膝关节置换随访护理质量评价指标体系的构建

Construction of evaluation index system of follow-up nursing quality for patients with knee replacement

目的构建膝关节置换患者随访护理质量评价指标体系,以期为临床评价膝关节置换患者随访护理质量提供参考依据。方法通过文献分析法及半结构式访谈,以“结构-过程-结果”三维质量结构理论为指导,拟定指标体系初稿,采用德尔菲法对19名专家进行2轮专家函询,初步构建膝关节置换术患者随访护理质量评价指标体系。结果两轮函询问卷回收率均为100%,专家权威系数分别为0.804和0.831,肯德尔和谐系数分别为0.234和0.303,均P<0.01。最终形成包括3项一级指标,13项二级指标,50项三级指标的膝关节置换患者随访护理质量评价指标体系。结论构建的膝关节置换患者随访护理质量评价指标体系具有较好的科学性与可靠性,为临床评价膝关节置换患者随访护理质量提供了参考依据。

Objective To establish a follow-up nursing quality evaluation index system for knee replacement patients,with a view to providing a reference for clinical evaluation of follow-up nursing quality of knee replacement patients.Methods Through literature analysis and semi-structured interviews,guided by the"structure-process-result"three-dimensional mass structure theory,the first draft of the index system was drawn up.The Delphi method was used to conduct two rounds of expert consultations with 19 experts to construct a knee replacement.Evaluation index system for follow-up nursing quality of surgical patients.Results The recovery rate of the questionnaires in both rounds was 100%,the expert authority coefficients were 0.804 and 0.831,and the Kendall harmony coefficients were 0.234 and 0.303,both P<0.01.Eventually,a three-level index,13 second-level indexes,and 50 third-level indexes of knee replacement patients'followup nursing quality evaluation index system were formed.Conclusion The evaluation index system of follow-up nursing quality for patients with knee joint replacement has good scientificity and reliability,which provides a reference for clinical evaluation of follow-up nursing quality for patients with knee replacement.