基于和谐护理理论的安宁疗护患方结局评价指标的构建

Construction of patient outcome evaluation indexes on hospice care based on the harmony nursing theory

目的基于和谐护理理论构建符合我国文化背景的安宁疗护患方结局评价指标,为客观评价安宁疗护服务质量提供参考。方法采用理论分析法、文献研究法初步拟定安宁疗护患方结局评价指标,结合德尔菲专家函询法对20名专家进行函询。结果共进行两轮专家函询,第2轮函询专家的判断系数为0.889,熟悉程度为0.856,权威系数为0.877,Ⅰ~Ⅲ级指标的专家意见肯德尔和谐系数分别为0.234、0.247、0.234。最终形成的安宁疗护患方结局评价指标包括Ⅰ级指标4条(身体和谐、心理和谐、社会和谐、精神和谐),Ⅱ级指标9条,Ⅲ级指标30条。结论基于和谐护理理论构建的安宁疗护患方结局评价指标具有较高的权威性和科学性,可为相关机构安宁疗护服务质量评价提供客观、可行的依据。

Objective To construct Chinese culture matched patient outcome evaluation indexes on hospice care based on the harmony nursing theory, so as to provide evidence for objectively evaluating hospice care service quality.Methods A draft patient outcome evaluating indexes on hospice care were formed through theoretical analysis and literature research, which were then improved using a Delphi study among 20 experts.Results Two rounds expert consultation were conducted. The coefficient of judgment, the degree of familiarity and the authority coefficient of experts in the second round consultation were 0.889, 0.856 and 0.877 respectively, the Kendall coefficients of concordance for level Ⅰ to Ⅲ indexes were 0.234, 0.247 and 0.234. The final evaluating indexes were consisted of four levelⅠindexes(physical harmony, psychological harmony, social harmony and spiritual harmony), 9 levelⅡ indexes and 30 level Ⅲ indexes.Conclusion The patient outcome evaluation indexes on hospice care constructed according to the harmony nursing theory have high authority and scientificalness, which can provide objective and practical evidence for hospice care service quality assessment in relevant institutions.