慢性呼吸系统疾病肺康复护理质量评价体系的构建

Development of nursing quality indicators for pulmonary rehabilitation in chronic respiratory diseases

目的构建慢性呼吸系统疾病肺康复护理质量评价体系,为评价肺康复护理质量提供工具。方法以"结构-过程-结果"三维结构模型为依据,通过文献回顾、结构式访谈、专家函询,确定慢性呼吸系统疾病肺康复护理质量评价指标的内容,采用专家重要性评价及优序图法确定各指标权重。结果27名护理专家参与2轮函询,专家积极性均为100%,权威系数(Cr)为0.889,Kendall和谐系数分别为0.284和0.311,差异有统计学意义(均P<0.05);形成的指标体系包括一级指标3个,二级指标17个,三级指标114个。结论慢性呼吸系统疾病肺康复护理质量评价体系具有较好的可靠性,进一步验证后可用于慢性呼吸系统疾病肺康复护理质量评价。

Objective To develop nursing quality indicators for pulmonary rehabilitation in chronic respiratory diseases and to provide an assessment tool.Methods Based on Donabedian′s structure-process-outcome model,literature review,structured interview and expert consultation were employed to determine evaluation indicators.Weights of each indicator was identified by calculating importance of the indicator evaluated by experts and precedence statistics.Results Twenty-seven experts completed two rounds of consultation.The response rate in both rounds was 100%,and the authority coefficient of expert was 0.889.The Kendall′s coefficient of concordance(W)was 0.284 and 0.311,respectively,showing statistically significant difference(P<0.05 for both).The final version of the assessment tool included 3 first-level indicators,17 second-level indicators and 114 third-level indicators.Conclusion Nursing quality indicators for pulmonary rehabilitation in chronic respiratory diseases are reliable and can be implemented in clinical practice after further validation.