以质量求发展,以服务铸品牌

Journal of Nursing ›› 2024, Vol. 31 ›› Issue (13): 40-44.doi: 10.16460/j.issn1008-9969.2024.13.040

Previous Articles     Next Articles

Construction of nursing quality evaluation indicators for continuous passive movement of elbow joint based on Delphi method

ZHU Lin-yi, XIONG Fei, HUANG Ling-ying, ZHANG Hui-na, ZHANG Si-miao, MI Jin-yi   

  1. Dept. of Sports Medicine, Wuxi No. 9 people's Hospital, Wuxi 214062, China
  • Received:2024-03-15 Online:2024-08-05 Published:2024-08-05

Abstract: Objective To construct nursing quality evaluation indicators for continuous passive movement of elbow joints, and to unify quality standards, standardize nursing operations, and ensure rehabilitation outcomes. Methods Through literature review, semi-structured interviews, and clinical data analysis, preliminary evaluation indicators for nursing quality of continuous passive movement of elbow joint were identified. Delphi method was applied in 30 experts in related fields for two rounds of consultation, and then scientific and reasonable evaluation indexes were ultimately identified. Results The positivity coefficient of the two rounds of inquiry was 100% and 97%, and the authority coefficient 0.91 and 0.92 respectively. The coordination degree was 0.411 and 0.358, respectively (both P<0.05). The final evaluation indicators were based on a three-level framework of medical quality, including three first-level indicators: structural quality, process quality and outcome quality. There were 11 secondary-level, and 39 third-level indicators. Conclusion The construction method is scientific, concise and practical, which is conducive to standardizing nursing operations, improving the quality of nursing services during the operation, ensuring rehabilitation effects, promoting limb function recovery, and improving patient satisfaction.

Key words: elbow arthroscopy, continuous passive activity, nursing quality, evaluation indicator, Delphi method

CLC Number: 

