基于"结构—过程—结果"理论的院内胰岛素泵使用质量评价指标体系的构建

Construction of quality evaluation index system for in-hospital insulin pump use based on"structure-process-result"theory

目的构建院内胰岛素泵使用质量评价指标体系,旨在为临床工作中评价院内胰岛素泵使用质量提供参考依据。方法于2022年1—2月以"结构—过程—结果"三维质量评价模式为理论基础,通过文献回顾和小组讨论确定初稿,采用德尔菲专家函询法对全国13个省/直辖市的26名专家进行2轮函询,确定院内胰岛素泵使用质量评价指标体系。结果2轮函询专家问卷的回收率均为100%,专家权威系数均为0.971;第2轮指标的重要性赋值均数为4.500~5.000分,变异系数0~0.22。最终构建的院内胰岛素泵使用质量评价指标体系包括3个一级指标,15个二级指标和37个三级指标。结论构建的院内胰岛素泵使用质量评价指标体系内容科学、合理、实用,对评价院内胰岛素泵使用质量具有指导意义。

Objective To construct an evaluation index system for quality of use of insulin pumps in hospitals,in order to provide a reference for evaluating quality of use of insulin pumps in hospitals in clinical work.Methods Based on the three-dimensional quality evaluation model of"structure-process-result",the first draft was determined through literature review and group discussion from January to February 2022.Using the Delphi expert correspondence method,26 experts from 13 provinces/municipalities in China were consulted in two rounds to determine the quality evaluation index system for the use of insulin pumps in the hospital.Results The recovery rate of the two rounds of expert questionnaire was 100%,and the expert authority coefficient was 0.971.The mean value of the second round of index importance assignment was 4.500-5.000 and the coefficient of variation was 0-0.22.The final construction of quality evaluation index system of insulin pump use in the hospital included 3 first-level indicators,15 second-level indicators and 37 third-level indicators.Conclusions The constructed quality evaluation index system of insulin pump use in the hospital is scientific,reasonable and practical,which has guiding significance for evaluating the quality of insulin pump use in the hospital.