[关键词]
[摘要]
目的 构建全身麻醉气管插管围术期护理质量评价指标体系,为开展围术期气管插管护理提供参考方案。方法 运用文献研究方法并结合“结构-过程-结果”质量模型,初步构建全身麻醉气管插管围术期护理质量评价指标体系框架,采用德尔菲法开展2轮专家函询,应用层次分析法计算各指标权重。结果 2轮专家函询的问卷回收率分别为91.30%及100.00%,专家权威系数分别为0.905、0.912,肯德尔和谐系数分别为0.108、0.138(均P<0.05),最终形成一级指标3个、二级指标 10个、三级指标34个。结论 本研究所构建的护理质量指标评价体系具备较高的科学性,值得临床借鉴。
[Key word]
[Abstract]
Objective To construct a quality evaluation system for perioperative nursing management of tracheal intubation under general anesthesia,and to provide reference for nursing care during the perioperative period of tracheal intubation.Methods A preliminary framework of the quality evaluation system for perioperative nursing during general anesthesia tracheal intubation was constructed using literature research combined with the “structure-process-outcome” quality model.Two rounds of expert consultation were conducted using the Delphi method,and the weight of each indicator was calculated using the Analytic Hierarchy Process.Results The response rates of the two rounds of expert consultations were 91.30% and 100.00%,respectively.The expert authority coefficients were 0.905 and 0.912,and the Kendall’s coefficients of concordance were 0.108 and 0.138(all P<0.05).Ultimately,a total of 3 first-level indicators,10 second-level indicators and 34 third-level indicators were formulated.Conclusions The nursing quality evaluation system constructed in this study is highly scientific and worthy of clinical reference.
[中图分类号]
R473
[基金项目]
国家自然科学基金(82173380);国家卫生健康委医院管理研究所项目(YLZLXZ-2021-007)