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护理学报 ›› 2019, Vol. 26 ›› Issue (18): 6-11.doi: 10.16460/j.issn1008-9969.2019.18.006

• 研究生园地 • 上一篇    下一篇

慢性心力衰竭患者护理问题评估指标体系的构建

邵珂1, 王茜2, 邱筱婷1, 刘志梅3, 王田田1, 马梦迪1, 孙慧慧1   

  1. 1.青岛大学 护理学院,山东 青岛 266021;
    2.青岛大学附属医院 麻醉科,山东 青岛 266021;
    3.青岛大学附属青岛市市立医院 护理部,山东 青岛 266021
  • 收稿日期:2019-06-03 出版日期:2019-09-25 发布日期:2020-07-14
  • 通讯作者: 刘志梅（1968-）,女,山东青岛人,硕士,主任护师,硕士研究生导师。E-mail：Lzm-18661730958@126.com。
  • 作者简介:邵 珂（1995-）,女,山东青岛人,本科学历,硕士研究生在读。E-mail：m17660946165@163.com。

Development of Evaluation Index System of Nursing Problem for Patients with Chronic Heart Failure

SHAO Ke1, WANG Qian2, QIU Xiao-ting1, LIU Zhi-mei3, WANG Tian-tian1, MA Meng-di1, SUN Hui-hui1   

  1. 1. School of Nursing, Qingdao University, Qingdao 266021, China;
    2. Dept. of Anesthesiology,Affiliated Hospital of Qingdao University, Qingdao 266021, China;
    3. Dept. of Nursing Administration, Affiliated Qingdao Municipal Hospital of Qingdao University, Qingdao, 266021, China
  • Received:2019-06-03 Online:2019-09-25 Published:2020-07-14

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摘要： 目的 构建慢性心力衰竭患者护理问题评估指标体系。方法 基于奥马哈问题分类系统,通过文献回顾,查阅病例资料,半结构式访谈,结合疾病特点,应用Delphi法和层次分析法,确定慢性心力衰竭患者护理问题评估体系的内容及各指标权重并进行信效度检验。结果 专家的积极系数为100%;权威系数为0.876;一、二、三级指标的协调系数分别是0.341、0.353、0.238;评估表的Cronbach α系数为0.789,整体内容效度指数为0.970,各条目内容效度指数为0.860~1。最终形成4个一级指标、29个二级指标、138个三级指标的慢性心力衰竭患者护理问题评估体系。结论 慢性心力衰竭患者护理问题评估体系科学可靠,具有专病特色,对心力衰竭患者护理评估、提高护理服务质量有较好的指导意义。

关键词: 慢性心力衰竭, 奥马哈系统, 护理问题, 评估体系

Abstract: Objective To develop an evaluation index system of nursing problem for patients with chronic heart failure (CHF). Methods With Omaha problem classification system, after literature review, clinical data analysis and semi-structured interviews, combined with the characteristics of CHF, the content of the system and index weight of each item was identified through Delphi method and Analytic Hierarchy Process, then its reliability and validity were tested. Results The expert positive coefficient was 100%; authority coefficient 0.876 and expert coordination coefficients was 0.341, 0.353, 0.238 respectively for the three levels of indicators. The Cronbach's α coefficient of the scale was 0.789; the item content validity index ranged from 0.860 to 1 and the whole content validity index was 0.970. The final evaluation index system of nursing problems for CHF patients was formed with 4 first-, 29 second-, and 138 third-level indicators. Conclusion With the characteristics of CHF, the evaluation index system of nursing problem for CHF patients was scientific and reliable, which provides guidance for nursing assessment and the improvement of nursing service quality.

