住院患者护理难度评价指标体系的构建

Construction of nursing difficulty evaluation index system for inpatients

目的构建住院患者护理难度评价指标体系,为精准评估护理工作量提供工具。方法通过文献回顾及半结构式访谈初步制订住院患者护理难度评价指标体系,采用德尔菲法对28名专家进行两轮函询。结果确立的评价指标体系包含6项一级指标(疾病严重程度、日常生活自理能力、精神心理状况、依从性、社会支持状况和期望值)及所属的21项二级指标。专家积极度为100%,专家权威系数为0.840,专家意见协调程度一、二级指标分别为0.462、0.414(均P<0.01)。结论构建的住院患者护理难度评价指标体系可信度较高,进一步验证后可用于护理工作量的精准评价。

Objective To construct a nursing difficulty evaluation index system for inpatients,and to provide a tool for assessing nursing workload accurately.Methods The nursing difficulty evaluation index system for inpatients was preliminarily formulated through literature review and semi-structured interviews,then a 2-round Delphi study was conducted among 28 experts to collect their opinions about the evaluation index system.Results The final evaluation index system contained 6 first level indicators(illness severity,self-care ability of daily living,mental health status,compliance,social support status and expectations)and 21 second level indicators.Experts′response rate was 100%,experts′authority coefficient was 0.840,and the Kendall coefficients of concordance was 0.462 and 0.414 for the first and second level indicators(P<0.01 for both).Conclusion The constructed nursing difficulty evaluation index system for inpatients has high credibility,and it could be used for evaluating nursing workload accurately after further verification.