以质量求发展，以服务铸品牌

Journal of Nursing ›› 2021, Vol. 28 ›› Issue (15): 63-68.doi: 10.16460/j.issn1008-9969.2021.15.063

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Development of Nursing Quality Assessment Index System for Patients with Bronchial Asthma

ZHOU Ya-li, ZHANG Huan-mei, LIU Xiao-fan, YE Wen-juan, TAO Jing   

  1. Dept. of Pediatrics, Union Hospital, Union Medical College of Huazhong University of Science and Technology, Wuhan 430022, China
  • Received:2021-04-23 Online:2021-08-10 Published:2021-09-10

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Abstract: Objective To develop a nursing quality assessment index system for patients with bronchial asthma, and to provide reference for the monitor, assessment and management of nursing quality for patients with bronchial asthma. Methods With the structure-process-result theory framework, after literature review and group discussion, the initial system was developed. Then Delphi method and analytic hierarchy process were used to further improve the index system and identify the weight of each index. Results The final version of the nursing quality assessment index system for patients with bronchial asthma was constructed, including 3 first-level, 6 second-level and 27 third-level indexes. Among them, the index of process was with the highest weight distribution in the first-level indexes (0.491), and planning and implementation was the one with the highest weight distribution in second-level indexes (0.327). The positive coefficient of the two rounds of letter consultation was 90.00% and 100% respectively while the authority coefficient was 0.821 and 0.840 respectively. And the coordination coefficient was 0.312 to 0.361 respectively. Conclusion Being scientific and practical, the developed nursing quality assessment index system for patients with bronchial asthma could provide reference for clinical nursing staff to promote continuous improvement of clinical nursing quality for patients with bronchial asthma.

Key words: bronchial asthma, nursing, index

CLC Number: 