Key words: chronic heart failure, Omaha system, nursing problem, evaluation system

中图分类号: 

  • R473.54
[1] 叶蕊,苗秀欣,陈汉文,等.老年2型糖尿病患者护理问题评估体系的构建[J].护理学报, 2017,24(4):6-10.DOI:10.16460/j.issn1008-9969.2017.04.006.
[2] Monsen K A, Holland D E, Fung-Houger P W, et al. Seeing the Whole Person: Feasibility of Using the Omaha System to Describe Strengths of Older Adults with Chronic Illness[J]. Res Theory Nurs Pract, 2014, 28(4):299-315.DOI:10.1891/1541-6577.28.4.299.
[3] 黄峻. 2014年中国心力衰竭指南基本特点和内容要点[J].中国实用内科杂志, 2014,34(7):662-665.DOI:10.7504/nk2014060201.
[4] Ponikowski P, Voors A A, Anker S D, et al.2016 ESC Guidelines for the Diagnosis and Treatment of Acute and Chronic Heart Failure[J]. Rev Esp Cardiol (Engl Ed),2016, 69(12):1167.DOI:10.1016/j.rec.2016.11.005.
[5] 蒋文春,温贤秀,顾凤娇.应用德尔菲法和层次分析法构建血液透析室护理管理质量评价标准体系[J].护理学报,2018, 25(18):16-21.DOI:10.16460/j.issn1008-9969.2018.18.016.
[6] Saaty T L, Wong M M.Projecting Average Family Size in Rural India by the Analytic Hierarchy Process[J]. J Math Sociol, 1983,9(3):181-209.DOI:10.1080/0022250X.1983.9989942.
[7] 夏季清. 我国飞行护士核心知识体系的构建与研究[D].合肥:安徽医科大学, 2013.
[8] 丁珊妮,潘红英,虞雪琴,等.神经系统疾病标准化护理评估术语的构建[J].中华护理杂志,2018,53(8):962-966.DOI:10.3761/j.issn.0254-1769.2018.08.012.
[9] Yang S, Huang L H, Zhao X H, et al.Using the Delphi Method to Establish Nursing-sensitive Quality Indicators for ICU Nursing in China[J].Res Nurs Health, 2019,42(1):48-60.DOI:10.1002/nur.21925.
[10] Gao J L, Liu X M, Che W F, et al.Construction of Nursing-sensitive Quality Indicators for Haemodialysis Using Delphi Method[J].J Clin Nurs, 2018, 27(21-22):3920-3930.DOI:10.111/jocn.14607.
[11] 杨洪菊,杨晓雯,杨朝霞,等.肿瘤患者临终关怀护理质量评价指标体系的构建[J].中华护理杂志,2018,53(12):1487-1491.DOI:10.3761/j.issn.0254-1769.2018.12.016.
[12] Ju Q Y, Huang L H, Zhao X H, et al.Development of Evidence-based Nursing-sensitive Quality Indicators for Emergency Nursing: A Delphi Study[J].J Clin Nurs, 2018,27(15-16):3008-3019.DOI:10.111/jocn.14256.
[13] 刘德兰,闫荣,曲华燕,等.肿瘤专科医院新护士化疗培训体系的构建[J].中华护理杂志,2017,52(10):1232-1237.DOI:10.3761/j.issn.0254-1769.2017.10.016.
[14] 钱海兰. 居家慢性心力衰竭患者和家庭照顾者疾病管理及生活质量的调查[D].上海:复旦大学, 2012.
[15] 马丽娜,李真.抑郁对慢性心力衰竭的影响[J].中华心血管病杂志,2017, 45(6):542-545.DOI:10.3760/cma.j.issn.0253-3758.2017.06.019.
[16] 赵新娜,王爱红.慢性心力衰竭病人院外出入量监测情况的调查[J].护理研究, 2011,25(12C):3330-3331.DOI:10.3969/j.issn.1009-6493.2011.36.011.
[17] 杨杰孚,王华,柴坷.2018中国心力衰竭诊断和治疗指南亮点[J].中国心血管病研究,2018,16(12):1057-1060.DOI:10.3969/j.issn.1672-5301.2018.12.001.
[18] Huang J, Yang J, Zhang J.Chinese Guidelines for the Diagnosis and Treatment of Heart Failure 2014[J]. Chinese Journal of Cardiology, 2014,42(2):98-122.
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