卵巢肿瘤患者护理质量敏感指标体系的构建

Construction of nursing quality sensitive indicator system for ovarian neoplasms patients

目的构建科学、实用的卵巢肿瘤护理质量敏感指标体系,旨在为评价卵巢肿瘤患者的护理质量提供参考。方法基于Donabedian的结构-过程-结果质量管理的三维理论模式,采用文献回顾和德尔菲专家函询法,构建卵巢肿瘤患者护理质量敏感指标体系。于2019年2-4月选取山东省、江苏省、北京市、吉林省、上海市、广东省、四川省7个省/直辖市16所三级甲等综合性医院及2所高等护理院校的20名专家进行函询。结果2轮函询问卷的有效回收率分别为90.00%和94.44%;权威系数均为0.92,熟悉程度系数分别为0.89、0.91,判断系数分别为0.94、0.92,肯德尔和谐系数分别为0.204、0.426(P均<0.05)。最终构建的卵巢肿瘤患者护理质量敏感指标体系共包括3项一级指标,12项二级指标,23项三级指标。结论构建的卵巢肿瘤患者护理质量敏感指标体系具有较高的科学性和实用性,该指标体系可用于规范妇科护理人员对于卵巢肿瘤患者的临床护理,提高护理质量。

Objective To construct a scientific and practical ovarian tumor nursing quality sensitive indicator system so as to provide a reference for evaluating the quality of nursing care for patients with ovarian tumors.Methods Based on Donabedian's three-dimensional theoretical model of structure-process-outcome quality management,we used literature review and Delphi expert correspondence consultation to construct a nursing quality sensitive indicator system for ovarian tumor patients.From February to April 2019,we selected 20 experts from 16 ClassⅢGrade A general hospitals and 2 higher nursing institutions from 7 provinces/municipalities in Shandong Province,Jiangsu Province,Beijing,Jilin Province,Shanghai,Guangdong Province and Sichuan Province for consultation.Results Among two rounds of consultation,valid recovery rates were 90.00%and 94.44%respectively;authority coefficients were all 0.92;familiarity coefficients were 0.89 and 0.91 respectively;judgment coefficients were 0.94 and 0.92 respectively;Kendall harmony coefficients were 0.204 and 0.426 respectively;the differences were all statistically significant(P<0.05).The final nursing quality sensitive indicator system for ovarian tumor patients included 3 first-level indicators,12 second-level indicators and 23 third-level indicators.Conclusions The nursing quality sensitive indicator system for ovarian tumor patients is highly scientific and practical which can be used to standardize clinical nursing care for patients with ovarian tumors by gynecological nurses and improve the nursing quality.