基于结构-过程-结果模型构建结肠镜检查患者护理敏感性质量指标体系

目的 构建结肠镜检查患者护理敏感性质量指标，为结肠镜检查护理质量评价及管理提供参考依据。方法 参考结构-过程-结果模型理论为框架依据，采用循证方法、Delphi法及层次分析法构建结肠镜检查护理敏感性质量指标体系及计算各级指标权重。结果 2轮Delphi专家函询问卷有效回收率分别为89%、92%，专家权威系数为0.890、0.904，专家协调系数为0.160、0.299(P<0.001)，指标体系一致性检验达到标准（CR<0.1）。最终指标体系包含一级指标3项，二级指标6项，三级指标20项。结论结肠镜检查患者护理敏感性质量指标体系具有科学性与实用性，可为结肠镜检查护理质量持续改进提供指导。

Construction of nursing sensitive quality indicator system for patients undergoing colonoscopy based on structure-process-outcome model

Objective To construct a nursing sensitive indicator system for patients undergoing colonoscopy, and to provide reference for the evaluation and management of colonoscopy nursing quality. Methods Taking structure-process-outcome model as the theoretical framework, a nursing sensitive indicators system for colonoscopy care was constructed through evidence-based method and Delphi method, and analytic hierarchy process was used to calculate the weights of indicators at each level. Results The effective recovery rate of the two rounds of Delphi expert consultation was 89% and 92%; the authority coefficient 0.890 and 0.904; and coordination coefficient of expert 0.160 and 0.299, respectively (P<0.001). The final nursing sensitive indicator system had good consistency (CR<0.1), and consisted of 3 first-level, 6 second-level, and 20 third-level indicators. Conclusion The nursing sensitive indicator system for patients undergoing colonoscopy is scientific and practical, which provides guidance for continuous improvement of colonoscopy care quality.