基于德尔菲架构下老年肺血栓栓塞症护理质量敏感性指标的构建

Construction of sensitivity index for elderly pulmonary thromboembolism based on Delphi framework

目的构建基于德尔菲架构下老年肺血栓栓塞症护理敏感指标体系,为该病种的护理质量评价提供理论依据。方法基于德尔菲架构对21位专家进行咨询,并进行文献检索、科研团队分析,形成老年肺血栓栓塞症护理敏感指标条目,继而构建老年肺血栓栓塞症护理敏感指标体系。结果经两轮专家咨询,专家积极系数分别为86%、94%;权威系数分别为0.925、0.940、0.935、0.920、0.940;专家协调系数第一轮W值分别为0.389、0.512、0.324,第二轮W值分别为0.465、0.426、0.417;所构建的老年肺血栓栓塞症护理敏感指标体系由3项1级指标,11项2级指标,95项3级指标构成。结论本课题所构建的老年肺血栓栓塞症护理敏感指标体系具有科学性与可靠性,可为老年肺血栓栓塞症护理质量评价提供理论依据,有临床推广意义。

Objective To establish a sensitive index system for elderly pulmonary thromboembolism based on the Delphi framework,and to provide a theoretical basis for the evaluation of the quality of care for this disease.Methods Based on the Delphi framework,we consulted 21 experts,conducted literature search,and analyzed by the scientific research team to form sensitive index items for elderly pulmonary thromboembolism care,and then built a sensitive index system for elderly pulmonary thromboembolism care.Results After 2 rounds of expert consultation,the experts′positive coefficients were 86%and 94%;the authority coefficients were 0.925,0.940,0.935,0.920,0.940;the W values of the expert coordination coefficients in the first round were 0.389,0.512,0.324,and the second round W values are 0.465,0.426,0.417,respectively;the constructed elderly pulmonary thromboembolism care sensitive index system consisted of 3 level 1 indicators,11 level 2 indicators,and 95 level 3 indicators.Conclusion The sensitive index system for elderly pulmonary thromboembolism care constructed by this scientific research project is scientific and reliable.It can provide a theoretical basis for the evaluation of elderly pulmonary thromboembolism care quality and has clinical promotion significance.