糖尿病视网膜病变护理质量评价体系的构建

Construction of nursing quality evaluation system for diabetic retinopathy

目的构建糖尿病视网膜病变护理质量评价体系,规范护士行为,为评价和改进DR的护理质量提供工具。方法以三维质量结构模式为理论框架,通过文献回顾法、半结构式访谈法、专家咨询法和层次分析法确定护理质量评价指标体系及各指标权重。结果本研究构建了包括3项一级指标、9项二级指标和32项三级指标的护理质量评价体系。两轮专家的积极系数分别为94.1%、90.6%,权威系数分别为0.890、0.895,肯德尔和谐系数分别为0.244、0.235。各级指标一致性检验CR<0.1,具有满意一致性检验结果。权重值较高的指标依次为过程指标、症状管理、糖尿病视网膜病变患者低血糖发生率。结论糖尿病视网膜病变护理质量评价体系构建的过程科学、专业,能够全面衡量糖尿病视网膜病变的护理质量,对临床护理工作具有指导意义。

Objective To construct a nursing quality evaluation system for diabetic retinopathy, standardize nurses′ behavior, and provide tools for evaluating and improving the nursing quality of diabetic retinopathy. Methods Based on the theoretical framework of three-dimensional quality structure model, the nursing quality evaluation index system and the weight of each index were determined through the literature review method, semi-structured interview method, expert consultation method and analytic hierarchy process. Results The index system including 3 item first-level indexes, 9 second-level indexes and 32 third-level indexes was finally constructed. The positive coefficients of the two rounds of experts were 94.1% and 90.6%, the authority coefficients were 0.890, 0.895, and the Kendall harmony coefficients were 0.244 and 0.235. The index consistency test at all levels showed the CR value was less than 0.1, and showed a satisfactory consistency test results. The indexes with higher weight values were successively process index, symptom management, and incidence of hypoglycemia in DR patients. Conclusion The construction of the nursing quality evaluation system for diabetic retinopathy is scientific and professional, which can comprehensively measure the nursing quality of diabetic retinopathy, and has guiding significance for clinical nursing work.