儿童连续血液净化护理质量评价指标体系的构建

Establishment of quality indicator system for nursing in pediatric continuous blood purification

目的构建儿童连续血液净化护理质量评价指标体系,为评价儿童连续血液净化护理质量提供参考依据。方法以Donabedian的"结构-过程-结果"三维质量评价模型为理论框架,采用文献分析、半结构式访谈、德尔菲法及层次分析法确立儿童连续血液净化护理质量评价指标体系。结果 2轮函询问卷的有效回收率分别为100%和91.67%,专家权威系数为0.88和0.90,肯德尔和谐系数为0.160和0.256。最终确立儿童连续血液净化护理质量评价指标体系包括一级指标3项、二级指标13项、三级指标57项。结论构建的儿童连续血液净化护理质量评价指标体系具有较高的科学性和实用性,可为儿童连续血液净化护理质量评价提供参考。

Objective To develop a quality indicator system for nursing care in pediatric continuous blood purification. Methods A comprehensive method,including literature review,semi-structured interviews,Delphi method and analytic hierarchy process,was adopted to establish a quality indicator system for nursing in pediatric continuous blood purification. Results 2 rounds of expert consultations resulted in the effective response rates of 100% and 91.67%,with the authority coefficients of 0.88 and 0.90,and the coordination coefficients of 0.160 and 0.256 respectively. The final evaluation indicators for nursing quality in pediatric continuous blood purification included 3 first-level indicators,13 second-level indicators,and 57 third-level indicators. Conclusion The quality evaluation indicator system for nursing care in pediatric continuous blood purification is highly practical with scientific,which can provide references for evaluation criteria of nursing quality in pediatric continuous blood purification.