以质量求发展,以服务铸品牌

Journal of Nursing ›› 2022, Vol. 29 ›› Issue (15): 14-18.doi: 10.16460/j.issn1008-9969.2022.15.014

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Construction of Nursing Sensitive Quality Index System for Enhanced Recovery after Surgery of Breast Cancer Patients

SHI Hai-ning1, CHEN Ling2a, ZHOU Li-jing2a, WANG Li2b   

  1. 1. School of Nursing, Xinjiang Medical University, Urumqi 830011, China;
    2a. Dept. of Nursing Administration;2b. Dept. of Breast Surgery, Cancer Hospital Affiliated to Xinjiang Medical University, Urumqi 830011, China
  • Received:2022-04-01 Online:2022-08-10 Published:2022-09-07

Abstract: Objective To construct a nursing sensitive quality index system for enhanced recovery after surgery (EARS) of breast cancer patients, and to provide reference for nursing managers and clinical nurses to evaluate the nursing quality of EARS of breast cancer patients. Methods Donabedian's structure-process-outcome model was employed as theoretical framework; literature review, semi-structured interview, Delphi method and analytic hierarchy process were used to establish the sensitive quality index system and identify the weight of each index for enhanced recovery after surgery (EARS) of breast cancer patients. Results There were two rounds of expert consultation. The effective recovery rate of two rounds of expert consultation was 100%; expert authority coefficient 0.861 and 0.875, and Kendall coordination coefficient of expert 0.402 and 0.410, respectively, indicating statistical significance (P<0.05). The final nursing sensitive quality index system for EARS of breast cancer patients consisted of 3 first-level,9 second-level and 13 third-level indicators. Conclusion The constructed nursing sensitive quality index system for EARS of breast cancer patients is standardized, practical, and in line with the characteristics of breast specialty. It has important guiding significance for improving the quality and safety of EARS for breast cancer patients, standardizing nursing quality management, and promoting the continuous improvement of nursing quality.

Key words: postoperative patient with breast cancer, rapid recovery, sensitive index, quality of care

CLC Number: 

  • R473.73
[1] 李铮,刘宇.护理学研究方法[M].北京:人民卫生出版社,2018:237-245.
[2] Englander M.The Phenomenolagieal Method in Qualitative Psyehology and Psychiatry[J]. Int J Qual Stud Health Well-Being,2016,11(1):30682.DOI:10.3402/qhw.v11.30682.
[3] Shi C, Zhang Y,Li C,et al.Using the Delphi Method to Identify Risk Factors Contributing to Adverse Events in Residential Aged Care Facilities[J]. Risk Manag Healthc Policy,2020,13:523-537.DOI:10.2147/RMHP.S243929.
[4] 黄喆,赵文娟,张晓菊,等.住院患者癌痛护理质量评价指标体系的构建[J].护士进修杂志,2021,36(1):17-21.DOI:10.16821/j.cnki.hsjx.2021.01.004.
[5] 徐秋香,马森,刘箐.麻醉恢复室护理质量敏感性指标的构建[J].护理学报,2021,28(3):6-9.DOI:10.16460/j.issn1008-9969.2021.03.006.
[6] 王秋婷,魏琳,刘杨晨,等.中医专科护士核心能力评价指标体系的构建[J].护理学报,2022,29(4):1-6.DOI:10.16460/j.issn1008-9969.2022.04.001.
[7] 邵珂,荆进,傅兰.老年口腔专科门诊护理质量敏感指标的构建[J].护理学报, 2021, 28(22):30-35.DOI:10.16460/j.issn1008-9969.2021.22.030.
[8] 程超. ICU护理质量敏感性指标体系的构建[D].合肥:安徽医科大学,2018.
[9] 吴莹玉. 基于行为目标理论的护士工作场所暴力防范培训体系的构建[D].青岛:青岛大学,2020.
[10] 刘兴红,李素云,喻姣花,等.医院内静脉血栓栓塞护理质量评价指标体系的构建[J].护理学报,2019,26(21):21-25.DOI:10.16460/j.issn1008-9969.2019.21.021.
[11] 赵权萍,郑孝词,曹彬,等.快速康复外科综合护理方案在乳腺癌择期手术病人护理中的应用[J].护理研究,2021,35(4):695-699.DOI:10.12102/j.issn.1009-6493.2021.04.027.
[12] Chiu C,Aleshi P,Esserman LJ,et al.Improved Analgesia and Reduced Post-operative Nausea and Vomiting after Implementation of an Enhanced Recovery after Surgery (Eras) Pathway for Total Mastectomy[J].BMC Anesthesiol,2018,18(1):41.DOI:10.1186/s12871-018-0505-9.
[13] Jogerst K, Thomas O, Kosiorek HE,et al.Same-day Discharge after Mastectomy: Breast Cancer Surgery in the Era of ERAS[J]. Ann Surg Oncol,2020,27(9):3436-3445.DOI:10.1245/s10434-020-08386-w.
[14] 梁瑞婷,冯凤,李平,等.中医护理质量敏感指标的构建[J].中华护理杂志,2021,56(10):1522-1527.DOI:10.3761/j.issn.0254-1769.2021.10.013.
[15] 朱红,刘争,王垭,等.基于三维质量评价模式构建住院患者非计划拔管风险管理质量评价体系[J].护理学报,2022,29(1):7-12.DOI:10.16460/j.issn1008-9969.2022.01.007.
[16] 杨东霞,曲慧利,龙莎莎,等.基于德尔菲法构建乳腺专科护理质量敏感指标[J].中华现代护理杂志,2020,26(1):60-64.DOI:10.3760/cma.j.issn.1674-2907.2020.01.012.
[17] 孙慧慧,陈淑琴,王小焕,等.基于三维质量结构模式普外科加速康复护理质量评价指标体系的构建[J]. 护理学报,2019, 26(23):29-33.DOI:10.16460/j.issn1008-9969.2019.23.029.
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