以质量求发展，以服务铸品牌

护理学报 ›› 2023, Vol. 30 ›› Issue (6): 1-6.doi: 10.16460/j.issn1008-9969.2023.06.001

• 研究生园地 •    下一篇

基于结构-过程-结果模型构建结肠镜检查患者护理敏感性质量指标体系

蔡文文1a,2，张星星1b，叶敏珊1a,2，罗艳霞1a,2，阮伟清1a，李加1a   

  1. 1.南方医科大学南方医院 a.惠侨医疗中心;b.普外科,广东 广州 510515;
    2.南方医科大学 护理学院,广东 广州 510515
  • 收稿日期:2022-10-24 出版日期:2023-03-25 发布日期:2023-04-12
  • 通讯作者: 阮伟清（1975-）,女,广东韶关人,本科学历,副主任护师,护士长,硕士研究生导师。E-mail：jamela@sina.com
  • 作者简介:蔡文文（1998-）,女,浙江温州人,本科学历,硕士研究生在读。
  • 基金资助:
    广东省科技计划项目（2020A1414040014）

Construction of nursing sensitive quality indicator system for patients undergoing colonoscopy based on structure-process-outcome model

CAI Wen-wen1a,2, ZHANG Xing-xing1b, YE Min-shan1a,2, LUO Yan-xia1a,2, RUAN Wei-qing1a, Li Jia1a   

  1. 1a. Huiqiao Medical Center; 1b. Dept. of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China;
    2. School of Nursing, Southern Medical University, Guangzhou 510515, China
  • Received:2022-10-24 Online:2023-03-25 Published:2023-04-12

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摘要： 目的 构建结肠镜检查患者护理敏感性质量指标,为结肠镜检查护理质量评价及管理提供参考依据。方法 参考结构-过程-结果模型理论为框架依据,采用循证方法、Delphi法及层次分析法构建结肠镜检查护理敏感性质量指标体系及计算各级指标权重。结果 2轮Delphi专家函询问卷有效回收率分别为89%、92%,专家权威系数为 0.890、0.904,专家协调系数为0.160、0.299（P<0.001）,指标体系一致性检验达到标准（CR<0.1）。最终指标体系包含一级指标3项,二级指标6项,三级指标20项。结论 结肠镜检查患者护理敏感性质量指标体系具有科学性与实用性,可为结肠镜检查护理质量持续改进提供指导。

关键词: 结肠镜检查, 结构-过程-结果模型, 循证, Delphi法, 护理敏感性质量指标

Abstract: Objective To construct a nursing sensitive indicator system for patients undergoing colonoscopy, and to provide reference for the evaluation and management of colonoscopy nursing quality. Methods Taking structure-process-outcome model as the theoretical framework, a nursing sensitive indicators system for colonoscopy care was constructed through evidence-based method and Delphi method, and analytic hierarchy process was used to calculate the weights of indicators at each level. Results The effective recovery rate of the two rounds of Delphi expert consultation was 89% and 92%; the authority coefficient 0.890 and 0.904; and coordination coefficient of expert 0.160 and 0.299, respectively (P<0.001). The final nursing sensitive indicator system had good consistency (CR<0.1), and consisted of 3 first-level, 6 second-level, and 20 third-level indicators. Conclusion The nursing sensitive indicator system for patients undergoing colonoscopy is scientific and practical, which provides guidance for continuous improvement of colonoscopy care quality.

Key words: colonoscopy, structure-process-outcome model, evidence-based, Delphi method, nursing sensitive indicator

中图分类号: 

  • R473.57
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