  • R473.56
[1] 中华医学会呼吸病学分会哮喘学组.支气管哮喘防治指南(2016年版)[J].中华结核和呼吸杂志,2016,39(9):675-697. DOI:10.3760/cma.j.issn.1001-0939.2016.09.007.
[2] Song WJ, Kang MG, Chang YS, et al.Epidemiology of Adult Asthma in Asia: Toward a Better Understanding[J].Asia Pac Allergy,2014,4(2):75-85.DOI:10.5415/apallergy.2014.4.2.75.
[3] Ding B, DiBonaventura M,Karlsson N,et al.A Cross-sectional Assessment of the Prevalence and Burden of Mild Asthma in Urban China Using the 2010,2012, and 2013 China National Health and Wellness Surveys[J]. J Asthma,2017,54(6):632-643. DOI:10.1080/02770903.2016.1255750.
[4] Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention[EB/OL]. (2019-11-14)[2019-12-02]. https://www.ginasthma.org/.
[5] 钮晓颖,李岩,王宇.应用移动互联网技术进行哮喘患者健康管理研究进展[J]. 护理学报,2017,24(22):18-22. DOI:10.16460/j.issn1008-9969.2017.22.018.
[6] Hodkinson A, Bower P, Grigoroglou C, et al.Self-management Interventions to Reduce Healthcare Use and Improve Quality of Life among Patients with Asthma: Systematic Review and Network Meta-analysis[J]. BMJ, 2020,370:2521. DOI:10.1136/bmj.m2521.
[7] 景阳,潘岁月,孙志琴.支气管哮喘护理质量评价指标体系的构建[J].护理学杂志,2017,32(21):67-71. DOI:10.3870/j.issn.1001-4152.2017.21.067.
[8] 崔金锐,陈英.Donabedian 结构过程结果模式在护理敏感性质量指标构建中的应用进展[J].护理研究, 2015,29(7):769-772. DOI:10.3969/j.issn.10096493.2015.07.001.
[9] 杨婧,沈丽琼,金晓燕.层次分析法在护理管理领域中的应用进展[J].中华现代护理杂志,2016, 22(26):3837-3840. DOI:10.3760/cma.j.issn.1674-2907.2016.26.039.
[10] Richardson WS, Wilson MC, Nishikawa J, et al.The Well-built Clinical Question:A Key to Evidence-based Decisions[J]. ACP J Club, 1995,123(3):A12-A13.
[11] 王春青,胡雁.JBI证据预分级及证据推荐级别系统(2014 版)[J].护士进修杂志,2015,30(11):964-967.DOI:10.16821/ j.cnki.hsjx.2015.11.002.
[12] The Joanna Briggs Institute Levels of Evidence and Grades of Recommendation Working Party. Supporting Document for the Joanna Briggs Institute Levels of Evidence and Grades of Recommendation, the Joanna Briggs Institute[EB/ OL].[2017-07-15](2019-12-02).https://www.joannabriggs.org/ critical_appraisal_tools.
[13] Brouwers M C, Kho M E, Browman G P, et al.AGREE II: Advancing Guideline Development, Reporting, and Evaluation in Health Care[J].Prev Med, 2010, 51(5):421-424. DOI:10.1503/cmaj.090449.
[14] Christopher H. An Overview of Asthma Management [EB/OL]. [2019-10-27](2019-12-02). https://www-uptodate-com.ermg.femh.org.tw:8443/contents/an-overview-of-asthma-management.
[15] Scottish Intercollegiate Guidelines Network.SIGN 153 British Guideline on the Management of Asthma[EB/OL].(2016-09-19)[2019-12-02].http://www.sign.ac.uk!sign-153-british-guideline-on-the-managementof-asthma.htmI.
[16] National Institute for Health and Care Excellence. Asthma: Diagnosis, Monitoring and Chronic Asthma Management[EB/OL]. (2017-11-29)[2019-12-02].www.nice.org.uk/guidance/ng80.
[17] Registered Nurses’ Association of Ontario(RNAO). Adult Asthma Care: Promoting Control of Asthma, Second Edition[EB/OL]. (2017-05-02)[2019-12-02]. https://rnao.ca/bpg/guidelines/ adult-asthma-care.
[18] Plaza Moral V, Alonso Mostaza S, Alvarez Rodríguez C, et al.Spanish Guideline on the Management of Asthma[J]. J Investig Allergol Clin Immunol, 2016, 26(Suppl 1):1-92. DOI:10.18176/jiaci.0065.
[19] AI-Moamary MS, Alhaider SA, Idrees MM, et al.The Saudi Initiative for Asthma - 2016 Update: Guidelines for the Diagnosis and Management of Asthma in Adults and Children[J]. Ann Thorac Med,2016,11(1):3-42. DOI:10.4103/1817-1737.173196.
[20] 中华医学会呼吸病学分会哮喘学组,中国哮喘联盟.支气管哮喘急性发作评估及处理中国专家共识[J].中华内科杂志,2018,57(1):4-14. DOI:10.3760/cma.j.issn.0578-1426.2018.01.002.
[21] 中华医学会呼吸病学分会哮喘学组.支气管哮喘患者自我管理中国专家共识[J].中华结核和呼吸杂志,2018,41(3):171-178.DOI:10.3760/cma.j.issn.1001-0939.2018.03.005.
[22] 詹昱新,杨中善,李素云,等.基于循证构建住院患者肠内营养护理质量评价指标体系[J].护理学报,2019,26(10):26-31. DOI:10.16460/j.issn1008-9969.2019.10.026.
[23] Burke H, Davis J, Evans S, et al.A Multidisciplinary Team Case Management Approach Reduces the Burden of Frequent Asthma Admissions[J]. ERJ Open Res, 2016, 2(3):00039-2016. DOI:10.1183/23120541.00039-2016.
[24] Murray B,O’Neill M.Supporting Self-management of Asthma Through Patient Education[J]. Br J Nurs, 2018,27(7):396-401. DOI:10.12968/bjon.2018.27.7.396.
[25] 王少娜,董瑞,谢晖,等.德尔菲法及其构建指标体系的应用进展[J].蚌埠医学院学报,2016,41(5):695-698. DOI:10.13898/j.cnki.issn.1000-2200.2016.05.048.
[26] 郭红艳,谢红.美国护理质量评价体系对我国护理质量管理的启示[J].中国护理管理,2014,14(5):459-462. DOI:10.3969/j.issn.1672-1756.2014.05.004.
[27] 马莹,叶君荣,黄昭君,等.基于循证构建精神科护理质量敏感性指标[J].护理学报,2020,27(9):27-32. DOI:10.16460/j.issn1008-9969.2020.09.027.
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