成人胸腔闭式引流护理质量敏感指标的构建

Construction of nursing quality sensitive indicators of adult patients with closed drainage of thoracic cavity

目的:构建成人胸腔闭式引流护理质量敏感指标。方法:以“结构-过程-结果”三维结构模型为依据,通过文献检索、专家小组会议形成成人胸腔闭式引流护理质量敏感指标体系草案。采用Delphi法进行两轮专家函询,根据专家意见和建议对条目进行修改,构建成人胸腔闭式引流护理质量敏感指标。结果:最终构建了包括3项一级指标(结构指标、过程指标、结果指标)、9项二级指标和25项三级指标的成人胸腔闭式引流护理质量敏感指标。2轮专家函询问卷回收率均为100%,有效率均为100%,专家意见提出率分别为88.2%和5.9%,专家权威系数分别为0.939和0.915。第2轮专家函询各级指标的肯德尔协调系数为0.381~0.494。结论:构建的成人胸腔闭式引流护理质量敏感指标具有科学性、可靠性、专业性及实用性,有利于成人胸腔闭式引流护理质量的持续改进。

Objective:To construct nursing quality sensitive indicators of adult patients with closed drainage of thoracic cavity.Methods:Based on the three-dimensional structural model of"structure process result",the draft of nursing quality sensitive indicators of adult patients with closed drainage of thoracic cavity was formed through literature search and expert group meetings.Two rounds of expert consultation were conducted by Delphi method,and the items were modified according to expert opinions and suggestions.Then nursing quality sensitive indicators of adult patients with closed drainage of thoracic cavity was constructed.Results:Finally,nursing quality sensitive indicators of adult patients with closed drainage of thoracic cavity was constructed,which included 3 first-level indicators(structural indicators,process indicators,outcome indicators),9 secondary-level indicators,and 25 tertiary-level indicators.The recovery rate of the two rounds of expert inquiry questionnaires was both 100%,and the effectiveness rate was both 100%.The expert opinion submission rates were 88.2%and 5.9%,respectively.The expert authority coefficients were 0.939 and 0.915,respectively.The Kendall coordination coefficient for the indicators at all levels in the second round of expert consultation were from 0.381 to 0.494.Conclusions:The constructed nursing quality sensitive indicators of adult patients with closed drainage of thoracic cavity is scientific,reliable,professional,and practical.It is beneficial for the continuous improvement of nursing quality of adult patients with closed drainage of thoracic cavity.