颅内动脉瘤破裂患者护理质量敏感指标体系的构建

Construction of a sensitive index system for nursing quality of patients with intracranial aneurysm rupture

目的构建颅内动脉瘤破裂患者护理质量敏感指标体系,为颅内动脉瘤破裂患者护理质量的评价提供依据。方法基于"结构―过程―结果"质量结构模型,通过文献分析、半结构式访谈初步拟定颅内动脉瘤破裂患者护理质量敏感指标体系;于2021年12月—2022年3月,采用德尔菲法对23名专家进行2轮函询,确立颅内动脉瘤破裂患者护理质量敏感指标体系。结果2轮函询问卷的有效回收率均为100%(23/23),专家权威系数分别为0.78、0.75,肯德尔和谐系数分别为0.170、0.101(P<0.05)。最终形成的颅内动脉瘤破裂患者护理质量敏感指标体系包含3项一级指标、9项二级指标、39项三级指标。结论本研究构建的颅内动脉瘤破裂患者护理质量敏感指标体系具有较高的可靠性和科学性,可作为评价颅内动脉瘤破裂患者护理质量的依据。

Objective To construct a sensitive index system for nursing quality of patients with intracranial aneurysm rupture,so as to provide a basis for evaluating the nursing quality of patients with intracranial aneurysm rupture.Methods Based on the"structure-process-outcome"quality structure model,a sensitive index system for nursing quality of patients with intracranial aneurysm rupture was preliminarily developed through literature analysis and semi-structured interviews.From December 2021 to March 2022,the Delphi method was used to conduct two rounds of consultation with 23 experts to establish a sensitive index system for nursing quality of patients with intracranial aneurysm rupture.Results In the two rounds of consultation,the effective response rates of the questionnaires were all 100%(23/23),with expert authority coefficients of 0.78 and 0.75,and the Kendall's W of 0.170 and 0.101 respectively(P<0.05).The final sensitive index system for nursing quality of patients with intracranial aneurysm rupture included 3 first-level indicators,9 second-level indicators,and 39 third-level indicators.Conclusions The sensitive index system for nursing quality of patients with intracranial aneurysm rupture is reliable and scientific,and can be used as a basis for evaluating the nursing quality of patients with intracranial aneurysm rupture.