痨病中医护理质量评价指标体系的构建

Construction of evaluation index system of traditional Chinese medicine nursing quality of tuberculosis

目的以"结构-过程-结果"三维质量结构模式为框架,构建痨病中医护理质量评价指标体系,为痨病中医护理质量管理提供评价标准和依据。方法采用便利抽样的方法,于2019年3—4月选取浙江省某2所三级甲等中医院/中西医结合医院的12名结核科医生、护士进行半结构访谈;选择26名护理专家进行专家函询。通过文献研究、半结构访谈、德尔菲法及优序图法构建痨病中医护理质量评价指标体系和各指标权重。结果函询问卷的有效回收率分别为84.62%(22/26)和77.27%(17/22),专家权威系数为0.831和0.843,肯德尔协调系数为0.236和0.335,最终确立的痨病中医护理质量评价指标体系包含3个一级指标、16个二级指标、56个三级指标。结论本研究通过多种方法构建的痨病中医护理质量评价指标体系较科学、完整、可靠,可为痨病中医护理质量的评价及标准的制订提供参考。

Objective To construct evaluation index system of traditional Chinese medicine(TCM)nursing quality of tuberculosis bases on"structure-process-result"three-dimensional quality structure model as a framework so as to provide evaluation standards and basis for tuberculosis TCM nursing quality management.Methods By the convenient sampling method,12 doctors and nurses in tuberculosis department from 2 third-class grade-A hospitals of Traditional Chinese medicine or integrated traditional Chinese and western medicine hospital in Zhejiang province were selected from March 2019 to April 2019 in order to conduct semi-structured interviews.26 nursing experts were selected for expert consultation.Through literature research,semi-structured interview,Delphi method and superiority chart,the evaluation index system of TCM nursing quality of tuberculosis and the weight of each index were established.Results The effective recovery rates of the letter questionnaires were 84.62%(22/26)and 77.27%(17/22),the expert authority coefficients were respectively 0.831 and 0.843 and the Kendall's W were respectively 0.236 and 0.335.The eventually established evaluation index system of TCM nursing quality of tuberculosis included 3 first-level indicators,16 second-level indicators and 56 third-level indicators.Conclusions In this study,the evaluation index system of TCM nursing quality of tuberculosis constructed by various methods is more scientific,complete and reliable,which can provide references for the evaluation of TCM nursing quality of tuberculosis and the formulation of standard.