脑卒中相关性肺炎护理风险评价指标体系的构建

目的建立脑卒中相关性肺炎(SAP)护理风险评价指标体系,为SAP的预防与控制提供参考依据。方法在文献分析和半结构访谈的基础上,初步拟定SAP护理风险评价指标体系的基本框架。运用德尔菲法和层次分析法,筛选指标,并计算指标的权重。结果构建了包含6个一级指标和33个二级指标的SAP护理风险评价指标体系,两轮咨询专家积极系数分别为88.89%和100%,权威系数为0.8。结论构建的评价指标体系可以有效帮助管理者识别SAP发生的高风险因素及高危环节,为临床护理风险的有效防范提供评估依据。

Establishment of nursing risk assessment index system for stroke-associated pneumonia

Objective To establish a nursing risk assessment index system(NRAIS) for stroke-associated pneumonia (SAP), and provide reference for the prevention and control of SAP. Methods On the basis of literature analysis and semi-structured interviews, the basic framework of NRAIS for SAP was preliminarily drawn up. Indexes were screened by using Delphi method and analytic hierarchy process, the weight of index was calculated. Results The NRAIS for SAP consisting of 6 first-level indexes and 33 second-level indexes was constructed, positive coefficient of expert of two rounds consultation were 88.89% and 100% respectively, authoritative coefficients was 0.8%. Conclusion The constructed assessment index system can effectively help managers identify high-risk factors and high-risk links of SAP, and provide evaluation basis for effective prevention of clinical nursing risks.