儿童肝移植围手术期护理质量评价指标体系的构建

目的 构建儿童肝移植围手术期护理质量评价指标体系,为护理质量的监测及管理提供标准、可量化的依据。方法 2021年1月—6月以“结构-过程-结果”三维质量评价模型为理论框架,采用文献分析、德尔菲法及层次分析法,确定儿童肝移植围手术期护理质量评价指标体系的内容及各指标权重。结果 2轮函询问卷的有效回收率为95.2%和100%,专家权威系数为0.88和0.89,变异系数为0.05~0.19和0.06~0.23,肯德尔和谐系数为0.128和0.184。最终构建的儿童肝移植围手术期护理质量评价指标体系包括一级指标3项、二级指标14项、三级指标61项。结论 构建的儿童肝移植围手术期护理质量评价指标体系科学合理、内容全面、专科性强,可为儿童肝移植围手术期护理质量评价提供参考依据。

Establishment of quality evaluation indicator system for perioperative nursing in pediatric liver transplantation

Objective To develop a quality evaluation indicator system for perioperative nursing in pediatric liver transplantation,and to provide standard and professional quantitative bases for monitoring and management of perioperative nursing quality.Methods This study was conducted from January to June 2021 based on the frame work of the three-dimensional“structure-process-outcome” quality model,using literature review,Delphi method and analytic hierarchy process（AHP） to determine the content of the system,and the weight of each index.Results The effective recovery of 2 rounds of expert consultations were 95.2% and 100%. The authority coefficients were 0.88 and 0.89. The variation coefficients of each item ranged from 0.05 to 0.19 and from 0.06 to 0.23. The Kendall harmony coefficients were 0.128 and 0.184. The final quality evaluation indicator system for perioperative nursing in pediatric liver transplantation was established,including 3 first-level indicators,14 second-lever indicators and 61 third-level indicators.Conclusion The quality evaluation indicator system for perioperative nursing in pediatric liver transplantation was scientific,reliable,comprehensive and specialized,which can provide references for the evaluation of perioperative nursing quality in pediatric liver transplantation.