口腔门诊患者护理安全质量评价指标的初步构建

Preliminary construction of nursing care safety quality index in dental clinic

目的:根据口腔科治疗过程构建患者护理安全质量评价指标。方法:通过文献检索法、专家小组讨论,拟定护理安全质量评价指标内容和定义,使用德尔菲(Delphi)专家函询法,筛选和修订指标,构建口腔门诊患者护理安全质量评价指标。结果:经过两轮函询,专家意见趋于一致。两轮问卷回收率均为100%,协调系数分别为0.237、0.258(P<0.01)。初步构建的口腔门诊患者护理安全质量评价指标包括5项一级指标,即围治疗期安全宣教执行率、防护措施执行情况、口腔软组织损伤发生率、误吞/误吸发生率、跌倒/坠椅发生率。结论:该评价指标具有较高的科学性、可靠性和可行性,为提高口腔门诊患者护理安全,改善护理行为提供客观、可量化的依据。

Objective： To explore the preliminary construction of nursing care safety index based on the process of dental treatment. Methods： Through literature review and experts＇ group discussion, the authors designed the preliminary construction of nursing care safety quality index. Then Delphi method was used to revise the indicators. Results： After two rounds of Delphi procedure, the opinion of the experts became consistent. Questionnaire collecting rates of the two rounds were both 100%, and cooperation index were 0.237 and 0.258 respectively （P〈0.01）. Five quality indicators were confirmed, including health education rate, implementation rate of protective measures, incidence of oral soft tissue injuries, incidence of ingestion/aspiration, and incidence of fall/dropping from chair. Conclusion： The nursing care safety quality index in dental clinic was scientific, reliable, and feasible, which could provide basis for improvement of nursing safety in dental clinic.