颈髓损伤患者围手术期加速康复护理质量指标体系的构建

Construction of quality index system of perioperative accelerated rehabilitation nursing for patients with cervical spinal cord injury

目的构建颈髓损伤患者围手术期加速康复护理质量指标体系,为护理管理者科学评估加速康复护理实施的质量提供工具。方法以三维质量模型为框架,结合文献检索法、质性访谈法及文本内容分析法,初步形成颈髓损伤患者围手术期加速康复护理质量指标体系。采用方便抽样法,于2021年3—6月选取在北京、山东、黑龙江及内蒙古19家三级医院从事颈髓损伤围手术期管理的25名专家为研究对象进行2轮德尔菲函询,通过对25名专家的函询,最终构建颈髓损伤患者围手术期加速康复护理质量指标体系。结果2轮专家函询问卷的有效回收率均为100.0%(25/25),2轮专家的权威系数均为0.88,2轮专家肯德尔协调系数分别为0.24、0.26,最终构建的颈髓损伤患者围手术期加速康复护理质量指标体系由3个一级指标、10个二级指标及38个三级指标构成。结论本研究构建的颈髓损伤患者围手术期加速康复护理质量指标体系具有科学性及可靠性,可用于颈髓损伤患者围手术期加速康复护理质量的评价。

Objective To construct a quality index system of perioperative accelerated rehabilitation nursing for patients with cervical spinal cord injury,and to provide a tool for nursing managers to scientifically evaluate the quality of accelerated rehabilitation nursing implementation.Methods Based on the three-dimensional quality model as the framework,combined with literature search method,qualitative interview method and text content analysis method,the perioperative enhanced rehabilitation nursing quality index system for patients with cervical spinal cord injury was preliminarily formed.Using the convenient sampling method,from March to June 2021,a total of 25 experts engaged in perioperative management of cervical spinal cord injury in 19 hospitals from Beijing,Shandong,Heilongjiang and Inner Mongolia were selected as the research objects for 2 rounds of Delphi correspondence.Through inquiries to 25 experts,the quality index system of perioperative accelerated rehabilitation nursing for patients with cervical spinal cord injury was finally established.Results The effective recovery rate of the 2 rounds of expert letter consultation questionnaire was 100.0%(25/25),the authority coefficient of the 2 rounds of experts was 0.88,and the Kendall's coordination coefficients of 2 rounds of experts was 0.24 and 0.26,respectively.The final constructed perioperative enhanced rehabilitation nursing quality index system for patients with cervical spinal cord injury consisted of 3 first-level indicators,10 second-level indicators and 38 third-level indicators.Conclusions The quality index system of perioperative accelerated rehabilitation nursing for patients with cervical spinal cord injury constructed in this study is scientific and reliable,which can be used to evaluate the quality of perioperative accelerated rehabilitation nursing for patients with cervical spinal cord injury.