构建支气管哮喘患者护理质量评价指标体系

目的 构建支气管哮喘患者护理质量评价指标体系,为实现客观科学的支气管哮喘患者护理质量监测、评价、管理提供参考依据。方法 采用“结构-过程-结果”理论框架,在研究证据及小组讨论的基础上初步拟订支气管哮喘患者护理质量评价指标,通过德尔菲法与层次分析法进一步确立质量评价指标体系及各指标的权重。结果 构建了包含3项一级指标、6项二级指标、27项三级指标在内的支气管哮喘患者护理质量评价指标体系,其中一级指标的权重分布最高的为过程指标（0.491）,二级指标的权重分布最高的为计划及实施指标（0.327）。2轮函询专家积极系数为90.00%与100%,权威系数为0.821与0.840,协调系数为0.312~0.361。结论 构建的支气管哮喘护理质量评价指标体系具有较强的科学性、实用性及可行性,可供临床护理人员使用参考,以不断改进支气管哮喘患者临床护理质量。

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

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.