PICC带管出院患者护理敏感性结局指标体系的构建

目的 构建科学、实用的PICC带管出院患者的护理敏感性结局指标体系,为个性化的延续护理提供参考。方法 基于奥马哈问题分类系统、护理结局分类系统,在文献回顾基础上,通过德尔菲法对28名专家进行2轮函询,运用层次分析法,确定各条目权重。结果 2轮专家咨询的问卷有效回收率分别为90%、100%,权威系数分别为0.861、0.894 ,第2轮一、二、三级指标协调系数分别为0.344、0.359、0.358（均P<0.001）,第2轮体系的Cronbach α系数为0.873,S-CVI为0.934,最终确定PICC带管出院患者的护理敏感性结局指标体系,包括4大领域、13个一级指标、28个二级指标、76个三级指标。结论 专家积极性和权威程度高,体系的信效度良好,研究结果可靠,构建的敏感性指标体系具有一定的科学性,对PICC带管出院患者延续护理工作的开展有一定的指导意义。

Construction of Nursing-sensitive Outcome Indicator System for Patients with PICC after Discharge

Objective To construct a scientific and practical nursing-sensitive outcome indicator system for patients with PICC after discharge, and provide reference for personalized extended nursing. Methods Based on Omaha problem classification system, nursing outcome classification system and literature review, the weight of each item in the system was identified by analytic hierarchy process after 2-round consultation of 28 experts by the Delphi method. Results The effective recovery rate of the two rounds of expert consultation was 90% and 100% respectively, and the authoritative coefficient was 0.861 and 0.894 respectively. The coordination coefficient of the second round of the first-, second- and third-level indicators was 0.344, 0.359 and 0.358 respectively (all P<0.001). The Cronbach's α of the system was 0.873 and S-CVI 0.934. The final version of nursing-sensitive outcome indicator system for patients with PICC after discharge consisted of 4 major areas, 13 first-level indicators, 28 second- level indicators, and 76 third-level indicators. Conclusion With high enthusiasm and authority of the experts, the system has good reliability and validity. The constructed system is scientific and provides guidance for the development of extended nursing for patients with PICC after discharge.