectively, and the harmony coefficient of Kendall of two rounds was 0.234 and 0.166 respectively. The nursing quality evaluation index system of the volume management care of CHF patients constructed in this study includes 3 first-level indicators, 9 second-level indicators and 61 third-level indicators.Conclusion:The nursing quality index system of volume management in patients with CHF constructed in this study is highly scientific and effective, with guiding significance for evaluating the quality of volume management in patients with CHF.

张诚霖、李学美、巫惠心、李晓燕

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224001 盐城,盐城市第三人民医院心内科

224001 盐城,盐城市第三人民医院护理部

心力衰竭 容量管理 护理质量评价 护理

南通大学临床医学专项科研项目

2022HY006

2023

中华心脏与心律电子杂志

中华心脏与心律电子杂志

ISSN:
年,卷(期):2023.11(3)
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