未破裂颅内动脉瘤介入术围术期护理质量评价指标的构建

Construction of evaluation indicators for perioperative nursing quality in unruptured intracranial aneurysm intervention

目的构建未破裂颅内动脉瘤介入术围术期护理质量评价指标，促进护理质量提升。方法2017年9月—2018年1月以Donabedian的＂结构-过程-结果＂质量理论为依据，采用文献法、访谈法、文本分析法和Delphi专家咨询法构建指标。结果构建了包含2个一级指标，即过程指标和结果指标、7个二级指标和21个三级指标的未破裂颅内动脉瘤介入术围术期护理质量评价指标。2轮专家咨询专家积极系数均为100%，专家权威系数为0.90，〉4分的指标占比100%，指标变异系数均小于0.2，全部指标满分率均超过20%。结论本研究构建的指标体系对未破裂颅内动脉瘤介入术围术期护理质量评价具有一定参考意义，但仍需进一步进行信效度检验，并结合指标体系研究相应检查标准。

Objective To construct evaluation indicators for perioperative nursing quality in unruptured intracranial aneurysm intervention, and to promote the quality of nursing. Methods The indicators were constructed by literature research, interview, text analysis and Delphi expert consultation based on Donabedian＇s ＂structure-process-result＂ quality theory from September 2017 to January 2018. Results A total of 2 primary indicators, namely process indicator and result indicator, 7 secondary indicators and 21 tertiary indicators were developed for evaluation of perioperative nursing quality in unruptured intracranial aneurysm intervention. The expert positive coefficient in two expert consultations was 100%, with an expert authority score of 0.90. The number of 〉 4 indicators accounted for 100%, with a variance coefficient less than 0.2. The full mark rate of all indicators exceeded 20%. Conclusions The indicator system developed in this study is of referential significance to the evaluation of perioperative nursing quality in unruptured intracranial aneurysm intervention, but further testing of validity and reliability is required. And testing standards need to be defined based on the indicator system.