项痹病中医单病种护理质量要素的研究

Analysis of TCM single disease nursing quality indicators of cervical spondylosis

目的 建立适合中医脊柱专科优势病种项痹病疗效需求的中医医院专科专病护理质量管理规范.方法 采用＂结构—过程—结果＂理论框架,借鉴现代护理程序,在文献研究法、临床调研法、半结构访谈法的基础上,拟定项痹病中医护理质量要素基本框架,采用德尔菲专家咨询法、专家论证法,最后形成项痹病（颈椎病）中医护理质量要素体系.结果 通过2轮专家函询,确立项痹病中医护理质量要素体系,包括一级指标3项、二级指标21项,三级指标111项.结论 项痹病中医护理质量要素的构建对规范单病种中医护理流程、客观评价单病种中医护理质量提供了标准,具有非常重要的临床意义.

Objective To establish traditional Chinese medicine （TCM） dominant disease nursing quality management specification to be suitable for the demand of curative effects of spinal disease cervical spondylosis.Methods The basic frame of cervical spondylosis TCM nursing quality indicators was established using the theory structure of ＂framework-process-result＂,learning from modern nursing program and based on the literature research method,clinical research and the semi-structured interview method. The Delphi expert consultation and expert argumentation method were used to formulate the final system of cervical spondylosis TCM nursing quality indicators.Results After two rounds of Delphi procedure, cervical spondylosis of TCM nursing quality indicator system was established including the first grade indexes （3 items）,the second grade indexes （21 items） and the third grade indexes （111 items）.Conclusions Establishment of TCM nursing quality indicators of cervical spondylosis provides a standard to specify TCM nursing process and objectively evaluate TCM nursing quality of single disease,and has an important clinical significance.