ICU患者护理质量评价指标体系的构建

Construction of nursing quality evaluation index system for ICU patients

目的构建ICU患者护理质量评价指标体系,为客观评价ICU患者护理质量提供参考依据。方法在循证护理实践方法的指导下,整合文献检索和半结构式访谈结果构建ICU患者护理质量评价指标池,专家会议确定指标条目池,经过2轮专家咨询确定指标内容。根据指标判定标准、专家意见可靠性程度和研究小组意见对指标进行评价。结果汇总专家修订意见,删除9项指标,修改6项指标,补充5项指标,本研究构建的ICU患者护理质量评价指标体系包括物理环境、躯体感知、情感支持、心理感受和护理实践5项一级指标,19项二级指标和60项三级指标,所有指标的重要性赋值均数均>4分,变异系数均<0.25,表明各项指标具有较高的可靠性。结论本研究构建的ICU患者护理质量评价指标体系具有较高的科学性和有效性,对ICU患者评价护理质量具有指导意义。

Objective To construct a nursing quality evaluation index system for ICU patient experience,and to provide references for objectively evaluating the quality of experience in ICU patients.Methods Under the guidance of evidence-based nursing practice methods,a pool of patient experience quality indicators was established by integrating results of literature inquiry and semi-structured interviews.The original questionnaire was determined by expert meeting,and the indicators were determined after 2 rounds of Delphi expert consultation.Experts’opinions were summarized;9 indicators were deleted;6 indicators were revised;5 indicators were added.The indicators were evaluated according to the criteria of the indicators,reliability of the experts and opinions of the research group.Results This study constructed 84 nursing quality indicators of ICU patient experience,including 5 first-level indicators,19 second-level indicators,and 60 third-level indicators;the average score of all indicators was>4 points,and the coefficient of variation was<0.25,indicating that the indicators had high reliability.Conclusion The nursing quality index system of ICU patient experience constructed in this study is highly scientific and effective,with guiding significance for evaluating the quality of experience in ICU patients.