  • R47
[1] Muller AM, Sadoghi P,Lucas R,et al.Effectiveness of bracing in thetreatment of nonosseous of elbow mobility:asystematicreview and meta-analysis of 13 studies[J]. J Shoulder Elbow Surg,2013,22(8):1146-1152.
[2] Cefo I,Eygendaal D.Arthroscopic arthrolysis for posttraumatic elbow stiffness[J]. J Shoulder Elbow Surg,2011,20(3):434-439.DOI:10.1016/j.jse.2010.11.018.
[3] 刘娟,任虹,张硕,等.CPM配合SPS康复干预对尺骨鹰嘴骨折术后患者康复效果及关节功能、活动度、患者满意度的影响[J].重庆医学,2022,1(1):113-118.DOI:10.3969/j.issn.1671-8348.2022.01.025.
[4] 黄天雯,张伟玲,刘圆圆,等.基于敏感指标的骨科专科护理质量标准的构建[J].护理研究,2022,36(4):580-586.DOI:10.12102/j.issn.1009-6493.2022.04.003.
[5] 孙艳霞,李莹,刘明月,等.宫颈癌患者性健康护理培训方案的构建[J].中华护理杂志,2022,57(9):1054-1060. DOI:10.3761/j.issn.0254-1769.2022.09.005.
[6] 何芳,郭晓琴,王倩,等.基于德尔菲法构建女性盆底功能障碍高发人群一级预防自我护理能力量表[J].护理研究,2021, 35(21):3906-3909. DOI:10.12102/j.issn.1009-6493.2021.21.028.
[7] Robson A.A tailored cardiac rehabilitation for patients with acute heart failure[J]. Nat Rev Cardiol,2021,18(8):544.DOI:10.1038/s41569-021-00580-x.
[8] 曾光,李辉.现代流行病学方法与利用[M].北京:北京医科大学协和医科大学联合出版社,1996:250-270.
[9] 杨博,李黎明,黄志红,等.预防ICU患者胃潴留集束化护理方案的构建[J].护理学报, 2022, 29(12):1-5.DOI:10.16460/j.issn1008-9969.2022.12.001.
[10] Ball CM, Neunier M,Galatz LM,et al.Arthroscopic treatment of post-traumatic elbow contracture[J]. J Shoulder Elbow Surg,2002,11:624-629.DOI:10.1067/mse.2002.126770.
[11] Kim SJ, Shin SJ.Arthroscopic treatment for limitation of motion of the elbow[J]. Clin Orthop Relat Res,2000,(375):140-148.DOI:10.1097/00003086-200006000-00017.
[12] 陆瑾,季小娟,张丽娟,等.对肘关节骨折患者术后采用早期综合康复护理的效果及对功能恢复的影响分析[J].系统医学,2021,6(19):162-165.DOI:10.19368/j.cnki.2096-1782.2021.19.162.
[13] 胡庆奎,李佳,蔡贤华,等.智能化兔膝关节持续被动活动康复仪的研制及其在兔胫骨平台骨折术后康复中的应用[J].中华物理医学与康复杂志,2019,41(1):8-12.DOI:10.3760/cma.j.issn.0254-1424.2019.01.002.
[14] 朱读伟,姜梅英,胡少华,等.基于结构-过程-结果三维质量评价模型急诊预检分诊质量评价指标体系的构建[J].护理学报,2023,30(9):69-74.DOI:10.16460/j.issn1008-9969.2023.09.069.
[1] QUAN Yi-ping, CHEN Xia, HU Qiong-dan. Construction of core competency evaluation index system for heart-brain health managers [J]. Journal of Nursing, 2024, 31(9): 5-9.
[2] CHEN Jie, LAI Jing, WANG Cheng-yue, XU Liang-ying, YAN Juan, LUO Xue. Construction of humanistic care quality evaluation index system of ICU nursing based on Three-dimensional Quality Structure Theory [J]. Journal of Nursing, 2024, 31(9): 54-59.
[3] CHEN Rui, WANG Mei, TANG Xiao-xia, ZHU Ao-xue, MAO Hui-na. Construction of nursing need protocol for cancer patients receiving immune checkpoint inhibitor therapy based on ERG theory [J]. Journal of Nursing, 2024, 31(7): 1-5.
[4] ZHANG Guo-chun, LI Hai-yun, CHU Liang-liang, CHENG Xue, WANG Jun-zhi. Development of Knowledge, Belief and Practice Scale for perinatal palliative care of obstetric nurses and its reliability and validity [J]. Journal of Nursing, 2024, 31(2): 6-11.
[5] ZOU Zhao-hua, QINGN Wei, ZHU Mao-cai, ZHANG Ji-quan, YI Zi-han, HU Xiu. Construction of nursing quality-sensitive indicator system for continuous renal replacement therapy [J]. Journal of Nursing, 2024, 31(2): 70-74.
[6] KE Wen, GAO Xing-lian, YU Wen-jing, FANG Min, WANG Zeng-yan. Construction of nursing quality evaluation index system for prevention of perioperative hypothermia based on Structure-process-outcome model [J]. Journal of Nursing, 2024, 31(1): 1-6.
[7] GAO Ruo-nan, WANG Cui-ling, LI Ting-yu, TIAN Mei-yu, ZHANG Nan, ZHENG Rui. Construction of a dietary management program for postoperative oesophageal cancer patients based on Pender's health promotion model [J]. Journal of Nursing, 2024, 31(1): 12-16.
[8] CAI Wen-wen, ZHANG Xing-xing, YE Min-shan, LUO Yan-xia, RUAN Wei-qing, Li Jia. Construction of nursing sensitive quality indicator system for patients undergoing colonoscopy based on structure-process-outcome model [J]. Journal of Nursing, 2023, 30(6): 1-6.
[9] LIANG Yue, DING Hong, ZHANG Guang-qing, WANG Li-mei, XIAO Lun-hua, CHEN Han-fei, FAN Zi-bo. Construction of core index system of nursing recording in post anesthesia care unit [J]. Journal of Nursing, 2023, 30(6): 36-41.
[10] LI Jia, LIANG Jia-yi, FENG Ru-zhi, GAO Yu-lin. Construction of evaluation index system for core competence of public health nurses [J]. Journal of Nursing, 2023, 30(4): 16-22.
[11] LIU Wei, LI Yu-ling, HAN Qing-hua, LIN Yan-li. Construction of peer support education program for nursing students based on social learning theory [J]. Journal of Nursing, 2023, 30(3): 16-19.
[12] TIAN Tian, LI Zhuan-zhen, DU Fang-fang, ZHU Yong-yan, LI Wei-li, WAN Fei-fei. Construction of nursing safety training system for new nurses based on Transition Shock Theory [J]. Journal of Nursing, 2023, 30(3): 35-39.
[13] CHEN Qing-qing, KONG Ling, JIANG Shan, ZHU Qiu-li, WANG Yan, SU Ming-xia, GAO Li-fang, CHEN Jing-mei. Construction of indicators of entrustable professional activities for new nurses [J]. Journal of Nursing, 2023, 30(23): 18-22.
[14] LIU Hong-fei, WANG Fang, LI Hui-feng, CHEN Xiao-he, TIAN Li, LI Wei-hua. Construction of nursing unit and management standard in chest pain center [J]. Journal of Nursing, 2023, 30(23): 23-28.
[15] QIN Ke-wen, WANG Ping, CAO Han-zhong, ZHOU Xiao-mei. Construction of core competency evaluation indictor system for anesthesia nurses [J]. Journal of Nursing, 2023, 30(22): 20-24.
Viewed
Full text


Abstract

Cited

  Shared   
No Suggested Reading articles found!