基于德尔菲法与层次分析法构建腹膜透析护理质量评价指标体系

Construction of evaluation index system of peritoneal dialysis nursing quality based on Delphi method and analytic hierarchy process

目的构建腹膜透析护理质量评价指标体系,为腹膜透析护理质量管理和评价提供依据。方法通过文献查阅和专家访谈法,在循证基础上初步确定腹膜透析护理质量评价指标体系(草案),设计专家函询问卷,通过德尔菲专家函询法及界值法进行护理质量评价指标的筛选和修订,运用层次分析法确定评价指标权重,建立腹膜透析护理质量指标评价体系。结果2轮函询问卷专家回复率分别为91.43%和85.71%,2轮专家权威系数分别为0.8380和0.8622,第2轮函询一、二、三级指标协调系数分别为0.643、0.431、0.283(P<0.01),最后确定的评价指标体系包括一级指标3个、二级指标18个、三级指标84个。结论腹膜透析护理质量评价指标体系具有较好的可靠性和适用性,进一步验证后可作为腹膜透析护理质量管理评价工具。

Objective To construct the evaluation index system of peritoneal dialysis nursing quality,so as to provide a basis for management and evaluation of peritoneal dialysis nursing quality.Methods Through literature review and expert interviews,the peritoneal dialysis nursing quality evaluation index system(draft)was initially determined on the evidence-based basis.The expert letter questionnaire was designed,and indexes of nursing quality evaluation were screened and revised by Delphi expert letter questionnaire and boundary value method.The analytic hierarchy process was used to determine the weight of evaluation indexes,and the evaluation system of the peritoneal dialysis nursing quality index was established.Results The expert response rates of 2 rounds of questionnaires were 91.43%and 85.71%,and the expert authority coefficients of the 2 rounds were respectively 0.8380 and 0.8622,and the coordination coefficients of the first,second and third levels of indexes of the second round were respectively 0.643,0.431 and 0.283(P<0.01).The final evaluation index system included 3 first-level indicators,18 second-level indicators and 84 third-level indicators.Conclusions The evaluation index system of peritoneal dialysis nursing quality has good reliability and applicability.After further verification,it can be used as an evaluation tool of peritoneal dialysis nursing quality management.