小肠移植围手术期护理质量评价指标体系的构建

Construction of nursing quality evaluation indicator system in perioperative period of small intestine transplantation

目的 :构建小肠移植围手术期护理质量评价指标体系,为小肠移植围手术期护理质量监测及评价提供标准、可量化的依据。方法 :以Donabedian的“结构-过程-结果”三维质量评价模型为理论框架,采用文献分析、德尔菲法及层次分析法,确定小肠移植围手术期护理质量评价指标体系的内容及各指标权重。结果 :2轮专家函询问卷的有效回收率均为100%,专家权威系数均为0.88,变异系数为0~0.235和0~0.201,肯德尔和谐系数分别为0.105和0.187(均P<0.001)。最终构建的小肠移植围手术期护理质量评价指标体系包括一级指标3项、二级指标11项、三级指标66项。结论:构建的小肠移植围手术期护理质量评价指标体系具有较高的科学性和可靠性,可为小肠移植围手术期护理质量评价提供参考。

Objective: To construct an evaluation indicator system for perioperative nursing quality of small intestine transplantation, and to provide a standard and quantifiable basis for monitoring and evaluation of perioperative nursing quality in small intestine transplantation. Methods: This study was conducted based on the frame work of Donabedian’s three-dimensional "structure-process-outcome" quality model, using literature review, Delphi method and analytic hierarchy process to determine the content of the system, and the weight of each indicator. Results: The effective recovery rates of two rounds of expert consultation questionnaires were 100%. The authority coefficients were 0.88. The variation coefficients were 0-0.235 and 0-0.201. The Kendall harmony coefficients were 0.105 and 0.187(P<0.001). The final evaluation indicator system for perioperative nursing quality in small intestine transplantation included 3 first-level indicators, 11 second-lever indicators and 66 third-level indicators. Conclusion: The evaluation indicator system for perioperative nursing quality in small intestine transplantation is scientific and reliable, which can provide references for the evaluation of perioperative nursing quality in small intestine transplantation.