肺癌胸腔镜术患者快速康复护理质量评价指标体系的建立与应用

Establishment and application of a quality evaluation index system for rapid rehabilitation care of patients undergoing thoracoscopic surgery for lung

目的建立肺癌胸腔镜术患者快速康复护理质量评价指标体系,并在临床加以应用,以检验其应用效果。方法通过文献分析法获取肺癌胸腔镜术患者快速康复护理质量评价指标,并经德尔菲法专家函询对指标进行筛选、修订,据此建立肺癌胸腔镜术患者快速康复护理质量评价指标体系。选择湖北省鄂州市中心医院2021年1月-2022年2月、2022年3月-2023年4月收治的肺癌胸腔镜术患者各55例为研究对象,自2022年3月起应用肺癌胸腔镜术患者快速康复护理质量评价指标体系,之前采用常规护理管理,根据指标体系应用前、后分为对照组、观察组,比较两组患者康复效果及护理满意度。结果两轮函询问卷回收率分别为94.12%、100%,专家权威度分别为0.850、0.881,函询意见协调度肯德尔和谐系数分别为0.427(χ^(2)=31.842,P<0.001)、0.474(χ^(2)=52.018,P<0.001),构建的肺癌胸腔镜术患者快速康复护理质量评价指标体系包含一级指标3个,二级指标7个,三级指标41个,变异系数为0.06~0.13。评价指标体系应用显示,观察组患者各康复指标评价均优于对照组(P<0.05),观察组患者护理满意度评价高于对照组(P<0.05)。结论肺癌胸腔镜术患者快速康复护理质量评价指标体系科学性、可靠性表现出色,其在临床中的应用,可实现对肺癌胸腔镜术患者快速康复护理质量的持续评价、改进,能促进患者术后快速康复,有助于提升护理满意度。

Objective To establish a quality evaluation index system for rapid rehabilitation nursing care of lung cancer thoracoscopy patients and to value the application effect.Methods The quality evaluation indexes of rapid rehabilitation nursing care for lung cancer thoracoscopy patients were obtained by literature analysis method,and the indexes were screened and revised by Delphi method of expert correspondence,according to which the quality evaluation index system of rapid rehabilitation nursing care for lung cancer thoracoscopy patients was established.55 cases each of lung cancer thoracoscopy patients admitted to Ezhou Central Hospital of Hubei Province from January 2021 to February 2022 and from March 2022 to April 2023 were selected as the study objects,and the index system for evaluating the quality of rapid rehabilitation nursing care for lung cancer thoracoscopy patients was applied from March 2022 onwards,and conventional nursing care was applied before general nursing management,according to the index system before and after the application were divided into control group,observation group,compare the two groups of patients rehabilitation effect and nursing satisfaction.Results The recovery rates of two rounds of correspondence questionnaires were 94.12%and 100%,the degree of expert authority was 0.850 and 0.881,and the Kendall's harmony coefficients of the coordination degree of the correspondence opinions were 0.427(χ^(2)=31.842,P<0.001)and 0.474(χ^(2)=52.018,P<0.001),respectively,and the constructed nursing care for rapid rehabilitation of patients undergoing thoracoscopic surgery for lung cancer The quality evaluation index system contains 3first-level indicators,7 second-level indicators,and 41 third-level indicators,and the coefficient of variation is 0.06~0.13.The application of the evaluation index system shows that the evaluation of each rehabilitation index of the patients in the observation group is better than that of the control group(P<0.05),and the evaluation of nursing satisfaction of the patients in the observation group is higher than that of the control group(P<0.05).Conclusion The quality evaluation index system of rapid rehabilitation nursing care for patients with lung cancer thoracoscopy has excellent scientific and reliability performance,and the application in the clinic could realise the continuous evaluation and improvement of the quality of rapid rehabilitation nursing care for patients with lung cancer thoracoscopy,which could promote the patients'rapid postoperative recovery and help to improve nursing satisfaction.